Review article

Psychiatric Comorbidities in Psychotic Disorders

Ante Bagarić

Abstract

For more than 100 years, psychiatry was dominated by a categorical model in which comorbidity was understood as an exception and diagnostic ambiguity. Today, however, we understand that comorbidity in psychiatry is more the rule than the exception. It is common to have a dual diagnosis of a psychotic and some other psychological disorder. Nearly all mental disorders (anxiety, depression, personality disorders, etc.) occur in comorbidity with psychotic disorders. Particularly common and important is the comorbidity of psychotic disorders and disorders associated with psychoactive substance consumption, a condition labelled as “dual diagnosis”. The comorbidity of a psychotic and other mental disorder leads to a more complex clinical picture, complicated diagnosis, weaker effect of therapy, frequent relapses, and lengthier duration of the disorder. Psychodynamic concepts also help to understand comorbidity.

Keywords

comorbidity; psychotic disorder; dual diagnosis; psychodynamic approach

Hrčak ID:

308625

URI

https://hrcak.srce.hr/308625

Publication date:

9.10.2023.

Article data in other languages: croatian

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