Identifying Patients With COD - Red Flags

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History of physical or mental trauma
Problems with cognition or impulse control
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
COD Red Flags
Sexual dysfunction
Gastrointestinal symptoms
Chest pain or cardiac arrhythmia
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.

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