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Drug and Alcohol Abuse and Bipolar Disorder McMaster University. Short easy to read article for Physicians. About 60 percent of bipolar patients in the community have some form of drug or alcohol abuse or dependence at some point in their lives, about 10 times the rate in the general population.
Dual Diagnosis: Adolescents with Co-occurring Brain Disorders and Substance Abuse Disorders The combination of mental illness and substance abuse is so common that many clinicians now expect to find it. Studies show that more than half of young persons with a substance abuse diagnosis also have a diagnosable mental illness.
Public and Research Views of Dual-Diagnosis Explored Psychiatric Times May 1995 "In bipolar, it's the rule not the exception that a patient has a lifetime history of addictive disorder. Darrel A. Regier, M.D
Dual Diagnoses, New Perspectives Medscape Mar 2003 Certainly, in the taking of a family history of bipolar disorder, a disorder well known for a strong genetic component, the patient often reports no history of bipolar disorder in a family. Almost invariably, when that patient is asked if there is any history of alcoholism in the family, there is a positive response
Substance Abuse History Complicates Treatment of Bipolar Patients
Bipolar Disorders Letter May 2000 (defunct link)
Wayback Machine type in
www.mhsource.com/bipolar/bp0005sahist.html in the search engine to get this
article.If clinicians are alert to the potential co-occurrence of drug abuse
with bipolar illness, diagnose both entities and treat them both aggressively
early on, the prognosis can be excellent, Goldberg explained.
Cormorbid Bipolar
Illness and Substance Abuse Disorder Bipolar Disorders Letter Nov, 2000
with bipolar disorder…56% had
alcohol or drug abuse or dependence, compared to people with unipolar depression
where only 27% had a substance use disorder." (defunct)
Wayback Machine www.mhsource.com/bipolar/bp0011comorb.html
Substance Use, Bipolar Disorder and Suicide Bipolar Disorders Newsletter
APA- Severe Alcohol Addiction May Be Widely Prevalent In Bipolar Patients Doctor's Guide May 2003 the average bipolar patient with alcohol dependence consumed approximately 152 drinks per month (11 drinks per day, 14 days per month).
Dual diagnosis website Kathleen Sciacca, M.A
The Family and the Dually Diagnosed Patient This is one of many articles on her site
Start Slow in Dual-Diagnosis Therapy Programs quotes Kathleen Sciacca (medscape not working)Wayback Machine type in www.medscape.com/IMNG/ClinPsychNews/1998/v26.n04/cpn2604.22.01.html Many mentally ill clients cannot sustain the intensity of a confrontational substance abuse program, Ms. Sciacca said
Single, Double, and Triple
Diagnoses Mark W. Viner, MD, B. Sutter, BA, and C. Burchette CME
Reviews (broken link)Wayback Machine
type in mblcommunications.com/PP698_Viner.html
New
Frontiers in the Assessment and Treatment of Dual Diagnosis
Kathleen T. Brady, MD 1999 American Psychiatric Association Annual Meeting
Day 3 - May 19, 1999 Medscape (not working)
Link Between Mental Disorders, Violence Identified Among Young Adults
medscape, Subjects who met criteria for alcohol dependence were 1.9 times
more likely than control subjects to be violent. Marijuana dependence led to a
3.8 times higher risk, while schizophrenia-spectrum disorder was associated with
a 2.5 increased risk For patients with two of these disorders, the risk of
violence was 8 to 18 times greater than that for individuals with no mental
disorders. Oct 19, 2000 Wayback Machine psychiatry.medscape.com/reuters/prof/2000/10/10.19/20001018epid002.html
Self-Medicating:
When the Cure IS the Disease by
Kimberly Bailey about.com
Dual
Diagnosis Is there a single cause? Kimberly Bailey About.com
Assessment and Treatment of Patients with Coexisting Mental Illness and Alcohol and Other Drug Abuse CSAT Treatment Improvement Protocols (TIPs)
Dual Diagnosis: Substance Abuse And Mental Illness Copyright 1993 National Alliance for the Mentally Ill
Dual Diagnosis: Mental Illness and Substance Abuse NAMI
Mentally Ill Alcohol and Substance Abusers
Bipolar Illness and Alcohol Abuse- Course and Treatment Kathleen T. Brady, MD, PhD American Psychiatric Association 153rd Annual Meeting Day 2 - May 15, 2000 medscape updated link Fifty-six percent of individuals with bipolar disorder meet lifetime criteria for drug or alcohol abuse or dependence
Substance
Abuse and Bipolar Disorder Kathleen T. Brady, MD, PhD at medscape which requires
free registration
Comorbidity
of Substance Use and Axis I Psychiatric Disorders Kathleen T. Brady, MD, PhD
medscape
Substance Abuse,
Mental Illness, And Dual Diagnosis
Anticonvulsants
No Replacement for Lithium anticonvulsants preferred treatment for substance
abusers
Novelty Seekers
and Drug Abusers Tap Same Brain Reward System, Animal Studies Show
Treating Mood Disorders in Drug Abuse Patients Yields Improvement in Both Conditions... NIDA
Attempted Suicide and Alcoholism in Bipolar Disorder: Clinical and Familial Relationships amer.j.of psychiatry abstract. Bipolar with alcoholism had a suicide rate of 38.4 %of attempted suicide, without alcohol 21.7
Divalproex Sodium in Substance Abusers With Mood Disorder medscape abstract only
Treatment of Drug Addiction medscape
Dual-Diagnosis Program Guidelines Focus on Making Gradual Progress Medscape May ,2002 (new link)