ICD-11 classes
06 Mental, behavioural or neurodevelopmental disorders
Disorders due to substance use or addictive behaviours
Disorders due to substance use
6C4D — Disorders due to use of dissociative drugs including...
6C4D.2 — Dissociative drug dependence including ketamine or PCP

ICD-11 6C4D.2 — Dissociative drug dependence including ketamine or PCP

Dissociative drug dependence including ketamine or PCP is a disorder of regulation of dissociative drug use arising from repeated or continuous use of dissociative drugs. The characteristic feature is a strong internal drive to use dissociative drugs, which is manifested by impaired ability to control use, increasing priority given to use over other activities and persistence of use despite harm or negative consequences. These experiences are often accompanied by a subjective sensation of urge or craving to use dissociative drugs. The features of dependence are usually evident over a period of at least 12 months but the diagnosis may be made if dissociative drugs use is continuous (daily or almost daily) for at least 3 months.

The diagnosis includes nothing.

It excludes 2 items.

  • Episode of harmful use of dissociative drugs including ketamine or PCP (6C4D.0)
  • Harmful pattern of use of dissociative drugs, including ketamine or PCP (6C4D.1)

Diagnosis with code 6C4D.2 contains 5 clarifying diagnoses:

  1. 6C4D.20 — Dissociative drug dependence including Ketamine or PCP, current use
  2. 6C4D.21 — Dissociative drug dependence including Ketamine or PCP, early full remission
  3. 6C4D.22 — Dissociative drug dependence including Ketamine or PCP, sustained partial remission
  4. 6C4D.23 — Dissociative drug dependence including Ketamine or PCP, sustained full remission
  5. 6C4D.2Z — Dissociative drug dependence including ketamine or PCP, unspecified

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