Stimulant use disorder is a substance use disorder involving cocaine, methamphetamine, prescription stimulants used nonmedically, or other stimulant drugs. It is diagnosed when stimulant use creates a persistent pattern of impaired control, cravings, risky use, social or work problems, tolerance, withdrawal, or continued use despite harm.
Which drugs can cause stimulant use disorder?
Common examples include methamphetamine, cocaine, and prescription stimulants such as amphetamine or methylphenidate when used in problematic ways.
What are common signs?
Signs can include using more than intended, unsuccessful attempts to cut down, strong cravings, spending substantial time obtaining or recovering from stimulants, neglecting responsibilities, continued use despite physical or mental health harm, tolerance, and withdrawal.
What does stimulant withdrawal feel like?
Withdrawal can include fatigue, depressed mood, increased sleep or insomnia, increased appetite, slowed or agitated movement, and intense cravings. Severe depression or suicidal thinking requires urgent clinical attention.
How is stimulant use disorder treated?
Behavioral treatments have the strongest evidence. SAMHSA highlights contingency management, cognitive behavioral therapy, and motivational approaches. There is currently no FDA-approved medication specifically for stimulant use disorder.
Trinity’s guide on contingency management explains one evidence-based behavioral approach. Trinity also provides information about adult residential addiction treatment.
Can stimulant use cause psychiatric symptoms?
Yes. High-dose or chronic stimulant use can contribute to anxiety, paranoia, agitation, sleep disruption, depression, and psychotic symptoms. Co-occurring mental health needs should be assessed rather than assumed to resolve automatically.
Frequently asked questions
Is stimulant use disorder the same as stimulant dependence?
Modern diagnostic criteria use the term stimulant use disorder, which covers a range of severity and includes patterns previously described as abuse or dependence.
Can prescription stimulants cause a use disorder?
Yes, especially when used in ways other than prescribed.
Is there medication specifically approved for methamphetamine use disorder?
No FDA-approved medication currently exists specifically for methamphetamine use disorder.
Sources
This article is general education and does not replace individualized diagnosis or treatment.