Evaluation and Treatment of Co-Occurring Mental Health and Substance Use Disorders-Recording - Evaluation and Treatment of Co-Occurring Mental Health and Substance Use Disorders

Recording - Evaluation and Treatment of Co-Occurring Mental Health and Substance Use Disorders - Wyatt, DO

Video Transcription

Video Summary

The talk focuses on managing co-occurring mental health and substance use disorders. The speaker, an addiction psychiatrist, emphasizes the significant overlap between mental health issues and substance use problems. Around 44 million people in the U.S. have a substance use disorder, and a significant portion also have mental health issues. Treatments should aim to evaluate and differentiate primary from substance-induced disorders.<br /><br />Genetic and environmental factors contribute to these co-occurring disorders. For example, some individuals have a genetic predisposition to substance use, as illustrated by cases like a social worker's early positive experience with codeine. The presentation discusses risk factors including adverse childhood experiences and peer influence.<br /><br />The talk also highlights the importance of an integrated treatment approach in an outpatient setting. Managing both substance use and mental health disorders simultaneously is crucial. Screening tools for mental health and substance use help in diagnosing and monitoring progress.<br /><br />Specific disorders were discussed, such as anxiety, PTSD, and depression. Treatment involves psychotherapy, medications like SSRIs or SNRIs, and avoiding substances like benzodiazepines due to addiction risks. Addressing social determinants of health and promoting supportive measures in communities can aid recovery.<br /><br />Psychotherapy, lifestyle changes, and healthy behaviors play significant roles in management. The talk employs case studies and epidemiological data to underline the importance of comprehensive care in improving outcomes for individuals with co-occurring disorders.

Keywords

co-occurring disorders

mental health

substance use

addiction psychiatry

integrated treatment

genetic predisposition

psychotherapy

screening tools

social determinants

anxiety and depression