A patient has been using amphetamines for the last 3 years and has been diagnosed with substance dependence
Which statements by the patient are associated with substance dependence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I am so tired and I feel so confused about everything that is happening around me.".
2. "I have really tried to cut down my use, but I fail miserably every time.".
3. "The only thing I care about right now is getting my fix.".
4. "I have to use a lot more right now to get the same high as before.".
5. "I have a great job where I work full-time as a mechanical engineer, so that part of my life is very fulfilling.".
1,2,3,4
Rationale 1: Fatigue and confusion are withdrawal symptoms associated with the use of amphetamines.
Rationale 2: Unsuccessfully attempting to cut down on use of a substance is a behavior associated with substance dependence.
Rationale 3: A focus on obtaining the drug is a behavior associated with substance dependence.
Rationale 4: Persons with substance dependence are likely to develop tolerance to the drug.
Rationale 5: A patient with substance dependence is unlikely to keep a full-time job because of the time required to procure and use the drug. The patient invests less time in occupational activities.
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Does the additional information obtained from the labs add any concern?