National Certified Addiction Counselor, Level 2 (NCAC II) Practice Exam Exam

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According to DSM symptom criteria, how many symptoms need to occur in the past year for a diagnosis?

  1. 1 or more

  2. 2 or more

  3. 3 or more

  4. 4 or more

The correct answer is: 2 or more

For a diagnosis of substance use disorder according to the DSM (Diagnostic and Statistical Manual of Mental Disorders), the presence of two or more symptoms within the past year is required. This criterion highlights the need for a significant impact on the individual's life as a result of substance use, indicating that addiction is not merely characterized by one isolated incident but rather a pattern of behavior that includes various problem areas related to substance use. The DSM outlines a list of symptoms that reflect impairment or distress caused by the substance use, such as a strong craving to use the substance, an inability to stop despite wanting to, and withdrawal symptoms. Meeting the threshold of two or more symptoms signifies a more substantial issue that requires intervention and treatment, distinguishing the diagnosis from more casual or less detrimental use patterns.