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Dual diagnosis (also called co-occurring disorders (COD) or dual pathology) [1] [2] is the condition of having a mental illness and a comorbid substance use disorder.There is considerable debate surrounding the appropriateness of using a single category for a heterogeneous group of individuals with complex needs and a varied range of problems.
In the context of mental health, comorbidity frequently refers to the concurrent existence of mental disorders, for example, the co-occurrence of depressive and anxiety disorders. The concept of multimorbidity is related to comorbidity but is different in its definition and approach, focusing on the presence of multiple diseases or conditions ...
Those with comorbid PTSD and SUD diagnoses may seek to avoid experiencing withdrawal to avoid experiencing these sensations that can act as fear inducing and triggering experiential catalysts. [14] Additionally, individuals who chronically use substances as a form of self-medication for PTSD symptoms strengthen an automatic mental link between ...
People who are diagnosed with a mental health disorder and a simultaneous substance use disorder are known as having a dual diagnosis. For example, someone with bipolar disorder who also has an alcohol use disorder would have dual diagnosis. On such occasions, two treatment plans are needed with the mental health disorder requiring treatment first.
The National Comorbidity Survey: Baseline (NCS-1) was the first large-scale field survey of mental health in the United States.Conducted from 1990–1992, disorders were assessed based on the diagnostic criteria of the then-most current DSM manual, the DSM-III-R (Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised). [1]
Physical and mental health conditions can adversely impact the other through a number of pathways, and have significant impact on health and wellbeing. [26] For people whose long-term conditions include severe mental illness , the lifespan can be 10–20 years less than the general population. [ 27 ]