Which of the following is NOT a hallmark criterion for substance use disorder?

• A. Adequate sleep without disturbance
• B. Craving
• C. Tolerance
• D. Withdrawal

Answer: (C)

The key idea is which features DSM-5 uses to diagnose substance use disorder. Craving, tolerance, and withdrawal are all explicitly listed as criteria you can count toward a diagnosis. Craving reflects a strong desire to use; tolerance means needing more of the substance to achieve the same effect; withdrawal involves physiological or psychological symptoms when not using.

Adequate sleep without disturbance, by itself, is not one of the diagnostic criteria. Sleep problems can accompany substance use disorders, but they are not a criterion used to establish the diagnosis.

So the statement that is not a hallmark criterion is the one about sleep quality, since it isn’t part of the official DSM-5 criteria used to diagnose substance use disorder.