Cannabis Intoxication (292.89)

DSM-IV-TR criteria

A. Recent use of cannabis.

B. Clinically significant maladaptive behavioral or psychological changes (e.g. impaired motor coordination, euphoria, anxiety, sensation of slowed time, impaired judgment, social withdrawal) that developed during, or shortly after, cannabis use.

C. Two or more of the following signs, developing 2 hours of cannabis use:

• conjuctival injection
• increased appetite
• dry mouth
• tachycardia

D. The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder.

Specify if:

• With Perceptual Disturbances

• This specifier may be noted when hallucinations with intact reality testing or auditory, visual, or tactile illusions occur in the absence of a delirium. Intact reality testing means that the person knows that the hallucinations are induced by the substance and do not represent external reality. When hallucinations occur in the absence of intact reality testing, a diagnosis of Substance-Induced Psychotic Disorder, With Hallucinations, should be considered

• When cannabis is smoked, intoxication develops within minutes; however, if cannabis is ingested orally, intoxication may take a few hours to develop.
• Effects of cannabis intoxication usually last 3-4 hours. The effects may last longer if the cannabis was ingested orally.
• The behavioral and psychological changes that occur depend of the dose, the administration, and the individual. For example, a person’s tolerance, rate of absorption and sensitivity will differ greatly 23. Other (or Unknown) Substance-Related Disorders

A list of the Other (or Unknown) Substance-Use Disorders and the Other (or Unknown) Substance-Induced Disorders

Definition

• This is a category of classification when the substances associated with the disorder are not covered by the 11 categories the DSM-IV-TR uses to classify Substance-Related Disorders. Substances that may relate to the disorder but are not covered include anabolic steroids, nitrite inhalants, nitrous oxide, catnip, betel nut, and kava. The disorders are generally described with the disorder that they share phenomenology with.

Other (or Unknown) Substance-Use Disorders

• Other (or Unknown) Substance Dependence 304.9
• Other (or Unknown) Substance Abuse 305.9

Other (or Unknown) Substance-Induced Disorders

• Other (or Unknown) Substance Intoxication 292.89 Specify if: With Perceptual Disturbances
• Other (or Unknown) Substance Withdrawal 292.0 Specify if: With Perceptual Disturbances
• Other (or Unknown) Substance-Induced Delirium 292.81
• Other (or Unknown) Substance-Induced Persisting Dementia 292.82
• Other (or Unknown) Substance-Induced Persisting Amnestic Disorder 292.83
• Other (or Unknown) Substance-Induced Psychotic Disorder, with Delusions 292.11 Specify if: With Onset During Intoxication/With Onset During Withdrawal
• Other (or Unknown) Substance-Induced Psychotic Disorder, with Hallucinations 292.12 Specify if: With Onset During Intoxication/With Onset During Withdrawal
• Other (or Unknown) Substance-Induced Mood Disorder 292.84 Specify if: With Onset During Intoxication/With Onset During Withdrawal
• Other (or Unknown) Substance-Induced Anxiety Disorder 292.89 Specify if: With Onset During Intoxication/With Onset During Withdrawal
• Other (or Unknown) Substance-Induced Sexual Dysfunction 292.89 Specify if: With Onset During Intoxication
• Other (or Unknown) Substance-Induced Sleep Disorder 292.85 Specify if: With Onset During Intoxication/With Onset During Withdrawal
• Other (or Unknown) Substance-Related Disorder Not Otherwise Specified 292.9