Amphetamine Withdrawal Scale : Meth Withdrawal

Have you tried to cut down on your use?

Have you been annoyed when people talked to you about your use?

Have you felt bad or guilty about your use?

Have you ever used in the morning to settle yourself down?

One yes answer suggests a problem. Two yes answers is diagnostic.

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Amphetamine Withdrawal Scale

By Robert R. Perkinson, Ph.D.


Patient Name _____________________ BP _____ Pulse ____ Res _____Temp ______
Amphetamine Withdrawal Scale Score _____________________ Date _______
______________________________________
AGITATION-Observation
0 Normal activity
1 Somewhat more than normal activity
2
3
4 Moderately fidgety and restless
5
6
7 Paces back and forth or constantly thrashes about
_______________________________________
SWEATING Observation
0 No sweat visible
1 Palms moist
2
3
4 Beads of sweat on forehead
5
6
7 Drenching sweats
_______________________________________
ANXIETY-Ask “Do you feel nervous or
afraid?” Observation
0 No anxiety, calm and tranquil
1 Mildly anxious
2
3
4 Moderately anxious, defensive or guarded.
5
6
7 Severely anxious, equivalent to panic
_______________________________________
PARANOIA-Ask “Do you feel people are paying special attention to you? Do you feel anyone is out to get you or give you a hard time?
0 No paranoia
1 Mildly suspicious
2
3
4 Moderately paranoid or suspicious.
5
6
7 Severely paranoid with delusions of persecution
____________________________________________
CRAVING-Ask “Are you craving drugs or alcohol?
0 No craving
1 Mild or occasionally thinking about drug use
2
3
4 Moderate craving drug use throughout the day.
5
6
7 Severe can’t stop craving.
____________________________________________
DEPRESSION Ask “Do you feel sad or depressed? ”If yes, “On a scale of one to seven how depressed do you feel?”
0 None
1 Mild depression
2
3
4 Moderate depressed most of the day
5
6
7 Severe depressed all day every day.
____________________________________________
TACTILE DISTURBANCES-Ask “Have you had any itching or burning or do you feel bugs crawling on or under your skin?”
0 Not present
1 Mile itching burning or pins and needles
2
3 Moderate itching burning or pins and needles
4 Moderately severe hallucinations
5
6
7 Continuous hallucinations
____________________________________________
AUDITORY DISTURBANCES Ask “Do sounds seem too loud or harsh? Do they frighten you? Are you hearing things that are not there?”
0 Not present
1 Very mild harshness or ability to frighten
2 Mild harshness or ability to frighten
3 Moderate harshness or ability to frighten
4 Moderate hallucinations
5 Severe hallucinations
6 Extremely severe hallucinations
7 Continuous hallucinations
____________________________________________
VISUAL DISTURBANCES Ask “Does the light appear to be too bright? Does it hurt your eyes? Are you seeing things that are not there?”
0 Not present
1 Very mild sensitivity
2 Mild sensitivity
3 Moderate sensitivity
4 Moderate hallucinations
5 Severe hallucinations
6 Extremely severe hallucinations
7 Continuous hallucinations
____________________________________________
ORIENTATION Ask “What day is this? Where are you? Who am I? What is your name?”
0 Oriented
1 Uncertain about date
2 Disoriented by date by no more than 2 days
3 Disoriented to date by more than 2 days
4 Disoriented to place and/or person

Scores:
0-8 = indicates mild withdrawal
8-20 = indicates moderate withdrawal
20+ = indicates severe withdrawal

Observation of over 1000 amphetamine addicts indicates acute withdrawal usually lasts 7-15 days.
Physicians can use benzodiazepines and anti-psychotics to modulate withdrawal symptoms

Copyright © 2005 Robert R. Perkinson, Ph.D.
All rights reserved.
Copyright © 2011 [www.robertperkinson.com]. All rights reserved.
Revised:


For permission to copy contact:

Dr. Robert R. Perkinson
P.O. Box 159
1010 East Second Street
Canton, SD 57013
(605) 987-2872
perk@iw.net

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