Indian Journal of PsychiatryIndian Journal of Psychiatry
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ARTICLE
Year : 2000  |  Volume : 42  |  Issue : 1  |  Page : 34-47

Management of "Dual Diagnosis" Patients : Consensus, Controversies and Considerations


1 Associate Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh -160012, India
2 Assistant Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh -160012, India

Correspondence Address:
Debasish Basu
Associate Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh -160012
India
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Source of Support: None, Conflict of Interest: None


PMID: 21407906

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The term 'dual diagnosis' denotes the coexistence of substance use disorder(s) and other, non-substance-use, psychiatric disorder(s). The last two decades, and especially the 1990s, have witnessed tremendous research and clinical interest in this previously neglected area. India, however, lags behind, inspite of indications that the problem exists here too. The current approach to managing such patients is the 'integrated treatment model' in which the same clinician (or team of clinicians) provides treatment for both the disorders at the same time, treating both with equal understanding and importance. Both pharmacotherapy as well as psychosocial therapies are specifically designed keeping in mind the integrated' philosophy of treatment. The specific principles and components are described Areas of difficulty, uncertainty, and future considerations are highlighted, with a note on the Indian setting.



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