{"id":386,"date":"2023-07-07T12:26:22","date_gmt":"2023-07-07T12:26:22","guid":{"rendered":"https:\/\/www.floridarehab.com\/?page_id=386"},"modified":"2025-02-07T11:09:09","modified_gmt":"2025-02-07T11:09:09","slug":"co-occurring-disorders","status":"publish","type":"blog","link":"https:\/\/www.floridarehab.com\/co-occurring-disorders\/","title":{"rendered":"Co-Occurring Disorders and Substance Abuse"},"content":{"rendered":"\n<p class=\"has-text-align-center has-large-font-size eplus-wrapper wp-block-paragraph\"><strong>Co-occurring disorders are more complex than mental illness or substance misuse on their own. For a better chance of effective treatment, both disorders must be addressed directly.<\/strong><\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Mental illness and&nbsp;<a href=\"\/drugs\/\">drug addiction<\/a>&nbsp;are often closely. Researchers estimate that nearly&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4695242\/pdf\/nihms-735587.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">9 million<\/a>&nbsp;U.S. adults have co-occurring mental health and substance use disorders.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Co-occurring disorders are complex, but understanding the signs and symptoms of these disorders can help doctors provide an accurate diagnosis and establish an effective treatment. There are many different types of co-occurring disorders, and each has its own risks, complications and complex treatment needs.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\" id=\"What_Is_a_Co_Occurring_Disorder_\">What Is a Co-Occurring Disorder?<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">A co-occurring disorder, also known as a&nbsp;<a href=\"\/treatment\/dual-diagnosis\/\">dual diagnosis<\/a>, is defined as the presence of both a mental health disorder and substance use disorder at the same time.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The term \u201cco-occurring disorder\u201d broadly represents many possible combinations of mental health disorders and addictions. For example, one person may abuse&nbsp;<a href=\"\/drugs\/meth\/addiction\/\">methamphetamine<\/a>&nbsp;and also have symptoms of schizophrenia. Another may struggle with major depressive disorder and&nbsp;<a href=\"\/alcohol\/addiction\/\">misuse alcohol<\/a>.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Although co-occurring disorders can be diagnosed separately, the presence of multiple disorders can increase the symptoms of each. In addition, many substances have side effects that mimic symptoms of mental illness, such as delusions and hallucinations. This can make it difficult to differentiate whether symptoms are being caused by substance use or by the mental health condition. Understanding the key risk factors and most common co-occurring disorders can help support effective diagnosis and treatment.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\" id=\"Common_Co_Occurring_Disorders\">Common Co-Occurring Disorders<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">It is difficult to track the exact rates of different types of co-occurring disorders, as diagnoses may include multiple substances. In addition, there are no exact patterns of use. For example,&nbsp;<a href=\"\/drugs\/stimulants\/\">stimulants<\/a>, alcohol and tobacco use may be paired with schizophrenia, but&nbsp;<a href=\"\/drugs\/opioids\/addiction\/\">opioids<\/a>&nbsp;and alcohol may be used in mood or personality disorders. Alcohol is widely used across many different types of mental health disorders.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><a href=\"https:\/\/jamanetwork.com\/journals\/jamapsychiatry\/fullarticle\/2470680\" target=\"_blank\" rel=\"noreferrer noopener\">Research<\/a>&nbsp;shows that lifetime substance use disorders are linked to mood disorders,&nbsp;<a href=\"\/co-occurring-disorders\/ptsd\/\">post-traumatic stress disorder<\/a>, panic disorder, social phobia, and several personality disorders. While substance use may cause new mental health disorders to develop, substance use can also be a&nbsp;<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/da.22771\" target=\"_blank\" rel=\"noreferrer noopener\">coping strategy<\/a>&nbsp;for an existing mental illness.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Some co-occurring disorders are more common than others. The most common include mood, anxiety, personality, eating, and psychotic disorders.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Mood Disorders<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Mood disorders are characterized by disturbances in a person\u2019s mood. There are different types of mood disorders,&nbsp;<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/da.22771\" target=\"_blank\" rel=\"noreferrer noopener\">including<\/a>&nbsp;major&nbsp;<a href=\"\/co-occurring-disorders\/depression\/\">depression<\/a>, anxiety disorders, and&nbsp;<a href=\"\/co-occurring-disorders\/bipolar-disorder\/\">bipolar disorder<\/a>. The signs and symptoms of mood disorders vary based on type, but they can include loss of pleasure in usual activities, social withdrawal, extreme euphoria or recklessness.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Related Topic:&nbsp;<\/strong><a href=\"\/alcohol\/alcoholism-depression\/\">Alcohol and Depression<\/a><\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Anxiety Disorders<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Anxiety is often used as a blanket term, but there are many different&nbsp;<a href=\"\/co-occurring-disorders\/anxiety-disorders\/\">anxiety disorders<\/a>. For example, panic disorder, social phobia and specific phobias like claustrophobia are all considered types of anxiety disorders. The signs of anxiety disorder can include physical symptoms like sweating or shortness of breath. It can also include behaviors like avoiding anxiety-inducing situations or becoming overly dependent on a person or thing that brings comfort.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Personality Disorders<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Personality disorders can cause extreme, inflexible thoughts or behavior that make it difficult to function in day-to-day life. Different personality disorders include antisocial personality disorder, borderline personality disorder, and narcissistic personality disorder. Each disorder is characterized by different features or symptoms, such as obsessions or paranoia. Personality disorder symptoms vary depending on the type, but they can involve unpredictable behavior and fearful thinking.<\/p>\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Eating Disorders<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Eating disorders are characterized by disturbances in eating behaviors and obsessions about food, body weight, size or shape. As there are different types of eating disorders, there is no specific set of symptoms that represents all eating disorders. People with eating disorders can have a range of body shapes and sizes, and they may struggle with undereating or overeating. Others may feel out of control around food or overcompensate for energy intake. As a result, the signs of an eating disorder may not always be obvious to others.<\/p>\n\n\n\n\n\n<h3 class=\" wp-block-heading eplus-wrapper\">Psychotic Disorders<\/h3>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Psychotic disorders sometimes called\u00a0<a href=\"\/co-occurring-disorders\/psychosis\/\">psychosis<\/a>, cause people to lose touch with reality or experience unusual thoughts or perceptions. Early signs of <a href=\"https:\/\/www.floridarehab.com\/alcohol\/alcohol-induced-psychosis\/\">psychosis<\/a> can include a decline in performance at work or school, suspiciousness of others, decreased hygiene or inappropriate emotions. Different types of psychosis include\u00a0<a href=\"\/co-occurring-disorders\/schizophrenia\/\">schizophrenia<\/a>, schizoaffective disorder, and delusional disorder.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><strong>Related Topic:<\/strong>&nbsp;<a href=\"\/alcohol\/alcoholism-schizophrenia\/\">Can alcohol cause schizophrenia?<\/a><\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\" id=\"Causes_of_Mental_Illness\">Causes of Mental Illness<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Mental health is complex, and many factors can interact with one another to increase risk. In general, a combination of genetic, social and environmental factors can contribute to the onset of a mental illness.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">It is unlikely that there is a single factor or experience that will cause a mental health disorder.&nbsp;<a href=\"https:\/\/www.ipsepa.com\/content\/uploads\/2010-Contemporary-directions-in-psychopathology-Millon-et-al.pdf#page=492\" target=\"_blank\" rel=\"noreferrer noopener\">In many cases<\/a>, a person may have a genetic or biological vulnerability to mental illness that is then aggravated by a stressful or traumatic experience. There are also individual characteristics that increase the risk of mental illness. For example, factors like personality or gender are linked with an increased risk of some mental disorders.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Importantly, mental disorders can be related to each other in complex ways. Substance use disorders and mental illnesses are often related, and they may even contribute to one another. For example, the presence of a mental disorder can lead to substance use as a coping strategy. In contrast, a substance use disorder can increase the likelihood of a mental disorder developing.<\/p>\n\n\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\" id=\"Co_occurring_Disorders_and_Substance_Abuse\">Co-occurring Disorders and Substance Abuse<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Mental health disorders and substance use disorders are serious and high-risk conditions on their own, but the dangers can be compounded when they occur together. Importantly, co-occurring disorders with substance abuse can be challenging to assess. This is because substance use can cause mental health symptoms that may or may not be present at other times.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Statistics show that people with mental illness are&nbsp;<a href=\"http:\/\/www.indianjpsychiatry.org\/documents\/AddictiveDisordersBookFinal.pdf#page=277\" target=\"_blank\" rel=\"noreferrer noopener\">more likely<\/a>&nbsp;to have a substance use disorder. Rates of dual diagnosis are estimated to be as high as&nbsp;<a href=\"http:\/\/www.indianjpsychiatry.org\/documents\/AddictiveDisordersBookFinal.pdf#page=277\" target=\"_blank\" rel=\"noreferrer noopener\">80%<\/a>&nbsp;among those in mental health or&nbsp;<a href=\"\/treatment\/\">addiction treatment<\/a>.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The rates of co-occurrence differ slightly between people with alcohol use disorder and people with other substance use disorders, with rates&nbsp;<a href=\"http:\/\/www.indianjpsychiatry.org\/documents\/AddictiveDisordersBookFinal.pdf#page=277\" target=\"_blank\" rel=\"noreferrer noopener\">higher<\/a>&nbsp;among those using drugs. Given the risk of substance use and the additional challenges caused by mental illness, people with co-occurring disorders are at&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5004087\/\" target=\"_blank\" rel=\"noreferrer noopener\">increased risk<\/a>&nbsp;of mortality compared to the general population.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\" id=\"Dual_Diagnosis_Treatment\">Dual Diagnosis Treatment<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">In the past, treatments for substance use disorders and mental illness were kept separate. More recently, health professionals have recognized the importance of well-integrated dual diagnosis treatment. This approach allows for an understanding of the full range of symptoms and how they are related.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\"><a href=\"https:\/\/www.floridarehab.com\/resources\/intervention\/mental-health\/\">Treatment for mental health conditions<\/a> and substance abuse focuses on reducing symptoms and improving a person\u2019s ability to function normally. Successful treatment plans for co-occurring conditions should consider both disorders as the&nbsp;<a href=\"https:\/\/www.researchgate.net\/profile\/Nestor_Szerman\/publication\/326251817_Dual_Disorders_Addiction_and_Other_Mental_Disorders_Integrating_Mental_Health\/links\/5cb8cd6792851c8d22f5b391\/Dual-Disorders-Addiction-and-Other-Mental-Disorders-Integrating-Mental-Health.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">main illness<\/a>, and treatment for both should occur at the same time.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The types of treatments may vary by type of disorder, but treatment often includes a combination of&nbsp;<a href=\"\/treatment\/addiction-therapies\/\">therapy<\/a>&nbsp;and&nbsp;<a href=\"\/treatment\/medication-assisted-treatment\/\">medication<\/a>. For example,&nbsp;<a href=\"\/treatment\/addiction-therapies\/cognitive-behavioral\/\">cognitive behavioral therapy<\/a>&nbsp;and&nbsp;<a href=\"\/treatment\/addiction-therapies\/motivational-enhancement-therapy\/\">motivational enhancement therapy<\/a>&nbsp;can help&nbsp;<a href=\"https:\/\/www.researchgate.net\/profile\/Nestor_Szerman\/publication\/326251817_Dual_Disorders_Addiction_and_Other_Mental_Disorders_Integrating_Mental_Health\/links\/5cb8cd6792851c8d22f5b391\/Dual-Disorders-Addiction-and-Other-Mental-Disorders-Integrating-Mental-Health.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">improve<\/a>&nbsp;patient functioning and reduce relapse. Medication may also help reduce drug cravings, minimize withdrawal symptoms or mimic the effects of the addictive substance.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Importantly, treatment must be tailored to the individual and should consider a person\u2019s history, environment, and current motivation.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Co-occurring disorders are more complex than mental illness or substance misuse on their own. For a better chance of effective treatment, both disorders must be addressed directly. Mental illness and&nbsp;drug addiction&nbsp;are often closely. Researchers estimate that nearly&nbsp;9 million&nbsp;U.S. adults have co-occurring mental health and substance use disorders. Co-occurring disorders are complex, but understanding the signs [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false},"categories":[39],"tags":[],"class_list":["post-386","blog","type-blog","status-publish","hentry","category-dual-diagnosis"],"acf":{"written_by":287,"enable_medically_and_up":["Yes"],"medically_reviewed_by":323,"medically_reviewed_content":"This article was reviewed by a medical professional to guarantee the delivery of accurate and up-to- date information. <a href=\"\/research\/\">View our research policy.<\/a>","up_to_date":"<i>Last Updated<\/i> - <b>12\/29\/2022<\/b>","page_first_published_date":"20221229","page_last_edit_date":"20221229","highlighted_description":"If you or a loved one is struggling with addiction, help is available. Speak with a Recovery Advocate by calling <a href=\"tel:8886480738\" > (561) 340-7269<\/a> now.","key_takeaways":"<strong>Key Takeaways<\/strong>\r\n<ul>\r\n \t<li>Co-occurring disorders can occur across a range of mental disorders, such as mood or psychotic disorders, and can involve drug or alcohol misuse<\/li>\r\n \t<li>The causes of mental illness and related substance use are diverse and can interact with one another. Genetic, individual, social and environmental factors can all contribute to co-occurring disorders.<\/li>\r\n \t<li>People with mental illness are at increased risk of substance use disorders.<\/li>\r\n \t<li>Compared to the general population, the risk of mortality is greater among those with a dual diagnosis.<\/li>\r\n \t<li>Treatment for co-occurring disorders must consider the needs of the individual, be well-integrated and be provided at the same time.<\/li>\r\n<\/ul>","source":{"source_label":"View Sources","source_content":"Priester, Mary Ann; Browne, Teri; Iachini, Aidyn; et al. \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4695242\/pdf\/nihms-735587.pdf\" target=\"_blank\" rel=\"noopener\">Treatment Access Barriers and Disparities Among Individuals with Co-occurring Mental Health and Substance Use Disorders: An Integrative Literature Review.<\/a>\u201d Journal of Substance Abuse Treatment, February 2016. Accessed December 9, 2019.\r\n\r\nTurner, Sarah; Mota, Natalie; Bolton, James; et al. \u201c<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/da.22771\" target=\"_blank\" rel=\"noopener\">Self-medication with alcohol or drugs for mood and anxiety disorders: A narrative review of the epidemiological literature.<\/a>\u201d Depression and Anxiety, September 14, 2017. Accessed December 9, 2019.\r\n\r\nBalhara, Yatan Pal Singh; Prakesh, Sathya; Mahapatra, Ananya; et al. \u201c<a href=\"http:\/\/www.indianjpsychiatry.org\/documents\/AddictiveDisordersBookFinal.pdf#page=277\" target=\"_blank\" rel=\"noopener\">Dual Diagnosis: Psychotic Disorders.<\/a>\u201d Indian Psychiatric Society, 2016. Accessed December 9, 2019.\r\n\r\nSzerman, Nestor; Parro-Torres, Carlos; Didia Javier; et al. \u201c<a href=\"https:\/\/www.researchgate.net\/profile\/Nestor_Szerman\/publication\/326251817_Dual_Disorders_Addiction_and_Other_Mental_Disorders_Integrating_Mental_Health\/links\/5cb8cd6792851c8d22f5b391\/Dual-Disorders-Addiction-and-Other-Mental-Disorders-Integrating-Mental-Health.pdf\" target=\"_blank\" rel=\"noopener\">Dual Disorders: Addiction and other Mental Disorders.<\/a>\u201d Advances in Psychiatry, July 7, 2019. Accessed December 9, 2019.\r\n\r\nGrant, Bridget F.; Saha, Tulshi D.; Ruan, W Juan; et al. \u201c<a href=\"https:\/\/jamanetwork.com\/journals\/jamapsychiatry\/fullarticle\/2470680\" target=\"_blank\" rel=\"noopener\">Epidemiology of DSM-5 Drug Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions\u2013III.<\/a>\u201d JAMA Psychiatry, January 2016. Accessed December 9, 2019.\r\n\r\nParis, Joel. \u201c<a href=\"https:\/\/www.ipsepa.com\/content\/uploads\/2010-Contemporary-directions-in-psychopathology-Millon-et-al.pdf#page=492\" target=\"_blank\" rel=\"noopener\">Biopsychosocial models and psychiatric diagnosis.<\/a>\u201d Contemporary Directions in Psychopathology, 2010. Accessed December 9, 2019.\r\n\r\nWatkins, Katherine E.; Paddock, Susan M.; Hudson, Teresa J. \u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5004087\/pdf\/nihms793915.pdf\" target=\"_blank\" rel=\"noopener\">Association between quality measures and mortality in individuals with co-occurring mental health and substance use disorders.<\/a>\u201d Journal of Substance Abuse Treatment, October 2016. Accessed December 9, 2019."},"staff_member_heading":"Authorship","staff_member":[{"staff_member_title":"Editor","select_staff_member":287},{"staff_member_title":"Medical Reviewer","select_staff_member":323}],"insurance_label":""},"_links":{"self":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/386","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog"}],"about":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/types\/blog"}],"author":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/comments?post=386"}],"version-history":[{"count":0,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/386\/revisions"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/staff\/323"},{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/staff\/287"}],"wp:attachment":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/media?parent=386"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/categories?post=386"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/tags?post=386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}