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- Find more information about screening for physical abnormalities in pregnancy here (this information is available in multiple languages)

Until that time, no change could be made in the Box 13 tabulations

This is because psychoactive drug abuse triggers neuroadaptations in brain regions that are also involved in other psychiatric illnesses, such as anxiety, mood, or impulse-control disorders, and schizophrenia, according to a 2020 publication by the National Institutes on Drug Abuse , titled Common Comorbidities with Substance Use Disorders Research Report. Aggravation of the symptoms of a mental illness: Psychoactive substances are known to exacerbate the symptoms of a co-occurring mental illness by disrupting the normal and healthy functioning of the neural mechanisms associated with experiencing pleasure or reward, perceiving stress, and regulating impulses (SAMHSA, 2016)

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