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Common Dual Diagnoses

COMMON DUAL DIAGNOSES Definition: A dual diagnosis means that a person is struggling with both a substance use disorder and a mental illness at the same time. These two conditions are sometimes called comorbid or co-occurring disorders. DUAL DIAGNOSES ARE COMMON In 2015, more than 2 out of 5 adults diagnosed with a substance use disorder were also suffering from a mental illness. 2015 That same year, 18.6% of adults with a mental disorder also met the criteria for a substance use disorder. 18% The mental illnesses most often associated with substance abuse include: BIPOLAR DISORDER Bipolar disorder has the strongest association with substance use disorders. 圈 60% 48.5% 43.9% 48.5% of bipolar patients report Nearly 60% of those with bipolar disorder report substance abuse at some point in their lifetime. alcohol abuse and 43.9% report abuse of other drugs. ANTISOCIAL PERSONALITY DISORDER (APD) 60-80% of people with APD also struggle with alcoholism,7.8.9 Conversely, 20-40% of people diagnosed with alcoholism were also diagnosed with APD. 10, 11, 12 SCHIZOPHRENIA Those suffering from schizophrenia are more likely to abuse stimulants.* 13 Up to 60% of those struggling with chronic schizophrenia report abuse of alcohol or other drugs.4 ANXIETY DISORDER People diagnosed with 3X alcoholism are 3 times more likely to have an anxiety disorder."5 Panic disorder and social phobia are significantly associated with the development of alcohol Alcoholism is associated with phobias among females." use disorders. The reverse may also be true. DEPRESSION People diagnosed with 4X alcoholism are 4 times more likely to have depression. Female alcoholics struggling with a dual diagnosis have the strongest association with major depression. Almost one-third of people diagnosed with major depression also have a substance use disorder. DUAL DIAGNOSIS CAUSES SELF-MEDICATING: Many people with mental illnesses self-medicate their symptoms with drugs and alcohol. They tend to abuse EFFECTS OF ADDICTION: Other times, a person struggling with substance addiction will begin to develop symptoms of a substances that counter the effects of the illness. For example, people with anxiety disorders may abuse drugs with a relaxing effect. mental disorder. No matter which issue arose first, a dual diagnosis can complicate recovery and requires special treatment that addresses both problems simultaneously. CHALLENGES OF TREATING DUAL DIAGNOSES THOSE STRUGGLING WITHA DUAL DIAGNOSIS TYPICALLY SUFFER FROM: A DUAL DIAGNOSIS CAN BE MORE Greater clinical severity. PERSISTENT AND SEVERE THAN A SINGLE DISORDER Limitations on medication due to the increased risk of abuse. More exposure to environmental risk factors (being around family, friends, or communities that encourage addiction or increase the risk of mental illness). SOURCES 1. U.S. National Library of Medicine. Dual Diagnosis. Medline Plus. 2. Center for Behavioral Health Statistics and Quality. (2016). Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health (HHS Publication No. SMA 16-4984, NSDUH Series H-51). 3. Kessler, R. C. (2004). The epidemiology of dual diagnosis. Biological Psychiatry, 56. 730-737. 4. U.S. Department of Health and Human Services. Mental Health and Substance Use Disorders. 5. Cassidy, F., Ahearn, E. P., & Carroll, B. J. (2001). Substance abuse in bipolar disorder. Bipolar Disorders, 3. 181-188. 6. Sheehan, M. F. (1993). Dual diagnosis. Psychiatric Quarterly, 64(2). 107-134. 7. Schuckit, M. A. (1986). Genetic and clinical implications of alcoholism and affective disorder. American Journal of Psychiatry, 143. 140-147. 8. Schuckit, M. A. (1983). Alcoholism and other psychiatric disorders. Hospital and Community Psychiatry, 34. 1022-1027. 9. Schuckit, M. A. (1973). Alcoholism and sociopathy- diagnostic confusion. Quarterly Journal of the Studies on Alcohol, 34. 157-164. 10. Hesselbrock, M. N., Meyer, R. E., & Keener, J. J. (1985). Psychopathology in hospitalized alcoholics. Archives of General Psychiatry, 42. 1050-1055. 11. Cadoret, R., Troughton, E., & Widmer, R. (1984). Clinical differences between antisocial and primary alcoholics. Comprehensive Psychiatry, 25. 1-8. 12. Powell, B. J., Penick, E. C., Othmer, E., et al. (1982). Prevalence of additional psychiatric syndromes among male alcoholics. Journal of Clinical Psychiatry, 43(10). 404-407. 13. Chambers, R. A., Krystal, J. H., & Self, D. W. (2001). A neurobiological basis for substance abuse comorbidity in schizophrenia. Biological Psychiatry, 50(2). 71-83. 14. Hambrecht, M. & Hafner, H. (1996). Substance abuse and the onset of schizophrenia. Biological Psychiatry, 40(11). 1155-1163. 15. Burns, L. & Teesson, M. (2002). Alcohol use disorders comorbid with anxiety, depression and drug use disorders- Findings from the Australian National Survey of Mental Health and Well Being. Drug and Alcohol Dependence, 68. 299-307. 16. Davis, L., Uezato, A., Newell, J. M., & Frazier, E. (2008). Major depression and comorbid substance use disorders. Current Opinions in Psychiatry, 21(1). 14-18. .com Data collected and sourced by Recovery Brands, 2016. The Nation's Best Rehabs

Common Dual Diagnoses

shared by RecoveryBrands on Mar 08
A dual diagnosis (aka comorbid or co-occurring disorders) means that a person is struggling with both a substance use disorder and a mental illness at the same time. This is quite common among those w...


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