Stimulants
Amphetamine-type substances and misused stimulant medicines that speed up the nervous system.
Stimulants increase alertness and energy and reduce appetite and sleep. They include illicit amphetamine-type substances and prescribed medicines taken outside medical direction.
Effects fade and are often followed by a low period, which encourages repeated dosing. Sleep loss and weight loss build up quickly.
When it is an emergency
- Chest pain
- Seizure
- Very high temperature
- Severe agitation, violence or loss of contact with reality
Signs worth noticing
- Long periods without sleep followed by heavy crashes
- Marked weight loss
- Agitation, suspiciousness or rapid speech
- Financial strain out of proportion to income
Real risks
- Heart rhythm problems and high blood pressure
- Psychotic symptoms with heavy use
- Severe mood disturbance during the crash
- Dental and skin problems
When to seek help
- Sleep and appetite are significantly disturbed
- Suspiciousness or hallucinations appear
- Use is escalating
What treatment involves
- Medical and psychiatric assessment
- Psychological therapy, particularly structured behavioural approaches
- Treatment of sleep, mood and nutrition problems
- Structured programme where use is heavy
If you are the family
- Avoid confrontation during periods of agitation
- Seek professional help if suspiciousness or hallucinations appear
- Support sleep and nutrition during early recovery
What recovery looks like
- Regular follow-up with a clinician or counsellor
- Relapse-prevention planning that names specific triggers
- Peer or community support where it is available and comfortable
- Family involvement, when the person consents to it
- Attention to sleep, nutrition, work and daily routine
Questions to ask any centre
- What kind of assessment will be done before any treatment starts?
- Who provides medical care here, and what are their qualifications?
- Is withdrawal expected in this case, and how will it be managed?
- What therapies are offered, and how often?
- What does the fee include, and what is charged separately?
- What happens after discharge, and for how long?
Common questions
This guide is general education, not medical advice, and it cannot tell you what is happening in a specific person. Only a qualified clinician can assess that.
