A. Pattern of pathological use: inability to reduce or stop use; intoxication throughout the day; episodes of opioid overdose (intoxication so severe that hallucinations and delusions occur in a clear sensorium).
B. Impairment in social or occupational functioning due to cocaine use: e.g., fights, loss of friends, absence from work, loss of job, or legal difficulties (other than due to a single arrest for possession, purchase, or sale of the substance).
C. Duration of disturbance of at least one month.
For more information, see Substance Abuse
The intensity and frequency of cocaine administration is less in Cocaine Abuse as compared with Dependence. Episode of problematic use, neglect of responsibilities, and interpersonal conflict often occur around paydays or special occasions, resulting in a pattern of brief periods (hours to a few days) of high-dose use followed by much longer periods (weeks to months) of occasional, nonproblematic use or abstinence. Legal difficulties may result from possession or use of the drug. When the problems associated with use are accompanied by evidence of tolerance, withdrawal, or compulsive behavior related to obtaining and administering cocaine, a diagnosis of Cocaine Dependence rather than Cocaine Abuse should be considered.