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Severity of Amphetamine Dependency Questionnaire (SAmDQ)

Purpose: To evaluate a patient who abuses amphetamines for signs of dependence using the Severity of Amphetamine Dependency Questionnaire (SQmDQ).

Evaluation

Are you evaluating a patient who abuses amphetamines?

Select the appropriate answer for each findings of physical and affective withdrawal

Having body aches

Having stomach cramps

Feeling sick

Having heart pound

Having hot and cold flashes

Feeling depressed

Feeling tense

Feeling irritable

Feeling restless

Feeling cravings

Select the appropriate answer for each finding related to dealing with withdrawal

Save some drug for use on waking

Drug taken within 2 hours of waking

Drug taken to prevent feeling sick

Thinking of drugs

Drug taken to stop aches

Drug taken to stop depression

Drug taken to get self going

Drug taken first thing after waking

Select the appropriate answer for the interval before symptom recurn after relapse from a period of abstinence

How soon before feeiling sick again

How soon before depressed again

How soon before lethargic again

Results

Please fill out required fields.

Specialty

Objective

ICD-10