Dual diagnosis

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Disorders

Characteristics of disorders

At risk populations Chronicity Comorbidity Complication Cure Diagnosis Disease course Disease transmission Dual diagnosis Epidemics Epidemiology Etiology Heritability Late effect Maintenance Medical sign Mortality rate Onset Pandemics Pathology Pathophysiology Patient history Predisposition Premorbidity Prodrome Prognosis Protective factors Recovery Relapse Remission Risk factors Seasonal variations Sequela Severity Subtypes (disorders) Spontaneous remission Susceptibility Symptom remission Symptoms Treatment resistant disorders

other

Mental disorders List of mental disorders Physical disorders List of physical disorders

Dual disorder or dual diagnosis in psychiatry refers to the presence of two distinct illnesses occurring simultaneously. It used almost exclusively to refer to the presence of a substance use disorder such as alcoholism occurring simultaneously with another primary psychiatric illness such as major depression.

Prevalence

Among people who are diagnosed with a serious mental illness such as schizophrenia, almost one in three also struggles with drug or alcohol addiction.

Substance use disorders can be confused with other psychiatric disease. There are diagnoses for substance-induced mood disorders and substance-induced anxiety disorders and thus such overlap can be complicated. For this reason, the DSM-IV advises that diagnoses of primary psychiatric disorders not be made during a period of sobriety (of duration sufficient to allow for any substance-induced symptoms to dissipate).

Treatment

It can be very difficult to find appropriate treatment opportunities for these people. Most substance-abuse centers do not accept people with serious psychiatric conditions, and many psychiatric centers do not have expertise with substance abuse.

See also

• Comorbidity
• Differential diagnosis
• Psychodiagnostic typologies

References

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