Treatment of Ptsd and Substance Abuse Comorbidity
نویسنده
چکیده
The best evidence suggests that PTSD is often comorbid with other Axis I and Axis II disorders. National estimates hypothesize that over 85% of individuals with PTSD will meet diagnostic criteria for at least one additional disorder. Inpatient substance abuse centers report that up to 50% of their clients also meet criteria for PTSD. The comorbidity of PTSD and substance abuse (PTSD-SA) is unlike that of other comorbid disorders due to the complex relationship between PTSD symptom presentation, the effects of the substance of choice, and the effects of withdrawal symptoms when attempts are made to eliminate the substance from the body. This paper seeks to explore three prominent theories regarding the etiology of PTSD-SA comorbidity as well as the unique relationship between the symptom presentations of these disorders. Also addressed is the controversy between clinical lore and recent empirical evidence regarding efficacious treatments for individuals with this combination of disorders.
منابع مشابه
P1: A Review of Neuropsychological Function in Post Traumatic Stress Disorder (PTSD) with Substantial Substance Use Comorbidity
Neuropsychological approach tries to link behavior with brain functions. One of the structural changes and functional disorders that is, post-traumatic stress disorder (PTSD). This impaired memory function, learning, emotional processing and cognitive and structural changes in the brain. Various aspects of neuropsychological function have been reported to be abnormal in (PTSD); however, the maj...
متن کاملVenlafaxine - quetiapine combination in the treatment of complicated clinical picture of enduring personality changes following PTSD in comorbidity with psychotic depression.
PTSD is a complex disorder, which frequently occurs in comorbidity with anxious disorder, personality disorder, addiction or substance abuse disorder, depressive disorder with or without psychotic symptoms and psychotic disorder. PTSD symptoms may result from deregulation of several different neurotransmitter systems. Pharmacotherapy of PTSD depends on clinical features and the presence of como...
متن کاملO15: Trauma & Addiction
Life traumatic experiences are major health problems in different communities. Early trauma exposures such as physical and sexual abuse, and midlife traumatic events like exposing to disasters are predisposing and precipitating risk factors for many psychiatric disorders, although many people facing to trauma may not show any problematic symptoms and are quite resilient. Neuropsychiatric eviden...
متن کاملO2: Posttraumatic Stress Disorder and Substance Use Disorder: A Review of the U.S. VA/DOD Clinical Practice Guidelines and the Utility of Integrated Care
Post-traumatic stress disorder (PTSD) is a common mental health condition among military veterans, and research indicates that lifetime prevalence rates of PTSD among military veterans are higher than that of the general population (SAMHSA, 2007). The treatment of PTSD is often complicated by issues of comorbidity, such as substance use disorders, and treatment outcomes are poorer when comorbid...
متن کاملCourse and treatment of patients with both substance use and posttraumatic stress disorders.
Posttraumatic stress disorder (PTSD) is a common co-occurring diagnosis in patients with substance use disorders (SUDs). Despite the documented prevalence of this particular "dual diagnosis," relatively little is known about effective treatment for SUD-PTSD patients. This article reviews empirical research on the course and treatment of SUD-PTSD comorbidity and highlights clinically relevant fi...
متن کامل