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DUAL DIAGNOSIS

Dual diagnosis is the term used for a coexisting mental illness and substance abuse. This problem often causes an increase of symptoms of the mental illness, more frequent relapses, problems with violence, and noncompliance to treatment. Studies have shown that patients with substance abuse disorders are 8 times more likely to be non-compliant to treatment, and 12 times more likely to become violent. Patients report that their reasons for substance use are to improve moods, increase social interaction, and increase pleasure. Other reasons for substance abuse includes legal problems, relationship problems, loss of housing, frequent hospitalizations, and a family history of substance abuse. Studies show that at any given time, at least 25 percent of people with mental illnesses are also suffering from a substance abuse disorder, and that these rates have been as high as 50 to 60 percent. Patients with dual diagnosis require a treatment plan that integrates care for both illnesses. Treatment should be individualized and flexible in approach. The non-threatening and more supportive approach to substance abuse has proven more therapeutic for those with mental illnesses than the traditional approaches.

 

 

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