数字不撒谎。Mental illness和addiction经常重叠。事实上,近900万人有一个共同发生的疾病物质滥用和心理健康服务管理局万博手机客户端。Yet, only 7 percent of these individuals get treatment for both conditions. And nearly 60 percent receive no treatment at all.
Understanding Comorbidity
Comorbidityrefers to the fact that two conditions, such as mental illness and物质滥用那often co-exist together. What this means is that in many people with addictions, there is an underlying mental health issue as well. While neither condition actually causes the other, they do often exist together. What's more, one condition can exacerbate the symptoms of the other.
To better understand how comorbidity is possible, it helps to recognize that both arechronic brain diseases。换句话说,当有人与成瘾挣扎时,他们的大脑已经被他们滥用的物质永久重新装线。反过来,这导致大脑与以前不同的功能。就像糖尿病或心脏病一样,一个患有成瘾的人必须在他的余生中管理他的病情。它并不像阻止药物使用或酒精条件那么简单。很多次,这是根本不可能的。
同样地,由于物质滥用而发生的大脑发生的变化发生在受影响的相同脑区域中萧条那焦虑,精神分裂症,和躁郁症。Consequently, it should not be surprising that there is a high rate of comorbidity between addiction and other mental illnesses. While scientists have yet to prove a direct link, some mental health issues increase the risk factors for substance abuse. What this means is that some people with mental illnesses will turn to alcohol or drugs to cope with the pain of their mental health issues.
If you or a loved one are struggling with substance use or addiction, contact the物质滥用和心理健康服务管理局万博手机客户端(SAMHSA) National Helpline在1-800-662-4357有关您所在地区的支持和治疗设施的信息。
For more mental health resources, see our国家助理数据库。
为什么成瘾和精神疾病共同发生
Even though there is a high rate of comorbidity between addiction and mental illness, it does not mean that one caused the other—even if one condition appeared first. Instead, there are still a number of factors that need to be considered, according to the National Institute on Drug Abuse. For instance:
- Drug abuse can cause people to experience one or more symptoms of another mental illness. For example, there is an increased risk ofpsychosis在一些大麻用户。
- Mental disorders can lead to drug or alcohol abuse because some people use substances to self-medicate. For instance, tobacco products sometimes lessen the symptoms ofschizophrenia并可能改善认知。
还有一些证据表明上瘾和精神疾病是由潜在的脑赤字引起的,genetic influences那和/or exposure to trauma early in life. For instance, it is estimated that 40 to 60 percent of a person's vulnerability to addiction can be attributed to genetics. There also are several regions of the human genome that have been linked to an increased risk both for substance abuse and mental illness.
心理健康问题和成瘾之间的另一个常见因素是出现症状的年龄。万博手机客户端在青少年期间,人们仍在开发,成熟和成长。结果,青春期期间大脑的显着变化。例如,青少年更容易受到风险,冲动行动。这些行为虽然青少年共同,但可以影响成瘾和其他精神障碍的风险。
最后,身体或情绪创伤的人处于更高的物质滥用风险,甚至可能是成瘾。这一联系尤其有关退伍军人返回该国。事实上,五分之一的军事军人和来自伊拉克和阿富汗的妇女报告了症状post-traumatic stress disorder(PTSD) or major depression.
一些研究表明,所有诊断为应税局的退伍军人的一半也有一个共同发生的药物滥用问题。
为什么难以诊断这两个条件
共同发生的障碍有时难以诊断。一个原因是症状往往是复杂的,并且可以严重变化。因此,人们接受一种疾病治疗并不罕见,而其他疾病仍未治疗。有时会发生这种情况,因为症状是如此相似或重叠。换句话说,心理健康问题和成瘾都可以具有类似万博手机客户端的生物,心理和社会部件。
Another reason for not diagnosing both conditions might include inadequate training or screening. In any case, the consequences of undiagnosed, untreated, or undertreated co-occurring disorders can lead to a higher likelihood of experiencing homelessness, jail time, medical illnesses, and evensuicide。
更重要的是,具有滥用药物或酒精等物质的心理健康问题万博手机客户端的人遭受冲动或暴力行为的风险。它们也更有可能发展成瘾并最终陷入法律问题。实现持久的清醒对他们来说越来越困难。
Treatment When Comorbidity Exists
研究表明,需要同时治疗共同发生的条件。事实上,为了获得最佳结果,它有助于患有成瘾和心理健康问题的人获得综合治疗。万博手机客户端随着综合治疗,医生和辅导员可以同时解决和治疗两种疾病。反过来,这通常会降低治疗费用,并为患者创造更好的结果。
更重要的是,两种情况的早期检测和治疗都可以大大提高人的恢复和生活质量。然而,重要的是要注意那些成瘾和另一种精神疾病的人通常具有更持续,严重和抗病的症状,而与单独的疾病无论如何。因此,保持清醒可能对它们非常困难。
来自粗糙的一个词
对成瘾和心理健康问题的正确诊断对患者的成功至关重要。万博手机客户端发生这种情况时,他的恢复机会增加了。但需要提高对这种合并的认识。太多次,其中一个条件未经诊断和未经治疗。一旦有关共存条件的治疗,就会有所提高,这将有助于减少社会耻辱that makes people so reluctant to pursue the treatment that they need.