Disorders that occur at the same time during-rehab


Co-Occurring disorders are present when there are two or more disorders at the same moment and these disorders were also called dual diagnosis or dual disorder. Someone might have a problem with substance abuse along with bipolar disorder, for instance.

Just like the area of treatment for drug use and psychological disorders has developed to become more exact, the terminology that is employed to describe people who suffer both from psychological disorders and drug use has also become more precise.


The two terms dual diagnosis and dual disorder are replaced by the term, co-occurring disorders. These latter terms, though used commonly to point to the mixture of substance abuse and mental disorders, are confusing in that they also point to other mixtures of disorders (like mental retardation and mental disorders).

Additionally, the terminology may denote of the occurrence of just two disorders simultaneously when as a matter of fact there could be others, too. One or more disorders in the clients with co-occurring disorders (COD) relate to the use of alcohol and/or other drugs of abuse as well as one or more mental disorders. Co-occurring disorders can be diagnosed when a minimum of one disorder of each kind can be verified separate from the other disorder and it's not just a group of symptoms that stem from one of the disorders.

Even if co-existing condition is the latest term being used in the medical field, for this specific article, we will use the term dual disorder reciprocally.


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For people that suffer from COD, another term is commonly used and it is MICA, which means Mentally Ill Chemical Abusers in cases where patients suffer from an extreme and constant 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. The other acronyms used are as follows MIC'D (mentally ill chemically dependent), MISA (mentally ill substance abusers), SAMI (substance abuse and mental illness), MISU (mentally ill substance using), ICON PSD (individuals with co-occurring psychiatric and substance disorders) and CAMI (chemical abuse and mental illness).

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. Some people might have more than two disorders, even though the cornerstone of this is on dual disorders. Multiple disorders are usually based on the same principles that can be used when talking about dual disorders.

The existence of combined co-existing conditions and those of psychiatric disorders can differ in several significant aspects like chronicity, gravity, disability and level of impairment in bodily operations. For instance, each of the two disorders may be serious or mild, or one may be more serious than the other. Indeed, the seriousness of both disorders may alter over time. Levels of impairment and disability in functioning may also differ.

Therefore, it is important to note that there is no single combination of co-occurring disorders; they actually vary depending on the mentioned factors. Though, patients with combinations of dual disorders that are alike are regularly found in specific treatment environments.


Further damage is inflicted in more than 50 % of all adults that have severe mental disorder as well as substance abuse disorders (abuse or addiction to alcohol or illicit drugs).


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 vulnerable to both COD relapse and a worsening of the psychiatric disorder because they have two disorders. Also, a cycle is likely where once there is a relapse in addiction recovery, the patient becomes more prone to a psychiatric worsening which makes it much easier to relapse into an addiction. This is why relapse prevention should be particularly made for patients having dual disorders. Users with dual disorders commonly need longer rehab, have a greater number of crises and advance more slowly in treatment compared to patients that only have a single disorder.

Psychiatric disorders which is rampant among patients having dual disorders and can comprise of anxiety disorders, mood disorders, psychotic disorders and personality disorders.