tel: +91 80 26995274; e-mail: [email protected] treatment of dual diagnosis [co-occurrence of a substance use disorder (sud) in patients with mental illness] poses several challenges for mental health professionals. this article seeks to review the recent advances in dual diagnosis treatment with respect to pharmacotherapy and psychosocial approaches. whereas there is no difference between risperidone and olanzapine, clozapine appears to have a distinct advantage in reducing psychotic symptoms as well as substance abuse (including smoking).
a combination of naltrexone and sertraline was found to be effective in patients with depressive disorder and alcohol dependence. in spite of the high association between substance use and psychiatric disorders, there is a surprising paucity of studies related to treatment and outcome. a few well-designed studies have been recently published and more studies of this nature are required in order to address the challenges posed in the treatment of dual disorders.
many people with a mental illness also have problems with substance abuse. this is called dual diagnosis, or co-occuring disorders. substance use disorders — the repeated misuse of alcohol and/or drugs — often occur simultaneously in individuals with mental illness, usually to cope with in spite of the high association between substance use and psychiatric disorders, there is a surprising paucity of studies related to treatment and outcome., .
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