LMSW Practice Test

Which of the following is NOT a diagnostic criterion for substance abuse?

1. A pattern of pathological use

2. Duration of disturbance of at least one month

3. Guilt concerning excessive use

4. Impairment in social and/or occupational functioning due to such use

The correct answer is: A pattern of pathological use

The correct answer is the choice that reflects an aspect not typically included in the diagnostic criteria for substance abuse. While a pattern of pathological use is indeed a factor in diagnosing substance use disorders, it is not phrased as a specific diagnostic criterion in the same way as the other options. Substance abuse is characterized by a range of symptoms and behaviors, including those related to impairment and the duration of the symptoms. The criteria for diagnosis often highlight aspects such as the negative impact on social or occupational functioning, the duration of the disturbance, and feelings of guilt. In this context, each of the other choices directly corresponds to established criteria found in diagnostic manuals, emphasizing the significance of duration, impact on daily functioning, and emotional responses like guilt, which reflects the personal acknowledgment of the problem. Thus, while a pattern of pathological use is essential to understanding substance-related issues, it is not articulated as a standalone diagnostic criterion in the same explicit manner as the other choices.