Psychiatric Technician Practice Exam

A client showing signs of anxiety and social withdrawal may have ingested which psychoactive substance?

1. Cocaine

2. Alcohol

3. Cannabis

4. Nicotine

The correct answer is: Cannabis

A client exhibiting signs of anxiety and social withdrawal is most likely related to the effects of cannabis. Cannabis is known to have a complex effect on mood and anxiety levels. For some individuals, especially those who may be predisposed to anxiety disorders, the use of cannabis can exacerbate feelings of anxiety or lead to paranoia, which can result in a withdrawal from social interactions. Cannabis may also create a sense of relaxation in some users, but this calming effect can flip to anxiety in others, particularly with higher doses or in inexperienced users. This dual potential to either alleviate or heighten anxiety is significant and can influence a person's social behavior, making them more withdrawn in social situations. In clinical observations, those who use cannabis often report fluctuations in their social engagement, particularly when feeling anxious. While other substances like alcohol or nicotine can contribute to social withdrawal or anxiety, their effects are typically different. Alcohol may initially reduce inhibitions, but excessive use can lead to increased anxiety and complications in social interactions over time. Nicotine, often used to reduce stress, can have dependency issues that lead to anxiety and withdrawal symptoms. Cocaine, on the other hand, generally increases energy and sociability in the short term, making it less likely to match the described symptoms.