Treatment FAQ

co-occurring disorders affect mental health diagnosis and treatment in which of the following ways

by Dr. Faustino Willms Published 3 years ago Updated 2 years ago

Co-occurring disorders require a comprehensive treatment approach that addresses both the substance abuse and the additional mental health issue at the same time. Behavioral Therapies are often used to treat dual diagnosis conditions.

Full Answer

Is there a co-occurrence between alcohol use disorder and mental health conditions?

Apr 21, 2022 · No specific combinations of mental and substance use disorders are defined uniquely as co-occurring disorders. Some of the most common mental disorders seen in MAT include: Anxiety and mood disorders. Schizophrenia. Bipolar disorder. Major depressive disorder. Conduct disorders. Post-traumatic stress disorder.

What is a co-occurring disorder?

Co-occurring disorders can include anxiety disorders, depression, attention-deficit hyperactivity disorder (ADHD), bipolar disorder, personality disorders, and schizophrenia, among others. For more information, please see the National Institute on Drug Abuse (NIDA)’s Common Comorbidities with Substance Use Disorders Research Report .

What are co-occurring disorders in the DSM 5?

Mental health conditions that commonly co-occur with substance use disorders include anxiety disorders, depressive disorders, ADHD, bipolar disorder, schizophrenia, and personality disorders ...

What happens when a substance use disorder and psychiatric disorder co-occur?

Mar 31, 2022 · If you, or someone you know, needs help with co-occurring mental and substance use disorders, call SAMHSA’s National Helpline at 1-800-662-HELP (4357) or TTY: 1-800-487-4889, or text your zip code to 435748 (HELP4U) for 24-hour, free, and confidential information and treatment referral or use SAMHSA’s Behavioral Health Treatment Services ...

What is the most effective approach for the treatment of co-occurring disorders?

Integrated Treatment for Co-Occurring Disorders, an evidence-based practice, is one of the most effective service strategies available, demonstrating consistent, positive outcomes for this vulnerable population.

What is an example of a co-occurring disorder?

While some instances of co-occurring disorders may be more frequent than others (see common ones here), any combination of addiction and mental illness is considered to be a “co-occurring disorder.” Examples of common co-occurring disorders include: Depression and alcohol addiction. Eating disorder and cocaine ...

What are some of the challenges related to treatment of individuals with co-occurring disorders?

Barriers within the mental health system
  • Organizational failure to sustain integrated care.
  • Limited support for training staff in co-occurring disorder treatment.
  • Diagnostic and billing restrictions.
Feb 17, 2015

What are 2 ways those with mental health disorders are treated?

They include:
  • Psychotherapy or counseling. This also is called talk therapy. ...
  • Prescription medicine. ...
  • Support groups. ...
  • Other therapies. ...
  • ECT or other brain stimulation therapy. ...
  • Eye Movement Desensitization and Reprocessing (EMDR) therapy. ...
  • Hospital or residential treatment program.
Feb 7, 2018

What is a dual diagnosis in mental health?

A person with dual diagnosis has both a mental disorder and an alcohol or drug problem. These conditions occur together frequently. About half of people who have a mental disorder will also have a substance use disorder at some point in their lives and vice versa.Oct 2, 2019

How is comorbid disorder treated?

Several strategies have shown promise for treating specific comorbid conditions.
  1. Cognitive Behavioral Therapy (CBT) ...
  2. Dialectical Behavior Therapy (DBT) ...
  3. Assertive Community Treatment (ACT) ...
  4. Therapeutic Communities (TCs) ...
  5. Contingency Management (CM) or Motivational Incentives (MI) ...
  6. Exposure Therapy.
Apr 14, 2020

Why is it important to treat co-occurring disorders?

The presence of two or more disorders can complicate diagnosis and treatment. Integrating both screening and treatment for mental and substance use disorders leads to a better quality of care and health outcomes for those living with co-occurring disorders by treating the whole person.Mar 31, 2022

Should all social workers be trained in diagnosing and treating co-occurring disorders?

While social workers do not all need to be experts in treating co-occurring disorders, they may be the best suited of all clinical professionals to provide the integrated care and constant case management required for successful treatment outcomes.

What is the difference between comorbidity and co occurrence?

A co-occurring disorder is any mental illness that occurs at the same time as a substance use disorder. A comorbid disorder can refer to a chronic physical or neurological condition that is also present at the time of addiction.

What is the best treatment for mental disorders?

Psychotherapy. Psychotherapy is the therapeutic treatment of mental illness provided by a trained mental health professional. Psychotherapy explores thoughts, feelings, and behaviors, and seeks to improve an individual's well-being. Psychotherapy paired with medication is the most effective way to promote recovery.

Why is diagnosis important in mental health?

An awareness of the benefits and drawbacks of receiving a mental health diagnosis is important to understand how best we can support people. For some, having a mental health diagnosis is helpful and can enable better understanding of themselves, their symptoms and treatment options.Sep 20, 2021

What is the best approach to treating mental disorder drugs or therapy and why?

Most studies suggest that for major mental health disorders, a treatment approach involving both drugs and psychotherapy is more effective than either treatment method used alone. Psychiatrists are not the only mental health care practitioners trained to treat mental illness.

What are examples of co-occurring disorders?

Mental health conditions that commonly co-occur with substance use disorders include anxiety disorders, depressive disorders, ADHD , bipolar di...

What are the symptoms of substance use disorder?

In the DSM-5 , substance use disorders are defined by the class of drug used, including alcohol , caffeine, cannabis, hallucinogens, inhalants, o...

How common are co-occurring disorders?

People with mental health disorders are more likely to have a substance use disorder than those who do not. Roughly half of individuals who have ei...

Which develops first: addiction or mental illness?

There are many pathways to co-occurring disorders . People with mental illness often turn to drugs or alcohol to self-medicate their anxiety, dep...

What is integrated treatment?

Substance use disorders and mental illnesses were historically treated separately. For example, a treatment center might help a patient stop drinki...

Why is integrated treatment important?

Integrated treatment is important because it is more effective than treating conditions in isolation. For example, the presence of depression drama...

Why do SUDs and other mental disorders occur together?

Research suggests three possibilities that could explain why SUDs and other mental disorders may occur together: Common risk factors can contribute to both SUDs and other mental disorders. Both SUDs and other mental disorders can run in families, suggesting that certain genes may be a risk factor. Environmental factors, such as stress ...

What are the factors that contribute to mental health?

Environmental factors, such as stress or trauma, can cause genetic changes that are passed down through generations and may contribute to the development of a mental disorder or a substance use disorder. Mental disorders can contribute to substance use and SUDs. Studies found that people with a mental disorder, such as anxiety, depression, ...

What are some examples of behavioral therapy for SUDs?

Some examples of effective behavioral therapies for adults with SUDs and different co-occurring mental disorders include the following: Cognitive Behavioral Therapy (CBT): CBT is a type of talk therapy aimed at helping people learn how to cope with difficult situations by challenging irrational thoughts and changing behaviors.

What is behavioral therapy?

Behavioral Therapies. Research has found several behavioral therapies that have promise for treating individuals with co-occurring substance use and mental disorders. Health care providers may recommend behavioral therapies alone or in combination with medications. Some examples of effective behavioral therapies for adults with SUDs ...

How does brain change affect mental health?

Additionally, brain changes in people with mental disorders may enhance the rewarding effects of substances, making it more likely they will continue to use the substance. Substance use and SUDs can contribute to the development of other mental disorders. Substance use may trigger changes in brain structure and function ...

What is a substance use disorder?

A substance use disorder (SUD) is a mental disorder that affects a person’s brain and behavior, leading to a person’s inability to control their use of substances such as legal or illegal drugs, alcohol, or medications. Symptoms can range from moderate to severe, with addiction being the most severe form of SUDs.

Why should a provider use comprehensive assessment tools?

Because it can be challenging to make an accurate diagnosis due to overlapping symptoms, the provider should use comprehensive assessment tools to reduce the chance of a missed diagnosis and provide targeted treatment . It also is essential that treatment, which may include behavioral therapies and medications, be tailored to an individual’s ...

What is a co-occurring disorder?

Co-Occurring Disorders. The term co-occurring disorder refers to the condition in which an individual has a co-existing mental illness and substance use disorder. While commonly used to refer to the combination of substance use and mental disorders, the term also refers to other combinations of disorders, such a mental disorder ...

What are the conditions that co-occur with substance use disorders?

Mental health conditions that commonly co-occur with substance use disorders include anxiety disorders , depressive disorders, ADHD, bipolar disorder, schizophrenia, and personality disorders, according to the National Institute of Mental Health.

Why do we need psychoeducational classes?

As a part of programs that treat co-occurring disorders, psychoeducational classes can help increase awareness of the symptoms of disorders and the relationship between mental disorders and substance abuse.

How does psychoeducation help with substance abuse?

As a part of programs that treat co-occurring disorders, psychoeducational classes can help increase awareness of the symptoms of disorders and the relationship between mental disorders and substance abuse . Relapse-prevention education can help clients become aware of cues that make them more likely to abuse substances and help them develop alternative responses.

What are the causes of mental health disorders?

Mental health and substance use disorders result from a combination of factors. Certain people have a high genetic risk for such disorders, but one's environment can also contribute to their development.

Why is integrated treatment important?

Integrated treatment is important because it is more effective than treating conditions in isolation. For example, the presence of depression dramatically increases the chances of relapse in the first year of recovery from alcohol addiction. Addressing mental health conditions and other underlying challenges is crucial for long-term success.

What is dual recovery?

Dual-recovery groups located on treatment sites or offsite can also play a role in recovery by offering a supportive forum for the discussion of psychiatric symptoms, medication, substance-related impulses, and coping strategies.

How to contact SAMHSA for mental health?

If you, or someone you know, needs help with co-occurring mental and substance use disorders, call SAMHSA’s National Helpline at 1-800-662-HELP (4357) or TTY: 1-800-487-4889, for 24-hour, free, and confidential information and treatment referral or use SAMHSA’s Behavioral Health Treatment Services Locator to find help.

Is integrated care more likely to be hospitalized?

People with co-occurring disorders are more likely to be hospitalized than people with a mental or substance use disorder alone. Integrated treatment coordinates mental and substance use interventions by linking people to other providers who can deliver individualized and personalized services to treat the physical and emotional aspects of mental and substance use disorders. There are three models for delivering care for co-occurring disorders: coordinated, co-located, and fully integrated. With integrated care, a more complete recovery is possible.

Why are AUD and MHCs low?

One factor contributing to low rates of integrated treatment for individuals with co-occurring AUD and MHCs is poor identification of the presence of a co-occurring disorder. Like other health conditions for which routine screening occurs at certain ages (e.g., breast cancer screening for women beginning at age 40) or in certain settings (e.g., screening for hyperlipidemia in primary care settings), screening for both the presence of AUD and for other MHCs can be efficiently conducted. This screening, however, may be rare in practice, especially among certain subgroups. One review found that adolescents, individuals from low socioeconomic backgrounds, and racial/ethnic minorities often are not identified as having a co-occurring disorder, despite having both disorders.17Routine, standardized screening is necessary to identify problematic alcohol use and mental health symptoms and to assess for co-occurring disorders.

How many choices for frequency of use over the past year for S2BI?

For S2BI, four choices for frequency of use over the past year

Does AUD occur with MHC?

Over the past 30 years, there has been increasing awareness that AUD frequently co-occurs with MHCs. The high rate of co-occurring AUD and MHCs is not surprising, since research has demonstrated that young people with a history of an MHC, when compared to peers with no MHC history, are at increased risk to initiate alcohol use, transition to regular use, and subsequently develop AUD.4Furthermore, co-occurrence begins to emerge early. One study found that adolescents with an MHC had onset of alcohol use, regular alcohol use, and AUD at median ages of 12.2 years, 13.8 years, and 14.3 years, respectively.4

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