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Addictions

Drug use disorder (cocaine and amphetamines)

Use of cocaine, amphetamines or other stimulants with loss of control, intense craving and consequences on physical and mental health.

Common signs

Increasing useAnxiety, insomnia or paranoiaSevere crash after using

Tips

For you

  1. Seek specialist addiction help
  2. Identify risky people and places
  3. Urgent care if there is chest pain or intense paranoia

For family and friends

  1. Talk without judging and offer practical help
  2. Don't cover debts or consequences

When to ask for help

  1. If there is chest pain, seizures or paranoia: 112
  2. If thoughts of death appear: 024

Are you having a really hard time? If you're thinking of harming yourself, call 024 (free, 24 hours) or 112.

Guidance test

Answer thinking about the last few weeks. There are 8 questions and you get your result straight away. Your answers are not saved or sent.

0 of 8
1. I use cocaine or other stimulants
2. I use more than I intended
3. I find it hard to stop once I start
4. I spend more money than I can afford
5. Afterwards I crash badly
6. I have had anxiety, insomnia or paranoia
7. I have had problems at home or at work
8. I keep using even though it harms me

Free resources

Related disorders

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Reviewed by María Teresa Fernández Vicente, health psychologist and neuropsychologist (registration no. CV17304), in November 2026. Educational information prepared by the Clínica Vivaldi team based on the DSM-5-TR classification. It does not replace a professional assessment and cannot be used to diagnose.