A 28-Year-Old Man Is Hospitalized Due to the Acute Onset

A 28-year-old man is hospitalized due to the acute onset of severe depression and suicidal ideation for several days.  He was recently thrown out of his mother's home after stealing her money to support his drug habit.  The patient reports fatigue and vivid, disturbing dreams.  The nursing staff note that he is irritable, withdrawn, hypersomnolent, and hyperphagic.  The patient has an extensive history of substance abuse and has been hospitalized previously for alcohol detoxification.  Blood pressure is 110/80 mm Hg and pulse is 64/min.  Physical examination shows old injuries from a motorcycle accident but no other abnormalities.  On mental status examination, he appears lethargic and dysphoric.  This patient's current symptoms are most likely the result of which of the following conditions?

A) Alcohol withdrawal
B) Benzodiazepine withdrawal
C) Cannabis withdrawal
D) Cocaine withdrawal
E) Major depressive disorder
F) Opiate withdrawal

Correct Answer:

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