RT Journal Article SR Electronic T1 Anabolic steroid abuse: Psychiatric and physical costs JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 341 OP 352 VO 74 IS 5 A1 Farid Talih A1 Omar Fattal A1 Donald Malone, Jr YR 2007 UL http://www.ccjm.org/content/74/5/341.abstract AB The psychiatric effects of anabolic-androgenic steroids (ie, testosterone and its derivatives) have been less well studied than their physical effects but are reported to include depression, mania, psychosis, and aggression. Dependence can also occur, with withdrawal involving psychiatric and physical symptoms. Adverse effects of steroid abuse should be managed by discontinuing the drugs—by tapering if necessary—and by treating the symptoms.