Co-occurring disorders (previously called dual disorder or dual diagnosis) describe the existence of two or more than two disorders at the very same point in time. Someone might have a problem with substance abuse along with bipolar disorder, for instance.
The terminology that is utilized to describe patients with both substance abuse and psychological disorders has developed to be more accurate, just like the field of treatment for both of them.
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.
Also, there can be more than just two disorders present, while these terms are implying otherwise. Patients who have coexisting conditions can have one or more conditions associated with alcohol or drug dependency and also one or more mental condition. An identification of co-existing condition is made when there is an existence of at least one disorder of each type which is also separate from the other, not just a series of indications stemming from a particular disorder.
Even though the term co-occurring disorder is the most up to date term that is used by professionals, the term dual disorders will be used interchangeably for the objectives of this article.
Mentally Ill Chemical Abusers in which the acronym MICA is derived from is sometimes used to describe individuals who have co-existing conditions and an evidently serious and stubborn mental condition like bipolar disorder and schizophrenia. A preferred definition is mentally ill chemically affected people since their condition is better described by the word affected and is not derogatory. Other acronyms include SAMI (Substance abuse and mental illness), MISA (mentally ill substance abusers), MISU (mentally ill substance using), CAMI (chemical abuse and mental illness), ICO PSD (individuals with co-occurring psychiatric and substance disorders) and MIC'D (mentally ill chemically dependent).
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 people might have more than two disorders, even though the cornerstone of this is on dual disorders. The set of ideas which is relevant to dual disorders is as well used for 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 example, both disorders could be of the same severity or one could be mild while the other is severe. However, with time, the extremity of both disorders might change. Other factors that may also vary include the level or degree of disability or impairment in day to day functions.
Therefore, there isn't a specific combination of dual disorders; in reality, there's a big difference among these. This is not to rule out the fact that one can come across patients who have the same combination of disorders in the course of treatment.
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).
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 vulnerable to both COD relapse and a worsening of the psychiatric disorder because they have two disorders. 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. Patients who battle with dual disorders frequently need longer treatment, experience more emergencies and advance more slowly in treatment than patients who battle just a single disorder.
Personality, psychotic and mood disorders are among some of the most prevalent psychiatric disorders diagnosed in dual patient disorders.