Dual Diagnosis Flashcards
(42 cards)
What is dual diagnosis?
Co-morbidity/Co-occurrence of more than one diagnosis, involving medical, mental health, alcohol and drug issues, etc.
What are the two types of distinctions in dual diagnosis?
- Heterotypic: mental health and physical disorder
- Homotypic: two mental health disorders
What is the difference between concurrent and successive dual diagnosis?
- Concurrent: disorders occurring at the same time
- Successive: disorders occurring at different times
What is the prevalence range of dual diagnosis?
30-90%
What factors influence the variation in dual diagnosis prevalence?
- Diagnostic criteria
- Severity
- Treatment settings
- Gender
What is the incidence of dual diagnosis among females with alcohol use disorder?
48% also have anxiety, affective, or drug use disorder
What is the incidence of dual diagnosis among males with alcohol use disorder?
34% also have another mental disorder
True or False: Alcohol dependence increases the likelihood of having affective or anxiety disorders.
True
What are common symptoms of depression?
- Feeling sad or depressed
- Loss of interest and pleasure in normal activities
- Inability to sleep or waking up early
- Trouble concentrating
- Feelings of worthlessness or guilt
What role do depressants play in mental health issues?
They can exacerbate symptoms of depression and interfere with medications.
What is ‘hangxiety’?
Heightened stress and difficulty coping with additional stress during a hangover
What is the relationship between substance use and anxiety disorders?
- Withdrawal from depressants can cause agitation and anxiety
- Stimulants can cause anxiety states and panic
What are the effects of cannabinoids on mental health?
Cannabis may precipitate psychotic episodes and increase rates of hospitalization.
What is the impact of early AOD use on education?
It can lead to not finishing high school and increased risk of unemployment.
What are shared risk factors for AOD and mental health conditions?
- Lower socioeconomic status
- Cognitive impairment
- Conduct disorder in childhood
- Antisocial personality disorder
What issues arise from dual diagnosis for clients?
- Greater severity of disorders
- Increased relapse risk
- Double stigmatization
- Poorer self-care
What is a key issue for treatment services dealing with dual diagnosis?
Complex presentations with more than one drug use or mental health issue
What is the recommended duration of abstinence before assessing mental health issues?
3 months
What are the treatment models for dual diagnosis?
- Sequential
- Parallel
- Collaborative
- Integrated
What are the evidence-based treatment approaches for dual diagnosis?
- Integrated treatment
- Focus on motivation and engagement
- Assertive case management
What is the role of SSRIs in treating dual diagnosis?
Supported in most cases but less effective when alcohol misuse is present.
What is the relationship between mental health disorders and substance use disorders?
- Substance use may cause or exacerbate mental health problems
- Mental health issues may lead to substance use
- Both can develop together and reinforce each other
Fill in the blank: The term dual diagnosis is often used in a health setting when there is a relationship between _______ and _______.
[alcohol and drug issues], [mental health]
What is the impact of personality characteristics on substance use?
They may lead to use in greater quantities or frequency.
