A. A problematic pattern of tobacco use resulting in clinically significant distress or impairment as manifested by at least two of the following over a twelve-month period:

1. Tobacco is often taken to a greater extent or for a longer period of time than desired.

2. There is a persistent desire or unsuccessful efforts to stop or control tobacco use.

3. Much time is devoted to activities necessary to obtain tobacco, use tobacco, or recover from its effects.

4. Reluctance to use tobacco or a strong desire or feeling compelled to use tobacco.

5. Recurrent use of tobacco (eg, job incapacity) resulting in the inability to fulfill the major obligations of work, school or home position.

Continuing to use tobacco despite persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of tobacco (eg, getting into arguments with others about tobacco use).

Cessation or reduction of important social, work-related or recreational activities due to tobacco use.

Recurrent use of tobacco in potentially dangerous situations (eg, smoking in bed).


Tobacco Withdrawal

Do not use tobacco every day for at least a few weeks.

The development of the following four (or more) signs or symptoms within 24 hours of quitting or reducing tobacco use as defined in Criterion A: irritability, feelings of frustration, or anger.

2. Anxiety.

3. Difficulty focusing.

4. Increased desire to eat.

5. Restlessness.

6. My depressed mood.

7. Insomnia.