Under DSM-5 standards, the controlled use of which substance is not considered a diagnosable condition during religious observances?

Under DSM-5 standards, the controlled use of hallucinogens during religious observances is not typically classified as a diagnosable condition. This is largely due to the cultural and spiritual context in which hallucinogens are often used in certain religious practices. In these cases, the consumption is structured and ritualistic, focusing on experiences considered meaningful within the context of group identity and spiritual beliefs.

The DSM-5 acknowledges that the contextual factors of substance use, including religious and cultural significance, can play a critical role in determining whether the use leads to substance use disorders. Unlike substances such as alcohol, opioids, or cannabis, which are more frequently associated with potential misuse or health risks across a range of contexts, hallucinogens have recognized roles in various traditional rituals and ceremonies, thus altering their classification under certain circumstances.

The other substances listed are more commonly associated with abuse or dependency issues in various contexts, which contributes to their diagnostic status under DSM-5.