Comorbid disorders: Bipolar Disorder and Substance Dependence

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This paper begins by providing information regarding bipolar disorder and then opens up to include substance abuse and dependence as a co-occurring disorder. With the two presented, the bulk of this paper hopefully provides some insight into why treatment of these co-occurring disorders is ineffectual. As of yet, research has not provided us with useful insight into the relationship between the two disorders. We continue to ask questions related to which was first or if they result from something else. Hence, the genus for this type of comorbid condition is not easily identifiable; therefore it is quite understandable that it cannot be easily treated. While various comorbid psychiatric conditions are understandably difficult to treat, therapy can nonetheless be treated by capable providers in a single treatment setting. But this is not the case for those suffering from bipolar disorder and substance dependence, regardless that the scientific evidence points to more effective outcomes when services are rendered at the same time. Thus, the challenge for community mental health providers, which this paper is geared towards, is quite limited to a good degree of psychotropic medications and compliance on the part of the client to participate in other treatment activities in order to achieve more productive results. Clinically, bipolar disorder is classified as a mood disorder with a range of symptoms falling within two distinct types. Bipolar I A person diagnosed with bipolar I has typically experienced at least one manic episode. A manic episode is commonly viewed as being the opposite of depression. The manic individual may feel an intense high, euphoric and, for lack of a better term, indestructible, gravitating towards risky behav... ... middle of paper ... ...l, L. B., Wisniewski, S. R., Ostacher, M., DelBello, M. P., et al. (2004). Long-term implications of early onset in bipolar disorder: Data from the First 1000 participants in the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). Biological Psychiatry, 2005(55), 875– 881. Ribeiro, M., Laranjeira, R., & Cividanes, G. (2005). Bipolar disorder mood and misuse of psychoactive substances. Revista de Psiquiatria Clinica, 32(1). Retrieved April 13, 2012, from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-60832005000700012&lng=en&nrm=iso&tlng=pt Strakowski, S. M., DelBello, M. P., Fleck, D. E., & Arndt, S. (2000). The impact of substance abuse on the course of bipolar disorder. Biological Psychiatry, 2000(48), 477– 485. Swann, A. C. (2005). Bipolar disorder and substance abuse: Two disorders or one? Journal of Dual Diagnosis, 1(3), 9-23.

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