Feelings are experienced as positive; others can be very uncomfortable including sadness and loss, fear and anxiety, guilt and shame or anger. Feelings are normal affective responses to life. A full range can be expected.
Symptoms may occur, particularly after a change in substance use. These may include anxiety, agitation, anger, agressiveness, depressed mood, diminished ability to think or concentrate or indecisiveness, eomotional/tearful, feelings or worthlessness, fatigue or loss of energy, inappropriate guilt, insomnia or hypersomnia, loss of interest or pleasure in activities, recurrent thoughts of death or suicide or suicide attempts and weight loss. These symptoms are often associated with withdrawal, intoxication and the newfound experience of life without chemicals. Symptoms will likely occur in response to stimuli and will pass. Symptoms may also be isolated and not cluster into a series of criteria as outlined in the DSM-IV, to form a diagnosis. But, if a person doe have DSM-IV symptoms and they are of sufficient duration (2-week period), causing significant functional impairment then, she may meet the criteria for a disorder. Symptoms pass in minutes, hours or days. Disorder persist for weeks, months or even years. Feelings will need to be processed, symptoms will need to be managed and disorders will need to be treated.