The comorbidity of psychotic and substance use disorders (SUDs) is a major issue in mental health, because of its high frequency and poor prognosis. Moreover, it is often neglected both for the difficulty to assess SUDs in psychotic patients and for scarce attitude to evaluate and treat substance misuse by psychiatric services staff. On the other hand, patients with psychosis and SUDs can receive inadequate treatment for psychosis by SUDs services, for similar reasons. Assessing and treating this comorbidity requires the knowledge and the integration of specific tools and interventions, which should be tailored towards patients’ clinical condition and that can be difficult to manage in daily clinical practice.
Carretta, D., Bartoli, F., Carra, G. (2020). Psychotic Disorders and Substance Use Disorders. In N. el-Guebaly, G. Carrà, M. Galanter, A.M. Baldacchino (a cura di), Textbook of Addiction Treatment: International Perspectives (pp. 1341-1355). Springer Science+Business Media [10.1007/978-3-030-36391-8_94].
Psychotic Disorders and Substance Use Disorders
Bartoli F.;Carra G.
2020
Abstract
The comorbidity of psychotic and substance use disorders (SUDs) is a major issue in mental health, because of its high frequency and poor prognosis. Moreover, it is often neglected both for the difficulty to assess SUDs in psychotic patients and for scarce attitude to evaluate and treat substance misuse by psychiatric services staff. On the other hand, patients with psychosis and SUDs can receive inadequate treatment for psychosis by SUDs services, for similar reasons. Assessing and treating this comorbidity requires the knowledge and the integration of specific tools and interventions, which should be tailored towards patients’ clinical condition and that can be difficult to manage in daily clinical practice.
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