1st Edition

Managing the Dually Diagnosed Patient Current Issues and Clinical Approaches, Second Edition

By David F O'Connell, Eileen P Beyer Copyright 2002
    368 Pages
    by Routledge

    368 Pages
    by Routledge

    The classic text--thoroughly updated for 2002!

    Managing the Dually Diagnosed Patient: Current Issues and Clinical Approaches, Second Edition provides a wealth of useful information on effectively treating substance abusers who also suffer from mental illness. This second edition is updated to apply the latest information on the assessment, treatment, and management of co-existing disorders. It includes new information on special treatment considerations for women and adolescents and examines the restrictions placed on treatment in the age of managed care.

    Certain to enhance your knowledge about a highly misunderstood population, this updated volume addresses the theoretical, conceptual, and practical issues involved in caring for dually diagnosed patients. Treatment professionals from hospitals, medical schools, addiction treatment programs, and dual disorder units come together to examine the critical issues in the assessment and treatment of dually diagnosed individuals and offer an up-to-date review of the latest knowledge in research and rehabilitation.

    Managing the Dually Diagnosed Patient: Current Issues and Clinical Approaches, Second Edition delivers up-to-date information on:

    • substance abuse and psychopathology
    • psychodiagnostic assessment
    • training issues for dealing with comorbidity
    • how collaboration with other helping professionals can improve your treatment of dually diagnosed patients
    • understanding and treating the psychiatric problems common within chemically dependent populations-affective disorders, anxiety disorders, personality disorders, and schizophrenia

      This updated volume contains new case studies, treatment protocols, and a comprehensive overview of the existing literature on dual diagnosis assessment and treatment that integrates practical clinical considerations and approaches based on the authors’extensive experience. Add it to your reference shelf today!

    • About the Editors
    • Contributors
    • Foreword
    • Preface to the Second Edition
    • Section I: Theoretical and Programmatic Issues
    • Chapter 1. Managing Psychiatric Comorbidity in Inpatient Addictions Treatment
    • Clinical Management Policy and Procedure Guidelines
    • Assessment
    • Clinical Management and Treatment of Coexisting Psychiatric Disorders in Inpatient Addictions Treatment
    • Appendix: Clinical Protocols for the Treatment of Selected Psychiatric Disorders
    • Chapter 2. Improving Treatment Adherence Among Patients with Comorbid Psychiatric and Substance Use Disorders
    • Introduction and Overview
    • The Problem of Poor Treatment Adherence
    • Determinants of Treatment Adherence
    • Effects of Poor Adherence
    • Strategies That Improve Adherence
    • Systems Strategies to Improve Adherence
    • Conclusions and Recommendations
    • Suggested Patient Educational Videos
    • Chapter 3. Psychopathology and Substance Abuse: A Psychoanalytic Perspective
    • Libido and Personality Development
    • Early versus Later Psychoanalytic Thought
    • The Borderline Personality
    • A Few Nonanalytic Ideas
    • Comments
    • Implications of the Theory for the Nonanalytic Clinician
    • Glossary
    • Section II: Treatment Considerations with Special Populations
    • Chapter 4. Females with Dual Diagnoses: Implications for Specialized Clinical Approaches
    • Introduction
    • Gender Differences in Addiction
    • Context of Comorbidity: Relational Perspective
    • Gender Differences and Similarities in Psychiatric Comorbidity
    • Major Psychiatric Comorbidities in Addicted Women: Depression, Dissociative Disorders, and Eating Disorders
    • Need for Specialized Women’s Treatment
    • Summary of Implications for Specialized Treatment Approaches
    • Chapter 5. Assessing and Treating Psychiatric Comorbidity in Chemically Dependent Adolescents
    • Literature Review
    • Assessment
    • Treatment
    • Conduct Disorder
    • Attention Deficit Hyperactivity Disorder
    • Mood Disorders
    • Anxiety Disorders
    • Conclusions
    • Appendix: Selected Treatment Protocols for Comorbid Disorders
    • Section III: Assessment and Treatment of Major Mental Disorders
    • Chapter 6. A Guide to the Assessment of Psychiatric Symptoms in the Addictions Treatment Setting
    • Introduction: Current Symptoms and Behaviors As a Guide to Addictions Treatment Planning
    • A Decision Tree for Assessing Psychiatric Symptoms in the Chemically Dependent Individual
    • Other Factors to Consider in Assessing the Mentally Ill Substance Abuser
    • Conclusion
    • Chapter 7. Affective Disorders and Affective Symptoms in Alcoholism
    • Alcoholism: More Often the Cause or the Result of Depression?
    • Incidence of Major Depression in Alcoholics
    • Prevalence of Major Depression in Alcoholics
    • Economics
    • Types of Depression
    • Diagnosis of Affective Disorder in Alcoholism
    • The Relationship Between Alcoholism and Affective Disorders
    • Familial Transmission of Alcoholism and Affective Disorders
    • Genetic Relationship Between Alcoholism and Affective Disorders
    • Cerebrospinal Fluid
    • Dexamethasone Suppression Test
    • Suicide in Depressed Alcoholics
    • Remission of Alcoholism and Affective Symptoms
    • Persistence of Affective Disorders in Alcoholism
    • Drinking Outcome in Affective Disorder
    • Pharmacological Treatment of Alcohol Dependence
    • Treatment Strategies for Affective Disorder in Alcoholism
    • Conclusion: Summary and Treatment Protocols
    • Chapter 8. Chemical Addictions and Anxiety Disorders: When Adaptive Mechanisms Go Awry
    • Introduction
    • The Disease of Addiction
    • Anxiety and Anxiety Disorders
    • Comorbidity
    • The Interaction
    • Diagnostic Considerations
    • Conclusion
    • Chapter 9. Schizophrenia and Substance Abuse
    • Introduction
    • Prevalence of Combined Schizophrenia and Substance Abuse
    • Schizophrenia
    • The Effect of Schizophrenia in the Subst


    David F O'Connell, Eileen P Beyer