An Overview of Dual Diagnosis

This article about Dual Diagnosis is based on research studies and findings of mental health disorders, co-occurring conditions, dual diagnosis disorders, substance and alcohol addiction, and treatment plans.

The puzzle of dual diagnosis diseases is starting to be unraveled by brain investigation and analysis. For years, the medical profession has either neglected or viewed personality as the root cause of drug dependence. Identifying co-occurring disorders was impossible to imagine previous to Diagnostic and Statistical Manual of Mental Disorders edition 3 due to exclusionary requirements and editions one and two of D.S.M.M.D. they are prohibiting different diagnoses. The recovery people agreed that abstaining from mood-altering medications would eliminate psychological effects. Addiction study about Dual Diagnosis has not discovered a single fundamental psychological variable that accounts for alcohol dependence problems, nor has it found that avoidance leads to the relapses of mental disorders.

Both hypotheses also emphasized the need for further study and therapy centered on the implications of dual diagnosis. According to some studies, brain dysfunction can be a path to dual diagnosis in some patients (Chappel et al. 35). Second conditions have also been linked to medicating to self for Axis I illnesses and suggestive relief with Axis II diagnoses (Kessler et al., 1996; Walker, 1992).' Others point to psychosocial causes, including insecurity and parental exclusion (Rahav et al., 1995), bodily and erotic violence and negligence (Henderson et al., 1994; Alexander et al., 1994), and inner-city societal patterns (Rhav et al., 1995) as having a significant impact on the emergence of dual diagnoses. Indeed, according to others (Jones & Katz, 1992), the lack of care about second diagnosis problems is closely linked to the fact that many people are weak minorities.

Although the two illnesses of dual diagnosis intensify, several causal associations need to be investigated to develop more precise diagnoses and treatment plans for dual diagnosis.

In the 1980s, the word “dual diagnosis” became common. The detection of dual-occurring mental and alcohol abuse disorders started with the implementation of DSM-III, which had a multiaxial system that allowed for dual diagnosis. According to Evelyn Robertson, the ex-Mental-Health-Commissioner, the systematic disenfranchisement campaign has unintentionally produced a wave of patients with chronic conditions with a significant incidence of alcohol and substance addiction last 20 years. Dual Diagnosis is essential for recovery. Substance addiction care started to expand with the introduction of Jellinek's disorder concept of alcohol addiction (Jellinek, 1960) and the establishment of A.A. (community-based help organization that supports persons seeking abstinence through mutual assistance of other recovered patients).

Many doctors, especially psychologists, saw alcohol addiction as the product of a fundamental dispositional disorder (Ridgely, Goldman, and Willenbring) or as an illness that needed to be addressed by the addiction profession. In the rehab paradigm or Dual Diagnosis center, avoidance from mood-altering drugs is the primary purpose of therapy. This is in contrast to the psychological paradigm, which emphasizes mental health and often includes drug use. The methodological disparities are exemplified by the contradictory concept of the treatment paradigm stressing “hopelessness” while the psychiatric model is focusing on “motivation and commitment” (Sheehan).' “The rehab philosophy emphasizes addiction as the main motivating factor behind the addicts' issues,” Sheehan writes in the essay from 1993.

In simple terms, about dual diagnosis studies tell this paradigm claims that abstinence eliminates “psychiatric symptoms.” The psychological or psychodynamic paradigm, on the other hand, considers psychiatric problems or a broader psychiatric dispute to be the driving factor underlying substance addiction and negative impact.”

This demographic is rapidly expanding, with the most recent epidemiological evidence (Kessler et al., 1996) indicating a seventy-nine per cent prevalence of co-occurring disorders for those who satisfy requirements for any particular psychological condition. According to the researchers, just three-quarters of these individuals obtained care in the year before the data was collected. According to Quigly, 25,000 Inhabitance of Tennessee suffer from dual conditions, according to a 1997 Tennessean article titled “Double Trouble or Dual Diagnosis.” According to Dixon and Osher, the increasing quantity of individuals affected by the disease is outpacing our public health system's ability to cope.' Treatment for the dual diagnosis can be influenced by the theoretical approach of the medical professionals and or providers.'

According to Howland, “as a consequence, disagreements can occur over who is responsible for care course, making the patient unsure or forced to choose one over the other.”‘ Sufferers are often left wondering whether anybody will save them when care services sometimes tell them contradictory tales. In other words, the individual, who is the least competent one, is responsible for integrating medication.

Unifying these diverse methods into an automated framework, which will encourage cross-training between professionals and or providers and the managed care system, is one of the suggestions for solving these issues.' According to Howland, “Surely, resources and programming of Dual Diagnosis for mental wellbeing and drug dependence should be consolidated under a single scheme, rather than being categorically divided between different systems.”‘ Since providers are too defensive of their resources and fear more funding cuts, they have traditionally been reluctant to enable this to happen.

‘ Two interconnected networks could facilitate training, preparation, and preparing in both fields, allowing the professionals to acquire experience in both.' No matter when the victim appears for therapy, a thorough psychiatric and drug dependency assessment should be conducted.' Treatment facilities should also have tailored care for patients with dual diagnosis, with all treatment providers operating closely on all issues simultaneously, rather than focusing only on the primary condition (Howland).

According to some N.I.D. reports, about 50 to 60 percent of victims with substance dependence also develop a mental illness which means they develop the symptoms of dual diagnosis. We know that drug addiction itself is a disease; when a victim develops another disease with addiction, it is called a co-occurring state of disorders or Dual Diagnosis.

An individual with more than one disorder, like having mental health issues and any substance addiction simultaneously, is said to suffer from a co-occurring disorder. This situation is additionally seldom called a dual-diagnosis. The disorders in dual diagnosis can make each other severe with time. The co-occurring disorders can be from the same family of disorders.

One can be from one family and another, as an individual suffering from a mental health disorder like Schizophrenia and A.D. A.D.H.D. Another individual is suffering from A.D.D., A.D.H.D., and alcohol addiction. All these cases are called co-occurring mental health disorders. It is believed that an individual who is the victim of one of the mental health disorders will get at least one more disorder like an addiction (in many cases), low energy, A.D.D. or A.D.H.D., etc.

Coexisting Hazard Incidents: Most professionals mention those coincidences in life, which occur many times in the life cycle, are the leading cause of these disorders. Especially when a person coincides with more than one hazardous accident, he or she is sure to develop one of the mental health conditions and then, over time, another. This is the process of getting co-occurring disorders. So, professionals suggest that you should report to your family or friends for Dual Diagnosis and never get to isolation if you come across some unfortunate events in your life because isolation is the core where other mental health disorders develop.

Self-medication for the treatment of dual diagnosis is an individual-based activity in which a person self-administers himself or herself with medicines for the dual diagnosis disorders that affect him or her physically or psychologically using a drug or other intracellular force. Over-the-counter medications and dietary supplements are the most often self-medicated substances since they are intended to address general health conditions at home. As a means of dealing with symptoms, mental illness may lead to drug misuse. This concept is widely referred to as “self-medication.” However, that tag can indeed be deceptive; At the same time, drug use might help because of illnesses; it may also worsen symptoms in both cases long term and short term.

Although prescribed for dual diagnosis mental health by physicians or mental health professionals, extensive use of drugs can cause changes in the brain's chemistry if they are used for a more extended period regularly. Prescriptions can change those regions of our brain, which are already disturbed by psychological disorders. So, we can say that more extensive use of some drugs can change our brain's chemistry and make the individual addicted. The brain's regions impaired by opioid use seem to be linked to areas linked to compulsion, behavior, and mental illnesses, and schizophrenia.

Foundations Associates is one example of a dual diagnosis adaptive care paradigm.' Today, Foundations has broadened the array of programs to provide residential treatment, sober living facilities for males and females, “step-up” living facilities for the service's elderly citizens, and training seminars for the dual diagnosed.' A physician, a nurse, certified psychiatric social worker, and recovery counsellors are among the support staff members of Dual Diagnosis centre.'

Naturally, a correct dual diagnosis is critical for receiving medication. When you or somebody you know has to cope with dependency, ensure that you pursue a specialized rehab facility to recognize and handle dual diagnosis disorders as soon as possible through a rigorous screening procedure. Please email us right now to help you get the treatment you want if you have any questions about Dual Diagnosis. Feel like you (or somebody you adore) placed your decisions or somebody else at risk? Do you face legal problems due to your addictive behavior? Are you taking unhealthy chances with your substance abuse? If so, then it could be necessary to go and get assistance for Dual Diagnosis disorder. Contact us 24/7. Via this, we are all here to speak to everyone. If you want to learn more study, care, or teaching programs about dual diagnosis, please contact:

220 Venture, Foundations Associates, Michael Cartwright Executive Director, Foundations Associates

Toll-Free 615-490-9376

Local (615) 742-1000 Nashville, TN 37228