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DSM-IV & DSM-IV-TR:

Caffeine Intoxication


Consumption of excessive amounts of caffeine can cause uncomfortable symptoms of stimulation.

Diagnostic criteria for 305.90 Caffeine Intoxication 
(cautionary statement)  

A. Recent consumption of caffeine, usually in excess of 250 mg (e.g., more than 2-3 cups of brewed coffee). 

B. Five (or more) of the following signs, developing during, or shortly after, caffeine use: 

(1) restlessness 
(2) nervousness 
(3) excitement 
(4) Insomnia
(5) flushed face 
(6) diuresis 
(7) gastrointestinal disturbance 
(8) muscle twitching 
(9) rambling flow of thought and speech 
(10) tachycardia or cardiac arrhythmia 
(11) periods of inexhaustibility 
(12) psychomotor agitation

C. The symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. 

D. The symptoms are not due to a general medical condition and are not better accounted for by another mental disorder (e.g., an Anxiety Disorder).

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American Psychiatric Association

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