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Psychiatric Consequences of Methamphetamine Abuse. Thomas E. Freese, Ph.D. Pacific Southwest Addiction Technology Transfer Center UCLA Integrated Substance Abuse Programs March 30, 2004 California Addiction Training and Education Series Pasadena, California .

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Psychiatric Consequences of Methamphetamine Abuse

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Psychiatric consequences of methamphetamine abuse
Psychiatric Consequences of Methamphetamine Abuse

Thomas E. Freese, Ph.D.

Pacific Southwest Addiction Technology Transfer Center

UCLA Integrated Substance Abuse Programs

March 30, 2004

California Addiction Training and Education Series

Pasadena, California


Why do people start using methamphetamine
Why do people start using methamphetamine?

To feel good.

To feel better.


Methamphetamine acute psychological effects

Increases

Confidence

Alertness

Mood

Sex drive

Energy

Talkativeness

Decreases

Boredom

Loneliness

Timidity

MethamphetamineAcute Psychological Effects



Methamphetamine chronic psychological effects
MethamphetamineChronic Psychological Effects

- Confusion - Irritability

- Concentration - Paranoia

- Hallucinations - Panic reactions

- Fatigue - Depression

- Memory loss - Anger

- Insomnia - Psychosis



Methamphetamine psychiatric consequences
MethamphetaminePsychiatric Consequences

  • Paranoid reactions

  • Memory loss

  • Depressive reactions

  • Hallucinations

  • Psychotic reactions

  • Panic disorders

  • Rapid addiction


Depletion of dopamine
Depletion of dopamine…

  • One consequence is depression

    • Completing the withdrawal process and ongoing drug treatment may resolve the depression

    • Monitor for suicidal thoughts/behavior

    • If depression continues, it should be treated

      • Consider behavioral therapies to address depression

      • Consider psychotropic medications


Acute ma psychosis
Acute MA Psychosis

  • Extreme Paranoid Ideation

  • Well Formed Delusions

  • Hypersensitivity to Environmental Stimuli

  • Stereotyped Behavior “Tweaking”

  • Panic, Extreme Fearfulness

  • Potential for Violence


Treatment of ma psychosis
Treatment of MA Psychosis

  • Typical ER Protocol for MA Psychosis

    • Haloperidol - 5mg

    • Clonazepam - 1 mg

    • Cogentin - 1 mg

    • Quiet, Dimly Lit Room

    • Restraints


Cognitive impairment in individuals currently using methamphetamine
Cognitive Impairment in Individuals Currently Using Methamphetamine

Sara Simon, Ph.D.

VA MDRU

Matrix Institute on Addictions

LAARC




Longitudinal memory performance
Longitudinal Memory Performance requiring perceptual speed

numbercorrect


Summary
Summary requiring perceptual speed

  • Until the person withdraws, there is no way to tell if mental health issues are primary or secondary

    • Treat the symptoms

    • Maintain safety

    • Diagnose after the person becomes stable

    • Structure the environment and treatment to compensate for deficits

      • Use repetition and pictures

      • Ensure calm environment


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