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.
The special terms used to describe people with dual disorder has evolved in the same way that the area of addictions and mental disorder treatment has grown and advanced.
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. One or more disorders in the clients with co-occurring disorders (COD) relate to the use of alcohol and/or other drugs of abuse as well as one or more mental disorders. 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.
For the purposes of this article, we will use the dual disorders term interchangeably even if the co-occurring disorder is the most current term used professionally.
The acronym MICA, which constitutes the phrase Mentally ILL Chemical Abusers, is eventually used to nominate people who have a COD and markedly serious and continued 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. Other acronyms that are used to refer to people with COD are CAMI, Chemical Abuse and Mental Illness; MIC'D, Mentally Ill Chemically Dependent; MISA, Mentally Ill Substance Abusers; MISU, Mentally Ill Substance Using; Sami, Substance Abuse and Mental Illness and ICO PSD, Individuals with co-occurring psychiatric and substance disorders.
Some typical examples of co-occurring disorders are the combinations of cocaine addiction with major depression, occasional polydrug abuse with borderline personality disorder, panic disorder with alcohol addiction and polydrug addiction and alcoholism with schizophrenia. Some patients have more than two disorders even if the focus of this is on dual disorders. Multiple disorders are usually based on the same principles that can be used when talking about 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. Truly, the seriousness of both disorders can be modified eventually. Degree of disability and weakening of bodily functions can as well differ.
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.
Further impairment to adults who face severe mental disorders as a result of substance abuse or dependence such as alcohol or other drugs is common.
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. They are susceptible, since they have two disorders, to both further impairment of mental disorder and COD relapse. 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. Compared with patients who have a single disorder, patients with dual disorders often have more crises, require longer treatment, and grow more gradually in treatment.
Mental disorders that are most common amongst dually diagnosed people are personality disorders, mood disorders, psychotic disorders and mood disorders.