Neurologic Manifestations of Chronic Methamphetamine Abuse
Identifieur interne : 000095 ( Main/Exploration ); précédent : 000094; suivant : 000096Neurologic Manifestations of Chronic Methamphetamine Abuse
Auteurs : Daniel E. RusyniakSource :
- The Psychiatric clinics of North America [ 0193-953X ] ; 2013.
Abstract
Every decade seems to have its own unique drug problem. The 1970s had hallucinogens, the 1980s had crack cocaine, the 1990s had designer drugs, the 2000s had methamphetamine (Meth), and in the 2010s we are dealing with the scourge of prescription drug abuse. While each of these drug epidemics has distinctive problems and history, the one with perhaps the greatest impact on the practice of Psychiatry is Meth. By increasing the extracellular concentrations of dopamine while slowly damaging the dopaminergic neurotransmission, Meth is a powerfully addictive drug whose chronic use preferentially causes psychiatric complications. Chronic Meth users have deficits in memory and executive functioning as well as higher rates of anxiety, depression, and most notably psychosis. It is because of addiction and chronic psychosis from Meth abuse that the Meth user is most likely to come to the attention of the practicing Psychiatrist/Psychologist.
Understanding the chronic neurologic manifestations of Meth abuse will better arm practitioners with the diagnostic and therapeutic tools needed to make the Meth epidemic one of historical interest only.
Url:
DOI: 10.1016/j.psc.2013.02.005
PubMed: 23688691
PubMed Central: 3764482
Affiliations:
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