This site is designed for my patients and should not replace the advice of your own health care provider.
Conditions/Substance Use Disorders
Substance Use

Substance Use Disorders (SUD)

Cannabis Use Disorder criteria and severity, plus screening tools for alcohol and other drug use.

Cannabis Use Disorder (CUD)

CUD is a problematic pattern of cannabis use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period:

  1. Cannabis is often taken in larger amounts or for longer periods than intended
  2. Persistent desire or unsuccessful efforts to cut down or control use
  3. Much time spent obtaining, using, or recovering from cannabis
  4. Craving, or strong desire or urge to use cannabis
  5. Recurrent use resulting in failure to fulfill obligations at work, school or home
  6. Continued use despite persistent or recurrent social or interpersonal problems caused or worsened by cannabis
  7. Important social, occupational, or recreational activities given up or reduced because of use
  8. Recurrent use in physically hazardous situations
  9. Use continued despite knowledge of a persistent physical or psychological problem likely caused or worsened by cannabis
  10. Tolerance (needing more for the same effect, or diminished effect with the same amount)
  11. Withdrawal
SymptomsSeverity
2–3Mild
4–5Moderate
6+Severe

Prevalence of CUD in the United States is highest in those 18–29 years old (7%) and lowest in those over 45 (0.8%).

The Cannabis Use Disorder Identification Test (CUDIT)

CUDIT is a short screening scale used to identify problems related to cannabis use. Screening scales can identify risk factors and guide further treatment. Very often, patients do not realize how much their cannabis use is interfering with their lives, work, home, and relationships. Completing CUDIT may increase awareness of how cannabis is more damaging to overall health than previously realized.

Leaves.Org

A friendly, non-judgmental, and free on-line support group for those attempting to leave cannabis behind.

The Alcohol Use Disorder Identification Test (AUDIT)

A screening tool used to detect unhealthy alcohol use, defined as risky or hazardous consumption of alcohol.

The Drug Abuse Screening Test (DAST-10)

A shortened version of a test created by Canadian psychologist Harvey Skinner. Not a diagnostic instrument — results should be discussed with your health care provider.