Treatment of patients with comorbidity of substance use disorder and psychotic disorder
The term dual diagnosis is used to describe the comorbid condition of substance use disorder and other mental disorder. The prevalence of substance use disorders is higher among patients with other mental disorders than in general population. Regarding prognosis in the treatment of patients with com...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Slovenian Medical Association
2010-07-01
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| Series: | Zdravniški Vestnik |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/281 |
| Summary: | The term dual diagnosis is used to describe the
comorbid condition of substance use disorder
and other mental disorder. The prevalence of
substance use disorders is higher among patients
with other mental disorders than in general population.
Regarding prognosis in the treatment of
patients with comorbid disorders, both disorders
have a poorer outcome when undertreated.
There are four models explaining aetiology of
dual diagnosis: common factor models, secondary
substance use disorder models, secondary
psychiatric disorder models and bidirectional
models.
Differentiation between primary psychotic disorders
that co-occur with substance use and substance
induced psychosis is generally difficult,
but it is important for understanding the course
of illness and effective treatment planning. Three
treatment approaches are used in patients with
comorbid substance use disorder and another
mental disorder: parallel, sequentional and integrative–
the last one supposed to be more effective
than others. Therapeutic approaches in the
treatment of patients with dual diagnosis include
psychoeducation, motivational interventions,
cognitive–behavioural therapy, social skills
training and psycho-pharmacotherapy. |
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| ISSN: | 1318-0347 1581-0224 |