What is the current terminology used in the DSM-5 for diagnostic categories related to substance issues?

The terminology "Substance Use Disorder" in the DSM-5 reflects an evolution in how professionals approach and categorize issues related to substance consumption. The DSM-5 combines the previous categories of substance dependence and substance abuse into a single diagnosis. This change emphasizes the spectrum of severity and the how symptoms manifest in individuals, offering a more comprehensive understanding of substance-related issues.

The classification of Substance Use Disorder encompasses a range of behaviors and symptoms, focusing on the problematic pattern of use that leads to significant impairment or distress. This shift in terminology is intended to provide a more nuanced view that captures both psychological and physical aspects of addiction, recognizing that not all individuals fit neatly into categories of dependence or abuse.

The other terms, such as Substance Dependence, Substance Abuse, and Substance Misuse, have been phased out or are no longer utilized in the same way within the DSM-5 framework. Substance Dependence and Substance Abuse were separated in earlier editions but have now been integrated for a more unified approach. Substance Misuse, while relevant in discussions around non-medical use of substances, does not adequately encapsulate the clinical criteria and severity that Substance Use Disorder does.