Conclusion.
The case highlights the fact
that it is critical for psychiatrists, including
those working with the drug addiction, to
consider the challenges of double diagnoses,
especially with the advent of NPS. The
new cohort of NPS patients is at a higher
risk of poisonings and mental instability in
comparison to those exposed to traditional
drugs. Our clinical report outlines the need
for the treatment standards and rehabilitation
procedures to be customized for endogenous
patients with concurrent NPS problems.
Meanwhile, most of the reported clinical
observations and described features warrant
studies that identify the pathophysiological
interactions and factors lying behind the
double diagnosis of NPS addiction and bipolar
disorder.
REFERENCES
1. Ross S., Peselow E. Co-occurring psychotic and addictive disorders: Neurobiology
and diagnosis // Clinical Neuropharmacology. Clin Neuropharmacol, 2012. Vol. 35, № 5. P.
235–243.
2. Baldacchino A. et al. Epidemiological issues in comorbidity: Lessons learnt from a
pan-European ISADORA project // Ment. Heal. Subst. Use Dual Diagnosis. Routledge , 2009.
Vol. 2, № 2. P. 88–100.
3. McIntyre R.S. et al. The Efficacy of Psychostimulants in Major Depressive Episodes
// J. Clin. Psychopharmacol. Lippincott Williams and Wilkins, 2017. Vol. 37, № 4. P. 412–418.
4. Malhi G.S. et al. Stimulants for depression: On the up and up? // Australian and New
Zealand Journal of Psychiatry. Taylor and Francis Ltd, 2016. Vol. 50, № 3. P. 203–207.
5. Rounsaville B.J. DSM-V Research Agenda: Substance Abuse/Psychosis Comorbidity
// Schizophr. Bull. Oxford Academic, 2015. Vol. 41, № 2. P. 391–399.
6. Horsfall J. et al. Psychosocial treatments for people with co-occurring severe mental
illnesses and substance use disorders (dual diagnosis): A review of empirical evidence // Harvard
Review of Psychiatry. Harv Rev Psychiatry, 2009. Vol. 17, № 1. P. 24–34.
7. Lechner W. V. et al. The prevalence of substance use disorders and psychiatric disorders
as a function of psychotic symptoms // Drug Alcohol Depend. Drug Alcohol Depend, 2013. Vol.
131, № 1–3. P. 78–84.
8. Hryb K., Kirkhart R., Talbert R. A call for standardized definition of dual diagnosis. //
Psychiatry (Edgmont). Matrix Medical Communications, 2007. Vol. 4, № 9. P. 15–16.
9. M Salloum lhsan. The Use of Synthetic Cathinones and Tryptamines in a Psychiatric
Population // J. Forensic Toxicol. Pharmacol. OMICS Publishing Group, 2013. Vol. 02, № 02.
10. Merikangas K.R. et al. Prevalence and correlates of bipolar spectrum disorder in the
World Mental Health Survey Initiative // Arch. Gen. Psychiatry. Arch Gen Psychiatry, 2011.
Vol. 68, № 3. P. 241–251.
11. Steen N.E. et al. Increased Systemic Cortisol Metabolism in Patients With Schizophrenia
and Bipolar Disorder // J. Clin. Psychiatry. Physicians Postgraduate Press Inc., 2011. Vol. 72,
№ 11. P. 1515–1521.
12. Acciavatti T. et al. Novel psychoactive substance consumption is more represented
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