Which behavior is not characteristic of a substance use disorder?

A behavior that is not characteristic of substance use disorder is controlled, occasional use of a substance that does not lead to negative consequences, cravings, or a loss of control. This type of behavior does not meet the diagnostic criteria for a substance use disorder (SUD) as outlined in clinical standards such as the DSM-5.

Understanding Substance Use Disorder (SUD)

Substance Use Disorder is a medical condition involving compulsive use of a substance despite harmful consequences. It affects the brain’s reward, motivation, and memory systems, making it difficult for a person to control their use.

The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) outlines 11 criteria for diagnosing SUD. A person must meet at least two of these criteria within a 12-month period to be diagnosed.

Common Behaviors of SUD Include:

• Strong cravings or urges to use the substance.
• Using larger amounts or for longer than intended.
• Repeated failed attempts to cut down or stop.
• Spending a lot of time getting, using, or recovering from use.
• Neglecting responsibilities at work, school, or home.
• Continuing use despite problems caused or worsened by use.
• Giving up social or recreational activities.
• Using in physically dangerous situations.
• Developing tolerance (needing more for the same effect).
• Experiencing withdrawal symptoms when stopping.

Behaviors Not Characteristic of SUD

• Using a substance occasionally, such as a glass of wine at a wedding.
• No cravings, no compulsion to continue using.
• No negative impact on daily life, relationships, or responsibilities.
• Being able to stop easily without distress or withdrawal.
• Not needing increasing amounts to feel the same effect.

Summary:

Imagine someone who drinks a beer once a month with friends, doesn’t crave it, and has no problems when they don’t drink. This is not substance use disorder. Contrast that with someone who drinks daily, can’t stop even after health warnings, and skips work because of hangovers. That person may meet the criteria for SUD.