The addicts chew about 3-10 times a day, depending on their sensation of weariness to be overcome. Almost all subjects in the sample became addicted to kratom because they wanted to work more efficiently. The subjects in this sample had been addicted for a period of from 3 years to 30 years, with a mean of 18.6 years. The most important aspect for this kind of addict is a strong desire to work on his plot, in the rice field, or do other manual work. He can work from morning until evening, even though it may be very hot and the sun bright at midday.
Addicts are, however, afraid of the rain which causes.them to catch cold easily.
They mention that their mind is calm and that they prefer to stay alone. Anorexia, weight loss and insomnia are common among long-term kratom addicts. As these symptoms are similar to those of depression, it might be difficult to differentiate between depression and kratom addiction if one were to ignore an addict's case history. Long term addicts become thin, their skin darkens, particularly in the face on both cheeks which gives an appearance similar to a hepatic face. Dryness in the mouth is common as well as frequent micturition and often constipation.