Paranoid Personality Disorder and Substance Use Disorder: Co-Occurring
Paranoid Personality Disorder and Substance Use Disorder: Co-occurring
Personality disorders affect 10-15% of the adult US population. A personality disorder is a very rigid pattern of inner experience and outward behavior. According to SAMHSA over 8.9 million persons have co-occurring disorders; that is that they have both mental and substance use disorders. Only 7.4% receive treatment and 55.8% receive no treatment at all. The National Survey on Drug use and Health states that there were 45.1 million adults within the past year suffering from mental illness, and 20 .8 million suffering from Substance use Disorder (SUD). One such disorder is Paranoid Personality disorder (PPD). Treatment, diagnosis, and prognosis can be challenging due to the nature of this disorder. Individuals who are diagnosed with PPD are often also diagnosed with Substance Use Disorder (SUD). One question that studies hope to answer is whether or not SUD can cause PPD, or vise versa. Having an individual with co-occurring SUD can prove even more difficult; however with a PPD&SUD sufferer willing to participate in their treatment, the outlook becomes more positive. Though it is not known what causes PPD many it is most likely that it is caused by several different factors. Genetics is possibly the most likely, considering that most Paranoid personality disorder seems to be more common in those with a family history of schizophrenia and other psychotic illnesses. According to the Diagnostic and Statistical Manual of Mental Disorders Particularly in response to stress, individuals with this disorder may experience very brief psychotic episodes (lasting minutes to hours). In some instances, Paranoid Personality Disorder may appear as the premorbid antecedent of Delusional Disorder or Schizophrenia.” In order for an individual to be diagnosed with PPD he or she must be 18 years or older and display at least four of the following traits: a) chronically suspicious that people are lying
Personality disorders affect 10-15% of the adult US population. A personality disorder is a very rigid pattern of inner experience and outward behavior. According to SAMHSA over 8.9 million persons have co-occurring disorders; that is that they have both mental and substance use disorders. Only 7.4% receive treatment and 55.8% receive no treatment at all. The National Survey on Drug use and Health states that there were 45.1 million adults within the past year suffering from mental illness, and 20 .8 million suffering from Substance use Disorder (SUD). One such disorder is Paranoid Personality disorder (PPD). Treatment, diagnosis, and prognosis can be challenging due to the nature of this disorder. Individuals who are diagnosed with PPD are often also diagnosed with Substance Use Disorder (SUD). One question that studies hope to answer is whether or not SUD can cause PPD, or vise versa. Having an individual with co-occurring SUD can prove even more difficult; however with a PPD&SUD sufferer willing to participate in their treatment, the outlook becomes more positive. Though it is not known what causes PPD many it is most likely that it is caused by several different factors. Genetics is possibly the most likely, considering that most Paranoid personality disorder seems to be more common in those with a family history of schizophrenia and other psychotic illnesses. According to the Diagnostic and Statistical Manual of Mental Disorders Particularly in response to stress, individuals with this disorder may experience very brief psychotic episodes (lasting minutes to hours). In some instances, Paranoid Personality Disorder may appear as the premorbid antecedent of Delusional Disorder or Schizophrenia.” In order for an individual to be diagnosed with PPD he or she must be 18 years or older and display at least four of the following traits: a) chronically suspicious that people are lying
Cited: Fundamentals of Abnormal Psychology 6th Ed. Ronald J Comer.NY: Worth ,2011.396.Print. Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. American Psychiatric Association. 1994. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier;2008:chap 39. Substance Abuse Treatment for Persons With Co-Occurring Disorders. Treatment Improvement Protocol (TIP) Series, No. 42. Center for Substance Abuse Treatment. Substance Abuse Treatment for Persons With Co-Occurring Disorders. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2005. (Treatment Improvement Protocol (TIP) Series, No. 42.) 8 A Brief Overview of Specific Mental Disorders and Cross-Cutting Issues. Available from: http://www.ncbi.nlm.nih.gov/books/NBK64204/