Which of the following is a DSM-5 criterion for a substance use disorder?

• A. Hazardous use
• B. Euphoria during use
• C. Regular exercise
• D. Stable sleep pattern

Answer: (A)

Hazardous use is a recognized criterion for a substance use disorder. It captures patterns of use in physically dangerous situations or continuing to use despite clear evidence of risk or danger (for example, driving or operating machinery under the influence). The DSM-5 defines a substance use disorder by having at least two of a set of criteria within a 12-month period, so hazardous use is one of the diagnostic indicators. The other options don’t fit DSM-5 criteria: euphoria during use is simply a subjective effect and not a diagnostic criterion; regular exercise and a stable sleep pattern describe healthy behaviors and are not used to diagnose a substance use disorder.