Other names for this type of illness are:
Dual diagnosis can be difficult to identify. Many of the symptoms of drug abuse (such as extreme anxiety, depression, paranoia, delusions and hallucinations) are similar to those of mental illness. Many of the effects on one's life (severe decline in self-care and functioning) may also be similar. Often, one problem is blamed on the other.
Substance abuse complicates almost every aspect of care for a person with a mental illness. Mental health professionals and families of the mentally ill may underestimate the amount of drugs and/or alcohol dependency among people in their care. There may be several reasons for this:
People with a mental illness may abuse drugs or alcohol covertly. It may be difficult to separate the behaviors due to mental illness from those due to chemical dependency. It takes time to unravel the interacting effects of substance abuse and mental illness
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