Dual Diagnosis : An Integrated Approach to Treatment

by Ted R. Watkins

• ISBN13: 9780761915584
• ISBN10: 0761915583
• Edition: 1st
• Format: Paperback
• Copyright: 2000-10-10
• Publisher: SAGE Publications, Inc

Summary

Dual Diagnosis presents a model that integrates theory and research from substance abuse and mental health as well as proposing simultaneous integrated treatment in a single setting. Building upon a solid theoretical and research foundation, the book discusses the unique problems and treatment methods tailored for specific mental illnesses when combined with substance abuse, including schizophrenia, bipolar disorder, major depression, major personality disorders and anxiety disorders.

Table of Contents

Preface	xi
Introduction	1	(10)
Authors	1	(1)
Terminology	2	(7)
Biopsychosocial Model	2	(2)
Problem-Solving Approach	4	(2)
Transtheoretical Model	6	(3)
Conclusion	9	(2)
Issues and Problems With Dual Diagnosis	11	(14)
Definitions	11	(1)
Symptom Interaction	12	(1)
Incidence	13	(2)
Where to Treat	15	(3)
Treatment	18	(2)
Research	20	(1)
Recommendations	21	(1)
Conclusion	22	(3)
Questions for Discussion	24	(1)
Assessment and Differential Diagnosis of Dual Disorders	25	(18)
Background	26	(1)
Unique Diagnosis and Assessment Issues	26	(1)
Case Example	27	(1)
Differential Diagnosis	28	(7)
Axis I Clinical Disorders	28	(1)
Psychotic Disorders	29	(1)
Mood Disorders	30	(1)
Anxiety Disorders	31	(1)
Substance-Related Disorders	32	(1)
Axis II Personality Disorders	33	(1)
Axis III Medical Problems (which can precipitate or mimic mental disorders)	34	(1)
Axis IV Psychosocial and Environmental Problems	34	(1)
Axis V Global Assessment of Functioning	35	(1)
Biopsychosocial Assessment	35	(1)
Psychiatric Rehabilitation Assessment Strategies	36	(3)
Summary of Assessment Tools	38	(1)
Readiness and Motivation for Change	39	(2)
Conclusion	41	(2)
Questions for Discussion	41	(2)
Schizophrenia and Substance-Related Disorders	43	(16)
Case Example	44	(1)
Definitions	44	(1)
Unique Problems	45	(1)
Differential Diagnosis Considerations	45	(1)
Assessment	46	(4)
Short-Term Assessment Considerations	46	(2)
Summary of Types of Short-Term Assessment Instruments	48	(1)
Long-Term Assessment Considerations	48	(1)
Questions Typically Found on Rehabilitation Assessment Instruments	49	(1)
Summary of Long-Term Assessment Considerations	50	(1)
Treatment Goals	50	(1)
Treatment Model	51	(1)
Readiness for Change	51	(2)
Helping Relationship	53	(1)
Psychopharmacological Considerations	53	(1)
Cognitive-Behavioral Dimensions	54	(1)
Coping Skills	54	(1)
Interpersonal Skills	55	(1)
Family Relationships	56	(1)
Environmental Interventions	56	(1)
Affective Dimensions	57	(1)
Support Groups	58	(1)
Conclusion	58	(1)
Questions for Discussion	58	(1)
Depression and Substance-Related Disorders	59	(23)
Definitions	59	(2)
Unique Problems	61	(2)
Case Examples	63	(2)
Assessment Considerations	65	(1)
Defining the Problem	65	(4)
Who Is Involved in the Problem Situation?	67	(1)
The Person With the Problem	68	(1)
Treatment Goals	69	(2)
Outcomes	70	(1)
Treatment Model	71	(1)
Readiness for Change	72	(1)
Helping Relationship	73	(1)
Psychopharmacological Considerations	74	(1)
Cognitive-Behavioral Dimensions	75	(1)
Coping Skills	75	(1)
Self-Liberation	75	(1)
Stimulus Control	75	(1)
Psychoeducation	76	(2)
Consciousness Raising	76	(1)
Self-Reevaluation	76	(1)
Interpersonal Skills	77	(1)
Environmental Reevaluation	77	(1)
Counterconditioning	78	(1)
Family Relationships	78	(2)
Contingency Management	79	(1)
Environmental Intervention	80	(1)
Social Liberation	80	(1)
Affective Dimensions	80	(1)
Dramatic Relief	80	(1)
Support Groups	81	(1)
Questions for Discussion	81	(1)
Bipolar Disorders	82	(21)
Definitions	82	(1)
Unique Problems	83	(3)
Case Examples	86	(2)
Assessment Considerations	88	(3)
Defining the Problem	88	(1)
Who Is Involved in the Problem Situation?	89	(1)
The Person With the Problem	90	(1)
Treatment Goals	91	(1)
Treatment Model	91	(1)
Readiness for Change	92	(1)
Helping Relationship	93	(1)
Psychopharmacological Considerations	94	(1)
Cognitive-Behavioral Dimensions	94	(2)
Coping Skills	94	(1)
Self-Liberation	94	(1)
Stimulus Control	95	(1)
Psychoeducation	96	(1)
Consciousness Raising	96	(1)
Self-Reevaluation	97	(1)
Interpersonal Skills	97	(1)
Environmental Reevaluation	97	(1)
Counterconditioning	98	(1)
Family Relationships	98	(3)
Contingency Management	100	(1)
Environmental Intervention	100	(1)
Social Liberation	100	(1)
Affective Dimensions	101	(1)
Dramatic Relief	101	(1)
Support Groups	101	(2)
Questions for Discussion	102	(1)
Severe Personality Disorders	103	(18)
Definition	104	(1)
Case Study	105	(1)
Unique Problems	105	(2)
Cluster A: Paranoid, Schizoid, and Schizotypal Personality Disorders	105	(1)
Cluster B: Antisocial, Borderline, Histrionic, and Narcissistic Personality Disorders	106	(1)
Cluster C: Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders	106	(1)
Assessment Considerations	107	(2)
Treatment Goals	109	(1)
Treatment Model	110	(1)
Readiness for Change	111	(2)
Helping Relationship	113	(1)
Psychopharmacological Considerations	114	(2)
Cognitive-Behavioral Dimensions	116	(1)
Coping	116	(1)
Psychoeducation	117	(1)
Interpersonal Skills	117	(1)
Family Relationships	117	(1)
Environmental Intervention	118	(1)
Affective Dimensions	119	(1)
Support Groups	119	(2)
Questions for Discussion	120	(1)
Anxiety Disorders and Substance-Related Disorders	121	(15)
Case Example	122	(1)
Definitions	123	(1)
Unique Problems	123	(1)
Differential Diagnosis	124	(1)
Assessment Considerations	125	(2)
Short-Term Assessment Considerations	125	(1)
Long-Term Assessment Considerations	126	(1)
Treatment Goals	127	(1)
Treatment Model	128	(1)
Readiness for Change	128	(1)
Helping Relationship	129	(1)
Psychopharmacological Considerations	129	(1)
Cognitive-Behavioral Dimensions	130	(2)
Family Relationships	132	(1)
Environmental Interventions	132	(1)
Affective Dimensions	133	(1)
Support Groups	134	(1)
Evaluation of Treatment Effectiveness	134	(1)
Summary	135	(1)
Questions for Discussion	135	(1)
Primary Substance Abuse Disorders	136	(18)
Definition	136	(1)
Unique Problems	137	(1)
Assessment Considerations	138	(1)
Case Example	138	(1)
Treatment Goals	139	(1)
Treatment Model	139	(2)
Readiness for Change	141	(1)
Helping Relationship	142	(2)
Psychopharmacological Considerations	144	(1)
Cognitive-Behavioral Dimensions	145	(2)
Coping	147	(1)
Psychoeducation	148	(1)
Interpersonal Skills	149	(1)
Family Relationships	150	(1)
Environmental Interventions	150	(1)
Affective Dimensions	151	(1)
Support Groups	152	(2)
Questions for Discussion	153	(1)
Conclusion and Treatment Grid	154	(14)
Assessment	155	(1)
Readiness for Change	155	(1)
Helping Relationship	156	(1)
Psychopharmacological Considerations	157	(1)
Cognitive-Behavioral Dimensions	157	(1)
Psychoeducation	158	(1)
Self-Reevaluation	158	(1)
Interpersonal Relationships	158	(1)
Cultural Sensitivity	159	(1)
Conclusion	160	(8)
References	168	(14)
Index	182	(13)
About the Authors	195