Co-Occurring Disorders during-rehab


Co-Occurring Disorders Formerly was known as the dual disorder or dual diagnosis, co-occurring disorders explain the existence of two or more disorders at the same time. Someone might have a problem with substance abuse along with bipolar disorder, for instance.

The special terms used to describe people with dual disorder has evolved in the same way that the area of addictions and mental disorder treatment has grown and advanced.


Dual disorder and dual diagnosis terms are replaced by the term co-occurring disorders. 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.

Furthermore, the terms relate that there are only two disorders occurring at the same time, when truly there may be more. Patients who have coexisting conditions can have one or more conditions associated with alcohol or drug dependency and also one or more mental condition. An identification of co-existing condition is made when there is an existence of at least one disorder of each type which is also separate from the other, not just a series of indications stemming from a particular disorder.

For the purposes of this article, we will use the dual disorders term interchangeably even if the co-occurring disorder is the most current term used professionally.


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The acronym MICA, which constitutes the phrase Mentally ILL Chemical Abusers, is eventually used to nominate people who have a COD and markedly serious and continued 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. Other acronyms are ICOPS (individuals with co-occurring psychiatric and substance disorders), SAMI (substance abuse and mental illness), MIC'D (mentally ill chemically dependent) CAMI (chemical abuse and mental illness), MISU (mentally ill substance using), and MISA (mentally ill substance abusers).

Some common types of co-existing conditions consist of the combinations of major depression types associated with cocaine dependency, alcohol dependency along with panic disorder, extreme alcoholism along with polydrug abuse with schizophrenia and as well as borderline personality condition with sporadic polydrug misuse. Even if the emphasis for this dwells on dual disorders, there are a number of patients who have more than two conditions. Multiple disorders go by the same rules that apply to dual disorders.

The mixture of psychiatric disorders and COD problems differ along important dimensions like chronicity, disability, severity, and degree of impairment in functioning. For instance, each of the two disorders may be serious or mild, or one may be more serious than the other. However, with time, the extremity of both disorders might change. Levels of impairment and disability in functioning may also differ.

Thus, there is no single mixture of dual disorders; in fact, there is huge variability among them. Though, patients with combinations of dual disorders that are alike are regularly found in specific treatment environments.


Further impairment to adults who face severe mental disorders as a result of substance abuse or dependence such as alcohol or other drugs is common.


Unlike individuals who are diagnosed with mental health disorders or those with alcohol and drug dependency issues alone, those with dual disorders most of the time undergo serious and long lasting medical, emotional and social difficulties. They are susceptible, since they have two disorders, to both further impairment of mental disorder and COD relapse. Additionally, dependency relapse most of the time causes psychiatric functional deterioration and worsening of psychiatric difficulties which further results in dependency relapse. Therefore, the treatment of relapses should be specifically designed for those with dual disorders. Dual disorder patients often need longer periods of treatment, have more crises and progress slowly in treatment in comparison to patients who have a single disorder.

Personality, psychotic and mood disorders are among some of the most prevalent psychiatric disorders diagnosed in dual patient disorders.