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Psychiatric co-morbidity 

Psychiatric co-morbidity
Chapter:
Psychiatric co-morbidity
DOI:
10.1093/med/9780198714750.003.0022
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date: 16 June 2019

Chapter 22 of Addiction Medicine covers psychiatric comorbidity, namely the inter-relationships between substance use disorders and mental health disorders. There is a detailed outline of the extent to which alcohol and drug use disorders co-occur with the major mental health disorders. An outline of the key features of the major psychiatric disorders is provided (especially for the non-psychiatrist) and covers major depression, generalized anxiety disorder, panic disorder, social anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder (PTSD), adjustment disorder, schizophrenia, and other psychotic disorders. The principles and approaches to assessing patients with comorbid disorders are outlined and emphasize systematic assessment of substance use and eliciting key mental symptoms and signs. Psychiatric treatment may need to be adapted when the patient has comorbid substance use and mental health disorders, but it is important that treatment is directed to both conditions. Again for the non-psychiatrist there is a synopsis of psychiatric management of depression, anxiety and panic disorders, PTSD, and psychotic disorders.

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