Disorders due to use of non-psychoactive substances
Transtornos devidos ao uso de substâncias não psicoativas
CategoryDefinition
Disorders due to use of non-psychoactive substances are characterised by the pattern and consequences of non-medical use of non-psychoactive substances. Non-psychoactive substances include laxatives, anabolic steroids, growth hormone, erythropoietin, and non-steroidal anti-inflammatory drugs. They may also include proprietary or over-the-counter medicines and folk remedies. Non-medical use of these substances may be associated with harm to the individual due to the direct or secondary toxic effects of the non-psychoactive substance on body organs and systems, or a harmful route of administration (e.g., infections due to intravenous self-administration). They are not associated with intoxication or with a dependence or withdrawal syndrome and are not recognized causes of substance-induced mental disorders.
Diagnostic Criteria
Disorders due to use of non-psychoactive substances are characterized by the pattern and consequences of non-medical use of non-psychoactive substances. Non-psychoactive substances include laxatives, growth hormone, anabolic steroids, erythropoietin, and non-steroidal anti-inflammatory drugs. They may also include proprietary or over-the-counter medicines and folk remedies. Non-medical use of these substances may be associated with harm to the individual due to the direct or secondary toxic effects of the non-psychoactive substance on body organs and systems, or a harmful route of administration (e.g., infections due to intravenous self-administration). They are not associated with intoxication or with a dependence or withdrawal syndrome and are not recognized causes of Substance-Induced Mental Disorders.
Diagnostic Categories that Apply to Non-Psychoactive Substances
Following is a list of specific diagnostic categories of that apply to non-psychoactive substances:
- 6C4H.0 Episode of Harmful Use of Non-Psychoactive Substances
- 6C4H.1 Harmful Pattern of Use of Non-Psychoactive Substances
- 6C4H.Y Other Specified Disorder Due to Use of Non-Psychoactive Substances
- 6C4H.Z Disorder Due to Use of Non-Psychoactive Substances, Unspecified
The first two diagnoses listed above (Episode of Harmful Use of Non-Psychoactive Substances, Harmful Pattern of Use of Non-Psychoactive Substances) describe the pattern of non-psychoactive substance use. One of these two diagnoses, or Disorder Due to Use of Non-Psychoactive Substances, Unspecified, for cases in which the use pattern in unknown at the time of evaluation, is considered to be the primary diagnosis. That is, one of these three diagnoses should be assigned when making a diagnosis of a Disorder Due to Non-Psychoactive Substance Use.
Disorders Due to Use of Non-Psychoactive Substances do not include disorders related to psychoactive substances such as antidepressants, medications with anticholinergic properties (e.g., benztropine), and some antihistamines. These should be classified under 6C4E Disorders Due to Use of Other Specified Psychoactive Substances, including Medications.