Dual Disorders : Counseling Clients With Chemical Dependency and Mental Illness

Preface to the Third Edition xv Acknowledgments xix Dual Disorders: An Overview 1(38) Introduction 1(3) Prevalence of Dual Disorders 4(2) Origins of Mental Disorders 6(3) Relationships Between Chemical Dependency and Psychiatric Illness 9(4) Three Perspectives on Dual Disorders 13(7) Assessment of Dual-Diagnosis Clients 20(5) Treatment of Psychiatric and Dual Disorders 25(6) Treatment Adherence 31(5) Systems Issues in the Treatment of Dual Disorders 36(1) Summary 37(2) Chemical Dependency: Treatment and Recovery 39(26) Understanding Chemical Dependency 39(5) Classification and Assessment of Substance Use Disorders 44(10) Psychosocial Treatment of Chemical Dependency 54(3) Medications for Chemical Dependency 57(5) Outcomes of Treatment for Chemical Dependency 62(1) Summary 63(2) Recovery from Dual Disorders 65(14) Overview of Recovery and Stages of Change 65(2) Physical and Lifestyle Issues in Recovery 67(2) Psychological and Behavioral Issues in Recovery 69(3) Social Interpersonal, and Family Issues in Recovery 72(3) Spiritual Issues in Recovery 75(2) Tailoring Recovery to the Dual-Disordered Client 77(1) Summary 78(1) Family Involvement in Treatment and Recovery 79(20) Impact of Psychiatric Disorders on the Family 79(2) Impact of Substance Use Disorders on the Family 81(1) Impact of Dual Disorders on the Family 82(2) Factors Mediating the Impact of Dual Disorders on the Family 84(3) Practical Strategies to Help Families 87(9) Family Recovery 96(1) Summary 97(2) Personality Disorders and Chemical Dependency 99(14) An Overview 99(2) Temperament and Character 101(1) DSM Classification of Personality Disorders 102(3) Types of Personality Disorders 105(4) Treatment of Personality Disorders 109(2) Summary 111(2) Antisocial Personality Disorder and Chemical Dependency 113(24) An Overview 113(6) DSM Assessment Criteria 119(2) Counseling Issues 121(3) The Continuum of Care 124(10) Summary 134(3) Borderline Personality Disorder and Chemical Dependency 137(24) An Overview 137(7) DSM Assessment Criteria 144(2) Counseling Issues and the Continuum of Care 146(10) Medications 156(3) Summary 159(2) Depression and Chemical Dependency 161(44) An Overview 161(4) Major Depression 165(3) DSM Assessment Criteria for Major Depression 168(2) Counseling Issues 170(19) The Continuum of Care 189(3) Medications 192(4) Electroconvulsive Therapy 196(2) Dysthymia 198(3) Assessment of Suicidal Risk 201(2) Summary 203(2) Bipolar Disorder and Chemical Dependency 205(28) An Overview 205(8) DSM Assessment Criteria for Bipolar I Disorder 213(1) Assessment Issues 214(1) Medications 215(4) Counseling Issues 219(8) The Continuum of Care 227(3) Summary 230(3) Anxiety Disorders and Chemical Dependency 233(44) An Overview 233(2) Panic Disorder 235(4) DSM Assessment of Panic Disorder 239(2) Counseling Issues for Panic Disorder 241(4) Medications for Panic Disorder 245(2) Assessment Issues for Phobic Disorders 247(3) Counseling Issues with Phobias 250(3) Medication Issues for Phobic Disorders 253(1) Assessment of Obsessive-Compulsive Disorder 253(1) Counseling Issues for OCD 254(2) Medications for OCD 256(1) Posttraumatic Stress Disorder 256(4) Assessment of PTSD 260(2) Counseling Issues for PTSD 262(4) Medication for PTSD 266(1) Generalized Anxiety Disorder 266(3) Assessment Issues for GAD 269(1) Medication for GAD 270(1) Counseling Issues for GAD 271(1) The Continuum of Care 272(2) Summary 274(3) Schizophrenia and Chemical Dependency 277(34) An Overview 277(3) Characteristics of Schizophrenia 280(3) DSM Assessment Criteria for Schizophrenia 283(4) Assessment Issues 287(4) The Continuum of Care and Counseling Issues 291(17) Summary 308(3) Cognitive Disorders and Chemical Dependency 311(18) An Overview 311(1) Delirium 312(1) DSM Assessment Criteria for Delirium 313(1) Dementia 313(1) DSM Assessment Criteria for Dementia 314(1) Amnestic Disorders 315(2) DSM Assessment of Alcohol-Induced Persisting Amnestic Disorder 317(1) Diagnosing Cognitive Disorders 318(2) Counselor Assessment 320(3) Medications 323(1) Counseling Issues 324(2) Summary 326(3) Relapse Prevention and Dual Disorders 329(20) An Overview 329(5) Clinical Interventions to Reduce Relapse Risk 334(13) Summary 347(2) Group Treatment of Dual Disorders 349(18) Goals and Curative Factors in Groups 349(16) Summary 365(2) Issues in Dual Disorders Program Development 367(14) Integrated Services and Counseling Approaches 367(5) Developing Dual-Diagnosis Programming 372(7) Review of Recovery Skills for Dual-Diagnosis Clients 379(1) Summary 380(1) Bibliography 381(40) Index 421(26) About the Authors 447