{"id":2351,"date":"2015-01-30T15:05:13","date_gmt":"2015-01-30T15:05:13","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/dsmdt\/"},"modified":"2026-04-06T19:31:14","modified_gmt":"2026-04-06T19:31:14","slug":"dsmdt","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/dsmdt\/","title":{"rendered":"DSM-5 Criteria for Withdrawal Delirium (Delirium Tremens)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The criteria for withdrawal delirium, are delirium (a rapid-onset fluctuating disturbance of attention and cognition, sometimes\u00a0with hallucinations) plus alcohol withdrawal.<br \/>\n<!--more--><br \/>\n<strong>DSM-5 Criteria for Withdrawal Delirium (Delirium Tremens)<\/strong><br \/>\nA patient who meets the criteria for both\u00a0alcohol withdrawal and delirium is considered to have withdrawal delirium.<\/p>\n<p><strong>Criteria for alcohol withdrawal<\/strong><br \/>\nCessation of or reduction in heavy and prolonged use of alcohol<br \/>\nAt least two of eight possible symptoms after reduced use of alcohol:<\/p>\n<ul>\n<li>Autonomic hyperactivity<\/li>\n<li>Hand tremor<\/li>\n<li>Insomnia<\/li>\n<li>Nausea or vomiting<\/li>\n<li>Transient hallucinations or illusions<\/li>\n<li>Psychomotor agitation<\/li>\n<li>Anxiety<\/li>\n<li>Generalized tonic\u2013clonic seizures<\/li>\n<\/ul>\n<p><strong>Criteria for delirium<\/strong><br \/>\nDecreased attention and awareness<br \/>\nDisturbance in attention, awareness, memory, orientation, language, visuospatial\u00a0ability, perception, or all of these abilities that is a change from\u00a0the normal level and fluctuates in severity during the day<br \/>\nDisturbances in memory, orientation, language, visuospatial ability,\u00a0or perception<br \/>\nNo evidence of coma or other evolving neurocognitive disorders<br \/>\nThe criteria are based on the Diagnostic and Statistical Manual of Mental\u00a0Disorders, fifth edition (DSM-5).<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Schuckit MA. Recognition and management of withdrawal delirium (delirium tremens).\u00a0N Engl J Med. 2014 Nov 27;371(22):2109-13.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25427113\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Manasco A, Chang S, Larriviere J, Hamm LL, Glass M.\u00a0Alcohol withdrawal. South Med J. 2012 Nov;105(11):607-12.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23128805\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0[Medline]<\/a><\/li>\n<li>American Psychiatric Association. Diagnostic\u00a0and statistical manual of mental\u00a0disorders. 5th ed. DSM-5. Washington, DC:\u00a0American Psychiatric Publishing, 2013.<\/li>\n<li>Gottlieb M, Chien N, Long B. Managing Alcohol Withdrawal Syndrome. Ann Emerg Med. 2024 Jul;84(1):29-39. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38530674\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Feb 04, 2015.<br \/>\nUp-date: Apr 6, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[76],"tags":[832,831,16,15,535,534,84,830,833],"class_list":["post-2351","post","type-post","status-publish","format-standard","hentry","category-psychiatry","tag-832","tag-alcohol","tag-criteria","tag-criterios","tag-delirium","tag-dsm","tag-dsm-5","tag-tremens","tag-withdrawal"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2351","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2351"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2351\/revisions"}],"predecessor-version":[{"id":10731,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2351\/revisions\/10731"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2351"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2351"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2351"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}