Tuesday, June 4, 2013

I Can't Stop, I'd Go Crazy


If you’ve had more than 250 mg of caffeine (two to three cups of brewed coffee) and experienced five or more of the following symptoms, says the guide, you’ve probably been caffeine-buzzed: restlessness, nervousness, excitement, insomnia, flushed face, diuresis (having to pee a lot), gastrointestinal disturbance, muscle twitching, rambling flow of thought and speech, tachycardia or cardiac arrhythmia, periods of inexhaustibility or psychomotor agitation (unintentional motion, say, rapidly bouncing one leg).
Yup, been there, done that.  Try Mormon Tea instead...

This disorder, as it’s described in both the older DSM-IV and new DSM-5, falls under the heading “Caffeine-Related Disorders,” but in DSM-5, that section includes a new entry: caffeine withdrawal. According to DSM-5, symptoms of caffeine withdrawal include fatigue, headache and difficulty focusing.

“Caffeine is a drug, a mild stimulant, which is used by almost everybody on a daily basis,” said Dr. Charles O’Brien, who chairs the Substance-Related Disorder Work Group for DSM-5 (via New York Post). “But it does have a letdown afterwards. If you drink a lot of coffee, at least two or three [236 ml] cups at a time, there will be a rebound or withdrawal effect.”
I used to notice I'd get headaches on weekends; particularly Saturdays.  After having had several cups daily all the work week, on Saturday I would just have one, and by late afternoon my head would hurt.  Eventually I even figured out by myself that a cup of coffee would fix it.

Anyone who’s binged on caffeine then stopped, cold turkey, knows the withdrawal symptoms are anything but make-believe — the headaches alone can be excruciating. The question some are asking is whether it belongs in a guide devoted to mental disorders (or, for that matter, whether caffeine intoxication does).
Turning everything into a minor mental illness is in and of itself, a mental disease.

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