Reference
Guide | Reference

85  Opioid Pattern Prototype

85.1 Summary

  • A pattern of opioid use with impaired control, tolerance, or withdrawal and high medical risk.

85.2 Prototype Features

  • Craving and loss of control.
  • Tolerance and withdrawal.
  • Use despite harm or risk.

85.3 Threshold Guidance

  • Use when opioid use is persistent and impairing or medically risky.

85.4 Expected Domain Profile

  • Reward, Habit, and Substance-Related Compulsion: moderate to high.
  • Somatic Distress and Interoception: variable.

85.5 Time-Course and Trajectory

  • Chronic with relapse cycles.

85.6 Differential and Red Flags

  • Pain management contexts with iatrogenic risk.
  • Co-occurring sedative use increasing overdose risk.

85.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (chronic, episodic).
  • Contributors (pain, access, trauma history).
  • Risk modifiers (overdose risk, withdrawal risk).

85.8 Measurement Prompts

  • Opioid use history and timeline.
  • Withdrawal symptom monitoring.

85.10 Documentation Snippet (1-2 lines)

  • “Opioid use with loss of control and withdrawal; Reward/Habit 3; chronic course.”