A Case From a Positive Psychotherapy Perspective: Comorbidity
Abstract views: 304
/ 
PDF downloads: 255
DOI:
https://doi.org/10.5281/zenodo.8355882Keywords:
Alcohol, Alcohol Addiction, Bipolar Disorder, Bipolar Type IIAbstract
It is stated that addiction is a disorder that manifests itself with physical, cognitive and behavioral symptoms, which are characterized by the individual continuing to use the substance despite being harmed, having many unsuccessful attempts to quit, spending excessive time in accessing the substance he/she has used, and using the substance in increasing doses. It is known that alcohol use disorders and other psychiatric disorders are included in treatment programs with comorbidity. Bipolar disorder is one of the mood disorders comorbid with alcohol use disorders. Bipolar disorder, which is one of the mood disorders, is defined as a disorder that recurs with depressive or manic episodes and progresses with euthymic mood between attacks, without being subject to any order. In mania or hypomania attacks of bipolar patients, alcohol/substance abuse may occur as a symptom of their illness. However, some data also support that patients who were included in the treatment program with the diagnosis of alcohol/substance abuse were later diagnosed with Bipolar. It shows that this situation can occur as a symptom of mania / hypomania attacks of individuals, as well as to alleviate other symptoms of the disorder. Therefore, it is evaluated that patients turn to alcohol/substance use as a self-treatment method and develop addiction to the substances they use in the process, and the fact that they prefer sedatives in some cases supports this assessment. In this case study, it is aimed to evaluate the patient who was included in the treatment program with the diagnosis of alcohol dependence and was later diagnosed with Bipolar Type II. It is aimed to treat the patient with medical and Positive Psychotherapy applications during the treatment period.
References
Akan, B., Erdem, D., Albayrak, D., Gökçınar, D., Aksoy, E., & Göğüş, N. (2011). Madde Bağımlısı Bir Olgunun Yoğun Bakımda İzlemi. Erciyes Tıp Dergisi, 33(4), 349-352.
Akarsu, S., Erdem, M., Bolu, A., Günay, H., Garip, B., Ak, M., & Zincir, S. (2012). Bipolar bozuklukta cinsiyete göre klinik ve sosyodemografik özelliklerin karşılaştırılması. Gülhane Tıp Dergisi, 54(4), 279-83.
Akkaya, C., Altın, M., Kora, K., Karamustafalıoğlu, N., Yaşan, A., Tomruk, N., & Kurt, E. (2012). Türkiye'de Bipolar I Bozukluğu Hastalarının, Sosyodemografik ve Klinik Özellikleri-HOME Çalışması. Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology, 22(1), 31-42.
Başkurt, İ. (2003). Gençlik, madde bağımlılığı ve korunma yolları (psiko-sosyal bir yaklaşım). Journal of Istanbul University Faculty of Theology, (8).
Brady, K. T., Sonne, S. C., Malcolm, R. J., Randall, C. L., Simpson, K., Dansky, B. S., ... & Brondino, M. (2002). Carbamazepine in the treatment of cocaine dependence: subtyping by affective disorder. Experimental and Clinical Psychopharmacology, 10(3), 276.
Chengappa, K. R., Levine, J., Gershon, S., & Kupfer, D. J. (2000). Lifetime prevalence of substance or alcohol abuse and dependence among subjects with bipolar I and II disorders in a voluntary registry. Bipolar Disorders, 2(3), 191-195.
Çakmak, D., & Ögel, K. (2000). Bağımlılık Yapıcı ve Uyarıcı Maddeler Hakkında Bilmemiz Gerekenler El Kitabı.
Dankı, D., Dilbaz, N., Okay, T., Açıkgöz, Ç., Erdinç, I. B., & Telci, Ş. (2005). Madde Kullanimina Bağli Gelişen Psikotik Bozuklukta Atipik Antipsikotik Tedavisi: Bir Gözden Geçirme. Journal of Dependence, 6, 136-141.
Diflorio, A., & Jones, I. (2010). Is sex important? Gender differences in bipolar disorder. International review of psychiatry, 22(5), 437-452.
Hunt, G. E., Malhi, G. S., Cleary, M., Lai, H. M. X., & Sitharthan, T. (2016). Prevalence of comorbid bipolar and substance use disorders in clinical settings, 1990–2015: systematic review and meta-analysis. Journal of affective disorders, 206, 331-349.
Işık, E. D., & Bozukluklar, B. (2003). Görsel Sanatlar Matbaacılık. Baskı, Ankara, 258-333.
İnce, A., Doğruer, Z., & Türkçapar, M. H. (2002). Erken ve geç başlangıçlı erkek alkol bağımlılarında sosyodemografik, klinik ve psikopatolojik özelliklerin karşılaştırılması. Klinik psikiyatri, 5(2), 82-91.
Kawa, I., Carter, J. D., Joyce, P. R., Doughty, C. J., Frampton, C. M., Elisabeth Wells, J., ... & Olds, R. J. (2005). Gender differences in bipolar disorder: age of onset, course, comorbidity, and symptom presentation. Bipolar disorders, 7(2), 119-125.
Keller, M. B., Lavori, P. W., Coryell, W., Andreasen, N. C., Endicott, J., Clayton, P. J., ... & Hirschfeld, R. M. (1986). Differential outcome of pure manic, mixed/cycling, and pure depressive episodes in patients with bipolar illness. Jama, 255(22), 3138-3142.
Kelsoe, J. R. (2003). Arguments for the genetic basis of the bipolar spectrum. Journal of affective disorders, 73(1-2), 183-197.
Klimkiewicz A, Klimkiewicz J, Jakubczyk A,Kieres-Salomoński I, Wojnar M. Comorbidity of alcohol dependence with other psychiatricdisorders. Part I. Epidemiology of dual diagnosis,Psychiatr Pol. 2015; 49: 265-75.
Ögel, K. (2010). Sigara, alkol ve madde kullanım bozuklukları: Tanı, tedavi ve önleme. İstanbul: Yeniden Yayınları, 3-4.
Swann, A. C. (2005). Bipolar disorder and substance abuse: two disorders or one?. Journal of dual diagnosis, 1(3), 9-23.
Talamo, A., Centorrino, F., Tondo, L., Dimitri, A., Hennen, J., & Baldessarini, R. J. (2006). Comorbid substance-use in schizophrenia: relation to positive and negative symptoms. Schizophrenia research, 86(1-3), 251-255.
Tohen, M., Zarate, C. A., Zarate, S. B., Gebre-Medhin, P., & Pike, S. (1996). The McLean/Harvard first-episode mania project: pharmacologic treatment and outcome. Psychiatric Annals, 26(7), S444-S448.
Uğurlu, T. T., Şengül, C. B., & Şengül, C. (2012). Bağımlılık psikofarmakolojisi. Psikiyatride Güncel Yaklaşımlar, 4(1), 37-50.
Uluşahin, A., & Öztürk, O. (2016). Psikoaktif madde kullanımına bağlı ruhsal bozukluklar. Ruh sağlığı ve bozuklukları (s. 511-554). İçinde Ankara: Nobel Tıp Kitapevleri.
World Health Organization. (2014). Global status report on alcohol and health, 2014: World Health Organization.
Yılmaz, A., Can, Y., Bozkurt, M., & Evren, C. (2014). Remission and Relapse in Alcohol and Substance Addiction/Alkol ve Madde Bagimliliginda Remisyon ve Depresme. Psikiyatride Guncel Yaklasimlar/Current Approaches to Psychiatry, 6(3), 243-257.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 ISPEC International Journal of Social Sciences & Humanities
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
