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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 .

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Psychiatric Consequences of Methamphetamine Abuse

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  1. 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

  2. Why do people start using methamphetamine? To feel good. To feel better.

  3. Increases Confidence Alertness Mood Sex drive Energy Talkativeness Decreases Boredom Loneliness Timidity MethamphetamineAcute Psychological Effects

  4. and just when you thought it couldn’t get any better…

  5. MethamphetamineChronic Psychological Effects - Confusion - Irritability - Concentration - Paranoia - Hallucinations - Panic reactions - Fatigue - Depression - Memory loss - Anger - Insomnia - Psychosis

  6. Meth

  7. MethamphetaminePsychiatric Consequences • Paranoid reactions • Memory loss • Depressive reactions • Hallucinations • Psychotic reactions • Panic disorders • Rapid addiction

  8. 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

  9. Acute MA Psychosis • Extreme Paranoid Ideation • Well Formed Delusions • Hypersensitivity to Environmental Stimuli • Stereotyped Behavior “Tweaking” • Panic, Extreme Fearfulness • Potential for Violence

  10. Treatment of MA Psychosis • Typical ER Protocol for MA Psychosis • Haloperidol - 5mg • Clonazepam - 1 mg • Cogentin - 1 mg • Quiet, Dimly Lit Room • Restraints

  11. Cognitive Impairment in Individuals Currently Using Methamphetamine Sara Simon, Ph.D. VA MDRU Matrix Institute on Addictions LAARC

  12. Memory Difference between Stimulant and Comparison Groups

  13. Differences between Stimulant and Comparison Groups on tests requiring perceptual speed

  14. Longitudinal Memory Performance numbercorrect

  15. Summary • 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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