Dual Disorders: Counseling Clients with Chemical Dependency and Mental Illness

253 Pages·2002·5.76 MB·English

by  Dennis C. Daley, Howard B. Moss, Frances Campbell

title: Dual Disorders : Counseling Clients With Chemical Dependency and Mental Illness
author: Daley, Dennis C.; Moss, Howard.; Campbell, Frances.
publisher: Hazelden Publishing
isbn10 | asin: 0894864491
print isbn13: 9780894864490
ebook isbn13: 9780585156231
language: English
Alcoholics--Mental health, Alcoholics--Counseling of, Mentally ill--Alcohol use, Mentally ill--
subject Counseling of, Substance abuse--Patients--Mental health, Substance abuse--Patients--
Counseling of.
publication date: 1987
lcc: RC565.D35 1987eb
ddc: 616.86
Alcoholics--Mental health, Alcoholics--Counseling of, Mentally ill--Alcohol use, Mentally ill--
subject: Counseling of, Substance abuse--Patients--Mental health, Substance abuse--Patients--
Counseling of.
http://avaxhome.ws/blogs/ChrisRedfield
Page i
DUAL DISORDERS
Page ii
About the authors
Dennis C. Daley, Ph.D., is director of the Center for Psychiatric and Chemical Dependency Services, Western Psychiatric Institute and Clinic
(WPIC), University of Pittsburgh Medical Center, in Pittsburgh, Pennsylvania. He is also an assistant professor of psychiatry in the department of
psychiatry and is involved in a research project studying treatments for cocaine addiction. Daley has been involved in starting several dual
disorders treatment programs and has written many books, consumer and family recovery guides, and educational videos on dual disorders,
addiction, relapse prevention, and family recovery. He lectures frequently throughout the United States and Canada on these topics.
Howard B. Moss, M.D., a psychiatrist specializing in alcohol and drug abuse disorders, is an associate professor of psychiatry at the University of
Pittsburgh Medical Center. Moss previously directed several chemical dependency and dual disorders treatment programs and is currently
involved in several research projects studying vulnerability to substance abuse and a variety of other issues. Moss has written many book chapters
and scientific papers on substance abuse and psychiatric disorders. He lectures throughout the United States and Canada on dual disorders and
areas related to his research endeavors.
Frances Campbell, M.S.N., is a clinical nurse specialist and coordinator of the outpatient component of the Center for Psychiatric and Chemical
Dependency Services at WPIC. Campbell has also helped to develop an inpatient program for dual disorders. She is active in teaching and
research in addition to clinical care. Campbell has published several papers, book chapters, and recovery guides on addiction and dual disorders
and has presented lectures and workshops throughout the United States on dual disorders.
Page iii
DUAL DISORDERS
Counseling Clients With Chemical Dependency And Mental Illness
Second Edition
Dennis C. Daley
Howard Moss
Frances Campbell
HAZELDEN®
INFORMATION & EDUCATIONAL SERVICES
Page iv
Hazelden
Center City, Minnesota 55012-0176
© 1987, 1993 by Hazelden Foundation
All rights reserved. Published 1987. Second Edition 1993
Printed in the United States of America. No portion of this publication may be reproduced in any manner without the written permission of the
publisher
Library of Congress Cataloging in Publication Data
Daley, Dennis C.
Dual disorders: Counseling clients with chemical dependency and mental
illness/Dennis C. Daley, Howard Moss, Frances Campbell-second edition.
p. cm.
Includes bibliographical references and index.
ISBN 0-89486-449-1
1. Dual diagnosisPatientsCounseling of. I. Title.
[DNLM: 1. Alcoholismcomplications. 2. Counseling. 3. Mental
Disorderscomplications. WM 274 D139d
RC564.68.D35 1993
616.86'065 1dc20
DN LM/DLC
for library of Congress 92-48321
CIP
All quotes and personal stories found in this book's anecdotes and examples reflect the actual experiences of these men and women. All names
and identifying details have been changed in order to protect the subjects' anonymity. In some instances, the experiences of several people have
been pulled together to form composite case studies.
Page v
Contents
Preface to the Second Edition ix
Chapter OneDual Disorders: An Overview 1
Introduction 1
Prevalence of Dual Disorders 2
Three Perspectives on Dual Disorders: Patient, Family, Counselor 8
Systems Issues in the Treatment of Dual Disorders 15
Summary 16
Chapter TwoChemical Dependency and Recovery 19
Assessing Chemical Dependency 19
Treatment Issues for Chemical Dependency 26
Areas of Emphasis in Recovery from Chemical Dependency 28
Family Involvement 33
Summary 35
Chapter ThreePersonality Disorders and Chemical Dependency 37
An Overview 37
Classification of Personality Disorders 38
Types of Personality Disorders 40
Summary 43
Chapter FourAntisocial Personality Disorder and Chemical Dependency 45
An Overview 45
Assessment Criteria 48
Assessment Issues 50
Page vi
Counseling Issues 51
Summary 59
Chapter FiveBorderline Personality Disorder and Chemical Dependency 61
An Overview 61
Characteristics of BPD 62
Assessment Criteria 66
Assessment Issues 67
Counseling Issues 68
Medication Issues 73
Summary 74
Chapter SixDepression and Chemical Dependency 77
An Overview 77
Major Depression 79
Assessment Criteria 81
Assessment Issues 82
Counseling Issues 82
Dysthymia 100
Assessment Criteria 100
Assessment Issues 101
Counseling Issues 101
Assessment of Suicidal Risk 102
Summary 104
Chapter SevenBipolar Disorder and Chemical Dependency 107
An Overview 107
Characteristics and Effects of Bipolar Disorders 109
Assessment Criteria 112
Assessment Issues 113
Counseling Issues 114
The Continuum of Care 122
Summary 124
Chapter EightAnxiety Disorders and Chemical Dependency 127
An Overview 127
Panic Disorder 128
Page vii
Assessment Criteria 131
Assessment Issues 132
Counseling Issues 133
Phobic Disorders 136
Counseling Issues 137
Obsessive-Compulsive Disorder 138
Posttraumatic Stress Disorder 139
Assessment Criteria 141
Assessment Issues 142
Counseling Issues 143
Generalized Anxiety Disorder 145
Assessment Criteria 147
Assessment Issues 147
Medication Issues 148
Counseling Issues 148
Outpatient Aftercare 148
Summary 150
Chapter NineSchizophrenia and Chemical Dependency 151
An Overview 151
Characteristics of Schizophrenia 152
Assessment Criteria 157
Staff Issues 158
Assessment Issues 159
Detoxification 161
Treatment Issues and Services 161
Summary 169
Chapter TenOrganic Mental Disorders and Chemical Dependency 171
An Overview 171
Organic Disorders 171
Amnesias 173
Assessment Criteria 175
The Dementias 176
Assessment Criteria 176
Assessment Issues 177
Counseling Issues 179
Summary 180
Page viii
Chapter ElevenRelapse Prevention and Dual Disorders 181
An Overview 181
Key Clinical Issues in Relapse Prevention 185
Summary 196
Chapter TwelveIssues in Dual Disorders Program Development 197
Introduction 197
Program Proposal 200
Sample Program 1: Inpatient Dual Disorders Unit 203
Sample Program 2: An Outpatient Program for Individuals With
211
Schizophrenia and Chemical Dependency
Appendix: Resources for Clients and Families 213
Endnotes 215
Index 233