F14.14

Clinical Causes: Recreational or frequent use of cocaine leading to psychological dependence. Genetic predisposition to substance use disorders or mood disorders. Environmental stressors or trauma increasing vulnerability to substance abuse. History of mental health issues that may predispose individuals to misuse stimulants like cocaine. Neurobiological effects of cocaine that alter neurotransmitter activity, leading to mood disturbances.

Key Symptoms: Euphoria or extreme happiness followed by feelings of depression or sadness. Episodes of irritability, agitation, or rapid mood swings. Periods of heightened energy or activity alternating with fatigue or low energy. Psychomotor agitation or retardation. Feelings of worthlessness, guilt, or hopelessness during depressive episodes. Difficulty concentrating or making decisions. Sleep disturbances, including insomnia or hypersomnia. In some cases, paranoia or hallucinations related to cocaine effects.

Diagnosis Path: Diagnosis involves a comprehensive clinical assessment, including a detailed history of substance use and mental health symptoms. Healthcare providers may use standardized questionnaires and screening tools to evaluate the severity of cocaine use and mood symptoms. Laboratory tests, such as toxicology screens, can confirm recent cocaine use. It’s important to differentiate between primary mood disorders and those induced by substance use to guide treatment appropriately.

Treatment Protocols: Counseling and psychotherapy, such as cognitive-behavioral therapy (CBT), to address substance use and mood symptoms. Motivational interviewing to enhance readiness for change. Medication management may involve antidepressants or mood stabilizers, depending on individual needs and severity. Support groups and peer support to encourage sustained recovery. Monitoring and managing comorbid mental health conditions. Relapse prevention programs and ongoing counseling to maintain sobriety and mood stability.