Symptoms:

Primary symptoms may include:

• Depressed mood
• Fatigue
• Generalized malaise
• Vivid and unpleasant dreams
• Agitation and restless behavior
• Slowing of activity
• Increased appetite

The craving and depression can last for months following cessation of long-term heavy use (particularly daily). Withdrawal symptoms can also be associated with suicidal thoughts in some people.

During withdrawal, there can be powerful, intense cravings for cocaine. However, the "high" associated with ongoing use becomes less and less pleasant, and can produce fear and extreme suspicion rather than joy. Just the same, the cravings may remain powerful.

Signs and tests:

A physical examination and history of cocaine use are sufficient to diagnose this condition.