Reference
Guide | Reference

86  Stimulant Pattern Prototype

86.1 Summary

  • A pattern of stimulant use with impaired control, craving, and functional harm.

86.2 Prototype Features

  • Escalating use or binge cycles.
  • Sleep disruption and agitation during use.
  • Crash or withdrawal symptoms.

86.3 Threshold Guidance

  • Use when stimulant use is recurrent and impairing.

86.4 Expected Domain Profile

  • Reward, Habit, and Substance-Related Compulsion: moderate to high.
  • Arousal, Sleep, and Circadian Regulation: often disrupted.

86.5 Time-Course and Trajectory

  • Episodic binges or chronic use.

86.6 Differential and Red Flags

  • Primary mood elevation or anxiety without substance linkage.
  • Co-occurring stimulant prescriptions.

86.7 Specifiers (treatment-relevant, non-prescriptive)

  • Course/time pattern (episodic, binge-linked).
  • Contributors (sleep loss, access, stress).
  • Risk modifiers (psychosis risk, medical complications).

86.8 Measurement Prompts

  • Stimulant use timeline.
  • Sleep and crash tracking.

86.10 Documentation Snippet (1-2 lines)

  • “Stimulant binges with sleep disruption and crashes; Reward/Habit 3; episodic course.”