Managing the Dual Diagnosis Dilemma of Bipolar Disorder and Substance Abuse in Clinical Settings

Drug addiction is a chronic mental disorder that significantly impacts all aspects of an individual's life, and substance use disorder in patients with bipolar disorder. The objective of this study is to assess the frequency of substance abuse among patients with bipolar spectrum disorder. This...

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Bibliographic Details
Published in:Journal of dual diagnosis 2024-04, Vol.20 (2), p.178-187
Main Authors: Samimi Ardestani, Seyed Mehdi, Amin-Esmaeili, Masoumeh, Seif, Pegah, Gudarzi, Shahrokh S., Rafiefarahzadi, Maliheh, Semnani, Yousef
Format: Article
Language:English
Subjects:
adult
Bipolar disorder
depression
Drug abuse
Drug use
methadone
substance abuse
Substance use disorder
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Summary:Drug addiction is a chronic mental disorder that significantly impacts all aspects of an individual's life, and substance use disorder in patients with bipolar disorder. The objective of this study is to assess the frequency of substance abuse among patients with bipolar spectrum disorder. This cross-sectional study evaluated the frequency of bipolar spectrum disorder in patients taking methadone through various screening measures, including Mini Mental State Examination (MMSE), DSM IV criteria, Mood Disorders Questionnaire (MDQ), Goodwin and Ghaemi's criteria, and Akiskal classification for bipolar disorders. Out of the total 197 participants in the study, 77 were identified as individuals engaging in poly-substance abuse. The investigation assessed the frequency of bipolar spectrum disorder based on various diagnostic criteria: 24% according to DSM-IV criteria, 29.9% using MDQ, 29.9% based on Ghaemi and Goodwin's criteria, and the highest rate at 48.2% when applying Akiskal's classification. This study highlights the high frequency of bipolar disorder among individuals with substance use disorder, especially those with concomitant depression. Therefore, it is crucial to pay special attention to individuals with substance use disorder with co-existing bipolar disorder.
ISSN:1550-4263
1550-4271
DOI:10.1080/15504263.2024.2328600