Co-existing conditions which is also referred to as dual diagnosis or dual condition pertains to the existence of more than one medical condition at the same time. An example is when someone suffers from drug abuse and bipolar disorder.
Just like the area of treatment for drug use and psychological disorders has developed to become more exact, the terminology that is employed to describe people who suffer both from psychological disorders and drug use has also become more precise.
The terms dual disorder or dual diagnosis are replaced by the term co-occurring disorders. Even though the terms dual diagnosis and dual disorder are used regularly to refer to the combination of psychological disorders and drug use, these terms are misleading as they can also refer to other combinations of disorders like mental retardation and psychological 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. People who suffer from co-occurring disorders (COD) have one or more disorders that have to do with mental disorders and one or more disorders that have to do with the use of drugs and/or alcohol. When a minimum of one disorder of both types can be confirmed which isn't dependent on the other, we can talk about diagnosing co-occurring disorders and it isn't just a bunch of symptoms that are caused by just one 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.
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 most ideal term used is mentally ill chemically affected individuals because the term affected more aptly describes their condition and is not 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.
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. The fundamentals that have to do with dual disorders normally also have a bearing on multiple disorders.
The mixture of psychiatric disorders and COD problems differ along important dimensions like chronicity, disability, severity, and degree of impairment in functioning. For instance, one disorder can be more extreme than the other, or both can be equally mild or extreme. Truly, the seriousness of both disorders can be modified eventually. 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. Though, patients with combinations of dual disorders that are alike are regularly found in specific treatment environments.
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).
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. As they suffer from two disorders, they're at risk of a co-occurring disorder relapse and their mental disorder could also worsen. Further, worsening of psychiatric problems often leads to addiction relapse and addiction relapse often leads to psychiatric decompensation. 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.