Substance-Induced Mood Disorder

Description

General and supportive measures

Medication treatment

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ICD-10 code: F10.8 / F11.8 / F12.8 / F14.8 / F16.8 / F18.8

DESCRIPTION

• A significant and sustained disturbance in mood, i.e. depressed, irritable, expansive or elevated.
• Symptoms occur during or within one month of proven substance abuse or intoxication.
• A psychiatric disorder such as bipolar or a general medical condition is not the cause of the mood disturbance.

GENERAL AND SUPPORTIVE MEASURES

• Conduct a medical assessment (pulse rate, temperature, blood pressure, ECG) and laboratory investigations (FBC, U&E, LFT, BHCG, urine toxicology), depending on the specific drug of abuse.
• Manage withdrawal states, depending on the substance of abuse.
• Refer to a social worker for an evaluation of the family circumstances and for brief motivational interviewing.

MEDICATION TREATMENT

Several medications have been approved by the FDA for treating addiction to opioids, alcohol or nicotine in adults, but not in adolescents. Only preliminary evidence exists for the effectiveness and safety of these medications in individuals under 18 years and no evidence exists for the neurobiological impact of these medications on the developing brain. There are currently no FDA-approved medications to treat addiction to cannabis, cocaine or methamphetamine in any age group.

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Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Paediatrics, 2023 Edition

Chapter 14: Child & Adolescent Psychiatry, 14.13 Substance Use Disorder,  14.13.2 Substance-induced Mood Disorder