National Certified Addiction Counselor, Level I (NCAC I) Practice Exam

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What is a typical experience after an individual wakes from an amphetamine "crash"?

Heightened energy and focus
Severe hypertension
Extreme hunger and lethargy
Hallucinations and paranoia

The correct answer is: Extreme hunger and lethargy

After an individual wakes from an amphetamine "crash," they commonly experience extreme hunger and lethargy. This phenomenon occurs due to the significant depletion of neurotransmitters, such as dopamine and serotonin, that amphetamines elevate. During the period of elevated mood and energy caused by amphetamines, appetite is often suppressed, but after the drug’s effects wane, the body may respond with feelings of deep fatigue and increased hunger as it attempts to restore homeostasis. Moreover, the lethargy experienced is a stark contrast to the heightened energy state induced by amphetamines. Individuals often feel fatigued and mentally foggy, contributing to a general sense of malaise. These feelings are part of the rebound effect as the body adjusts to the sudden absence of the stimulating substance, manifesting a strong desire to eat, often due to the previously suppressed appetite. This helps to clarify why extreme hunger and lethargy are commonly observed experiences following an amphetamine crash.