Reference

Guide | Reference

83  Substance-Related Prototypes

83.1 Summary

• Prototypes organized by substance class with a consistent structure for communication and documentation.

83.2 Included Prototypes

• Alcohol Pattern Prototype.
• Opioid Pattern Prototype.
• Stimulant Pattern Prototype.
• Cannabis Pattern Prototype.
• Sedative Pattern Prototype.
• Other Substance Patterns.

83.3 How to Use This Cluster

• Start with the Atlas entry for substance use and compulsive reward seeking.
• Rate the Reward, Habit, and Substance-Related Compulsion domain.
• Apply a prototype label only when it improves communication or documentation.

83.4 Boundary Markers

• What it is: persistent, harmful use with impaired control.
• What it is not: occasional use without harm or loss of control.

83.5 Common Overlap

• Mood and drive dysregulation.
• Sleep and arousal dysregulation.

83.6 Cross-Links

• Atlas: Substance Use and Compulsive Reward Seeking.
• Domains: Reward, Habit, and Substance-Related Compulsion.
• Specifiers: Course and Time Pattern; Etiologic Contributors; Risk Modifiers.

83.7 Documentation Snippet (1-2 lines)

• “Substance-dominant profile with loss of control and withdrawal; consider alcohol vs stimulant pattern after domain rating.”