Which of the following sets lists DSM-5 criteria for Substance Use Disorder?

• A. Craving; Tolerance; Withdrawal; Social or interpersonal problems; Using larger amounts or over longer period; Craving;
• B. Tolerance; Withdrawal; Using larger amounts or over longer period; Unsuccessful attempts to cut down; Great deal of time spent obtaining/using/recovering; Cravings; Failure to fulfill major role obligations; Social or interpersonal problems; Abandoning activities; Use in physically hazardous situations; Continued use despite physical or psychological problems.
• C. Only Tolerance and Withdrawal;
• D. Craving; Use in hazardous situations; Social or interpersonal problems; Abstinence attempts.

Answer: (B)

DSM-5 defines Substance Use Disorder by a set of 11 criteria that span tolerance, withdrawal, the amount and duration of use, failed efforts to cut down, time and effort spent obtaining or using the substance, cravings, and the impact on important aspects of life such as responsibilities, social relationships, and safety. The set that includes tolerance; withdrawal; using larger amounts or over a longer period; unsuccessful attempts to cut down; a great deal of time spent obtaining/using/recovering; cravings; failure to fulfill major role obligations; social or interpersonal problems; abandoning activities; use in physically hazardous situations; and continued use despite physical or psychological problems directly reflects all 11 DSM-5 criteria. This alignment explains why it’s the best choice, since it covers the full range of features DSM-5 uses to diagnose Substance Use Disorder and ties into how severity is determined (2–3 criteria = mild, 4–5 = moderate, 6+ = severe). The other options omit several criteria or include items that are not standalone DSM-5 criteria (such as focusing only on abstinence attempts or listing only a subset), so they don’t fully capture the diagnostic framework.