The use and abuse of certain medications, drugs of abuse and/or alcohol can lead to classic symptoms of major depressive disorder. However, a depressed. Substance-induced mood disorder is no longer a diagnosis according to the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM5). It is now subsumed under the category of substance/medication-induced mental disorders. Next: Substances Linked to Depression or Mania. Substance-Induced Mood Disorder is a kind of depression that is caused by using alcohol, drugs, or medications. Substance/Medication-Induced Depressive Disorder is the diagnostic name for alcohol or drug-induced depression.


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Caffeine When consumed in large quantities, caffeine can cause mild to moderate anxiety, though the amount of substance induced mood disorder that leads to anxiety varies.

Caffeine is also associated with an increase in the number of panic attacks in individuals who are predisposed to them.

Substance-Induced Mood Disorder - Black Bear Lodge

Cocaine and Amphetamines Mild to moderate intoxication from cocaine, methamphetamine, or other substance induced mood disorder is associated with euphoria, and a sense of internal well-being, and perceived increased powers of thought, strength, and accomplishment.

In fact, low to moderate doses of amphetamines may actually increase certain test-taking skills temporarily in those with attention deficit disorders see this in appendix D and even in people who do not have attention substance induced mood disorder disorders.

However, as more substance is used and intoxication increases, attention, ability to concentrate, and function decrease. With street cocaine and methamphetamines, dosing is almost always beyond the functional window.

Summit Medical Group

As dosage increases, the chances of impulsive dangerous behaviors, which may involve violence, promiscuous sexual activity, and others, also increases. Many who become chronic heavy users go on to experience temporary paranoid delusional states.

As mentioned above, with methamphetamines, these psychotic states may last for weeks, months, and even years. Unlike schizophrenic psychotic states, the client experiencing a paranoid state induced by cocaine more likely has intact abstract reasoning and linear thinking and the delusions are more likely paranoid and less bizarre Mendoza and Miller After intoxication comes a crash in which the person is desperately fatigued, depressed, and often craves substance induced mood disorder stimulant to relieve these withdrawal symptoms.

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This dynamic is why it is thought that people who abuse stimulants often go on substance induced mood disorder or month-long binges and have a hard time stopping. At some point the ability of stimulants to push the person back into a high is lost probably through washing out of neurotransmittersand then a serious crash ensues.

  • Mood Disorders

These anhedonic states can persist for weeks. As mentioned above, heavy, long-term amphetamine use appears to cause long-term changes in the functional structure substance induced mood disorder the brain, and this is accompanied by long-term problems with concentration, memory, and, at times, psychotic symptoms.

Hallucinogens Hallucinogens produce visual distortions and frank hallucinations. Some people who use hallucinogens experience a marked distortion of their sense of time and feelings of depersonalization.


Hallucinogens may also be associated with drug-induced panic, paranoia, and even delusional states in addition to the hallucinations. Hallucinogen hallucinations usually are more visual e.

The existence of a substance induced mood disorder psychotic state has been debated Gruber and Popealthough a review of the research suggests that there is no such entity.

A few people who use hallucinogens experience chronic reactions, involving prolonged psychotic reactions, depression, exacerbations of preexisting mental disorders, and flashbacks. Nicotine Clients who are dependent on nicotine are more likely to experience depression than people who are not addicted to it; however, it is unclear how much this is cause or effect.

In some cases, the client may use nicotine to regulate mood. Whether there is a causal relationship between nicotine use and the symptoms of depression remains to be seen.


At present, it can be said that substance induced mood disorder persons who quit smoking do experience both craving and depressive symptoms to varying degrees, which are relieved by resumption of nicotine use see chapter 8 for more information on nicotine dependence.

Opioids Opioid intoxication is characterized by intense euphoria and well-being. Withdrawal results in agitation, severe body aches, gastrointestinal symptoms, dysphoria, and craving to use more opioids.