Dynamohum

Hi Guys. I was looking for some opinions on a bit of a conundrum I am facing - in short; I am a community Psych Nurse. I have a middle aged woman on my case load whom I suspect is using Amphetamines. She has insisted from some ime now that she is not. The clinical landscape is fairly complex, but the real bare bones of it, are as follows. I have noticed a change in her behaviour in the past few weeks - increased sneezing, slight twitching, vague redness around the nostrils, and bad breath. For many reasons, a high index of suspicion (by me) is warranted due to her frequent relapse into drug use over the years (and of course, a history of illicit drug use). I am on the edge of my knowledge when it comes to drug addiction and do not wish to (confront) her with what may be circumstantial 'evidence' I have observed (or at least, not yet!!). I just thought that somone on the message boards might know more about the signs of drug use. The ones I have listed are of course not exhaustive - though there are no obvioous signs of weight loss, or overactivity etc... Thanks for your thoughts Dynamohum