Contact Us
Sign In / Sign Up for FREE
Go to advanced search...

Dual Diagnosis - Case Study Example

Comments (0) Cite this document
Introduction: Substance misuse and addictive behaviour are very common and are regarded as a major public health problem in the United Kingdom. In this critical review, the author, a mental health value stream worker critically reviews the assessment and engagement processes of a client with dual diagnosis…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER91.9% of users find it useful
Dual Diagnosis
Read TextPreview

Extract of sample "Dual Diagnosis"

Download file to see previous pages This is designed to demonstrate the scientific rationale and clinical efficacy of an assessment tool and the engagement process that would have been used while assessing a client of this kind. The primary diagnosis of this client was paranoid schizophrenia with a subsequent secondary diagnosis of a substance-related disorder, drugs and alcohol dependence.
The patient has been with Early Intervention Services since July 2007. The client has a recent exacerbation of symptoms with deterioration of mental health, and the paranoiac component of schizophrenia has increased recently in that he developed evident persecutory delusions. He believes neighbours are tracing him with electronic devices. He was verbally abusive and threatening to the attending community team, and the mother reported threatening behaviour. He had also assaulted mother in the recent past. He is on psychotropic medications, and despite being on those, he continues to abuse illicit drugs and alcohol.

Clients with a dual diagnosis are difficult to assess because they are not a homogenous group. In addition, these clients often are poor historians and are noncompliant during the assessment process (O'Connell DF, 1998). Individuals with dual diagnosis often have complex and multiple needs that are difficult to assess in a comprehensive manner. The key process is engaging with the client that can lead to a successful interview to extract information from the client. This interview process also would need to be a medium of developing a therapeutic relationship with the client. When this interviewer approaches the client, the client may appear isolated and lost in thought. This interviewer needs to introduce him/herself and explain the reasons of the interview to the client. The lack of knowledge and skills in assessing mental health or taking a drug and alcohol history and exploring the attitude towards substance misuse is difficult. Often during the first encounter, the client would not respond. The assessor must ensure that the place of interview is private, secluded from outside, and ascertain that all the client's conversations remain confidential. With this, most of the clients would ease a little bit, opening up would demand more.
During this process, it is important to face the patient with an open mind taking care to exclude social prejudice, negative attitudes, and stereotyped perceptions about the substance misusers. When the patient needs utmost care, these factors in the mental health workers may lead to inappropriate assessment and consequently inadequate care, and the patients may end up receiving minimal care. Due to the basic mental condition and social stigma associated with substance abuse, the patients would normally be very reluctant to answer questions. Most clients would verbalize after the initial screening period is over, provided the assessor persists to develop an empathic attitude. When the client starts verbalizing, this opportunity needs to be taken to facilitate both verbal and nonverbal communication, taking care to ensure empathic statements. During the conversation, the content must be summarized and recapitulated frequently, gradually advancing from points of dissent to negotiation. As things would start falling in place, the nature of questions needs to be changed from open to closed questions. The interviewer must remain guarded in terms of normalizing statements, making premature reassurance, false reassurance, switching topics, and asking leading questions.
In his psychiatric history, his presenting complaint was that neighbours are following him with electronic gadgets, and his mother is ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 words”, n.d.)
Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 words. Retrieved from
(Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 Words)
Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 Words.
“Dual Diagnosis Case Study Example | Topics and Well Written Essays - 3000 Words”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document


Dual diagnosis

...?Dual diagnosisDual diagnosis’ is a term used to describe the “patients who meet the DSM-IV criteria for both, substance abuse and psychiatric disorder” (Dale 2001, p. 190). ‘Substance use disorder’ is the psychological disorder which occurs when people become addicted to the substance by abusing it and depending on it (Drake et al. 2003, p.53). The term used for substance use disorder is ‘substance abuse’ (Drake et al. 2003, p.53). ‘Severe mental illness’ is a term used to describe the long term psychiatric disorders which make a person incapable of leading a normal life and handling his mundane responsibilities (Drake et al. 2003, p.53). When substance abuse and severe mental illness co-occurs in a person, then he comes under... the...
4 Pages(1000 words)Essay

Have services closed the gap in delivering appropriate support in dual diagnosis working

...? 25 March Have services closed the gap in delivering appropriate support in dual diagnosis working? A person is said to have dual diagnosis when he/she suffers from a mental disorder along with being caught in the problem of substance use. “The term “dual diagnosis” is often used to refer to the subset of possible comorbidities that involve a substance use disorder and a severe mental illness – usually schizophrenia or bipolar disorder” (Thombs 113). Rate of problems related to mental health is higher in people who take drugs and consume alcohol in comparison to others who do not do any or both of these. Likewise, patients that suffer from mental illness are quite likely to sustain their substance use habits throughout their life... caused...
4 Pages(1000 words)Literature review

Nursing Care of People with Substance Related Disorder and Dual Diagnosis

...?Running head: NURSING CARE OF PEOPLE WITH SUBSTANCE RELATED DISORDER AND DUAL DIAGNOSIS Nursing Care Of People with Substance Related Disorder and Dual Diagnosis Insert Name Insert Course Title Insert Instructor’s Name 28 September 2011 Nursing care of people with substance related disorder and dual diagnosis Introduction The subject of this case study is a 28-year-old male named Joe Fielding, who previously worked in advertising, but of late, he has been working as a laborer. He was married to Fiona with whom they have a child named Liam but now they are divorced, with Fiona taking custody of their child. Currently, he is a client of...
6 Pages(1500 words)Case Study

Care Plan for Dual Diagnosis to Mental Health Patients

...? Care Plan for Dual Diagnosis to Mental Health Patients By (Module and number) Care Plan for Dual Diagnosis to Mental Health Patients Taking care of the health is very important as it serves as the foundation of the wellness of a person. He is able to perform and function well when his health is in good condition. Ideally, it is easy to keep the self healthy, but in the fast-changing world where demands are high and complex systems arise, each person has experienced being trapped in confusion at one part of his life. It gives pressure to the life and health of the individual that leads to stress. Stress then causes imbalance in the body and weakens it eventually leaving...
7 Pages(1750 words)Essay

Treating a Dual Diagnosis Client

...Treating a Dual Diagnosis Client Abstract This paper presents as case of Dual-Diagnosis client. David who is diagnosed with depression and alcohol addiction is assessed in accordance with the ethical standards and values of mental health care. The diagnosis process is described within the paper within the application of the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-IV) model and David’s symptoms to come up with a conclusive diagnosis. A treatment plan is designed within this paper which includes detoxification and application of dual treatment approach in a rehabilitative phase in...
6 Pages(1500 words)Research Paper

PROBLEMATIC SUBSTANCE USE/ DUAL DIAGNOSIS//What assessments would need to be carried out to enable effective care planning for

...?Problematic substance use/ dual diagnosis By Dual diagnosis The manifestation of mental illness, which is accompanied by a serious addiction to drugs and or alcohol is referred to as dual diagnosis. They are often confused to be one problem because the general assumption is that the psychiatric disorders manifested by a patient are the resultant effects of excessive and heavy use of drugs (Phillips, 2009). It has, however, been opened by medical researchers that the two are separate illnesses that tend to be manifested concurrently in patients of this nature. They have an effect on the physical and psychological health of the individual...
4 Pages(1000 words)Essay

What Defines Effective Care Planning for a Patient with Dual Diagnosis

...College: Effective Care Planning for a Patient with Dual Diagnosis Introduction A person with dual diagnosis is one who has both drug/substance problem and mental/psychiatric disorder; these two problems are often known to occur together. Drastically, drug and alcohol abuse is known to occur with mental problems such as; depression like bipolar depression, personality disorders and anxiety disorders like obsessive compulsive disorder; actually, these disorders start first and people fall into drugs like alcohol, under the idea that these drugs will facilitate them getting better (David, 2005, 102). Abuse of these drugs for a long time can lead to emotional problems or...
4 Pages(1000 words)Essay

Co morbidity and dual diagnosis

... This paper looks into the issue of co morbidity and dual diagnosis. Substance abuse mental disorders are often linked together. Alcohol is linked with depression as cannabis is linked with psychosis and schizophrenia. This paper looks into and reviews various studies conducted to elucidate the relationship between cannabis and psychosis. Does cannabis usage precede psychosis and related disorders Does the its usage cause psychosis /schizophrenia in otherwise normal healthy people Or does it cause psychosis in people who already are vulnerable to the disease i.e. already have other risk factors for the disease. We look into 3 studies each of which provide evidence of one hypothesis or another. In the end we conclude that cannabis... pattern...
8 Pages(2000 words)Essay

Dual Diagnosis Treatment

...Case Study: Dual Diagnosis Treatment The following information was obtained from the of the case study, Leon Starkey. Leon is a thirty-three year old male who has been diagnosed with depression, borderline personality disorder, schizophrenia and alcohol dependence. He had been successively acutely admitted to the hospital for psychotic breakdowns. Upon discharge, he became disengaged from community services. Leon was initially diagnosed with schizophrenia when he was twenty-one after he was arrested for being "drunk and disorderly". He was ordered to be admitted to a hospital because of his bizarre behaviour and was given this diagnosis. Since then, he has been admitted to the hospital six times. The police initiated most... have a...
16 Pages(4000 words)Essay

Complexity of dual diagnosis treatment

...Complexity of dual diagnosis treatment Introduction Dual diagnosis is the terminology used for patients suffering from both severe mental disorders as well as drug or alcohol abuse (Knott, 2014). The prevalence of dual diagnosis has been described as 50 % among people with mental ailments, in both the United Kingdom and America (Phillips & Labrow 2004). The complexity of dual diagnosisDual diagnosis is considered complex for several reasons: 1) Complex needs: Patients with dual diagnosis are considered to have ‘complex needs’. Complex...
4 Pages(1000 words)Case Study
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Case Study on topic Dual Diagnosis for FREE!

Contact Us