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Essentials - Co-occurring and Substance Induced Di ...
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Pdf Summary
This document provides information on co-occurring disorders and substance-induced disorders. Individuals with a substance use disorder are more likely to suffer from mood and anxiety disorders, and vice versa. Patients with comorbid psychiatric illness and substance use disorder have a poorer prognosis, worse treatment outcomes, higher relapse rates, and shorter time to relapse. They also have a higher risk of suicide, particularly those with bipolar disorder. It is important to establish a comprehensive approach that identifies and evaluates both co-occurring disorders. Substance abuse may bring about symptoms of another mental illness, while mental disorders can lead to drug abuse as a way of self-medication. It is difficult to diagnose psychiatric disorders when someone is actively using substances as intoxication and withdrawal symptoms may resemble symptoms of mood and anxiety disorders. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides diagnostic criteria for substance-induced disorders. Substance-induced disorders may have symptoms identical to independent disorders, so it is important to differentiate them as they have different prognoses. Substance-induced disorders may complicate recovery, and antidepressant-induced mania or substance-induced depression can affect outcomes. Substance-induced disorders should clear within 1 month, and treatment options include abstinence from substance use and medications for primary disorders.
Keywords
co-occurring disorders
substance-induced disorders
substance use disorder
mood disorders
anxiety disorders
comorbid psychiatric illness
treatment outcomes
suicide risk
bipolar disorder
diagnostic criteria
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