Co-existing conditions which is also referred to as dual diagnosis or dual condition pertains to the existence of more than one medical condition at the same time. For example, an individual may suffer from bipolar disorder as well as substance abuse.
The special terms used to describe people with dual disorder has evolved in the same way that the area of addictions and mental disorder treatment has grown and advanced.
The term co-occurring actually takes the place of the terms dual disorder and dual diagnosis. The terms being replaced may be misleading as they also refer to mental disorders and mental retardation occurring together in addition to their popular reference to a combination of substance abuse and mental disorders.
Additionally, the terminology may denote of the occurrence of just two disorders simultaneously when as a matter of fact there could be others, too. Patients who have coexisting conditions can have one or more conditions associated with alcohol or drug dependency and also one or more mental condition. A diagnosis of co-occurring disorders is caused when at least one disorder of each type can be managed independent of the other and is not the simple bunch of symptoms resulting from the on 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, MICA, is used to refer to people who have a co-occurring disorder and a very serious mental disorder such as bipolar disorder or schizophrenia. A better word that is more preferred in terms of its connotation is Mentally Ill Chemically Affected. Other acronyms are: ICOPS (individuals with co-occurring psychiatric and substance disorders), SAMI (substance abuse and mental illness), MIC'D (mentally ill chemically dependent) CAMI (chemical abuse and mental illness), MISU (mentally ill substance using), and MISA (mentally ill substance abusers).
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 patients have more than two disorders even if the focus of this is on dual disorders. Multiple disorders go by the same rules that apply to dual disorders.
The existence of combined co-existing conditions and those of psychiatric disorders can differ in several significant aspects like chronicity, gravity, disability and level of impairment in bodily operations. For instance, one disorder can be more extreme than the other, or both can be equally mild or extreme. How severe the disorders are also varies with time and is not constant. Degrees of impairment in functioning as well as disability can also change.
Therefore, no single combination of dual disorders exists and there's indeed significant lack of consistency amongst these disorders. Although patients with the same combination of dual disorders most of the time are met in some treatment programmes.
Further impairment to adults who face severe mental disorders as a result of substance abuse or dependence such as alcohol or other drugs is common.
The differences between patients with a mental health disorder or only a co-occurring disorder problem and patients with dual disorders are that the latter frequently suffer more serious and long-lasting medical, emotional and social challenges. They are susceptible, since they have two disorders, to both further impairment of mental disorder and COD relapse. What's more, an addiction relapse frequently results in psychiatric decompensation and when mental problems worsen it frequently results in addiction relapse. Therefore, preventing a relapse must be consciously devised for those who suffer from 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.
Psychiatric disorders which is rampant among patients having dual disorders and can comprise of anxiety disorders, mood disorders, psychotic disorders and personality disorders.