[DSM-III-R is not currently used but has historical utility.] At least three of the following are necessary; some of the symptoms of the disturbance must have persisted for at least one month or have occurred repeatedly over a longer period of time:
1. Substance is often taken in larger amounts or over longer period than intended
2. Persistent desire or one or more unsuccessful efforts to cut down or control substance use
3. A great deal of time is spent in activities necessary to get the substance (e.g., theft), taking the substance (e.g., chain smoking), or recovering from its effects
4. Important social, occupational, or recreational activities given up or reduced because of substance abuse
5. Continued substance use despite knowledge of having a persistent or recurrent social, psychological, or physical problem that is caused or exacerbated by use of the substance
6. Marked tolerance: need for markedly increased amounts of the substance (> 500/ increase) in order to achieve intoxication or desired effect, or markedly diminished effect with continued use of the same amount
7. Characteristic withdrawal symptoms
8. Substance often taken to relieve or avoid withdrawal symptoms
9. Frequent intoxication or withdrawal symptoms when expected to fulfill major role obligations or when use is physically hazardous