Dr. Sokolski describes the underling mechanisms of methamphetamine intoxication. She then discusses the consequences of methamphetamine use, including difficulty with focus, physiological effects, cognitive affects, and symptoms of methamphetamine withdrawal. She treats the listener to a brief history of methamphetamine, before transitioning into characteristics of methamphetamine-induced psychosis. Dr. Sokolski describes facts and myths around “new” methamphetamine, before discussing the hazardous confluence of methamphetamine and fentanyl use. Dr. Sokolski describes settled insanity, and there is an interesting exploration of the “choice” of addiction and free will. Dr. Sokolski shares her wish list for state-level treatment of methamphetamine addiction, and teaches about the effectiveness of contingency management for treatment of methamphetamine addiction. Dr. Sokolski ends by describing characteristics that are prognostic of longer term psychotic symptoms among methamphetamine users.
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