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Welch K, Webb N. Managing patients with severe mental illness and substance misuse. Practitioner May 2018;262(1815):17-21

Managing patients with severe mental illness and substance misuse

22 May 2018Registered users

Co-occurring severe mental illness, usually schizophrenia or bipolar affective disorder, and substance misuse is termed dual diagnosis. Mental illness and its consequences may lead to substance misuse as a coping strategy. Substance misuse can lead to mental health problems, either by triggering a first episode in a susceptible person, or by exacerbating an existing disorder. However, substance misuse itself is unlikely to be the sole cause of a severe and enduring mental illness.

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