DSM-IV defines substance abuse in terms of

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DSM-IV defines substance abuse as a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one or more of the following in a 12-month period: failure to fulfill major role obligations at work, school, or home; recurrent use in situations in which it is physically hazardous; recurrent substance-related legal problems; continued use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance. Addiction, tolerance and withdrawal, and craving and lack of control are all aspects of substance dependence, which is a separate diagnosis in DSM-IV.

DSM-IV Defines Substance Abuse in Terms of