Managing the Dually Diagnosed Patient : Current Issues and Clinical Approaches

* 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 Womenâs 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