Co-Occurring Addictive and Psychiatric Disorders

By Torre, Robert | Alcoholism and Psychiatry Research, May 1, 2015 | Go to article overview

Co-Occurring Addictive and Psychiatric Disorders


Torre, Robert, Alcoholism and Psychiatry Research


Title: Co-occurring Addictive and Psychiatric Disorders Editors: Dom, Geert, Moggi, Franz (Eds.) ISBN: 978-3-642-45374-8 eBook ISBN 978-3-642-45375-5 Publisher: Springer-Verlag Berlin Heidelberg, 2015 Number of pages: XXIV, 389,

Co-morbid mental disturbances worsen the course and prognosis of the disturbances caused by the addiction diseases. The opposite is also correct: the disturbances caused by the addiction diseases worsen the course and the prognosis of the co-morbid psychiatric illness. Psychiatric disturbances may lead to the addictive substances abuse, but the addiction diseases can lead to the development of psychiatric diseases. Treating the co-morbid mental disturbance makes the treatment of addiction simpler and establishing the abstinence in the addict simplifies the treatment of the co-morbid psychiatric disease. Of course, it is best from the therapeutical point of view if these two processes happen at the same time. Because, if the co-morbid mental disturbance and the addiction disease are not treated simultaneously, at the same time and place, then the non-treatment of one complicates the treatment of the other disturbance. I.e., to be precise as possible, the treatment of addiction and the co-morbid psychiatric illness should be not only simultaneous, but integrated into a single therapeutic concept. Although the bureaucratic division between the addiction diseases and the so-called psychiatric diseases is scandalously unacceptable, it is still immanent to the psychiatric profession. It is true, however, that in professional reviews, the 'indivisibility' of all entities of profession is regularly declared, while in professional practice, not only the schism between the systems for treatment of addiction diseases and other psychiatric services, but also between the services dedicated to treatment of alcoholism and those dedicated to treatment of addicts dependent on illicit drugs. The way things are right now, we may say that the addicts with serious co-morbid psychiatric illnesses represent the secondgrade citizens compared both to the addicts and to the non-addicts suffering from psychiatric diseases. Because of their addiction, they are frequently refused or non-adequately treated by the services dedicated to helping the persons with psychiatric illnesses and the services dedicated to the treatment of addicts refuse them due to their mental disturbances. …

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