Dual diagnosis occurs when someone has both a mental disorder and an alcohol or drug problem. These conditions occur together frequently. In particular, alcohol and drug problems tend to occur with
- Depression
- Anxiety disorders
- Schizophrenia
- Personality disorders
Sometimes the mental problem occurs first. This can lead people to use alcohol or drugs that make them feel better temporarily. Sometimes the substance abuse occurs first. Over time, that can lead to emotional and mental problems.
To get better, someone with a dual diagnosis must treat both conditions. First, the person must go for a period of time without using alcohol or drugs. This is called detoxification. The next step is rehabilitation for the substance problem and treatment for the mental disorder. This step might include medicines, support groups and talk therapy.
- Dual Diagnosis(Mental Health America) - http://www.nmha.org/go/information/get-info/co-occurring-disorders/dual-diagnosis
-
Dual Diagnosis and Recovery(Depression and Bipolar Support Alliance) - http://www.dbsalliance.org/site/PageServer?pagename=about_publications_dualdiag
Also available in Spanish http://www.dbsalliance.org/pdfs/ddspanish.pdf
-
Co-Occurring Disorders: Integrated Dual Disorders Treatment(Substance Abuse and Mental Health Services Administration) - http://mentalhealth.samhsa.gov/cmhs/communitysupport/toolkits/cooccurring/consumers.asp
Also available in Spanish http://mentalhealth.samhsa.gov/cmhs/communitysupport/toolkits/cooccurring/espanol1.asp
- Integrated Dual Disorders Treatment: Information for Families and Other Supporters(Substance Abuse and Mental Health Services Administration) - http://mentalhealth.samhsa.gov/cmhs/communitysupport/toolkits/cooccurring/families.asp
- Bipolar Disorder and Alcoholism: Are They Related?(Mayo Foundation for Medical Education and Research) - http://www.mayoclinic.com/print/bipolar-disorder/AN00920/METHOD=print
-
Comorbid Drug Abuse and Mental Illness
(National Institute on Drug Abuse) - Links to PDF - http://www.nida.nih.gov/pdf/tib/comorbid.pdf
- Serious Psychological Distress and Substance Use among Young Adult Males(Substance Abuse and Mental Health Services Administration) - http://www.oas.samhsa.gov/2k6/menMH/menMH.htm
References and abstracts from MEDLINE/PubMed (National Library of Medicine)
- Article: Mental illness and substance use: an Australian perspective. - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=18666908&tool=MedlinePlus
- Article: Measuring money mismanagement among dually diagnosed clients. - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=18626300&tool=MedlinePlus
- Article: Interactions between eating disorders and drug abuse. - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=18626296&tool=MedlinePlus
- Dual Diagnosis -- see more articles - http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=pubmed&term=diagnosis,dual+psychiatry[mh]+AND+english[la]+AND+(review[pt]+OR+guideline[pt]+OR+clinical+trial[pt]+OR+jsubsetk[text]+OR+jsubsetaim[text]+OR+patient+education+handout[pt]+OR+jsubsetn[text])+NOT+(letter[pt]+OR+editorial[pt]+OR+case+reports[pt])&doptcmdl=summary&cmd_current=Limits&pmfilter_EDatLimit=last+1+Year&tool=MedlinePlus
- Drugs - Glossary of Terms(Substance Abuse and Mental Health Services Administration) - http://getfit.samhsa.gov/Drugs/Information/glossterms.aspx
- Mental Health Dictionary(Center for Mental Health Services) - http://mentalhealth.samhsa.gov/resources/dictionary.aspx
- Mental Health Services Locator(Center for Mental Health Services) - http://mentalhealth.samhsa.gov/databases/
- Substance Abuse Treatment Facility Locator(Substance Abuse and Mental Health Services Administration) - http://dasis3.samhsa.gov/
- American Psychiatric Association - http://www.psych.org/
- Mental Health America - http://www.nmha.org/
-
NAMI - http://www.nami.org/
Also available in Spanish http://www.nami.org/Content/NavigationMenu/Inform_Yourself/NAMI_en_español/NAMI_en_español.htm
-
National Institute of Mental Health - http://www.nimh.nih.gov/
- Substance Abuse and Mental Health Services Administration - http://www.samhsa.gov/
- Facilities Offering Special Programs or Groups for Clients with Co-Occurring Disorders: 2004(Substance Abuse and Mental Health Services Administration) - http://www.oas.samhsa.gov/2k6/DualTX/DualTX.htm
- Male Admissions with Co-occurring Psychiatric and Substance Use Disorders: 2005(Substance Abuse and Mental Health Services Administration) - http://www.oas.samhsa.gov/2k7/maleDual/maleDual.htm
- Dual Diagnosis: Adolescents with Co-Occurring Brain Disorders and Substance Abuse Disorders(NAMI) - http://www.nami.org/Content/ContentGroups/Illnesses/Dual_Diagnosis_Fact_Sheet.htm
- Alcoholism - http://www.nlm.nih.gov/medlineplus/alcoholism.html
- Bipolar Disorder - http://www.nlm.nih.gov/medlineplus/bipolardisorder.html
- Depression - http://www.nlm.nih.gov/medlineplus/depression.html
- Drug Abuse - http://www.nlm.nih.gov/medlineplus/drugabuse.html
- Mental Health - http://www.nlm.nih.gov/medlineplus/mentalhealth.html
- Schizophrenia - http://www.nlm.nih.gov/medlineplus/schizophrenia.html
- Mental Health and Behavior - http://www.nlm.nih.gov/medlineplus/mentalhealthandbehavior.html
- Substance Abuse Problems - http://www.nlm.nih.gov/medlineplus/substanceabuseproblems.html
The primary NIH organization for research on Dual Diagnosis is the National Institute of Mental Health - http://www.nimh.nih.gov/