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Substance Use Disorders

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Abstract

In this chapter, we present a framework for the assessment and diagnosis of substance use disorders (SUDs) with an emphasis on integrating a dimensional, multifaceted approach into the traditional categorical system that historically underlies most established diagnostic interviewing tools. Supplementing categorical diagnoses with dimensional tools allows for a more nuanced clinical picture than simply determining whether or not an individual meets criteria for an SUD. A dimensional approach may provide further information on the frequency and degree of use, associated impairment, and comorbid symptomatology. Using such information to supplement an SUD diagnosis can enable a more individualized treatment plan that targets the psychological underpinnings of substance use as well as the consequences of use. This chapter can be used as a clinical tool for the assessment of substance use at multiple stages (screening, diagnostic assessment and dimensional assessment), encompassing a broad scope beyond traditional methods of categorical diagnosis.

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Paquette, C.E., Magidson, J.F., Swaminath, S., Daughters, S.B. (2019). Substance Use Disorders. In: Segal, D.L. (eds) Diagnostic Interviewing. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-9127-3_13

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