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학습 자료 둘러보기 →The most specific indicator of stimulant intoxication is the emergence of psychotic symptoms, particularly paranoid ideation and hypervigilance. These result from excessive dopamine in mesolimbic pathways.
Sympathetic findings like hypertension (160/95 mmHg), tachycardia, dilated pupils, and insomnia are common but nonspecific. They can be caused by anxiety, panic, or medical conditions.
Prioritize safety for a client exhibiting paranoid ideation and pressured speech. Reduce environmental stimuli, use a calm, non-confrontational approach, and ensure adequate staff presence.
Do not dismiss paranoia as a primary psychiatric disorder without ruling out substance use. Stimulant-induced psychosis can be clinically indistinguishable from schizophrenia in the acute phase.
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