Show Summary Details
Page of

Substance Abuse: Intoxication and Withdrawal 

Substance Abuse: Intoxication and Withdrawal
Substance Abuse: Intoxication and Withdrawal

Joe Kwon

, Emily Deringer

, and Luke Archibald

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 12 December 2019

Substance use disorders are a common cause of presentations to the ED and a cause of psychiatric consultation. Recognizing or suspecting intoxication or withdrawal as a cause of a change in behavior, mood, or mental status is an important skill for the ED psychiatrist to possess. This chapter examines three common substances of abuse from the period of initial intoxication through early withdrawal. The first case describes a patient acutely intoxicated with alcohol with comorbid mood symptoms who then experiences early signs of withdrawal. The second case describes a patient with cocaine intoxication leading to psychosis and subsequent lethargy and dysphoria. The third case describes a woman with severe opiate dependence who relapsed after a period of sobriety, leading to overdose, who then becomes agitated when naloxone is administered. Other drugs of abuse that lead to ED presentations are also discussed.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.