Cannabis Use Disorder DSM-5
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Diagnostic Criteria (DSM-5)


CUD is defined as 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 over a longer period than intended.
2 Persistent desire or unsuccessful efforts to cut down or control cannabis use.
3 Large amount of time is spent in activities necessary to obtain, use, or recover from the effects of cannabis.
4 Craving, or a strong desire or urge to use cannabis .
5 Recurrent cannabis use resulting in a failure to fulfill major role obligations at work, school, or home.
6 Continued cannabis use despite having persistent or recurrent social/interpersonal problems caused or exacerbated by the effects of cannabis.
7 Important social, occupational, or recreational activities are stopped or reduced because of cannabis use.
8 Recurrent cannabis use in physically hazardous situations (e.g. driving).
9 Cannabis use is continued despite knowledge of having a persistent or recurrent physical (e.g. respiratory complications from smoking) or psychological problem (e.g. mood disorder) that is likely to have been caused or exacerbated by cannabis.
10 Tolerance to cannabis, as defined by progressively larger amounts of cannabis needed to experience the psychoactive effect experienced when first used or noticeably reduced effect of use of the same amount of cannabis.
11 Withdrawal, defined as the typical withdrawal syndrome associated with cannabis or cannabis or a similar substance being used to prevent withdrawal symptoms.


Levels of Severity


2-3 symptoms


4-5 symptoms


6 or more symptoms



Source: American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association; 2013. 



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