From: Can tobacco dependence provide insights into other drug addictions?
DSM-5 tobacco withdrawal criteria | Comments |
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A. Daily use of tobacco for at least several weeks. | But the DSM text notes that withdrawal occurs in nondaily smokers. |
B. Abrupt cessation of tobacco use, or reduction in the amount of tobacco use, followed within 24Â h by four (or more) of the following signs and symptoms: Irritability, frustration, or anger. Anxiety. Difficulty concentrating. Increased appetite. Restlessness. Depressed mood. Insomnia. | Smokers with a latency to withdrawal of greater than 24Â h do not experience withdrawal symptoms within 24Â h. |
C. The signs or symptoms in Criteria B cause clinically significant distress or impairment in social, occupation, or other important areas of functioning. | Tobacco withdrawal symptoms are rarely severe enough to preclude normal occupational functioning. |
D. The signs or symptoms are not attributed to another medical condition and are not better explained by another mental disorder, including intoxication or withdrawal from another substance. | Experienced smokers would never be confused as to the cause of the listed withdrawal symptoms as they would simultaneously experience craving for tobacco. |