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Dual diagnosis (also referred to as co-occurring disorders) is a term for when someone experiences a mental illness and a substance use disorder simultaneously. Either disorder—substance use or mental illness—can develop first. People experiencing a mental health condition may turn to alcohol or other drugs as a form of self-medication to improve the mental health symptoms they experience. However, research shows that alcohol and other drugs worsen the symptoms of mental illnesses.
The professional fields of mental health and substance use recovery have different cultures, so finding integrated care can challenging. A national effort led by psychiatrist Ken Minkoff helps systems integrate these cultures and services on every level of care.
How Common Is Dual Diagnosis?
According to a 2014 National Survey on Drug Use and Health, 7.9 million people in the U.S. experience both a mental disorder and substance use disorder simultaneously. More than half of those people—4.1 million to be exact—are men.
Because many combinations of dual diagnosis can occur, the symptoms vary widely. Mental health clinics are starting to use alcohol and drug screening tools to help identify people at risk for drug and alcohol abuse. Symptoms of substance use disorder may include:
Withdrawal from friends and family
Sudden changes in behavior
Using substances under dangerous conditions
Engaging in risky behaviors
Loss of control over use of substances
Developing a high tolerance and withdrawal symptoms
Feeling like you need a drug to be able to function
George is right. Killing random civilians to spread a political message is terrorism. FBI classifies it as domestic terrorism, but "white terrorism" is more precise. Many of the killers are lone-wolf losers indoctrinated to hate through the internet, just like Islamic terrorists.