- Subject index
Dual Diagnosis presents a model that integrates theory and research from substance abuse and mental health as well as proposing simultaneous integrated treatment in a single setting. Building upon a solid theoretical and research foundation, the book discusses the unique problems and treatment methods tailored for specific mental illnesses when combined with substance abuse, including schizophrenia, bipolar disorder, major depression, major personality disorders, and anxiety disorders.
Chapter 6: Bipolar Disorders
Sherlock Holmes is the quintessential example of bipolar illness with substance abuse. Depicted as severely depressed between cases, he uses cocaine to lift his moods. When captivated by a case, he stays up night and day obsessing over clues, riddles, and the search for an answer he knows rests in his memory. This behavior elicits the concern of his friend, Dr. Watson, and his landlady, who try to protect him. Eventually, he crashes. Bipolar disorders are part of the mood disorders. The choice was made to separate bipolar disorders from other depressive disorders because of the special features of this disorder and how it interacts with substances.
Approximately 25% of all mood disorder patients experience a manic or hypomanic episode. Nearly all of ...