<P> Substance use disorder (SUD), also known as drug use disorder, is a condition in which the use of one or more substances leads to a clinically significant impairment or distress . Although the term substance can refer to any physical matter,' substance' in this context is limited to psychoactive drugs . Addiction and dependence are components of a substance use disorder and addiction represents the most severe form of the disorder . </P> <P> SUD refers to the overuse of, or dependence on, a drug leading to effects that are detrimental to the individual's physical and mental health, or the welfare of others . SUD is characterized by a pattern of continued pathological use of a medication, non-medically indicated drug or toxin, which results in repeated adverse social consequences related to drug use, such as failure to meet work, family, or school obligations, interpersonal conflicts, or legal problems . </P> <P> There are on - going debates as to the exact distinctions between substance abuse and substance dependence, but current practice standard distinguishes between the two by defining substance dependence in terms of physiological and behavioral symptoms of substance use, and substance abuse in terms of the social consequences of substance use . In the DSM - 5 substance use disorder replaced substance abuse and substance dependence . </P> <P> In 2010 about 5% of people (230 million) used an illicit substance . Of these 27 million have high - risk drug use otherwise known as recurrent drug use causing harm to their health, psychological problems, or social problems or puts them at risk of those dangers . In 2015 substance use disorders resulted in 307,400 deaths, up from 165,000 deaths in 1990 . Of these, the highest numbers are from alcohol use disorders at 137,500, opioid use disorders at 122,100 deaths, amphetamine use disorders at 12,200 deaths, and cocaine use disorders at 11,100 . </P>

Which of the following is true about the diagnosis of substance use disorder in dsm-v