Dual Diagnosis

Signs of common co-occurring disorders

The mental health problems that most commonly co-occur with chemical abuse are depression, anxiety conditions, and bipolar affective disorder.

Typical symptoms of clinical depression

Feelings of helplessness and hopelessness

Lack of interest in everyday tasks

Incapacity to experience pleasure

Appetite or weight changes

Sleep changes

Lack of energy

Unyielding emotions of insignificance or shame

Attention problems

Temper, physical pain, and reckless behavior (especially in men).

Typical signs of mania in bipolar disorder.

Sentiments of elation or severe irritability.

Unrealistic, grandiose expectations.

Lowered need for sleep.

Intensified vitality.

Rapid speaking and racing thoughts.

Diminished common sense and impulse control.


Anger or rage.

Prevalent signs of anxiety.

Excessive pressure and emotional distress.

Feeling jumpy or restless.

Irritability or feeling "edgy".

Racing heart or shortness of breath.

Nausea, tremoring, or lightheadedness.

Muscle tenseness, headaches.

Trouble focusing.

Sleep problems.

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