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Bellevue College
Bellevue, WA
May 9, 2001     Bellevue College
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May 9, 2001

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Wednesday May 9, 2001 VICE 7 " Playing with speed The following information was obtained from the DSM IE, or Diagnostic and Statistical Manual of Mental Disorders, Forth Edition. This is the manual that Psychologists consult when discerning what possible Mental Disorders a patient is afflicted with. Ryan Hoffman Jibsheet Reporter I know the burning question in your head: Who will win the Amphetamine Induced Disorder Sweepstakes? Firstly, l must begin by informing you of the many ways Amphetamine Related Disorders can easily be manifested in YOU ! There are two basic groups of Amphetamine Related Disorders: Amphetamine Use Disorders and Amphetamine-Induced Disorders. Use Disorders are concerned with dependence and abuse, while the more exciting category of Induced Disorders freely administers Intoxication Syndromes that can sometimes lead to the wonderful world of Mental Disorders ! .We ql get to the good stuff later. Substance Dependence is typically defined as a cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues to use the substance despite significant substance related problems. There is a pattern of repeated self-administration that usually results in tolerance, withdrawal, and compulsive drug taking behavior. Usage may be chronic or episodic, with binges, or "speed runs" punctuated by brief drug-free periods. Aggressive or violent behavior is associated with Amphetamine Disorder, especially when high doses are smoked or administered intravenously. Intense but temporary anxiety, as well as paranoid ideation and psychotic episodes that resemble Schizophrenia, Paranoid Type, are often seen, especially in association with high dose use. Does this sound like you or someone you know? The following information is the criteria that a psychologist would consult to determine if you were suffering from Amphetamine Dependence. 1. Tolerance, as defined by either of the following: a. Increase in dosage to maintain level of satisfaction. b. Diminished effect of typical amount administered. 2. Withdrawal, as manifested by either of the following: a. The characteristic withdrawal syndrome for Amphetamine Dependence. b. Amphetamines are used to avoid the withdrawal symptoms. 3. The substance is often taken in larger amounts or over a longer period than was intended. 4. There is a persistent desire or unsuccessful efforts to cut down or control substance use. 5. A great deal of time is spent in activities necessary to obtain amphetamines, use amphetamines, or recover from their effects. 6. Important social, occupational, or recreational activities are given up or reduced because of amphetamine use. 7. Amphetamines use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been cause or exacerbated by the substance. If you were fortunate enough to qualify for three or more categories during any twelve-month period, then you may qualify for Amphetamine Dependence! And a psychologist would probably recommend treatment? Let's say you're a user but don't qualify for Amphetamine Dependence. Maybe you haven't been using the drug all that long, or you just haven't developed the symptoms mentioned above. Let me tell you, hope is not lost? Some of our winners will contract Amphetamine Abuse Disorder? Legal difficulties typically arise for these lucky users, as a result of their behavior while intoxicated on amphetamines? The essential quality of Amphetamine Abuse Disorder is the user continues to indulge despite the adverse consequences that arise from repeated use of the substance. There may be repeated failure to fulfill major role obligations, repeated use in situations in which it is physically hazardous, and recurrent social and interpersonal problems. Its fun for the whole family? If this sounds like you or someone you know then consult the following criteria for Amphetamine Abuse Disorder. Selection of any one of the following choices could be sufficient for a confirmed diagnosis, (keep in mind that if tolerance, withdrawal, or compulsive behavior is included, then a diagnosis of Amphetamine Dependence would be more applicable.) 1. Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home. 2. Recurrent substance use in situations in which it is physically lrazardous. 3. Recurrent substance related legal problems. 4. Continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance. Some of you users out there are feeling slighted. You say, 'but I still don't qualify.' Well hold on now; just because you haven't put your time in doesn't mean you can't be an Instant Winner! Each and every one of you can enjoy the membership benefits of the Amphetamine-Induced Disorder better known as Amphetamine Intoxication? Yes, you and some other lucky users will enjoy the following symptoms just for opting to use amphetamines: Confusion, rambling speech, headache, transient ideas of reference, and tinnitus. During intense Amphetamine Intoxication, paranoid ideation, auditory hallucinations in a clear sensorium, and tactile hallucinations may be experienced! Generally the user will recognize that these symptoms are a direct result of their drug use. Extreme anger with threats or acting out of aggressive behavior may occur. Mood changes such as depression with suicidal ideation, irritability, anhedonia, emotional lability, or disturbances in attention and concentration are common. The central idea behind Amphetamine Intoxication Disorder is the presence of clinically significant maladaptive behavioral or psychological changes that develop during, or shortly after, use of amphetamine or a related substance. Amphetamine Intoxication generally begins with a high feeling, followed by the development of symptoms such as euphoria with enhanced vigor, gregariousness, hyperactivity, restlessness, hypervigilance, interpersonal sensitivity, talkativeness, anxiety, tension, alertness, grandiosity, stereotypical and repetitive behavior, anger, fighting, and impaired judgment. In the case of chronic intoxication, there may be affective blunting with fatigue or sadness and social withdrawal. I hear you cry, 'But I want to feel like that. That's why I took the drug in the first place.' Well you may already be a winner! If you can testify to two or more of the following conditions than you have already suffered from Amphetamine Intoxication Disorder and may be just a tweak away from one of our lovely mental disorders! Do you suffer from: tachycardia or bradycardia; pupillary dilation; elevated or lowered blood pressure; perspiration or chills; nausea or vomiting; evidence of weight loss; psychomotor agitation or retardation; muscular weakness, respiratory depression, chest pain, or cardiac arrhythmias; and confusion, seizures, dyskinesias, dystonias, or coma? How can you possibly answer that without knowing what all these beautiful words mean? 1. Dyskinesias- Involuntary movements of the tongue, jaw, or extremities. 2. Dystonias- Abnormal positioning or spasm of the muscles of the head, neck, limbs or trunk. I wish I could define Tachycardia or bradycardia, but they aren't even in the dictionary? So now you know where you stand, but have you reached your potential? No! You have yet to witness how amazingly serious a bad trip on amphetamines can be! This is it. The moment you've all been waiting for...The Amphetamine Induced Disorder Sweepstakes! Keep in mind that these disorders occur in people who don't use amphetamines as well as users, and that when you experience them while on the drug you are temporarily classified as someone who suffers from an Amphetamine- Induce Disorder masquerading as a serious Mental Disorder! The nominees for Amphetamine Induced Disorder are, in no particular order: Amphetamine Intoxication Delirium! Amphetamine- Induced Psychotic Disorder? Amphetamine-Induce Mood disorder! Amphetamine Induced Anxiety Disorder! Amphetamine Induced Sexual Dysfunction? Last but not least, the political conspiracy nomination goes to:..Amphetamine Induced Sleep Disorder?! The envelope please... The fourth runner up for biggest reason to quit using so I can avoid the Amphetamine Induced Disorder goes to...Amphetamine Induced Sleep Disorder! For those of you who feel sleep is unnecessary this might be the disorder for you! Whether insomnia, hypersomnia or parasomnia type, you'll enjoy either a lack of sleep or constant sleepiness, and as many bags under your eyes as you can carry! Narcoleptics don't need to see the light of day and neither should you? The third runner up for biggest reason to quit using so I can avoid the Amphetamine Induced Disorder goes to...Amphetamine Induced Sexual Dysfunction! I know, this was a crowd favorite but the judges won't budge. Just imagine ladies, now you've got a real excuse to deny him! This dysfunction may include the benefits of impaired desire, impaired arousal, impaired orgasm, or sexual pain! In a woman, it means she cannot attain or maintain an adequate lubrication-swelling response of sexual excitement. Gentlemen, this is your dream come true. Inadequate errections? Yessss! Now you can spend your time in public thinking clearly, because you won't be aroused? The second runner up for biggest reason to quit using so I can avoid the Amphetamine Induced Disorder goes to...Amphetamine Induced Anxiety Disorder! Oh, she's a beauty alright, born and raised in the corpus collossum, she'll make your life a living hell. You might have your choice of manifestation, but will receive at least one of these lovely conditions: Panic Disorder; Generalized Anxiety Disorder; Social Phobia; or Obsessive/Compulsive Disorder. The outstanding quality of a panic disorder is the panic attack. You're new special power enables you to endure discrete periods of extreme fearfulness or discomfort, and is even accompanied by your choice of the following side effects: (choose at least four) Palpitations, sweating, trembling or shaking, sensations of shortness of breath or Cont. on page 10, SPEED