Co occurring disorders and substance abuse pdf
What Are Co-occurring Disorders? | Behavioral Health EvolutionDual diagnosis also called co-occurring disorders , COD , or dual pathology   is the condition of suffering from a mental illness and a comorbid substance abuse problem. There is considerable debate surrounding the appropriateness of using a single category for a heterogeneous group of individuals with complex needs and a varied range of problems. The concept can be used broadly, for example depression and alcoholism, or it can be restricted to specify severe mental illness e. Those with co-occurring disorders face complex challenges. They have increased rates of relapse, hospitalization, homelessness , and HIV and hepatitis C infection compared to those with either mental or substance use disorders alone. The identification of substance-induced versus independent psychiatric symptoms or disorders has important treatment implications and often constitutes a challenge in daily clinical practice. Similar patterns of comorbidity and risk factors in individuals with substance induced disorder and those with independent non-substance induced psychiatric symptoms suggest that the two conditions may share underlying etiologic factors.
Common Comorbidities with Substance Use Disorders
Dual diagnosis also referred to as co-occurring disorders is a term for when someone experiences a mental illness and a substance use disorder simultaneously. Either disorder—substance use or mental illness—can develop first. People experiencing a mental health condition may turn to alcohol or other drugs as a form of self-medication to improve the mental health symptoms they experience. However, research shows that alcohol and other drugs worsen the symptoms of mental illnesses. The professional fields of mental health and substance use recovery have different cultures, so finding integrated care can challenging. A national effort led by psychiatrist Ken Minkoff helps systems integrate these cultures and services on every level of care. Because many combinations of dual diagnosis can occur, the symptoms vary widely.
Many individuals who develop substance use disorders SUD are also diagnosed with mental disorders, and vice versa. Multiple national population surveys have found that about half of those who experience a mental illness during their lives will also experience a substance use disorder and vice versa. Data show high rates of comorbid substance use disorders and anxiety disorders—which include generalized anxiety disorder, panic disorder, and post-traumatic stress disorder. Serious mental illness among people ages 18 and older is defined at the federal level as having, at any time during the past year, a diagnosable mental, behavior, or emotional disorder that causes serious functional impairment that substantially interferes with or limits one or more major life activities. Serious mental illnesses include major depression, schizophrenia, and bipolar disorder, and other mental disorders that cause serious impairment.
People who have substance use disorders as well as mental health disorders are diagnosed as having co-occurring disorders, or dual disorders. This is also sometimes called a dual diagnosis. Alcohol or drug abuse is diagnosed when substance use interferes with functioning at work, at school, and in social relationships.
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