Management of Alcohol Dependence with co-morbid Psychiatric Disorder

Abstract

Co-morbidity of Alcohol dependence and mental disorders is very common presentation in our day today clinical practice. Co-morbid nature of illness poses a real challenge for mental health professionals in assessment and management of dual diagnosis patients. Here we present a case of 27 year old male who presented with history of alcohol dependence, sexual abuse in intoxicated state, repetitive sexual thought and guilt feelings, sadness of mood, decreased interest and interaction. The paper presents a comprehensive psychological assessment and psychotherapeutic management of the case using integrated approach to treatment that include various evidence based techniques of motivational enhancement therapy and cognitive behavior therapy. We also discussed the major challenges/barriers faced in the process and how to overcome those challenges.