Co-Occurring Addictive and Psychiatric Disorders. a Practice-Based Handbook from a European Perspective

Description

· Offers a European perspective on dual disorders (joint psychiatric and substance use disorders)
· Covers both diagnosis and treatment in a way that is highly relevant to clinical work and the organization of care systems
· Written by European authors on the basis of existing European treatment programs or guidelines and European research

This book provides a comprehensive, state of the art overview that covers both the diagnosis and the treatment of dual disorders – joint psychiatric and substance use disorders – in a way that is highly relevant to clinical work and the organization of care systems. It is designed to meet the real need for a European perspective on dual disorders, taking into account the realities of European treatment organization. All chapters have been written by European authors on the basis of existing European treatment programs or guidelines and European research.

Such dual disorders are increasingly encountered by health professionals working in mental health and addiction care, and they represent a formidable challenge for caregivers, care organizations, and society as a whole. Affected patients tend to have a worse outcome and disease progression than those with a single psychiatric or addictive disorder, as reflected by higher rates of hospitalization, somatic morbidity, treatment dropout, suicide, criminality, and homelessness. The consequences are high societal costs and extensive suffering.

During the past decade, various approaches and programs have been designed to challenge the traditional gap between addiction treatment and mental health care and to better meet the specific needs of patients. The overwhelming majority of these programs, however, have emanated from the United States, where most of the research on their efficacy has also been carried out. Given the vast differences between the European and U.S. health contexts, it can be questioned whether these American-oriented treatment programs are of value in European countries. Dual Disorders and Their Treatment: a European Perspective therefore represents a timely and much-needed addition to literature on the subject.

Table of contents

Introduction.- Epidemiology.- Providing a rationale for change in treatment approach.- Explaining dual disorders: Neurobiological and genetic factors.- Psychological factors.- Social and economic factors.- Schizophrenia and addiction.- Mood disorders and addiction.- Personality disorders and addiction.- Anxiety disorders and addiction.- Developmental disorders and addiction: ADHD and Autism.- Triple Diagnosis: Mental handicap, addiction and behavioral disorders.- Non-pharmacological addictions and psychiatry: Gambling, Internet, sex, and gaming.- Diagnostic tips and tricks in dual disorders.- Psychosocial interventions in DD treatment.- Pharmacotherapy and dual disorders.- Cigarette smoking and psychiatry.- Forensic perspective.- Adolescent populations.- Gender issues and pregnancy.- Somatic problems and DD patients.- Dual Disorders, a sequel of the DSM paradigm?.- Towards a new model of care: integrating mental health, substance use and somatic care.