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Med Clin North Am. 1997 Jul;81(4):1017-36.

Dual diagnosis in primary care. Detecting and treating both the addiction and mental illness.

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  • 1Department of Psychiatry, Yale University, New Haven, Connecticut, USA.


The initial phase of treatment includes engaging the patient in a discussion about the doctor's concerns and providing patients with information about the problems as well as the possibility of change. Treatment of dual disorders often requires a heightened awareness of the consequences of the problem and the development of a realistic plan for change. The treatment plan must attempt to evaluate and treat the addiction and the psychiatric and medical illnesses.

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