Sacks et al. (2005) reported the case of a 72-year-old man, described as professionally successful, intelligent, and cultivated, with polymyalgia rheumatica, who after being treated with prednisone developed a psychosis and dementia , which several behavioral neurology and neuropsychiatry consultants initially diagnosed as early dementia or Alzheimer's disease .  Large dosage variations in the patient's medication (including a self-increased dosage from 10 mg/day to as much as 100 mg/day for at least 3 months) produced extreme behavioral changes, from missed appointments to physical altercations, and eventually admission to a psychiatric ward and later to a locked Alzheimer facility. During this time, neuropsychological testing showed a decline in the patient's previously superior IQ as well as deficits in memory, language, fluency, and visuospatial function, which given the patient's age was considered to be compatible with early dementia. When the steroid treatment ended after a year, the patent's confusion and disorganized appearance stopped immediately. Within several weeks, testing showed strong improvement in almost all cognitive functions. His doctors were surprised at the improvement, since the results were inconsistent with a diagnosis of dementia or Alzheimer's. Testing after 14 months showed a large jump in Full Scale IQ from 87 to 124, but mild dysfunction in executive function, memory, attentional control, and verbal/nonverbal memory remained. 
Note: The list of possible learning activities listed below is not meant to be all-encompassing. Rather, it is intended to provide teachers and coaches with a sample of extension activities students and/or athletes could do in conjunction with the unit. Many of the research opportunities could be turned into traditional essays or multi-media presentations and shared with other students at your school.
Research collegiate or professional athletes who have admitted to taking steroids while competing and the effects steroids have had on them.
Research the list of banned substances at the collegiate and professional levels and classify them by type.
Conduct a group discussion with a local physician about proper physical and nutritional training for athletics.
Conduct a group discussion with fellow student-athletes on the importance of having a support network for each other to help avoid illegal drug use.