Reference
Guide | Reference

88  Sedative Pattern Prototype

88.1 Summary

  • A pattern of sedative or anxiolytic use with impaired control, tolerance, or withdrawal and functional impact.

88.2 Prototype Features

  • Escalating dose or prolonged use.
  • Tolerance or withdrawal symptoms.
  • Use despite cognitive or safety consequences.

88.3 Threshold Guidance

  • Use when sedative use is persistent and impairing or risky.

88.4 Expected Domain Profile

  • Reward, Habit, and Substance-Related Compulsion: moderate to high.
  • Arousal, Sleep, and Circadian Regulation: disrupted.

88.5 Time-Course and Trajectory

  • Chronic use with withdrawal risks on cessation.

88.6 Differential and Red Flags

  • Medical causes of sedation or cognitive slowing.
  • Co-occurring alcohol or opioid use.

88.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (chronic, persistent).
  • Contributors (sleep problems, anxiety, access).
  • Risk modifiers (withdrawal risk, falls).

88.8 Measurement Prompts

  • Sedative use timeline.
  • Withdrawal symptom monitoring.

88.10 Documentation Snippet (1-2 lines)

  • “Sedative use with tolerance and withdrawal risk; Reward/Habit 3; chronic course.”