Mental Health Book

Hallucinogen Use Disorders

Inhalants

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Stimulant Use Disorder

Aka: Stimulant Use Disorder, Stimulant Abuse, Stimulant-Related Disorder, Stimulant Use, Stimulant Dependence
  1. See Also
    1. Stimulant Medication (prescribed for Attention Deficit Disorder)
    2. Substance Abuse
    3. Substance Abuse Evaluation
    4. Adolescent Drug Abuse
  2. Preparations: Stimulants
    1. See Stimulant Medication
    2. Illicit agents
      1. Cocaine
      2. Amphetamine
      3. Methamphetamine
      4. Bath Salts
      5. MDMA
  3. Labs
    1. See Urine Drug Screen
  4. Diagnosis: Stimulant Intoxication (DSM-5)
    1. Recent use of Amphetamine-like substance, Cocaine or other stimulant agent
    2. Problem behavioral or pyschological symptoms during or shortly after Stimulant Use (examples follow)
      1. Euphoria or blunted affect
      2. Sociability changes
      3. Hypervigilance
      4. Interpersonal sensitivity
      5. Anxiety, tension or anger
      6. Stereotyped behaviors
      7. Impaired judgement
    3. Physical findings that develop during or shortly after Stimulant Use (>=2 of the following)
      1. Tachycardia or Bradycardia
      2. Pupilary dilation
      3. Hypertensive or hypotensive
      4. Chills or sweats
      5. Nausea or Vomiting
      6. Weight loss
      7. Psychomotor change
      8. Muscular weakness
      9. Respiratory depression
      10. Chest Pain
      11. Cardiac arrhythmias
      12. Confusion
      13. Seizures
      14. Involuntary muscle movements
      15. Coma
    4. Findings not attributable to other medical or psychological condition (including other substance Intoxication)
    5. Modifiers
      1. Specific intoxicant (e.g. Cocaine, Methamphetamine, bath salts)
      2. Perceptual disturbance
        1. Hallucinations with intact reality testing OR
        2. Auditory, visual or Tactile Hallucinations without Delirium
    6. References
      1. (2013) DSM-5, APA
  5. Diagnosis: Stimulant Withdrawal (DSM-5)
    1. Dysphoric mood AND
    2. Two or more of the following symptoms developing withing hours to days of stimulant cessation
      1. Fatigue
      2. Vivid or unpleasant dreams
      3. Sleep problems (Insomnia or Hypersomnia)
      4. Increased appetite
      5. Psychomotor retardation or Agitation
    3. References
      1. (2013) DSM-5, APA
  6. Diagnosis: Stimulant Use Disorder (DSM-5)
    1. Pattern of Amphetamine-like substance, Cocaine or other stimulant AND
    2. Use leads to Clinically SignificantImpairment or distress AND
    3. At least 2 of the following criteria within 12 months
      1. Stimulant take in larger amounts or over a longer period than intended
      2. Persistent desire or unsuccessful efforts to cut down or control Stimulant Use
      3. Significant amount of time spent trying to obtain, use or recover from the stimulant
      4. Craving or strong desire or urge to use the stimulant
      5. Recurrent Stimulant Use resulting in failure to fulfill major role obligations at work, school or home
      6. Use continues despite persistent or recurrent stimulant exacerbated social or interpersonal problems
      7. Important social, occupational or recreational activities are abandoned or reduced due to Stimulant Use
      8. Recurrent Stimulant Use in physically hazardous situations
      9. Use continues despite persistent or recurrent stimulant-related physical or psychological problems
      10. Tolerance not due to prescribed Stimulant Medication (e.g. Attention Deficit Disorder or Narcolepsy)
        1. Marked increase in stimulant amounts needed to reach Intoxication or desired effect OR
        2. Markedly diminished effect with continued use of the same stimulant amount
      11. Withdrawal not due to prescribed Stimulant Medication (e.g. Attention Deficit Disorder or Narcolepsy)
        1. Characteristic stimulant withdrawal symptoms (see above) OR
        2. Stimulant or similar agent is taken to relieve or avoid withdrawal symptoms
    4. Modifiers
      1. Early remission
        1. Following full criteria for Stimulant Use Disorder, no criteria are met for 3-12 months
        2. Exception: Craving or strong desire or urge for use of stimulant may still be present
      2. Late remission
        1. Following full criteria for Stimulant Use Disorder, no criteria are met for >12 months
        2. Exception: Craving or strong desire or urge for use of stimulant may still be present
      3. Controlled environment
        1. Patient is in a controlled environment where stimulant access is restricted
    5. References
      1. (2013) DSM-5, APA
  7. References
    1. Klega (2018) Am Fam Physician 98(2): 85-92 [PubMed]

Stimulant abuse (C1456332)

Concepts Mental or Behavioral Dysfunction (T048)
SnomedCT 441527004, 191922004
English Stimulant abuse (disorder), Stimulant abuse, stimulant abuse (diagnosis), Psychostimulant abuse, abuse; stimulants, stimulants; abuse
Spanish abuso de estimulantes (trastorno), abuso de estimulantes
Dutch misbruik; stimulantia, stimulantia; misbruik
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Stimulant dependence (C2711618)

Concepts Mental or Behavioral Dysfunction (T048)
SnomedCT 442406005, 191841002
English Stimulant dependence (disorder), Stimulant dependence, stimulant dependence (diagnosis), dependence; stimulants, stimulants; dependence
Spanish dependencia de estimulantes (trastorno), dependencia de estimulantes
Dutch afhankelijkheid; stimulantia, stimulantia; afhankelijkheidssyndroom
Sources
Derived from the NIH UMLS (Unified Medical Language System)


stimulant-related disorder (C3509116)

Concepts Mental or Behavioral Dysfunction (T048)
English stimulant-related disorder, stimulant-related disorder (diagnosis)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


stimulant use (C3509145)

Concepts Mental or Behavioral Dysfunction (T048)
English stimulant use, stimulant use (diagnosis)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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