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Review
. 2012 Dec;14(6):610-8.
doi: 10.1007/s11920-012-0314-7.

Treatment of the depressed alcoholic patient

Jeffrey J DeVido  1 , Roger D Weiss
Affiliations
Review

Treatment of the depressed alcoholic patient

Jeffrey J DeVido et al. Curr Psychiatry Rep. 2012 Dec.

Abstract

Alcohol use disorders (AUDs) and depressive illnesses are highly prevalent, frequently co-occur, and are associated with worse outcomes when paired. The assessment and treatment of patients with co-occurring alcohol use disorders and depressive illnesses is wrought with many significant challenges. When it comes to advocating treatment guidelines for this dually-diagnosed population, the data are limited, but, nonetheless, do suggest that an integrated approach to patients presenting with co-occurring AUD and depressive symptoms can be efficacious. In this approach, ongoing evaluation and treatment are provided under one roof according to the evolving needs of each patient. Utilizing antidepressant medications in conjunction with psychosocial therapies may augment overall treatment efficacy; data also suggest that combining and tailoring psychosocial therapies, such as motivational enhancement therapies, cognitive therapies, and twelve-step facilitation may further improve treatment outcomes for patients with co-occurring depressive and alcohol use disorders.

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References

    1. Teeson M, Hall W, Lynskey M, Degenhardt L. Alcohol and drug-use disorders in Australia: implications of the National Survey of Mental Health and Wellbeing. Aust NZ J Psychiatry. 2000;34:206–13. - PubMed
    1. Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality; Online: http://www.samhsa.gov/data/NSDUH/2k10NSDUH/2k10Results.htm • Most recent survey data regarding prevalence and trends.
    1. Zarkin GA, Bray JW, Aldridge A, Mills M, Cisler RA, Couper D, McKay JR, O’Malley S. The effect of alcohol treatment on social costs of alcohol dependence: results from the COMBINE study. Med Care. 2010;48(5):396–401. - PMC - PubMed
    1. Boschloo L, Vogelzangs N, Smit JH, van den Brink W, Veltman DJ, Beekman AT, Penninx BW. Comorbidity and risk indicators for alcohol use disorders among persons with anxiety and/or depressive disorders: findings from the Netherlands Study of Depression and Anxiety (NESDA) J Affect Disord. 2011;131(1–3):233–42. - PubMed
    1. Weissman MM, Myers JK. Clinical depression in alcoholism. Am Journal of Psychiatry. 1980;137:372–373. - PubMed

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