A 22-year-old woman is brought to the emergency department by her roommate for unusual behavior. She has been depressed with a suicidal ideation for several days. The patient reports fatigue and vivid, disturbing dreams. The nursing staff note that he is irritable, withdrawn, hypersomnolent, and hyperphagic. The patient has an extensive history of substance abuse and has been hospitalized previously for alcohol detoxification. Blood pressure is 110/80 mm Hg and pulse is 64/min. Physical examination shows old injuries from a motorcycle accident but no other abnormalities. On mental status examination, she appears lethargic and dysphoric. This patient's current symptoms are most likely the result of which of the following conditions?

Question

A 22-year-old woman is brought to the emergency department by her roommate for unusual behavior. She has been depressed with a suicidal ideation for several days. The patient reports fatigue and vivid, disturbing dreams.  The nursing staff note that he is irritable, withdrawn, hypersomnolent, and hyperphagic.  The patient has an extensive history of substance abuse and has been hospitalized previously for alcohol detoxification.  Blood pressure is 110/80 mm Hg and pulse is 64/min.  Physical examination shows old injuries from a motorcycle accident but no other abnormalities.  On mental status examination, she appears lethargic and dysphoric.  This patient's current symptoms are most likely the result of which of the following conditions?

Quizplus · Accepted Answer

Eductional Objective: Cocaine withdrawal is characterized by the development of acute depression accompanied by fatigue, hypersomnia, hyperphagia, and vivid dreams.

A 22-Year-Old Woman Is Brought to the Emergency Department by Her