...Dual Diagnosis Kimberly Holston CRIS 305-B05 Liberty University 02/22/2016 Dual Diagnosis There is an extremely difficult life path for a person the experiences substance and or alcohol abuse. That addiction journey can be riddled with anger, pain, loss, shame, anguish along with a host of many other agonizing and heart wrenching emotions. When the addicted person also carries a mental health disorder along this journey, it can become an even more treacherous and dangers path. These are indeed two very complex struggles for one human being. The combination of a person suffering an alcohol or substance abuse disorder and a mental illness disorder are identified has having a dual diagnosis. Dual diagnosis has different causes, difficulty in trying to diagnose and difficult to treat and it affects many in our world today. Most importantly, a dual diagnosis is most difficult on the individual who suffers with the disease. Dual Diagnosis Definition and Types What does dual-diagnosis actually mean? A dual diagnosis disorder occurs when an individual is affected by both chemical dependency and an emotional or psychiatric illness. Both chemical dependency and psychiatric illness may affect an individual physically, psychologically, socially and spiritually (The Dual Diagnosis Recovery Book, 1993). The most common mental health issues that coincide with addictions are ADHD, anxiety, depressions, bi-polar, schizophrenia, personality disorders, eating disorders and PTSD...
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...Dual Diagnosis Jana Hall Liberty University Abstract There is so much yet to be learned by researchers in regards to understanding the intertwining connections between mental illness and substance use disorders. This essay is barely scratching the surface in describing the complexity of the two. In order to know how to treat an individual who exhibits symptoms of both a substance use disorder and a mental illness, it must first be determined which came first, the mental illness that lead to the substance use disorder or the SUD which exacerbated the underlying mental illness. I’m sure you have heard the saying, ‘Which came first, the chicken or the egg?’ Well, this seems to be the dilemma for the experts in their respective fields of study in determining the most effective form of treatment for those who have been given a dual diagnosis. Unfortunately, individuals who have this diagnosis have become the norm in today’s day, rather than the exception. Dual Diagnosis It was widely believed at one time that substance use disorders and mental illness were seldom found in an individual. Since that time, it has been discovered, through epidemiological studies done on individuals who struggle with both mental illness and substance use disorder, that this is not true. A majority of those diagnosed with a mental illness also concurrently have a substance use disorder (Doweiko, 2015). ). Some of the mental illnesses that are challenging mental health professionals today...
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...Cartwright treatment services have spanned across 12 states and served both the public and private sectors. These are what they specialize in "dual diagnosis, or co-occurring disorders care is the simultaneous treatment of substance use disorder and co-occurring mental health issues. To combat an endless cycle of unhealthy living caused by addiction and a mental health issue (e.g. anxiety, depression, PTSD, etc.), a co-occurring disorders approach is built into the very core of our treatment programs" (AAC, 2017). Other parts of the program are treatment and curriculum, they are research-based and provide the best care possible, they provide this care by rooting the program in scientifically-proven therapy modules. They have licensed counselors that utilize motivational interviewing techniques to understand were the client is at the state of abuse, meaning understand that they have a drug problem. Another component to the program is the philosophies from The 5 Essential Elements book by Michael Cartwright. The elements are based on his 20 years of addiction experience and 15 federally-funded studies on dual diagnosis and addiction. The program has regularly consult with a wide range of clinical addiction experts to stay in the forefront of addiction treatment and latest advancements in recovery and best...
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...paper explores four articles about research on the complicated relationship between mental health and substance use disorders. I focused my research on the relationship between depression, including post-partum, and alcoholism. In this paper, I will explain why my client, Rhonda is considered dually diagnosed, I will explain the health problems that can occur from using alcohol and the effects alcohol has on the brain and body, I will explain how alcohol impacts depression, and last, I will explain the specific problems that exist in treating the dually diagnosed individual. An individual who has any combination of a mental disorder (anxiety, depression, bipolar disorder) and addiction (drugs, alcohol, sex, gambling) is considered to be dual diagnosed. (Foundations Recovery Network, 1995) In one article, Paljärvi (2009) states “experimental studies have found that alcohol intoxication can produce even severe depressive symptoms during heavy drinking episodes.” Becker (2012) states in his article, “Alcohol has anxiety-reducing properties and can relieve stress, while at the same time acting as a stressor and activating the bodies stress response systems.” According to Evans and Sullivan (2001), individuals with a history of alcohol dependence, especially those early in recovery and those who are older, show significant cognitive impairments. Individuals with major depression also have significant cognitive deficits and the two together cause double the difficulties in thinking...
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...approximately 4 million likewise suffer from an addiction to alcohol and/or drugs. Over the past few years, the number of individuals seeking treatment for a dual diagnosis has risen by four percent, yet more than half of individuals struggling with this issue have never sought help. They may seek treatment for the addiction or the mental health issue, but not both. Recovery In Motion (recoveryinmotion.com) would like to change this. "Recovery is dependent on a person seeking treatment for both their mental health issue and their addiction. When one is neglected, the patient is more likely to relapse. The mentally ill may return to drugs or alcohol to seek relief from their psychological issue if it is not addressed when symptoms appear in the future. They self medicate in this situation to obtain the relief they desire. In addition, the addict may not be aware that he or she has a mental health issue and will appear to overcome the addiction only to return to the substance of choice. When both issues are addressed, this becomes less likely," Nick Jones, spokesperson for Recovery In Motion (www.recoveryinmotion.com), explains. Dual diagnosis goes by many other names....
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...Dual diagnosis between drug abuse and mental illness is very common. The two problems affect and interact with each other. The number of people diagnosed with a mental illness and substance went from 210,000 to 800,000 between the years of 1998-2003. (Druss MD, Bornemann, Fry-Johnson MD, McCombs PhD, Politzer, & Rust MD, 2006) Substance abuse is the most common and clinically important dual disorder among adults with severe mental illness. Studies show that fifty percent of people with mental illness also have a substance abuse problem. (Saisan, Smith, & Segal, 2010) And more than half the persons with a substance abuse diagnosis also have a diagnosable mental illness. (Saisan, Smith, & Segal, 2010). Clinicians believe that mental illness and...
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...use communication, research, and networking skills to find needed resources that will ensure both mental and physical stability. Specifically, the United States Department of Health and Human Services quotes that mental health involves the psychological, emotional, and social well-being of an individual (“What is Mental Health”, n.d.). Therefore, it is important to note that properly treating someone with a mental illness goes beyond their mental faults; however, professionals should delve deeper into other realms that affect the mind and the body when treating clients, especially those who suffer with dual diagnosis. Defined, a dual diagnosis is when a client suffers from both a mental disorder and an addiction (“Important Statistics on Dual Diagnosis”, 2017). About four million people suffered from dual diagnosis in the past year alone (“Important Statistics on Dual Diagnosis”, 2017). This statistic brings about...
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...Guffey-SEEFER, Business English, 11e – 70 points WORKSHEET, CH. 3, NOUN PLURALS FILL IN THE BLANKS WITH THE CORRECT PLURAL FORMS FOR THE NOUNS SHOWN IN PARENTHESES. |1. |Every day we must send many (copy) of (fax) to our suppliers. | | |2. |A flood of computer (virus) is causing (worry) for businesspeople. | | |3. |The (Murphy) and the (Ross) plan to vacation on Maui. | | |4. |All (entry) must be submitted on official contest (form). | | |5. |Numerous social media (glitch) caused (user) to worry about their accounts. | | |6. |Mr. Mason’s business statistics class included two (Jeffrey) and two (Courtney). | | |7. |All (RN) and (LVN) were asked to work overtime. | | |8. |None of the (attorney) were granted (leave of absence) during the trial. | | |9. |(Customer) could not understand how identity (thief) could have gotten their personal data. | | |10. |Some e-mail (message) contain (smiley) and other emoticons...
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...Suggest 2 improvements that could be made to the Griffiths study and outline any implications these changes may have. (8) One change would be to replicate the study in different countries. Pseudo patients could see if they would be diagnosed as having schizophrenia by doctors in England, France and Canada. The pseudo patients would provide the same symptoms as in the original study (thud, hollow and empty). This would allow the researcher to investigate any cross cultural differences in diagnosis and the treatment of patents (if admitted to a hospital). An implication of this may be that doctors in the other countries may make the same mistakes with diagnosis thus showing practitioners to be bias cross cultural. This would give further support for the need of the DSM to be updates and would mean that the results form Rosenhan's study could be generalised to other countries. In addition to this it would provide insight into treatments used in the different countries, they may find that the type of care/ standard of care differ from country to country (possibly worse in counties with lower economy) Another improvement could be to set up CCTV cameras into the hospitals to record the behaviours of the staff towards the patients. This would be overt at first as the staff would be aware the cameras are being brought in, however they would soon forget they are there. This would allow Rosenhan to have a record of staff patient interaction and the treatment of the pseudo patients...
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...to be standardized across psychology; however, the DSM-IV is not as precise for diagnosing personality disorders as some psychologists would like. Give an example of each of the following problems identified in your readings and explain how these problems could negatively affect a diagnosis. 1. Some criteria used for reaching a diagnosis cannot be observed directly. The DSM-IV has been criticized for diagnosing patients with disorders because of their reliability. A patient is diagnosed by a clinician based on the patient telling them their symptoms, when it is possible that the patient is exaggerating and this can result in a patient being mis diagnosed because the clinician may not have paid close attention to body language and actions from the patient. 2. Personality disorders can be similar to each other. A person can be diagnosed with one or more personality disorders because symptoms are related to one another according to the DSM-IV. With the symptoms of personality disorders being similar in nature to one another it does make it hard to diagnose a person with a single personality disorder according to the DSM-IV. 3. People with different personalities can be given the same diagnosis. Each person is different so therefore one person’s symptoms may not be the same as another person. The DSM-IV does not account for a person’s individuality. An individual’s personality affects how they react to different situations in life, this can lead to a misdiagnosis by a clinician...
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...pre-adoption? When was she adopted? How did the process go? How specifically have her eating and sleeping patterns changed? What is she throwing tantrums over? Describe the tantrums and situations during and before they happen. 2. In addition to the clinical interview, what other clinical assessment tools should you consider? Why? Which ones would you not consider? Why? I’d start off with observation of the family in a natural environment concentrating on not only Clara but her parents as well. 3. If you were preparing to diagnose Clara, you would refer to the DSM-IV classification system to evaluate her condition on five separate axes. What type of information would go into each axis? Note: You are not asked to enter a diagnosis, only describe the kind of information that would be entered in each axis.) Clara is a child who is adopted. She’s having control and/or anger issues in the form of tantrums and her natural sleeping and eating patterns have been disturbed 4. Do you...
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...clinically significant and associated with intensive distress, impairment, social dysfunction or increased personal or public risk, however it must be unrelated to grief caused by recent personal loss, (4th ed., text rev.; DSM–IV–TR; American Psychiatric Association, 2000; Holt et al, 2012). The distinct criteria and descriptive information in the DSM-IV, enables clinicians to make quick diagnoses based on an individual’s symptoms. It can also be used in legal proceedings, to determine the mental state of individuals and ensure they receive appropriate sentencing in psychiatric care rather than prison. It is versatile and the only manual that strictly focuses on mental health which is why it is referred to as the Gold Standard of clinical diagnosis. The DSM-IV has also played a vital role in the development of research and treatments for mental health, which has improved many patients’ quality of life. Keenan et al. (2007) examined the reliability of the DSM-IV oppositional defiant and conduct disorder symptoms, in 3-5 year old children. The mothers were interviewed about their children’s current symptoms and results showed that the reliability of symptoms, measured by interrater and test-retest reliability, was moderate to high. However, the DSM-IV-TR (2000) 4th ed., text rev. emphasises that the diagnostic criteria are only guidelines and reliability is therefore determined primarily by the clinician’s interpretation of the information provided. In the...
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...Symptoms and Diagnosing of Autism Spectrum Disorder Stephanie R. South University of Cincinnati Abstract This paper explores the symptoms and how to accurately diagnosis of Autism Spectrum Disorder. Autism is classified as a psychological condition that starts in adolescence. Psychology classes, specifically an introductory course, briefly cover this condition and its diagnosis. This paper will provide a great knowledge and understanding of diagnosing Autism. There are many symptoms and signs exhibited in children diagnosed with Autism. There is no clear answer for why or how this disorder occurs, making it hard to properly diagnose those afflicted. It is extremely important for the child’s caregiver to be proactive and seek out medical expertise at the onset of behavioral issues in their child. Diagnosing the child at a younger age can ensure proper treatment and interventions for him/her. I have chosen to write my paper on the symptoms and diagnosing of Autism. This disorder is mysterious, but also fascinating. Being a mother, I worry all the time about new and strange afflictions that are attacking our children. To be proactive in our children’s lives, we must be knowledgeable and observant for the early warning signs or symptoms. Throughout the research process of preparing my paper, I have gained a greater comprehension of this disorder and the first indicators that has prepared me to act promptly for the sake of my children. In the last decade, Autism has gained...
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...Awareness is important to me because even when a patient has the most common form of dysautonomia, postural orthostatic tachycardia syndrome (POTS), it takes an average of 4 years before the correct diagnosis is identified. Unfortunately, being diagnosed properly does not always mean a patient will get better. Due to a lack of awareness of how prevalent this condition is, very little research is funded by our government, so we still have no cure. Treatments currently available can give back some quality of life, but are not a cure and do not work for all patients. If a root cause can be identified, sometimes treating that helps resolve dysautonomia symptoms. I became ill in 2008 at the age of 18 and slowly became more and more sick. Due to the lack of awareness about dysautonomia, it took 4 years (and 20+ doctors) from first becoming ill before I was diagnosed with POTS. In the years after diagnosis I saw many doctors and even went to Mayo Clinic. Over 30 different treatments were tried, but my condition got worse and worse until I couldn't do basic things like grocery shop for myself....
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...Laryngospasms are a serious medical condition that can occur among the pediatric population who are receiving administration of anesthesia agents. In the pediatric population, incidences of laryngospasms range from 0.9% to as high as 14%. Laryngospasms are considered to be “one of the more frequent unanticipated complications that occur under general anesthesia” (McDonnell, 2012). Anesthesia providers perform inhalational inductions with Sevoflurane to pediatric patients on a daily basis with intravenous cannulation following the induction. It is common practice for the majority of pediatric patients enduring medical procedures to undergo this routine in order to be anesthetized (Joshi et al., 2012). The incidence of laryngospasms occurring has been associated with the time frame for attempting intravenous cannulation on the child following an inhalational induction with Sevoflurane (Schwartz et al., 2004). Laryngospasms are frequently associated with early placement of intravenous cannulation and increased physical movement among the child during cannulation insertion (Kilicaslan et al., 2014). A variety of times have been implemented regarding the adequate time frame for proceeding with intravenous cannulation after Sevoflurane inhalational induction within the pediatric population. Factors have been taken into consideration based on whether the child was premedicated with oral Midazolam. The time frame of waiting 120 seconds after loss of lid reflex before initiating...
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