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Inhalant Dependence 
American Description 

Diagnostic Criteria
Inhalant abuse: A destructive pattern of inhalant use, leading to significant social, occupational, or medical impairment. 
Must have three (or more) of the following, occurring when the inhalant use was at its worst: 
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. 
Greater use of inhalant than intended: 
Inhalant was often taken in larger amounts or over a longer period than was intended 
Unsuccessful efforts to cut down or control inhalant use: 
Persistent desire or unsuccessful efforts to cut down or control inhalant use 
Great deal of time spent in using inhalant, or recovering from hangovers 
Inhalant caused reduction in social, occupational or recreational activities: 
Important social, occupational, or recreational activities given up or reduced because of inhalant use. 
Continued using inhalant despite knowing it caused significant problems: 
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 

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

Differential Diagnosis
Nonpathologic inhalant use for recreational purposes; repeated episodes of Inhalant Intoxication. 

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