Co-Occurring disorders are present when there are two or more disorders at the same moment and these disorders were also called dual diagnosis or dual disorder. For example, an individual may suffer from bipolar disorder as well as substance abuse.
The terminology that is utilized to describe patients with both substance abuse and psychological disorders has developed to be more accurate, just like the field of treatment for both of them.
The terms dual disorder or dual diagnosis are replaced by the term co-occurring disorders. Even though these replaced terms have usually been used when discussing a mix of mental disorders and substance abuse, they are also referring to other combinations of disorders (like mental disorders and mental retardation), which can sometimes cause confusion.
Also, there can be more than just two disorders present, while these terms are implying otherwise. Patients who have coexisting conditions can have one or more conditions associated with alcohol or drug dependency and also one or more mental condition. A diagnosis of co-occurring disorders is caused when at least one disorder of each type can be managed independent of the other and is not the simple bunch of symptoms resulting from the on disorder.
Even though the term co-occurring disorder is the most up to date term that is used by professionals, the term dual disorders will be used interchangeably for the objectives of this article.
Mentally Ill Chemical Abusers, MICA, is used to refer to people who have a co-occurring disorder and a very serious mental disorder such as bipolar disorder or schizophrenia. The definition of Mentally Ill Chemically Affected people is liked better as "affected" describes their state better and it isn't derogatory. Some of the other acronyms are: CAMI (chemical abuse and mental illness), MISU (mentally ill substance using), MISA (mentally ill substance abusers), SAMI (substance abuse and mental illness), ICO PSD (individuals with co-occurring psychiatric and substance disorders) and MIC'D (mentally ill chemically dependent).
Borderline personality disorder with periodic polydrug abuse, alcoholism and polydrug addiction alongside schizophrenia, cocaine addiction alongside major depression are some of the most common or popular examples of co-occurring disorders. Some patients have more than two disorders although the article focuses more on dual disorders. Multiple disorders go by the same rules that apply to dual disorders.
The existence of combined co-existing conditions and those of psychiatric disorders can differ in several significant aspects like chronicity, gravity, disability and level of impairment in bodily operations. For instance, each of the two disorders may be serious or mild, or one may be more serious than the other. Indeed, the seriousness of both disorders may alter over time. Degrees of impairment in functioning as well as disability can also change.
Therefore, no single combination of dual disorders exists and there's indeed significant lack of consistency amongst these disorders. Although patients with the same combination of dual disorders most of the time are met in some treatment programmes.
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.
Compared patients who have a COD use problem alone or a mental health disorder, and more serious and chronic medical, social and emotional problems are often experienced by the patients with dual disorders. They are vulnerable to both COD relapse and a worsening of the psychiatric disorder because they have two disorders. Also, impairment of mental issues many times lead to dependency relapse and addiction relapse commonly leads to further mental deterioration. Thus, for patients with dual disorders relapse prevention must be specially designed. 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.