Inhalant Dependence

1. Inhalant abuse: A destructive pattern of inhalant use, leading to significant social, occupational, or medical impairment.
2. Must have three (or more) of the following, occurring when the inhalant use was at its worst:
   
   1. Inhalant tolerance:
      Either need for markedly increased amounts of inhalant to achieve intoxication, or markedly diminished effect with continued use of the same amount of inhalant.
   2. Greater use of inhalant than intended:

      Inhalant was often taken in larger amounts or over a longer period than was intended

   3. Unsuccessful efforts to cut down or control inhalant use:
      Persistent desire or unsuccessful efforts to cut down or control inhalant use
   4. Great deal of time spent in using inhalant, or recovering from hangovers
   5. Inhalant caused reduction in social, occupational or recreational activities:
      Important social, occupational, or recreational activities given up or reduced because of inhalant use.
   6. Continued using inhalant despite knowing it caused significant problems:
      Continued inhalant use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been worsened by inhalant

• Learning Problem
• Dysarthria or Involuntary Movement
• Hypoactivity
• Psychotic
• Euphoric Mood
• Depressed Mood
• Somatic or Sexual Dysfunction
• Hyperactivity
• Addiction
• Sexually Deviant Behavior
• Dramatic or Erratic or Antisocial Personality

Some disorders display similar or sometimes even the same symptom. The clinician, therefore, in his diagnostic attempt has to differentiate against the following disorders which he needs to rule out to establish a precise diagnosis.

• Nonpathologic inhalant use for recreational purposes;
• Repeated episodes of Inhalant Intoxication.