Disorders that occur at the same time are referred to as co-occurring, dual diagnosis or dual disorder. For instance, an individual can go through substance dependency while having bipolar disorder, too.
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 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.
Furthermore, the terms relate that there are only two disorders occurring at the same time, when truly there may be more. People who have co-occurring disorders also referred to as COD, often have at least one mental disorder and at least one disorder springing from alcohol or substance abuse as well. In order to get a co-occurring diagnosis, at least one disorder of each type has to be established and traced to be independent and not just a combination of symptoms springing from one disorder but manifesting as independent.
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 most ideal term used is mentally ill chemically affected individuals because the term affected more aptly describes their condition and is not 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. Even if the emphasis for this dwells on dual disorders, there are a number of patients who have more than two conditions. Multiple disorders are usually based on the same principles that can be used when talking about dual 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, in the event if having two disorders, one may be either serious or mild or that one may be more serious than the other. However, with time, the extremity of both disorders might change. Levels of impairment and disability in functioning may also differ.
Therefore, it is important to note that there is no single combination of co-occurring disorders; they actually vary depending on the mentioned factors. Specific treatment environments are, however, set up for patients that have alike combinations of dual disorders.
More than 50 per cent of adults who suffer from a serious mental disorder are also weakened by substance use disorders (addiction or abuse connected to alcohol or other substances).
Unlike individuals who are diagnosed with mental health disorders or those with alcohol and drug dependency issues alone, those with dual disorders most of the time undergo serious and long lasting medical, emotional and social difficulties. Since they have two disorders, they are at a risk of COD relapse and deterioration of the psychiatric ailment. Also, a cycle is likely where once there is a relapse in addiction recovery, the patient becomes more prone to a psychiatric worsening which makes it much easier to relapse into an addiction. This is why relapse prevention should be particularly made for patients having dual disorders. 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.
Personality, psychotic and mood disorders are among some of the most prevalent psychiatric disorders diagnosed in dual patient disorders.