Functional recovery among patients with dual disorders: the role of stigma

High prevalence of comorbidity of substance use disorders with other mental disorders and extensive psychosocial consequences associated with this condition contribute to complexity of the disease. Patients with dual disorders face severe psychological and social repercussions, health risks and stigma.

Comorbidity also importantly affect quality of life od patients and their important others, starting with impact on daily functioning, where several limitations are present. In latest years we observe a shift towards individually tailored treatments (treatments adopted to patient’s needs), starting with individualised medication selection (from symptom focused - to taking into account wider spectrum of individual functioning). Individual goals covering wider aspects of life – especially on field of social functioning (relationships, parenting, independence, housing, working ability…) are focused with aim to contribute to improving overall functioning of patients.

However, stigma and discrimination presents another important obstacle in treatment and should not be overlooked. Neglecting stigma can be associated with long term negative consequences and outcomes of treatment in this population, while patients consequently face more barriers to receiving appropriate healthcare (detection, treatment, “diagnostic overshadowing”, systematic exclusion from the studies…). Overcoming functional limitations and stigma (experienced, anticipated) with appropriate coping strategies can help achieving better quality of care, functional recovery and quality of life in this vulnerable population.

* Mental health and substance use: EMCDDA session