Concurrent Substance and Addictive Disorders Flashcards

1
Q

What is a concurrent disorder?

A

Person has at least 1 substance related/addictive disorder co-occurring with at least one another mental disorder. This is very common and there’s lots of different combinations.

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2
Q

Should you screen for a concurrent mental disorder when someone has a substance related/addictive disorder?

A

yes it’s recommended

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3
Q

How many people that seek help from addiction also suffer from a mental disorder?

A

50%

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4
Q

6 domains to assess in concurrent disorders?

A
  1. Acute intoxication or withdrawal potential
  2. Biomedical conditions and complications
  3. Emotional/behavioural/cognitive conditions
  4. Readiness to change (most important)
  5. Relapse/continued use/continued problem potential
  6. Recovery environment
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5
Q

What is sequential treatment ?

A

One treatment after the other so it focuses on one treatment at a time

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6
Q

What is parallel care?

A

Different providers/treatment teams address each disorder separately.

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7
Q

Integrated care?

A

Attempt to fully/partially blend behavioural health services with medical services. The same provider/treatment team will address both disorder concurrently. This is the best approach.

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8
Q

Concurrent substance use/mood disorders?

A

15-50% of substance use disorder have dx of at least one depressive disorder. Bipolar/substance use disorder prevalence is 40%. There’s an increased suicide risk and need to implement integrated care

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9
Q

Most effective therapy for substance use/anxiety disorder?

A

CBT

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10
Q

Substance use and PTSD?

A

60% of people who suffer from PTSD also suffer from addictive disorder. Treatment is combining first line medication with EMDR, prolonged exposure therapy, or cognitive processing therapy.

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11
Q

Substance used and ADHD interventions?

A

Stimulant medications, non stimulant medications, psychosocial interventions (CBT).

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12
Q

Substance use and psychotic disorder interventions?

A

Ensure adequate safety/security, concurrent treatment of psychotic symptoms/substance use, medication adherence, pharmacotherapy, and psychosocial approaches

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13
Q

Substance use and personality disorder interventions?

A

DBT, ensure safety to self/others, pharmacotherapy for combed conditions like (MDD, ED)

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14
Q

Nursing management for concurrent disorders?

A

Recognize sigma, relapse prevention, psychoeducation for goal setting, denial is a common defensive mechanism, use a non judgemental approach

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