By Matt Peckham
We’ve all probably had that one coffee drink (or carbonated beverage) too many, at that point in a slog of a day where we’ve gone and imbibed a Red Bull or Grande coffee against our better judgment.
According to a new edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders out last week (DSM, or in this case, DSM-5), that sort of excessive caffeine intake can lead to a condition known as “caffeine intoxication,” except it’s nothing like the sort of blissful stupor we tend to associate with that other sort of intoxication.
If you’ve had more than 250 mg of caffeine (two to three cups of brewed coffee) and experienced five or more of the following symptoms, says the guide, you’ve probably been caffeine-buzzed: restlessness, nervousness, excitement, insomnia, flushed face, diuresis (having to pee a lot), gastrointestinal disturbance, muscle twitching, rambling flow of thought and speech, tachycardia or cardiac arrhythmia, periods of inexhaustibility or psychomotor agitation (unintentional motion, say, rapidly bouncing one leg).
This disorder, as it’s described in both the older DSM-IV and new DSM-5, falls under the heading “Caffeine-Related Disorders,” but in DSM-5, that section includes a new entry: caffeine withdrawal. According to DSM-5, symptoms of caffeine withdrawal include fatigue, headache and difficulty focusing.
“Caffeine is a drug, a mild stimulant, which is used by almost everybody on a daily basis,” said Dr. Charles O’Brien, who chairs the Substance-Related Disorder Work Group for DSM-5 (via New York Post). “But it does have a letdown afterwards. If you drink a lot of coffee, at least two or three [236 ml] cups at a time, there will be a rebound or withdrawal effect.”
Anyone who’s binged on caffeine then stopped, cold turkey, knows the withdrawal symptoms are anything but make-believe — the headaches alone can be excruciating. The question some are asking is whether it belongs in a guide devoted to mental disorders (or, for that matter, whether caffeine intoxication does).
“The symptoms of caffeine withdrawal are transitory, they take care of themselves,” said clinical psychologist Robin Rosenberg (via International Science Times), noting that the effects are temporary. “It’s just a natural response to stopping caffeine, and it clears up on its own in short order.”
DSM-5 work-group member Alan J. Budney attempted to address the controversy back in December 2011, when caffeine withdrawal was announced as being “recommended for inclusion” in the revised guide.
“We feel that there is enough data to support a caffeine-withdrawal syndrome,” said Budney. “There are enough people who go into withdrawal — that if they don’t get caffeine, it becomes a real syndrome and can affect work, sleep, or whatever they need to do. So we’re suggesting that it ‘make the big leagues’ and become part of the DSM to make sure everyone is aware of it.” Article Source
Caffeine and Health
Caffeine is a rapidly absorbed organic compound that acts as a stimulant in the human body. The average amount of caffeine consumed in the US is approximately 300 mg per person per day – the equivalent to between two and four cups of coffee – with coffee accounting for about three-fourths of the caffeine that is consumed in the American diet. This is considered to be a moderate caffeine intake, which, according to many studies, can promote a variety of health benefits.
But some studies claim otherwise, even suggesting that one or two cups of coffee a day may negatively impact our health. So, what are we to believe?
This course will analyze the potential health benefits, as well as the negative side effects, of caffeine consumption on a variety of health conditions, including: dementia and Alzheimer’s disease, headache, cancer, Parkinson’s disease, gallstones, cardiovascular disease, hypertension, type 2 diabetes mellitus, fibrocystic breast conditions, premenstrual syndrome, pregnancy and lactation, osteoporosis, athletic performance, and weight control.
Professional Development Resources is approved to offer continuing education by the American Psychological Association (APA); the National Board of Certified Counselors (NBCC ACEP #5590); the Association of Social Work Boards (ASWB Provider #1046, ACE Program); the American Occupational Therapy Association (AOTA Provider #3159); the Commission on Dietetic Registration (CDR Provider #PR001); the Alabama State Board of Occupational Therapy; the Florida Boards of Social Work, Mental Health Counseling and Marriage and Family Therapy (#BAP346), Psychology & School Psychology (#50-1635), Dietetics & Nutrition (#50-1635), and Occupational Therapy Practice (#34); the Ohio Counselor, Social Worker & MFT Board (#RCST100501); the South Carolina Board of Professional Counselors & MFTs (#193); and the Texas Board of Examiners of Marriage & Family Therapists (#114) and State Board of Social Worker Examiners (#5678).