What is NOT a sign of prolonged stimulant abuse?

Extreme euphoria, while commonly observed during the initial phases of stimulant use or shortly after consumption, is not typically a sign of prolonged stimulant abuse. In fact, prolonged use often leads to diminished feelings of euphoria due to the development of tolerance, where more of the substance is needed to achieve the same effects. Over time, users may instead experience negative emotional states, such as irritability or depression, instead of the euphoria that characterizes the early effects of stimulant use.

In contrast, poor dentition, paranoia, and hallucinations are all well-documented effects that can arise from long-term stimulant abuse. Poor dentition often results from neglect of personal hygiene while intoxicated, as well as from the effects of stimulants causing dry mouth. Paranoia and hallucinations are serious psychological symptoms that can develop as a result of the neurochemical changes induced by extended stimulant use, leading to potential psychotic episodes. These symptoms reflect the more detrimental impacts of sustained stimulant abuse on mental health.