Co-occurring disorders (previously called dual disorder or dual diagnosis) describe the existence of two or more than two disorders at the very same point in time. An example is when someone suffers from drug abuse and bipolar disorder.
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.
Dual disorder and dual diagnosis terms are replaced by the term co-occurring disorders. The terms being replaced may be misleading as they also refer to mental disorders and mental retardation occurring together in addition to their popular reference to a combination of substance abuse and mental disorders.
Additionally, the terminology may denote of the occurrence of just two disorders simultaneously when as a matter of fact there could be others, too. 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.
In this article, the term dual disorders will also be used, even though the term co-occurring disorders is currently utilized among professionals.
The acronym MICA (short for Mentally Ill Chemical Abusers) is sometimes used to label people with a co-occurring disorder and a noticeably serious and chronic mental disorder like 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).
Combinations of alcohol addiction with panic disorder, major depression with cocaine addiction, borderline personality disorder with episodic polydrug abuse, and alcoholism and polydrug addiction with schizophrenia are some of the most usual cases of co-occurring disorders. Some people might have more than two disorders, even though the cornerstone of this is on dual disorders. The set of ideas which is relevant to dual disorders is as well used for multiple 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, one disorder can be more extreme than the other, or both can be equally mild or extreme. Indeed, the seriousness of both disorders may alter over time. Degrees of impairment in functioning and disability might also differ.
Therefore, there isn't a specific combination of dual disorders; in reality, there's a big difference among these. Specific treatment environments are, however, set up for patients that have alike combinations of dual disorders.
More than half of all adults with serious mental illness are further caused by substance use disorders (abuse or addiction related to alcohol or other drugs).
Patients with dual disorders go through much more emotional, social and chronic medical problems in comparison to patients who only have a mental health disorder or a co-occurring disorder caused by substance abuse or dependence only. They are vulnerable to both COD relapse and a worsening of the psychiatric disorder because they have two disorders. What's more, an addiction relapse frequently results in psychiatric decompensation and when mental problems worsen it frequently results in addiction relapse. 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.