Dual Diagnoses Psychiatric Illness With Addiction

According to the National Institute of Mental Health (www.nimh.nih.gov), a di-agnosable mental disorder afflicts about one in five adults, many of whom suffer from more than one disorder at a time. Clients with drug problems frequently have an underlying psychiatric disorder (Ziedonis & D'Avanzo, 1998).

A national study—The NIMH Epidemiological Catchment Area (ECA) Study—found that substance abuse disorders are very common among psychiatric patients, with 20% having a current problem and 29% a lifetime substance use disorder. The most typical psychiatric disorders associated with substance abuse disorders are depression, anxiety, schizophrenia, and antisocial personality. Of those who commit suicide, 90% have a diagnosable mental disorder, generally a substance abuse or a depressive disorder. See the Dual Diagnosis web site at www.nyu.edu/odae/dualdiagnosis.html.

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