CHEMICAL DEPENDENCE 61 9. Diversion of Resources (7) A. The client displayed a pattern of diverting limited financial or personal resource s into obtaining the substance, using the substance, or recovering from the effects of the substance. B. The client's basic needs have gone unfulfilled due to his/her diverting financial and personal resources into substance use and abuse. C. As the clie nt has decreased or discontinued his/her substance use, he/she has used financial and personal resources in a more prudent, self-sustaining manner. 10. Medical Warnings (8) A. The client acknowledged that a physician has warned him/her about the negative consequences of substance abuse. B. The client has received specific warnings about the interactions of his/her psychotropic medications and illicit substances. C. The client is suffering from poor health due to his/her substance abuse, but this substan ce abuse continues in spite of significant negative consequences. D. The client's physical health has stabilized, and some of the negative consequences have begun to reverse as he/she has maintained a life free of mood-altering substances. E. The client' s psychiatric status has improved as his/her substance abuse has decreased due to the increased potency of his/her psychotropic medication and decreased negative interactions of illicit substances. 11. Increased Tolerance (9) A. The client described a pa ttern of increasing tolerance for the mood-altering substance, as he/she needed to use more of it to obtain the desired effect. B. The client described the steady increase in the amount and frequency of the substance abuse as his/her tolerance for it has increased. 12. Physical Withdrawal (10) A. The client acknowledged that he/she has experienced physical withdrawal symptoms (e. g., shaking, seizures, nausea, headaches, sweating, insomnia) as he/she withdrew from the substance abuse. B. The client's phy sical symptoms of withdrawal have eased as he/she stabilized and maintained abstinence from the mood-altering substance. C. There is no further evidence of physical withdrawal symptoms associated with chemical dependence. 13. Relapse after Substantial So briety (11) A. The client has relapsed after having been free from substance abuse for several years. B. The client presented with low self-esteem and feelings of hopelessness and helplessness subsequent to reverting to substance abuse after a substantia l period of sobriety. C. The client is confident that he/she can return to clean and sober living after having relapsed briefly following a period of substantial sobriety. 