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Alcohol dependence is a previous (DSM-IV and ICD-10) psychiatric diagnosis in which an individual is physically or psychologically dependent upon alcohol (also chemically known as ethanol). In 2013, it was reclassified as alcohol use disorder in DSM-5, [1] which combined alcohol dependence and alcohol abuse into this diagnosis.
Signs and symptoms of alcohol withdrawal occur primarily in the central nervous system. The severity of withdrawal can vary from mild symptoms such as insomnia, trembling, and anxiety to severe and life-threatening symptoms such as alcoholic hallucinosis, delirium tremens, and autonomic instability.
The alcohol abuse diagnosis is no longer used in the DSM-5 (released in 2013), it is now part of the alcohol use disorder diagnosis. Of the four alcohol abuse criteria, all except the one referring to alcohol-related legal problems are included in the alcohol use disorder criteria. For the specific diagnosis, clinicians use the ICD-10-CM system ...
Alcohol withdrawal delirium: 291.89: Alcohol-induced anxiety disorder: Coded 291.8 in the DSM-IV. 291.89: Alcohol-induced mood disorder: Coded 291.8 in the DSM-IV. 291.1: Alcohol-induced persisting amnestic disorder: 291.2: Alcohol-induced persisting dementia: 291.x: Alcohol-induced psychotic disorder: 291.5: Alcohol-induced psychotic disorder ...
Psychoactive substance-induced psychotic disorders outlined within the ICD-10 codes F10.5—F19.5: F10.5 alcohol: [8] [9] [10] Alcohol is a common cause of psychotic disorders or episodes, which may occur through acute intoxication, chronic alcoholism, withdrawal, exacerbation of existing disorders, or acute idiosyncratic reactions. [8]
Management with a combination of abstinence from alcohol and the use of neuroleptics has been shown to be effective. [11] It is also possible to treat withdrawal before major symptoms start to happen in the body. Diazepam and chlordiazepoxide have proven to be effective in treating alcohol withdrawal symptoms such as alcoholic hallucinosis ...
The term "alcoholism" was split into "alcohol abuse" and "alcohol dependence" in 1980's DSM-III, and in 1987's DSM-III-R behavioral symptoms were moved from "abuse" to "dependence". [116] Some scholars suggested that DSM-5 merges alcohol abuse and alcohol dependence into a single new entry, [117] named "alcohol-use disorder". [118] DSM-5
291.0 Alcohol withdrawal delirium; 291.2 Alcohol-induced persisting dementia; 291.1 Alcohol-induced persisting amnestic disorder; 291.x Alcohol-induced psychotic disorder.5 With delusions.3 With hallucinations; 291.89 Alcohol-induced mood disorder (coded 291.8 in the DSM-IV) 291.89 Alcohol-induced anxiety disorder (coded 291.8 in the DSM-IV)