List of publications on a keyword: «dual diagnosis»
Dubatova Irina Vladimirovna , candidate of medical sciences , associate professor
FSFEI of HE “Rostov State Medical University” of Russian Ministry of Health , Ростовская обл
«The problem of double diagnoses in psychiatry and addictology: leaving reality, or the stage of integration?»
The article points out that the existence of the problem of double diagnoses (DD) in psychiatry and addictology means recognizing the fact that «addiction» is a mental illness and, therefore, a brain disorder. There are common areas in the brain that are responsible for the formation of addictive pathology and for the development of other mental illnesses. It explains the high comorbidity between disorders associated with the use of psychoactive substances, and other mental illnesses. The factors of predisposition to the development of addictive pathology include: family burden with addictive pathology, early onset of use of psychoactive substances, social stress situation, and mental illness. The artificial separation of psychiatry and addictology into two services in Russia is a historical mistake. A new paradigm of dependent disorders emphasizes the need to create a special section on double disorders, with the revision of this archaic model.