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17 - Depression in the context of alcoholism and other substance-use disorders

from Section 2 - Medical management

Published online by Cambridge University Press:  05 May 2013

By
Edward V. Nunes  and
Frances R. Levin
Edited by
J. John Mann
Edited in association with
Patrick J. McGrath  and
Steven P. Roose
J. John Mann
Affiliation:
Columbia University, New York
Patrick J. McGrath
Affiliation:
Columbia University, New York
Steven P. Roose
Affiliation:
Columbia University, New York
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Summary

This chapter discusses depression in the context of alcoholism and other substance-use disorders. Independent depression syndrome describes a patient who meets criteria for major depression or dysthymia, and it is clear in the history that the depression is independent of effects of substances. The Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) introduced substance-induced depression to recognize the existence of syndromes of depression that cannot be established to be independent, but that nonetheless appear to exceed the usual effects of substance intoxication or withdrawal and require clinical attention. A number of other psychiatric disorders e.g. bipolar disorder, ADHD, PTSD, and some other anxiety disorders, antisocial and borderline personality, co-occur with substance-use disorders and may account for some of the association between depression and substance abuse. Chronic medical disorders, especially those producing chronic pain, also need to be considered.

Keywords

valproatelithiummood stabilizersecond-generation antipsychoticsfirst-generation antipsychoticsacute maniacarbamazepine
Type
Chapter
Information
Clinical Handbook for the Management of Mood Disorders , pp. 234 - 244
Publisher: Cambridge University Press
Print publication year: 2013

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