F14.980

Clinical Causes: Using cocaine, which can alter brain chemistry and trigger intense feelings of alertness, euphoria, and neurochemical imbalances. Smoked, snorted, or injected forms of cocaine increasing the likelihood of rapid onset of intense physiological and psychological effects. Repeated or high doses of cocaine leading to heightened stress on the nervous system, which may precipitate anxiety symptoms. Personal susceptibility, such as a history of anxiety or other mental health conditions, increasing risk after cocaine use. Pre-existing psychiatric conditions that may be exacerbated by cocaine's stimulant effects. Environmental or social stressors coinciding with or following cocaine use, adding to anxiety symptoms.

Key Symptoms: Restlessness and nervousness Rapid heartbeat or palpitations Feelings of paranoia or suspicion Sweating excessively Trembling or shaking Difficulty concentrating or feeling mentally 'wired' Sleep disturbances, such as insomnia An overwhelming sense of fear or impending doom Physical discomfort such as chest tightness

Diagnosis Path: Diagnosis of cocaine-induced anxiety disorder involves a detailed clinical assessment, including a thorough review of the individual’s drug use history, mental health evaluation, and ruling out other causes of anxiety. Healthcare providers consider whether the symptoms developed shortly after cocaine use and whether they cease after the drug is metabolized. No evidence of a broader substance use disorder is necessary for this diagnosis, but the clinician will distinguish this condition from generalized anxiety disorder or other primary anxiety disorders. Laboratory tests or toxicology screens may be used to confirm recent cocaine use.

Treatment Protocols: Effective management of cocaine-induced anxiety disorder typically involves a combination of approaches, focusing on symptom relief and preventing future episodes. Treatment options include: