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Psychological and cognitive warning signs include: Racing, intrusive thoughts and an inability to slow mental activity Escalating anxiety, hypervigilance, and panic attacks Paranoid thinking, particularly pronounced with cocaine addiction or methamphetamine use disorder Grandiosity and severely impaired judgment about risk and consequences Intense mood swings and emotional volatility between use episodes Inability to experience pleasure from everyday activities (anhedonia) Stimulant-induced psychosis in cases of heavy or prolonged use Stimulant Use Disorder: DSM-5 Diagnostic Criteria Stimulant use disorder is the formal clinical diagnosis assigned by mental health and medical professionals when stimulant use creates significant impairment or distress