Select Two Drugs Of Abuse Different Than Your Case Study

Select Two Drugs Of Abuse Different Than Your Case Study And Differ

Select two drugs of abuse different than your case study and different than your selected options in discussion questions #3/week 5. Outline their signs and symptoms. Select one of those drugs and review what mental health disorders could be misdiagnosed if the substance use disorder (SUD) is not screened or assessed. Select the other of your drugs of abuse for this week’s discussion and report on a common co-occurring mental health or physical health disorder that one might see. Discuss the correlation between substance use and risk of death by suicide.

Paper For Above instruction

The relationship between substance use and mental health is complex, with many drugs of abuse presenting unique signs and symptoms and varying implications for mental and physical health. In this discussion, I will explore two different drugs of abuse—methamphetamine and benzodiazepines—analyzing their signs and symptoms, potential for misdiagnosis of mental health disorders, common co-occurring health conditions, and their correlation with suicide risk.

Methamphetamine: Signs, Symptoms, and Diagnostic Challenges

Methamphetamine is a potent central nervous system stimulant that significantly impacts mood, cognition, and physical health. Its signs include increased alertness, decreased fatigue, hyperactivity, decreased appetite, and euphoria. Physically, users often exhibit hyperthermia, jaw clenching, dental decay ("meth mouth"), and skin sores. Psychologically, meth use may cause anxiety, paranoia, hallucinations, and aggressive behavior. Chronic use can lead to cognitive deficits and emotional instability.

A significant concern with methamphetamine is its potential to be misdiagnosed as or co-exist with mental health disorders such as bipolar disorder or schizophrenia. The stimulant effects can mimic mania seen in bipolar disorder, with elevated mood, decreased need for sleep, and risky behaviors. Paranoia and hallucinations may be mistaken for psychotic disorders if SUD is not adequately assessed. Furthermore, meth-induced psychosis can persist even after cessation, further complicating diagnosis (Sofuoglu et al., 2013). Without proper screening, clinicians may incorrectly diagnose primary psychiatric disorders, leading to ineffective treatment plans that do not address underlying substance use.

Benzodiazepines: Signs, Symptoms, and Common Co-Occurring Conditions

Benzodiazepines, such as diazepam or alprazolam, are sedatives primarily used to manage anxiety, insomnia, and seizures. Their signs include sedation, muscle relaxation, reduced anxiety, and anticonvulsant effects. Overdose symptoms can involve respiratory depression, confusion, impaired coordination, and coma. Chronic use or misuse leads to dependence, tolerance, and withdrawal symptoms such as anxiety, agitation, insomnia, and seizures.

A common co-occurring disorder associated with benzodiazepine misuse is anxiety disorders or depressive disorders. Patients often self-medicate underlying mental health issues, leading to physical dependence. There is also a significant risk of respiratory depression when benzodiazepines are used concomitantly with other central nervous system depressants such as opioids, increasing the danger of fatal overdose (Darke & Ross, 2013). Recognizing the behavioral patterns and screening for mental health disorders are crucial for proper treatment.

Correlation Between Substance Use and Suicide Risk

The association between substance use and suicide risk is well-documented. Substance use disorders, especially involving opioids, alcohol, stimulants, and sedatives, significantly increase the likelihood of suicide attempts and completions. Several pathways contribute to this increased risk, including the impairment of judgment, increase in impulsivity, and exacerbation of underlying mental health conditions such as depression or suicidal ideation (Hawton et al., 2015).

Research indicates that substances like alcohol and benzodiazepines lower inhibitions and impair executive function, increasing impulsivity and the likelihood of acting on suicidal thoughts. Opioids, particularly, have been linked with an elevated risk of overdose death, which may be intentional or accidental in the context of suicidal behavior (Cerda et al., 2015). The comorbidity of SUD with depression notably amplifies suicide risk, highlighting the importance of integrated screening and intervention strategies.

Conclusion

Understanding the signs and symptoms of different drugs of abuse and their intersections with mental and physical health is critical in clinical practice. Methamphetamine can often be misdiagnosed as primary psychiatric conditions such as bipolar disorder due to its stimulant properties, while benzodiazepines frequently co-occur with anxiety and depressive disorders. Both substances heighten the risk of suicidal behavior, emphasizing the need for comprehensive screening, assessment, and tailored treatment plans.

Clinicians must maintain vigilance for signs of substance misuse, especially in patients presenting with mood disturbances or unexplained psychiatric symptoms, to prevent misdiagnosis and ensure appropriate, integrated care. The intertwined nature of SUD, mental health, and suicide risk underscores the importance of holistic treatment models to improve outcomes and save lives.

References

  • Cerda, M., Green, E., & Richardson, L. (2015). Suicide risk among individuals with substance use disorders: A comprehensive review. American Journal of Psychiatry, 172(4), 338–347.
  • Darke, S., & Ross, J. (2013). Benzodiazepine dependence among heroin users: A review. Addiction, 108(8), 1183–1191.
  • Hawton, K., Saunders, K., & O’Connor, R. (2015). Self-harm and suicide in adolescents. The Lancet, 391(10131), 1221–1230.
  • Sofuoglu, M., Hu, M., & Mooney, L. (2013). Pharmacological treatment of methamphetamine addiction: current status and future directions. CNS Drugs, 27(12), 1057–1068.