Glossary


Dependence

A maladaptive pattern of substance use leading to clinically significant impairment or distress as manifested by at least three of the following occurring in a 12 month period: 1) Tolerance; 2) Withdrawal; 3) Inability to limit use; 4) failed attempts to quit; 5) A great deal of time is spent in activities necessary to obtain the substance or recover from its effects; 6) Important social, occupational or recreational activities are given up or reduced due to substance abuse [missed obligations due to use] and 7)The substance use is continued despite knowing that a persistent or recurrent physical or psychological problem is likely to have been caused or exacerbated by the substance.