skip to main content
Idioma:

Dual Diagnosis, Double Trouble

Lopes, J. ; Freitas, R.

European psychiatry, 2022-06, Vol.65 (S1), p.S471-S471 [Periódico revisado por pares]

Paris: Cambridge University Press

Texto completo disponível

Citações Citado por
  • Título:
    Dual Diagnosis, Double Trouble
  • Autor: Lopes, J. ; Freitas, R.
  • Assuntos: Abstract ; comorbidity ; Drug use ; dual diagnosis ; E-Poster Viewing ; substance abuse
  • É parte de: European psychiatry, 2022-06, Vol.65 (S1), p.S471-S471
  • Descrição: Introduction Many individuals with severe mental illness (SMI) have substance use disorder comorbidity. Dual diagnosis makes the approach and management of these patients even more challenging since the lack of improvement in either pathologies can lead to a deterioration of both. Objectives To illustrate, through the presentation of two cases, the clinical challenges in managing a patient with dual diagnosis Methods Clinical case presentation through retrospective review of clinical notes and non-systematic literature review on this topic Results We present the clinical cases of two women diagnosed with Bipolar Disorder and (poly)Substance Use Disorder since adolescence, who have a history of multiple hospitalizations due to mostly maniform symptoms. The complexity of case management is evident, both at the pharmacological level and in psychosocial intervention. This is aggravated by the difficulty in maintaining adherence to the therapeutic project and frequent relapses. Conclusions Current evidence points to the beneficial effect of a combined pharmacological and psychosocial approach, which must be comprehensive, individualized and require differentiation at various levels that are difficult to achieve and make the treatment of these situations an even greater challenge. Using illustrative examples, this review draws attention to the practical difficulties in managing situations where substance use is associated with SMI. Disclosure No significant relationships.
  • Editor: Paris: Cambridge University Press
  • Idioma: Inglês
Voltar para lista de resultados

  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

Buscando em bases de dados remotas. Favor aguardar.