For many of us, the day doesn’t truly begin until we have enjoyed our first sip of coffee. The aroma, the warm cup in our hands, and that rich taste mark a fresh start. While this has been my morning ritual for most of my adult life, my studies about diagnosis, particularly about the DSM-5-TR and its mention of caffeine-related disorders, have given me a new perspective on this delicious but potentially dangerous ingredient.
Caffeine is more than just a morning pick-me-up. It is the most widely consumed psychoactive substance in the world. Found in everything from the obvious—coffees and teas—to the less apparent, like chocolates, certain medications, and energy drinks, caffeine is almost inescapable.
According to the DSM-5-TR, caffeine intoxication isn’t just about having too much coffee. It is a clinical condition that can occur after consuming over 250 mg of caffeine (about two to three cups of brewed coffee) and is characterized by symptoms such as restlessness, nervousness, excitement, insomnia, flushed face, diuresis, and gastrointestinal disturbance. It can also involve muscle twitching, rambling flow of thought and speech, tachycardia or cardiac arrhythmia, periods of inexhaustibility, and psychomotor agitation.
While most of us enjoy caffeine without adverse effects, a significant portion of the population could be silently struggling with its impacts. According to the DSM-5-TR, about 85% of the U.S. population consumes caffeine daily. This widespread use makes caffeine something of a social norm, but also hides its potential for harm. For children and adolescents, who are increasingly consuming caffeine through sodas and energy drinks, the stakes might be even higher.
In fact, the consumption of energy drinks among children and teenagers has become a concerning trend. These drinks often appeal to young people who may be seeking extra energy for studying, sports, or social activities. However, these energy boosters can lead to sleep disturbances and heightened anxiety. This is particularly troubling for developing brains, which are more susceptible to the adverse effects of stimulants.
So, what can we do? Awareness comes first. Knowing the potential mental and physical effects of excessive caffeine intake can help us better understand and manage symptoms that might otherwise be attributed to more severe health issues. For counselors and educators, incorporating discussions about dietary habits and their effects into our sessions or classrooms can be a great start. It is not about demonizing coffee or tea, but about promoting a balanced, informed approach to consumption. It is also about advocating to reduce the consumption of energy drinks, especially among children and teenagers, to safeguard their physical and mental health.
As we continue our daily routines, whether it includes a cup of joe or tea, let’s keep in mind the power of caffeine. It is a fascinating substance that perks up our mornings and ignites our conversations. But like everything else, it requires a mindful approach to ensure it remains a pleasure, not a problem.
Here are some resources to better understand the impact of caffeine intoxication:
2. For kids and teens, energy drinks may have harmful side effects
3. Energy drink consumption and substance use among middle and high school students
4. Video: This is your brain on caffeine
I will see you next week!
Roque Neto 