20190225211119my_responses x
My response:
Re: Topic 7 DQ 2
Good afternoon Dr. White and class,
Co-morbidity refers to the occurrence of more than one condition or disorder in a person. Co-morbidity is highly prevalent among people with alcohol abuse and addiction, who often display co-occurring psychiatric disorders. Petrakis et al. (2002) indicate that co-morbidity prevalence rate is highest among individuals diagnosed with alcohol and dependence use disorder and co-morbid anxiety and PTSD disorders, while the prevalence rate is low in people with alcohol and dependence use disorder and co-morbid panic and bipolar disorder. The co-morbidity aspect in clients with a co-morbid alcohol diagnosis suggests that physicians and psychiatrists should recommend pharmacological treatment. Clients usually exhibit pronounced paranoia, as well as social and withdrawal problems, which undermine their motivation to enter and stay in treatment programs (Petrakis et al. 2002). However, Orford (2008) proposes that the high co-morbidity prevalence rate of alcohol use and addiction disorders and personality disorders increases the severity of the conditions, complicating the recovery process. Therefore, he argues that pharmacological treatment cannot effectively treat the conditions; hence, there is a need for integrated treatment systems.
References:
Petrakis, I.L. et al. (2002). Co-morbidity of alcoholism and psychiatric disorders. National Institute of Alcohol Abuse and Alcoholism.
Orford J. (2008). Joining the queue of dissenters. Addiction, 103, 706–707.
V/r,
Rosa
Professor response:
4 posts
Re: Topic 7 DQ 2
Thank you, Rosa. Comorbidity with mood disorders and personality disorders can occur, but, I want to explain how often Borderline PD and Bipolar Disorder may often even be confused as a result of the changes in mood, energy, and the ability to function throughout the day. People with Borderline PD will often report mood swings that last 24 hours or a few hours, not more than a few days. People with Bipolar disorder will report symptoms for weeks, or at minimum 5 to 7 days.
My response:
Professor: Disorders that have a high Prevalence of Co-Morbidity
Students,
When we think of clinical disorders that have a high prevalence of comorbidity, we tend to think of anxiety disorders, mood disorders, such as Bipolar Disorder, Schizophrenia, but what about personality disorders, such as Borderline personality disorder, antisocial personality disorder, and narcissistic personality disorder?
My response:
2 posts
Disorders that have a high Prevalence of Co-Morbidity
Good afternoon Dr. White,
Kessler et al. (2005) reported that a significant percentage of the participants in their study with psychiatric disorders also displayed more than two disorders. Personality disorders have been found to be highly co-morbid with clinical disorders where the co-morbidity prevalence rate is highest in cluster B of personality disorder and lowest in cluster A.
Reference:
Kessler, R.C. et al. (2005). Chiu Prevalence, severity, and co-morbidity of 12-month DSM-IV disorders in the National Co-morbidity Survey Replication. Archives of General Psychiatry,62(6),617–627.
V/r,
Rosa
Professor response:
Thank you, Rosa. So, when we refer to Cluster B traits, we are talking about what specific pathology? Are we discussing Borderline, Antisocial, and Narcissitic Personality Disorders? Or, are we also referring to those diagnosed with Histronic personality disorders? Those with the lowest propensity for developing substance use disorders, would those be parallel to schizoid personality disorder?
My response:
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