Concurrent anxiety and substance use disorders among outpatients with major depression: Clinical features and effect on treatment outcome

2009 ◽  
Vol 99 (1-3) ◽  
pp. 248-260 ◽  
Author(s):  
Robert H. Howland ◽  
A. John Rush ◽  
Stephen R. Wisniewski ◽  
Madhukar H. Trivedi ◽  
Diane Warden ◽  
...  
Keyword(s):  
Substance Use ◽  
Treatment Outcome ◽  
Major Depression ◽  
Substance Use Disorders ◽  
Clinical Features

scholarly journals Insomnia Symptoms in Patients With Substance Use Disorders During Detoxification and Associated Clinical Features

2020 ◽  
Vol 11 ◽  
Author(s):  
Lara Grau-López ◽  
Laia Grau-López ◽  
Constanza Daigre ◽  
Raúl Felipe Palma-Álvarez ◽  
Nieves Martínez-Luna ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Clinical Features ◽  
Insomnia Symptoms

Attention-deficit/hyperactivity disorder (ADHD) in adults: Specific clinical and therapeutic issues

2015 ◽  
Vol 30 (S2) ◽  
pp. S27-S28
Author(s):  
B. Rolland ◽  
D. Da Fonseca ◽  
M. Fatseas ◽  
N. Simon
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Clinical Features ◽  
Attention Deficit ◽  
Adult Adhd ◽  
Adhd Symptoms ◽  
Addiction Medicine ◽  
Global Functioning ◽  
Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) was initially considered as a childhood psychiatric disorder. However, longitudinal observations have revealed that ADHD symptoms may persist in adulthood among approximately 50% of the patients . Adult ADHD is associated with impaired social outcome and frequent comorbidities such as mood disorders, personality disorders, and substance use disorders [2,3]. Correctly identifying and treating ADHD can significantly improve the global functioning and cognition of adult subjects, and reduce the intensity and frequency of the comorbid states [2,3]. Nonetheless, the clinical features of adult ADHD are clearly different from the youth form [1,2], and ADHD symptoms are easily mixed up in adults with symptoms of the comorbid conditions [2,3]. These clinical intricacies can make the diagnosis of ADHD difficult in adults. Moreover, the management of methylphenidate in adult subjects is also associated with specific risks and pitfalls, such as abuse and tampering behaviors, and additional safety risks . Put together, it appears crucial to identify and treat ADHD in adults, but the clinical and therapeutic complexities of adult ADHD require improved expertise and caution from adult psychiatrists and addiction specialists. In this thematic session of the 2015 French Psychiatry Congress, three French leading experts of adult ADHD will address the aforementioned clinical and therapeutic issues of the adulthood form of this disorder. David Da Fonseca, professor of child psychiatry in Marseille, will disentangle the clinical features of adult ADHD from the typical symptoms observed in the youth form. Mélina FATSEAS, associate professor of psychiatry and addiction medicine in Bordeaux, will specifically focus on the many and complex relationships observed between adult ADHD and substance use disorders. Last, Nicolas Simon, professor of addiction medicine and psychopharmacology in Marseille, will synthesize what are the very risks and issues with prescribing methylphenidate in adults.

Counselors’ Attitudes Towards Working With Clients With Substance Use Disorders

2020 ◽  
Vol 48 (5) ◽  
pp. 630-656
Author(s):  
Zachary A. D. Cornfield ◽  
Anita M. Hubley
Keyword(s):  
United States ◽  
Substance Use ◽  
Regression Analysis ◽  
Major Depression ◽  
Substance Use Disorders ◽  
Online Survey ◽  
The United States ◽  
Frequent Contact ◽  
Positive Attitudes ◽  
Situational Constraints

Substance use disorders (SUDs) are a significant and growing problem in all walks of life in Canada and the United States. Counselors are increasingly likely to have clients with SUDs regardless of their area of expertise. There is limited research on counselors’ attitudes towards working with such clients, or the factors that contribute to these attitudes. In an online survey of 263 Canadian counselors, we found attitudes were mostly positive, although statistically significantly less positive than toward working with clients with major depression. Numerous variables showed significant bivariate relationships with attitudes towards working with clients with SUDs, but only more frequent contact with such clients, fewer workplace situational constraints, and less frequent feelings of anger towards such clients remained as significant predictors of more positive attitudes in a regression analysis. Our research highlights the importance of providing more support for counselors to ensure better service to clients with SUDs.

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