The dually diagnosed patient is the most complicated of all patients with addictive disorders and is also the most common. This book covers a broad array of psychiatric problems that often coexist with substance use disorders. It reviews a wide variety of treatment approaches and illustrates the need for matching the patient to the treatment. This edition attempts to recognize the complexities of these patients and present research-based approaches to clinical management. The book is divided into three sections: (1) Theoretical and Programmatic Issues; (2) Treatment Considerations with Special Populations; and (3) Assessment and Treatment of Major Mental Disorders. Section one focuses on managing psychiatric comorbidity in inpatient addictions, improving treatment adherence among patients with comorbid psychiatric and substance use disorders, and a psychoanalytic perspective of psychopathology and substance abuse. Under the second section, issues covered include: the implications for specialized clinical approaches for females with dual diagnoses and assessing and treating psychiatric comorbidity in chemically dependent adolescents. The final section of the book provides a guide to the assessment of psychiatric symptoms in the addictions treatment setting. In addition, issues on affective disorders and affective symptoms in alcoholism, adaptive mechanism problems in chemical addictions and anxiety disorders, schizophrenia and substance abuse, and an exploration of empirical and clinical findings for disorders of personality and substance abuse are presented and discussed. This book attempts to deliver up-to-date information on the psychiatric problems common within chemically dependent populations, such as affective disorders, anxiety disorders, personality disorders, and schizophrenia. In addition, it examines substance abuse and psychopathology, psychodiagnostic assessment, and training issues for those professionals dealing with dually diagnosed clients. References