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The condition has been associated with psychological problems, including demoralization, depression, anxiety, obsessive-compulsive disorder, and sleep disturbances

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However, it is not an FDA-approved cessation tool and it is common for people to end up using both vapes and cigarettes concurrently, preventing cessation and increasing health risks

Variation in the approach to classification: The International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10), follows a categorical approach to classify SUDs and comprises two diagnoses: harmful use and dependence, according to a 2016 article by Proctor et al., published in the journal Addictive Behaviors , titled Diagnostic Concordance between DSM-5 and ICD-10 Cannabis Use Disorders. The DSM-5 eliminates the categorical approach and instead, adopts a dimensional approach where SUD is a single category and a central diagnosis that unifies multiple conditions