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Which comes first, the substance-related disorder or the mental disorder?

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Substance-related disorders, whether it is dependence or abuse, are highly associated with mental disorders. Individuals diagnosed with a mental disorder are twice as likely to abuse or become dependent on alcohol in their lifetime, and are four times as likely to abuse or become dependent on a drug in their lifetime.16


People with an existing mental disorder may turn to drugs or alcohol to help them cope with their disorder.6 This is often referred to as self-medicating.6 However, the intoxication effects, long-term use effects, and withdrawal symptoms of a drug can mimic symptoms of mental disorders.16 Therefore, when a person has a substance-related disorder and a mental disorder, it can be likened to the age-old question of “which came first, the chicken or the egg?” Researchers have found support for both scenarios – that an existing mental disorder increases one’s risk of developing a substance-related disorder (table 1), and that substance-related disorders can create certain mental disorder symptoms (table 2). 1, 2, 3, 5, 6, 8-11, 14, 16-18







A Parent's Guide to Substance Abuse and Addiction

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