What are the relevant diagnostic criteria for substance use disorder according to DSM-V?

a) Use patterns:
- Ashley's use of substances has increased over time, starting with occasional use and progressing to daily use.
- She uses substances in response to stress, anxiety, and low mood, indicating a pattern of self-medication.
- There are periods of abstinence, but they are short-lived and followed by increased use.

b) Relevant diagnostic criteria:
- Ashley meets the criteria for Substance Use Disorder as outlined in the DSM-V, including impaired control, social impairment, risky use, and tolerance/withdrawal symptoms.
- Her substance use is causing significant distress and impairment in various areas of her life, meeting the criteria for a substance use disorder diagnosis.

c) Tolerance and severity of use:
- Ashley has developed tolerance to the substances she uses, requiring increasing amounts to achieve the desired effects.
- The severity of her use is evident in the negative impact it has on her relationships, work, and overall well-being.

d) Other relevant components:
- The presence of co-occurring mental health disorders, such as anxiety and depression, may contribute to Ashley's substance use patterns.
- The history of trauma and family history of substance use also play a role in understanding and addressing her substance use.