To be considered a substance use disorder, the use of the psychoactive substance must cause distress or cause impairments in functioning.

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This is the criteria specified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) for classifying a substance use disorder. The individual must experience significant impairment in social, occupational, educational, or other important areas of functioning, or the use of the substance must continue despite causing significant negative consequences or distress.

To Be Considered a Substance Use Disorder, the Use of the Psychoactive