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    Dual Diagnosis Essay

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    Michael Lait
    This document discusses co-occurring disorders and dual diagnoses, where patients suffer from both mental illness and substance use disorders. It notes that the most common concurrent disorders involve depression, bipolar disorder, anxiety disorders, antisocial personality disorder, attention deficit disorders, eating disorders, posttraumatic stress disorder, schizophrenia, and somatoform disorders. While recognizing dual diagnoses is relatively easy, treating the patient both in the short and long term poses real challenges. Programs designed specifically for dual diagnosis patients often struggle to maintain high-fidelity implementations, but those that do see excellent patient outcomes with higher rates of stable remission.

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    Dual Diagnosis Essay

    Uploaded by

    Michael Lait
    173 views4 pages
    This document discusses co-occurring disorders and dual diagnoses, where patients suffer from both mental illness and substance use disorders. It notes that the most common concurrent disorders involve depression, bipolar disorder, anxiety disorders, antisocial personality disorder, attention deficit disorders, eating disorders, posttraumatic stress disorder, schizophrenia, and somatoform disorders. While recognizing dual diagnoses is relatively easy, treating the patient both in the short and long term poses real challenges. Programs designed specifically for dual diagnosis patients often struggle to maintain high-fidelity implementations, but those that do see excellent patient outcomes with higher rates of stable remission.

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    This document discusses co-occurring disorders and dual diagnoses, where patients suffer from both mental illness and substance use disorders. It notes that the most common concurrent disorders involve depression, bipolar disorder, anxiety disorders, antisocial personality disorder, attention deficit disorders, eating disorders, posttraumatic stress disorder, schizophrenia, and somatoform disorders. While recognizing dual diagnoses is relatively easy, treating the patient both in the short and long term poses real challenges. Programs designed specifically for dual diagnosis patients often struggle to maintain high-fidelity implementations, but those that do see excellent patient outcomes with higher rates of stable remission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    173 views4 pages

    Dual Diagnosis Essay

    Uploaded by

    Michael Lait
    This document discusses co-occurring disorders and dual diagnoses, where patients suffer from both mental illness and substance use disorders. It notes that the most common concurrent disorders involve depression, bipolar disorder, anxiety disorders, antisocial personality disorder, attention deficit disorders, eating disorders, posttraumatic stress disorder, schizophrenia, and somatoform disorders. While recognizing dual diagnoses is relatively easy, treating the patient both in the short and long term poses real challenges. Programs designed specifically for dual diagnosis patients often struggle to maintain high-fidelity implementations, but those that do see excellent patient outcomes with higher rates of stable remission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Running head: CO-OCCURRANCES & DUAL DISORDERS 1

    Co-Occurrences & Dual Disorders


    Michael H. Lait
    Liberty University















    CO-OCCURRANCES & DUAL DISORDERS 2


    Co-Occurrences & Dual-Disorders
    Co-occurring disorders and dual-diagnoses are found in patients who suffer from
    concurrent forms of mental illness and substance use disorders (SUD) (Doweiko, 2012, p. 317).
    According to the text, dual diagnosis patients may fall under many different forms of mental
    illness and SUDs; however, though it gives examples of some they go one to state that only those
    defined by the APA will be discussed in detail (Doweiko, 2012, p. 317). It is important to
    remember that when dealing with a person who is dual diagnosed, the counselor must understand
    that the SUD did not cause the psychiatric disorder; however, most likely they are somewhat
    intertwined.
    When it comes to the addiction cycle and how co-occurring disorders sffect it, the text
    provides an excellent statement: As a whole this population has worse treatment outcomes,
    higher health care utilization; increased risk of violence, trauma, suicide, child abuse and neglect,
    and involvement in the criminal justice system (Doweiko, 2012, p. 318). It goes on to say that
    of an estimated 4 million individuals with co-occurring disorders on ly eight percent received
    help during the preceding year and 72% have never received treatment for both disorders.
    The major disorders that share the dual-diagnosis with SUDs are depression, bipolar
    disorder, anxiety disorders, antisocial personality disorder (ASPD), attention deficit disorder
    (ADD), attention deficit hyperactivity disorder (ADHD), eating disorders, posttraumatic stress
    disorder (PTSD), schizophrenia and somatoform disorders (Doweiko, 2012, p.320). According to
    Doweiko, (2012), the disorders that have the greatest co-occurring disorders are ASPD at 84%,
    bipolar disease at 56-64% and PTSD at 30-75% (p. 320).
    Research done over the preceding 15 years by Dartmouth Psychiatric Research Center
    found that in a number of multi-site integrated treatment facilities specifically set up for dual-
    CO-OCCURRANCES & DUAL DISORDERS 3


    diagnosis, it was found that only one-half to two-thirds of the programs were able to establish
    and maintain high-fidelity programs (Torrey, Drake, Cohen, Fox, & al, e., 2002, p. 507).
    However, they did find that the patients who were in the high-fidelity implementations had
    excellent outcomes, with significantly higher rates of stable remission in his or her final
    outcomes.
    Based on the research done and presented by our text and others, it is apparent that the
    psychiatric community at large has a major problem when it comes to dual-diagnosis patients.
    According to Doweiko (2012), recognizing a client with a dual-diagnosis is relatively easy;
    however, the real problem exists in treating the patient both short and long term (p. 318). It
    would seem that with so many people having a problem with dual-diagnosis, a solution needs to
    be found and implemented post haste.












    CO-OCCURRANCES & DUAL DISORDERS 4


    References:
    Doweiko, H. E. (2012). Concepts of chemical dependency (8th ed.). Belmont, CA: Brooks/Cole
    Cengage.
    Torrey, W. C., Drake, R. E., Cohen, M., Fox, L. B., & al, e. (2002). The challenge of
    implementing and sustaining integrated dual disorders treatment programs. Community
    Mental Health Journal, 38(6), 507-21. Retrieved from
    http://search.proquest.com/docview/220125940?accountid=12085

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