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Dsm iv substance related disorders
Dsm iv substance related disorders
Schizophrenia chapter 12
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According to the National Alliance on Mental Illness (2014), Schizophrenia is a chronic mental condition that interferes with a person’s ability to think clearly, manage emotions, and make decisions. The cause of schizophrenia can be attributed to a combination of genetic and environmental factors. Psychosis often accompanies schizophrenia and is defined as the loss of contact with reality. Schizophrenia often begins to manifest itself in people during late adolescent and young adulthood. This period of time in human development is a pivotal one with regard to one’s propensity for substance abuse. Smith and Hucker (1994) found that an individual with schizophrenia had a 47% higher chance of having a substance use disorder compared to a population without schizophrenia. In addition to higher proclivity of drug and alcohol abuse, people with schizophrenia are likely to use nicotine at a much greater rate than the general population (Sagud, 2009). According to the National Institute of Mental Health (2014), approximately 2.4 million American adults over the age of 18 have schizophrenia. Schizophrenia is a non-discriminatory disease and affects men and women equally, regardless of socioeconomic status. Currently, the best course of treatment for people affected with schizophrenia is a combination of antipsychotic medications in conjunction with psychotherapy, behavior modification, and social rehabilitation.
Green, Drake, Brunette, and Noordsy, (2007) found that “Patients with dual diagnoses are highly prone to adverse outcomes in several domains: increased symptom severity; increased rates of hospitalization, infectious illnesses, violence, victimization, homelessness, and non adherence to medication. Co-occurring substance use diso...
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...osis patients were abstinent, 68% reported no significant psychiatric symptoms and 29% were employed,” (p.861).
Dual diagnosis treatment is a relatively new innovation that has only become more prominent since the 1990s. The prognosis for treatment of this population that experiences schizophrenia and substance use disorder is improving. Though the evidence shows that there are benefits associated with having some sort of dual diagnosis training, an overwhelming amount of research must still be conducted in order to determine the efficacy of co-morbid treatment for schizophrenic patients. In order to better treat patients afflicted with dual diagnosis, it is important to utilize a cross-disciplinary collaboration between mental health and substance abuse experts in order to create an integrated treatment approach that addresses the needs of this special population.
Stahl, S. M., & Mignon, L. (2010). Antipsychotics: Treating psychosis, mania and depression (2nd ed.).
It is hard to comprehend how and why people lose their sanity and become mad. I will address how the mind’s struggles caused by individual genes, stress and social-cultural influence affect the lives of Naomi, a 24-year-old college student with schizophrenia and Eric, a 27-year-old classical musician with severe depression. Their thoughts and behavior surprised me as this is my first time exposed to what these mental illnesses are. The relation between the mind and the body and the fact that the emotions affect the functioning of the body and vice versa explains the how and why a person become insane.
-Lieberman JA, Stroup TS, McEvoy JP, Swartz MS, Rosenheck RA, Perkins DO, Keefe RS, Davis SM, Davis CE, Lebowitz BD, Severe J, Hsiao JK. Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. N Engl J Med. 2005. Web.
The term ‘dual diagnosis’ refers to people who suffer from grave mental illness and have problems with drugs or alcohol to the extent that their mental and physical health is affected. The condition of substance misuse disorder does not entail that there is dependence or an addition rather it defines a spot where the person’s use of drugs or alcohol has become problematic and it impairs the person’s tone of spirit and their ability to work as part of a community. Some reasons that people who are mentally ill drink and get hold of drugs include they are self-medicating, to normalize entry into social groups, to run away or to disengage because their spirit is difficult so they why would rather be “numb” than deal with their troubles. In this paper I will cover the following topics substance abuse’s role in offending behaviors, challenges for both client and clinician’s perspective, interventions and techniques that can be used with this population and some research findings.
Schizophrenia is a severe and debilitating mental disorder that affects approximately 1% of the population worldwide (Mamani, Gurak, & Suro, 2014). Schizophrenia is characterized by positive symptoms, including hallucinations, delusions and disorganized thinking and speech, as well as negative symptoms, including flat affect, apathy, lack of motivation or drive and social isolation. Schizophrenia is also associated with cognitive, social, and functional deficits and abnormalities in mood, such as anxiety and depression (Larson, Walker, & Compton, 2010). Due to the chronic and impairing nature of schizophrenia, recent research has focused on identifying and treating individuals in the prodromal phase of illness, also referred to as the at-risk mental state or ARMS (Tiffin & Welsh, 2013). The prodrome or ARMS refers to the period of time beginning with declines in areas including cognition and social, emotional and perceptual functioning, and ending with the onset of a schizophrenia spectrum disorder (White, Anjum, & Schulz, 2006). Identification and treatment of the prodromal period is of utmost importance, as research has shown that a longer duration of untreated psychosis (DUP) is associated with poorer prognosis for patients (Kaur & Cadenhead, 2010; Larson et al., 2010).
According to Gamble and Brennan (2000), the effectiveness of medication for schizophrenia to relieve patients from psychotic symptoms is limited. Although patients have adequate medication, some received little or no benefit from it and almost half of them still experience psychotic symptoms. They are also more likely to suffer relapse (Gamble and Brennan, 2000). Furthermore, Valmaggia, et al. (2005) found that 50% of patients who fully adhere to anti-psychotic medication regimes still have ongoing positi...
Addington, J., Piskulic, D., & Marshall, C. (n.d). Psychosocial Treatments for Schizophrenia. Current Directions In Psychological Science, 19(4), 260-263.
Mental Illness Fellowship Victoria. (2008) Understanding dual diagnosis: mental illness and substance use. Retrieved from http://www.mifellowship.org/sites/default/files/styles/Fact%20Sheets/Understanding%20Dual%20Diagnosis.pdf
Classical antipsychotic treatments are commonly used to treat schizophrenic patients with major positive symptoms of schizophrenia, such as Thorazine, Haldol, and Stelazine (Gleitman et al., 2011). Antipsychotic treatments are usually administered with a variety of psychosocial treatments including social skills training, vocational rehabilitation, supported employment, family therapy, or individual therapy (Barlow & Durand, 2014). This is to reduce relapse and help the patient improve their skills in deficits and comply in consuming the
Concurrent Disorders describe a condition in which a person has both a mental illness and a substance abuse problem (Network, 2008; Association C. M.). Concurrent Disorders are often referred as duel diagnosis, duel disorders, and co-occurring (CAMH, 2010). The title is used widely, and it involves many different combinations (Association C. M.) However, there is no simple cause of concurrent disorders, as each person is different (CAMH, 2010). People choose to self medicate as a way to feel better, causing them to become dependent on the sub...
"Prevalence, Severity, and Comorbidity of 12-month DSM-IV Disorders in the National Comorbidity Survey Replication." National Center for Biotechnology Information. U.S. National Library of Medicine, n.d. Web. 19 Dec. 2013. .
According to the National Institute of Mental Health (2009) (as cited in Regier et al, 1993), “Schizophrenia is a chronic, severe, and disabling brain disorder that has affected people throughout history and about 1 percent of Americans have this illness” (p. 85-94).
Schizophrenia is a complicated, mostly permanent psychological disorder involving a disturbances in the relation amongst thought, emotions, and behaviour, leading to defective perception, inappropriate actions and feelings, withdrawal from reality. The National Mental Health Commission makes 10 recommendations, including reducing the use of restraint, seclusion and involuntary treatments. Recommendation 6 states, “There must be the same national commitment to safety and quality of care for mental health services as there is for general health services.”
BIBLIOGRAPHY Arasse, Daniel. Complete Guide to Mental Health. Allen Lane Press,New York, 1989. Gingerich, Susan. Coping With Schizophrenia. New Harbinger Publications, Inc. Oakland, 1994. Kass, Stephen. Schizophrenia: The Facts. Oxford University Press. New York, 1997. Muesen, Kim. “Schizophrenia”. Microsoft Encarta Encyclopedia. Microsoft Corporation, 1998. Young, Patrick. The Encyclopedia od Health, Psychological Disorders and Their Treatment. Herrington Publications. New York, 1991.
Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems and suffer frequent relapses and hospitalizations (Agnes B. Hatfield, 1993).