Summary: <p>Continuum of Co-Occurring DisordersContinuum of Co-Occurring Disorders Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director: AllCEUs Counseling CEUs and Specialty Certificates Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery</p> <p>CEUs can be earned for this podcast at AllCEUs.com. Learn more about our addiction counselor training options at https://allceus.com/certification</p> <p>Objectives~ Explore a couple cross cutting issues~ Explore the varying courses of addiction and mental health disorders~ Explore the continuum of addictive behaviors from initiation, intoxication, harmful use, abuse, dependence, withdrawal, craving, relapse and recovery~ Explore the continuum of mental health disorders from mild to severe to recovery, and explore causes of relapse<br> Mental Health Disorders—Why Do I Care?~ Treating someone with a mental health or personality disorder complicates the picture and increases risk of concurrent disorders~ Addictive~ Mood~ Personality~ People with more chronic or longer standing mental health issues are at a much greater risk for misusing substances or developing addictive disorders.<br> Mood Disorders—General Information~ Effective differential diagnosis~ Both substance use and discontinuance may be associated with depressive symptoms.~ Acute manic or anxiety symptoms may be induced or mimicked by intoxication with stimulants, steroids, hallucinogens, or polydrug combinations.~ Withdrawal from depressants, opioids, and stimulants invariably includes potent anxiety symptoms. ~ Medical problems and medications can produce symptoms of anxiety and mood disorders. ~ Lookout for substance misuse~ Those with depression favor stimulation and those with anxieties favor sedation, but there appears to be considerable overlap. Mood Disorders Risk Factors~ Genetics: 30-40% of variability~ Environment– Especially multiple adverse childhood experiences, overprotective or disengaged parents ~ Temperamental- Neuroticism/negative affect ~ Moody and to experience such feelings as anxiety, worry, fear, anger, frustration, envy, jealousy, guilt, depressed mood, and loneliness~ Respond worse to stressors and are more likely to interpret ordinary situations as threatening and minor frustrations as hopelessly difficult. ~ Self-conscious and shy~ Have trouble controlling urges and delaying gratificationMood Disorders: Continuum~ Considerations~ Situational~ Episodic with no easily identifiable trigger~ Continuum~ Mild~ Moderate~ Severe~ RemissionMood Disorders Course~ Median Age of Onset~ 13 for social anxiety~ 30 for GAD~ Puberty (10-14) for Major depressive disorder~ Content of anxiety is age appropriate changing over the lifespan~ Depression diagnosis requires 5 of 9 symptoms resulting in 126 possible presentations~ In MDD, the first episode presentation is quite variable with…~ Some never achieving remission of 2 or more months~ Others going years between episodesMood Disorders Course~ Recovery begins within 3 months of onset for 2:5 and within 1 year for 4:5~ The longer the recovery period, the lower the chance of recurrence~ Early onset of persistent depressive disorder is correlated with a higher incidence of developing personality and addictive disorders. (DSM-V)~ Those with chronic episodes or long-standing symptoms have higher risk of developing concurrent mental health and addictive disorders<br> Mood Disorders Course~ General Course ~ Mood symptoms~ Social problems due to mood symptoms (irritability, fatigue)~ Depression, anxiety, grief about mood symptoms~ Sleep disruption/Exhaustion~ Reduced involvement in important activities (work, family, recreation)~ Withdrawal from social relationships~ Increased mood symptoms</p> <p>Mood Disorders Course~ General Course (Recovery)~ Desire for help and hope that recovery is possible~ Begins proper self-care (including medical & psychiatric as needed)~ Appreciation of possibilities—What does happiness/recovery look like for you? </p>
