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. Author manuscript; available in PMC: 2017 May 1.
Published in final edited form as: Pharmacotherapy. 2016 May;36(5):511–535. doi: 10.1002/phar.1747

Table 1.

Diagnostic Criteria for Cannabis Use Disorder. Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-5)8.

Problematic pattern of use, leading to clinically significant impairment or distress, manifested by at least 2 of the following, occurring within a 12-month period:
 • The substance is taken in larger amounts or over a longer period than was intended.
 • Persistent desire or unsuccessful effort to cut down or control use.
 • Great deal of time spent obtaining, using, or recovering from the effects of cannabis.
 • Craving, or a strong desire or urge to use cannabis.
 • Rucurrent use resulting in failure to fulfill major obligations at work, school, or home.
 • Continued use despite having persistent or recurrent social or interpersonal problems caused by or exacerbated by the effects of use.
 • Giving up or reducing important social, occupational, or recreational activities because of use.
 • Recurrent use in situations that could be physically hazardous.
 • Continued use despite knowledge of having a persistent or recurrent physical or psychological problem caused by or exacerbated by use.
 • Need for markedly increased amounts of the substance to achieved intoxication or desired effect; or diminished effect with continued use of the same amount.
 • Characteristic withdrawal syndrome for the substance (see below); or the substance is taken to relieve or avoid withdrawal symptoms.
Severity indicators:
2-3 criteria met = Mild
4-5 criteria met = Moderate
6 or more criteria = Severe
Cannabis withdrawal syndrome symptom checklist (3 or more):
1. irritability, anger, or agression
2. nervousness or anxiety
3. trouble sleeping
4. appetite or weight loss
5. resltessness
6. feeling depressed
7. significant discomfort from one of the following: stomach pain, tremors or shakes, sweating, hot flashes, chills, headaches