Co-morbidity discussion questions Please read the attached document and provide a detailed answer to each for responses. My response: Re: Topic 7 DQ 2 Good

Co-morbidity discussion questions Please read the attached document and provide a detailed answer to each for responses. My response:
Re: Topic 7 DQ 2
Good afternoon Dr. White and class,
Co-morbidity refers to the occurrence of more than one condition or disorder in a person. Co-morbidity is highly
prevalent among people with alcohol abuse and addiction, who often display co-occurring psychiatric disorders.
Petrakis et al. (2002) indicate that co-morbidity prevalence rate is highest among individuals diagnosed with
alcohol and dependence use disorder and co-morbid anxiety and PTSD disorders, while the prevalence rate is low
in people with alcohol and dependence use disorder and co-morbid panic and bipolar disorder. The co-morbidity
aspect in clients with a co-morbid alcohol diagnosis suggests that physicians and psychiatrists should recommend
pharmacological treatment. Clients usually exhibit pronounced paranoia, as well as social and withdrawal
problems, which undermine their motivation to enter and stay in treatment programs (Petrakis et al. 2002).
However, Orford (2008) proposes that the high co-morbidity prevalence rate of alcohol use and addiction disorders
and personality disorders increases the severity of the conditions, complicating the recovery process. Therefore,
he argues that pharmacological treatment cannot effectively treat the conditions; hence, there is a need for
integrated treatment systems.
Petrakis, I.L. et al. (2002). Co-morbidity of alcoholism and psychiatric disorders. National Institute of Alcohol
Abuse and Alcoholism.
Orford J. (2008). Joining the queue of dissenters. Addiction, 103, 706–707.
Professor response:
4 posts
Re: Topic 7 DQ 2
Thank you, Rosa. Comorbidity with mood disorders and personality disorders can
occur, but, I want to explain how often Borderline PD and Bipolar Disorder may often
even be confused as a result of the changes in mood, energy, and the ability to
function throughout the day. People with Borderline PD will often report mood
swings that last 24 hours or a few hours, not more than a few days. People with
Bipolar disorder will report symptoms for weeks, or at minimum 5 to 7 days.
My response:
Professor: Disorders that have a high Prevalence of Co-Morbidity
When we think of clinical disorders that have a high prevalence of comorbidity, we
tend to think of anxiety disorders, mood disorders, such as Bipolar Disorder,
Schizophrenia, but what about personality disorders, such as Borderline personality
disorder, antisocial personality disorder, and narcissistic personality disorder?
My response:
2 posts
Disorders that have a high Prevalence of Co-Morbidity
Good afternoon Dr. White,
Kessler et al. (2005) reported that a significant percentage of the participants in their study with psychiatric
disorders also displayed more than two disorders. Personality disorders have been found to be highly co-morbid
with clinical disorders where the co-morbidity prevalence rate is highest in cluster B of personality disorder and
lowest in cluster A.
Kessler, R.C. et al. (2005). Chiu Prevalence, severity, and co-morbidity of 12-month DSM-IV disorders in the
National Co-morbidity Survey Replication. Archives of General Psychiatry,62(6),617–627.
Professor response:
Thank you, Rosa. So, when we refer to Cluster B traits, we are talking about what specific
pathology? Are we discussing Borderline, Antisocial, and Narcissitic Personality Disorders? Or,
are we also referring to those diagnosed with Histronic personality disorders? Those with the
lowest propensity for developing substance use disorders, would those be parallel to schizoid
personality disorder?
My response:

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