A Case Study of Stimulant Withdrawal Disorder: A Biopsychosocial Assessment and Cognitive Behavioral Intervention Approach

Abstract

Stimulant Withdrawal Disorder is characterized by the development of clinically significant behavioral, cognitive, and physiological symptoms following the reduction or cessation of prolonged stimulant use. Individuals commonly experience depressed mood, fatigue, sleep disturbances, psychomotor changes, intense cravings, and emotional dysregulation, leading to substantial impairment in personal, occupational, and social functioning. The present case study describes a 30-year-old unmarried Pakistani male who presented with severe cravings for heroin and injectable antidepressant/antihistamine drugs, stealing behavior, low mood, self-dislike, restlessness, somatic withdrawal symptoms, and impaired psychosocial functioning. Comprehensive psychological assessment included a clinical interview, Mental Status Examination (MSE), Visual Analogue Scale (VAS), Daily Craving Chart, Drug Abuse Screening Test (DAST-10), Stages of Change Model, and projective assessment. Findings revealed significant substance dependence, maladaptive coping strategies, poor impulse control, family dysfunction, peer influence, and unresolved emotional conflicts contributing to the maintenance of addictive behaviors. The client fulfilled DSM-5-TR diagnostic criteria for Stimulant Withdrawal Disorder. A multidisciplinary intervention consisting of psychoeducation, motivational interviewing, cognitive-behavioral techniques, relaxation training, functional analysis, assertiveness training, problem-solving therapy, and relapse prevention resulted in considerable reduction in cravings, improved emotional regulation, enhanced insight, and increased motivation for sustained recovery.

Keywords: Stimulant Withdrawal Disorder, Substance Use Disorder, Drug Addiction, Cognitive Behavioral Therapy, Relapse Prevention, Case Study