Reference
DSM-5 addiction criteria: The 11 diagnostic questions
Published January 5, 2025 · 7 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals.
The DSM-5 uses 11 criteria to diagnose substance use disorder. Meeting 2-3 criteria = mild, 4-5 = moderate, 6+ = severe.
The 11 criteria
1. Taking more than intended. 2. Failed attempts to cut back. 3. Significant time spent obtaining, using, recovering. 4. Cravings. 5. Failure to meet obligations. 6. Continued use despite social problems. 7. Giving up activities. 8. Use in hazardous situations. 9. Continued use despite physical/psychological problems. 10. Tolerance. 11. Withdrawal.
How to use this
If you meet 2+ criteria, professional evaluation is warranted. This is a screening tool, not a self-diagnosis. Our screening quiz assesses these criteria.
Frequently asked questions
How many criteria for addiction diagnosis?
2-3 = mild, 4-5 = moderate, 6+ = severe substance use disorder.
Can I diagnose myself?
These criteria are screening tools. Professional evaluation confirms diagnosis and determines treatment needs.
Does meeting one criterion mean I am addicted?
One criterion does not meet diagnostic threshold but may warrant monitoring and honest self-assessment.
Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.