Dartmouth Psychiatric Research Center Essay Example | Topics and Well Written Essays - 500 words

Dartmouth Psychiatric Research Center - Essay ExampleBoth men in the vignettes shown exhibit another common trait among the noeticly ill the spiraling of symptoms. They drank to deal with the symptoms of their mental unhealthiness, but the symptoms worsened as a result of the alcohol. The first client, although he drank daily, did not drink as severely as he had in the past. He was not completely forthcoming with the interviewer, however, for he admitted that culturally, his family drank to shit drunk, but insisted that his drinking was not a problem at the current time. The symptoms of his mental illness were improve due to his medications, though, so he most likely did not use alcohol to control them, at least not as much as he had in the past. He was probably addicted, since he drank to help him sleep at night.The second client used alcohol primarily to deal with the symptoms of his mental illness. His dilemma, however, is common for many clients. He drank to deal with his v isual hallucinations, but his paranoia became worse the more he drank. He overly watched television to help him ignore the hallucinations. He was also suicidal, and admitted that he drank so much because he hoped that it would kill him. It goes without saying that this man is in salient distress. Acton would probably agree that it is likely that this patient also had comorbid disorders he admitted that he felt anxious due to the paranoia he experienced.Experts in the field of substance demoralise treatment have long accepted the importance of treating both substance abuse and mental illness simultaneously. This acceptance has not been as easy for clinicians that primarily treat mental illness, however, and this is apparent in Actons article. Fortunately, there has been some recognition in the treatment of mental illness that the taxonomy in the DSM-IV lacks a great deal, and can often be a hindrance in treatment. When a client is dually-diagnosed, for example, what should be enu red first?The problem, as Acton seems to