Co-Occurring disorders are present when there are two or more disorders at the same moment and these disorders were also called dual diagnosis or dual disorder. Someone might have a problem with substance abuse along with bipolar disorder, for instance.
Just like the area of treatment for drug use and psychological disorders has developed to become more exact, the terminology that is employed to describe people who suffer both from psychological disorders and drug use has also become more precise.
The term co-occurring actually takes the place of the terms dual disorder and dual diagnosis. The said terms although usually used to refer to both drug and mental disorders as accompanying conditions, it can be easily misconstrued since they may also mean the combination of other health conditions like mental ailment or mental delay.
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. Co-occurring disorders can be diagnosed when a minimum of one disorder of each kind can be verified separate from the other disorder and it's not just a group of symptoms that stem from one of the disorders.
Even if co-existing condition is the latest term being used in the medical field, for this specific article, we will use the term dual disorder reciprocally.
The acronym MICA (short for Mentally Ill Chemical Abusers) is sometimes used to label people with a co-occurring disorder and a noticeably serious and chronic mental disorder like bipolar disorder or schizophrenia. The definition of Mentally Ill Chemically Affected people is liked better as "affected" describes their state better and it isn't derogatory. The other acronyms used are as follows: MIC'D (mentally ill chemically dependent), MISA (mentally ill substance abusers), SAMI (substance abuse and mental illness), MISU (mentally ill substance using), ICON PSD (individuals with co-occurring psychiatric and substance disorders) and CAMI (chemical abuse and mental illness).
Combinations of alcohol addiction with panic disorder, major depression with cocaine addiction, borderline personality disorder with episodic polydrug abuse, and alcoholism and polydrug addiction with schizophrenia are some of the most usual cases of co-occurring disorders. 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.
Combinations of mental disorders and co-occurring problems differ across crucial aspects like seriousness, level of impairment in functioning, duration and disability. For instance, one disorder can be more extreme than the other, or both can be equally mild or extreme. Indeed, the seriousness of both disorders may alter over time. 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 damage is inflicted in more than 50 % of all adults that have severe mental disorder as well as substance abuse disorders (abuse or addiction to alcohol or illicit drugs).
Compared patients who have a COD use problem alone or a mental health disorder, and more serious and chronic medical, social and emotional problems are often experienced by the patients with dual disorders. They are vulnerable to both COD relapse and a worsening of the psychiatric disorder because they have two disorders. Additionally, dependency relapse most of the time causes psychiatric functional deterioration and worsening of psychiatric difficulties which further results in dependency relapse. That means that patients with co-occurring disorders require a specific relapse prevention plan. 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.
Mental disorders that are most common amongst dually diagnosed people are personality disorders, mood disorders, psychotic disorders and mood disorders.