PSY 215 Lecture Notes - Lecture 4: Borderline Personality Disorder, Higher-Order Function, Cocaine Dependence

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Comorbid/co-occurring- disorders happening at the same time. Dual diagnosis- individual that has 2 diagnoses. Historically- dsm-iv: a person who has used three or more substances (not nicotine, caffeine) but does not have a preference. Polysubstance abuse: not specifically addicted to one particular substance, but motivated by uninterrupted intoxication. Adolescents- highest risk for polysubstance abuse, compared to older users. Clinical samples: common, but underdiagnosed- maybe clinician does not ask the right questions, publicly funded treatment programs: 48. 7% had polysubstance use problems. Selection bias- difference between those who go to treatment centers and those who do(cid:374)"t. More than half of the lifetime alcohol, drug, and mental disorders diagnoses can be found in approx. Alcohol, marijuana, and cocaine most common secondary substances. Nicotine less often studied, but very common as a secondary substance. Injection drug use (idu: highly correlated with multiple drug use issues, early onset polysubstance use correlated with idu.

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