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Psychiatric Co-occurring Disorders 

Psychiatric Co-occurring Disorders
Chapter:
Psychiatric Co-occurring Disorders
Author(s):

Kenneth B. Stoller

DOI:
10.1093/med/9780190214647.003.0015
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date: 10 April 2020

Substance use disorders commonly co-occur with psychiatric disorders. Recognition of psychiatric symptoms, especially suicidal ideation, is essential. Factors such as substance use or withdrawal, related psychosocial stressors, and co-occurring somatic health problems complicate the diagnostic process. Addressing psychiatric symptoms is essential to optimizing treatment of substance use disorders. Medications can help but may be unnecessary once substance use is stabilized. Other approaches include counseling, psychotherapy, case coordination, and inpatient or residential care. There are additional issues that arise with specific psychiatric disorders, including mood disorders (depression and bipolar), anxiety and trauma-related disorders (post-traumatic stress disorder [PTSD]), psychotic disorders, personality disorders, and attention deficit/hyperactivity disorder (ADHD).

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