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History of physical or mental trauma Problems with cognition or impulse control Fear, worry, or repetitive, intrusive thoughts or actions Fear, worry, or repetitive, intrusive thoughts or actions Feeling of worthlessness or
inappropriate guilt Changes in concentration, mood, activity level, sleeping, appetite, or weight Social withdrawal Apathy or flat affect Fatigue COD Red Flags Sexual dysfunction Hypertension Gastrointestinal symptoms Chest pain or cardiac arrhythmia Headaches SUD only) Identifying Patients With COD
- Red Flags - Withdrawal symptoms Enlarged liver or spleen, abnormal liver function, hepatitis, or cirrhosis in later stages Unexplained bruises Nasal irritation Many American adults have both substance use disorders (SUDs) and mental disorders (MDs).
Other terms for these co-occurring disorders (CODs) are dual diagnosis and comorbidity. Source: Center for Substance Abuse Treatment. Identifying and Helping Patients With Co-Occurring Substance Use and Mental Disorders: A Guide for Primary Care Providers. Substance Abuse in Brief Fact Sheet Fall 2006, Volume 4, Issue 2.