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TABLE 1

DSM-5 Criteria for Marijuana Use Disorder29 

Taking the substance in larger amounts or for longer than you meant to 
Wanting to cut down or stop using the substance but not managing to 
Spending a lot of time getting, using, or recovering from use of the substance 
Cravings and urges to use the substance 
Not managing to do what you should at work, home, or school because of substance use 
Continuing to use, even when it causes problems in relationships 
Giving up important social, occupational, or recreational activities because of substance use 
Using substances again and again, even when it puts you in danger 
Continuing to use, even when you know you have a physical or psychological problem that could have been caused or made worse by the substance 
Needing more of the substance to get the effect you want (tolerance) 
Development of withdrawal symptoms, which can be relieved by taking more of the substance 
Taking the substance in larger amounts or for longer than you meant to 
Wanting to cut down or stop using the substance but not managing to 
Spending a lot of time getting, using, or recovering from use of the substance 
Cravings and urges to use the substance 
Not managing to do what you should at work, home, or school because of substance use 
Continuing to use, even when it causes problems in relationships 
Giving up important social, occupational, or recreational activities because of substance use 
Using substances again and again, even when it puts you in danger 
Continuing to use, even when you know you have a physical or psychological problem that could have been caused or made worse by the substance 
Needing more of the substance to get the effect you want (tolerance) 
Development of withdrawal symptoms, which can be relieved by taking more of the substance 

Each specific substance other than caffeine (which is not a diagnosable substance use disorder) is addressed as a separate use disorder (eg, alcohol use disorder, stimulant use disorder); nearly all substances use these same overarching criteria. Severity is divided into mild, moderate, or severe: mild = meeting 2–3 criteria; moderate = meeting 4–5 criteria; severe = meeting ≥6 criteria. DSM-5, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.

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