Chapter 4 — Linkages For Mental Health and AOD Treatment

Chapter 4 — Linkages For Mental Health and AOD Treatment Overview Conventional boundaries between single-focus agencies have impeded the clinical progress of patients who have psychiatric disorders and alcohol and other drug (AOD) use disorders (Baker, 1991; Schorske and Bedard, 1988). The treatment of patients with dual disorders is a clinical challenge, as well as a … Read more

Please Don’t Label Me Crazy

A Consumer’s Story I am sharing my story in the hopes that I will leave a lasting gift and that it will give hope of recovery to my brothers and sisters who come after me. Let me start from the beginning. When I was about four years old, I became aware of feelings that I … Read more

Chapter 9 — Pharmacologic Management

Chapter 9 — Pharmacologic Management Pharmacologic Risk Factors Addiction is not a fixed and rigid event. Like psychiatric disorders, addiction is a dynamic process, with fluctuations in severity, rate of progression, and symptom manifestation and with differences in the speed of onset. Both disorders are greatly influenced by several factors, including genetic susceptibility, environment, and pharmacologic … Read more

Chapter 6 — Anxiety Disorders

Chapter 6 — Anxiety Disorders Definitions and Diagnoses The anxiety disorders are the most common group of psychiatric disorders. The term anxiety refers to the sensations of nervousness, tension, apprehension, and fear that emanate from the anticipation of danger, which may be internal or external. Anxiety disorders describe different clusters of signs and symptoms of anxiety, panic, and phobias. A panic … Read more

Appendix A — Bibliography

Appendix A — Bibliography Africa, B., and Schwartz, S.R. Schizophrenic disorders. In: Goldman, H.H., ed. Review of General Psychiatry, Third Edition. Norwalk, Connecticut: Appleton & Lange, 1992. pp. 226-241. American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised. Washington, D.C.: American Psychiatric Association, 1987. American Psychiatric Association.DSM-IV Draft Criteria, 3/1/93. Washington, D.C.: … Read more

Chapter 8 — Psychotic Disorders

Chapter 8 — Psychotic Disorders Dual-Focus Perspective This chapter is an overview of current assessment and treatment principles for patients with alcohol and other drug (AOD) use disorders and psychosis. Along with an increased awareness of the treatment needs of patients with these dual disorders, an increased emphasis on service systems has evolved. These and other … Read more

Chapter 5 — Mood Disorders

Chapter 5 — Mood Disorders Definitions and Diagnoses The term mood describes a pervasive and sustained emotional state that may affect all aspects of an individual’s life and perceptions. Mood disorders are pathologically elevated or depressed disturbances of mood, and include full or partial episodes of depression or mania. A mood episode (for example, major depression) is a cluster of symptoms that occur … Read more

Chapter 2 — Dual Disorders: Concepts and Definitions

Chapter 2 — Dual Disorders: Concepts and Definitions The Relationships Between AOD Use and Psychiatric Symptoms and Disorders Establishing an accurate diagnosis for patients in addiction and mental health settings is an important and multifaceted aspect of the treatment process. Clinicians must discriminate between acute primary psychiatric disorders and psychiatric symptoms caused by alcohol and other drugs … Read more

Chapter 3 — Mental Health And Addiction Treatment Systems: Philosophical and Treatment Approach Issues

Chapter 3 — Mental Health And Addiction Treatment Systems: Philosophical and Treatment Approach Issues Introduction For people with dual disorders, the attempt to obtain professional help can be bewildering and confusing. They may have problems arising within themselves as a result of their psychiatric and AOD use disorders as well as problems of external origin that … Read more