DEBASISH BASU, MD., DNB., Associate Professor, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh -160012.
Indian J Psychiatry. 2000 Jan;42(1):34-47.
The term 'dual diagnosis' denotes the coexistence of substance use disorder(s) and other, non-substance-use, psychiatric disorder(s). The last two decades, and especially the 1990s, have witnessed tremendous research and clinical interest in this previously neglected area. India, however, lags behind, inspite of indications that the problem exists here too. The current approach to managing such patients is the 'integrated treatment model' in which the same clinician (or team of clinicians) provides treatment for both the disorders at the same time, treating both with equal understanding and importance. Both pharmacotherapy as well as psychosocial therapies are specifically designed keeping in mind the 'integrated' philosophy of treatment. The specific principles and components are described Areas of difficulty, uncertainty, and future considerations are highlighted, with a note on the Indian setting.
“双重诊断”一词表示物质使用障碍（物质使用障碍）和其他非物质使用障碍（物质使用障碍）同时存在。在过去的二十年中，尤其是在 90 年代，人们对这一以前被忽视的领域产生了极大的研究和临床兴趣。然而，尽管有迹象表明印度也存在这个问题，但印度却落后了。目前，管理此类患者的方法是“综合治疗模式”，即同一位临床医生（或一组临床医生）同时为两种疾病提供治疗，同等理解和重视两种疾病。药物治疗和心理社会治疗都是根据“综合”治疗理念专门设计的。描述了具体的原则和组成部分。强调了困难、不确定性和未来考虑的领域，并特别注意了印度的情况。
