Which item is NOT a DSM-5 criterion for Substance Use Disorder?

• A. Craving
• B. Tolerance
• C. Abandoning activities
• D. Legal problems

Answer: (D)

In DSM-5, Substance Use Disorder is diagnosed when a person shows a problematic pattern of use that causes significant distress or impairment, with at least two of a defined set of criteria occurring within a 12-month period. Craving is one of those criteria, reflecting a strong desire or urge to use the substance. Tolerance is another criterion, meaning needing markedly increased amounts to achieve the desired effect. Abandoning activities—often described as giving up or reducing important social, occupational, or recreational activities because of use—also counts as a criterion. The item about legal problems does not fit DSM-5 criteria; it was part of DSM-IV but was removed in DSM-5. So, among the options, legal problems is the feature that is not used to diagnose Substance Use Disorder in DSM-5.