Stimulant intoxication vs withdrawal
Sympathomimetic presentation tied to stimulant use (cocaine, amphetamines).
How it presents
intoxication: euphoria, hypervigilance, tachycardia, hypertension, paranoia; withdrawal: dysphoria, fatigue, hypersomnia, increased appetite
Tell it apart from
- Bipolar I disorder manic episode
- Anxiety disorder
Treatment reasoning
Intoxication: supportive care, benzodiazepines for agitation. Withdrawal: monitor, supportive care; avoid stimulants; refer to SUD treatment.