Co-Occurring Disorders Formerly was known as the dual disorder or dual diagnosis, co-occurring disorders explain the existence of two or more disorders at the same time. For instance, an individual can go through substance dependency while having bipolar disorder, too.
While the scope of treatment for drug dependency and mental conditions has emerged to be rather specific, the same thing goes as well for the terms used to refer to individuals who both have problems with drug dependency and mental conditions.
The term co-occurring actually takes the place of the terms dual disorder and dual diagnosis. The said terms although usually used to refer to both drug and mental disorders as accompanying conditions, it can be easily misconstrued since they may also mean the combination of other health conditions like mental ailment or mental delay.
Besides, these terms imply that only two disorders occur at the very same time when in reality there can be more than two disorders. Patients with co-occurring disorders (COD) have one or more mental disorders, as well as one or more disorders that are related to the substance abuse. Co-occurring disorders can be diagnosed when a minimum of one disorder of each kind can be verified separate from the other disorder and it's not just a group of symptoms that stem from one of the disorders.
Even if co-existing condition is the latest term being used in the medical field, for this specific article, we will use the term dual disorder reciprocally.
For people that suffer from COD, another term is commonly used and it is MICA, which means Mentally Ill Chemical Abusers in cases where patients suffer from an extreme and constant mental disorder like bipolar disorder or schizophrenia. The most ideal term used is mentally ill chemically affected individuals because the term affected more aptly describes their condition and is not derogatory. The other acronyms used are as follows: MIC'D (mentally ill chemically dependent), MISA (mentally ill substance abusers), SAMI (substance abuse and mental illness), MISU (mentally ill substance using), ICON PSD (individuals with co-occurring psychiatric and substance disorders) and CAMI (chemical abuse and mental illness).
Some common types of co-existing conditions consist of the combinations of major depression types associated with cocaine dependency, alcohol dependency along with panic disorder, extreme alcoholism along with polydrug abuse with schizophrenia and as well as borderline personality condition with sporadic polydrug misuse. Even if the emphasis for this dwells on dual disorders, there are a number of patients who have more than two conditions. Multiple disorders go by the same rules that apply to dual disorders.
Extremity, chronicity, disability and the level of impairment in functioning are some differing extents in which combinations of COD issues and mental disorders vary. As an example, both disorders can be mild or serious or one disorder can be more serious than the other disorder. How severe the disorders are also varies with time and is not constant. Other factors that may also vary include the level or degree of disability or impairment in day to day functions.
Therefore, there isn't a specific combination of dual disorders; in reality, there's a big difference among these. Though, patients with combinations of dual disorders that are alike are regularly found in specific treatment environments.
Over half of adult individuals having serious mental illness also have drug use disorders which can come in the form of misuse or dependency associated with the use of alcohol and drugs.
Patients that have co-occurring disorders commonly feel stronger and chronic medical, emotional and social issues compared to those that only have a mental disorder or COD without the other. The severity of their condition makes them more prone to COD relapses as well as to worsening of their mental health disorders. What's more, an addiction relapse frequently results in psychiatric decompensation and when mental problems worsen it frequently results in addiction relapse. Therefore, preventing a relapse must be consciously devised for those who suffer from dual disorders. Users with dual disorders commonly need longer rehab, have a greater number of crises and advance more slowly in treatment compared to patients that only have a single disorder.
Psychiatric disorders most prevalent among dually diagnosed patients include personality disorders, mood disorders, psychotic disorders, and anxiety disorders.