Managing patients with dual diagnosis in psychiatric practice

    Research output: Contribution to journalReview articlepeer-review

    30 Citations (Scopus)


    Purpose of Review: To focus on recent research that may influence clinical practice in relation to patients with dual diagnosis disorders. Recent Findings: Harmful substance use is a heightened risk with bipolar disorder. Self-medication with substances of abuse for anxiety is linked with greater risk of developing anxiety disorders, particularly social anxiety disorder. Antisocial and schizotypal personality disorders were particularly linked with chronicity in substance use disorders. There are sex differences in responses to psychological approaches for dual disorders involving alcohol. Integrated dual diagnosis treatment for youth is not conclusive but shows promise. Online therapy is viable for adult patients with dual diagnosis. Structured interventions reduce the risk of opioid misuse amongst those with chronic pain, who are identified as at high risk. Summary: We have confirmation that clinicians should be particularly vigilant in monitoring for substance use problems early in anxiety disorders and mood disorders and that certain personality disorders are linked with substance use chronicity. Practitioners can incorporate specific therapy approaches for dual disorders that appear to have advantages over treatment as usual.

    Original languageEnglish
    Pages (from-to)201-205
    Number of pages5
    JournalCurrent Opinion in Psychiatry
    Issue number3
    Publication statusPublished - May 2012


    • comorbidity
    • dual diagnosis
    • mental illness
    • substance use disorders


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