can be more difficult to treat than single-substance abuse or addiction alone.
A 54-year-old male with past medical history of degenerative joint disease, major depressive disorder, polysubstance dependence
, and history of childhood burn presented to the Emergency Department (ED) complaining of imbalance, irritability, outburst of temper, fatigue, and weakness for the last five days after he ingested five ounces (oz) (148 cc) of mercury as a suicidal attempt.
"Most people who use drugs have polysubstance dependence
. They are psychologically addicted to being in an intoxicated state and will use a variety of different substances."
In DSM-IV, Polysubstance Dependence
was the designation for use of multiple substances that together would meet the threshold of dependence.
F, age 52, is diagnosed with polysubstance dependence
and bipolar disorder and hospitalized for acute exacerbation of mania characterized by unrestrained buying sprees, racing thoughts, grandiosity, and a persistently irritable mood.
It also covers specific groups (adolescents, women, pregnancy, and lactation) and settings (driving, psychiatric co-morbidity and polysubstance dependence
A pretreatment assessment was completed on each participant within 11 days of their referral in which the following inclusion criteria were evaluated: (a) presence of a unipolar depressive disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV; American Psychiatric Association, 1994); (b) presence of alcohol abuse, alcohol dependence, or polysubstance dependence
with alcohol being a substance of issue according to DSM-IV criteria; and (c) capacity to provide informed consent and complete a questionnaire battery.
However, if a patient repeatedly uses at least three groups of substances (not including caffeine and nicotine), with no single substance predominating, and the criteria for substance dependence are met for these substances as a group but not for any specific substance, the patient is diagnosed with polysubstance dependence
. The commonly used term polysubstance abuse is not a valid DSM-IV-TR diagnosis.
Our average patient is 14 or 15 years old and meets criteria for polysubstance dependence
. Methamphetamine is accompanied with use of marijuana, alcohol, or Xanax to mitigate the drug's unpleasant side effects.
at Devereux because of K.T.'s polysubstance dependence
and a psychotic disorder.
You have a patient diagnosed with a severe and persistent mental disorder as well as polysubstance dependence
. The polysubstance use is in remission.
He later was placed in the hospital's psychiatric unit and diagnosed with "polysubstance dependence
" of cocaine, amphetamines, opiates and marijuana, Frasier said - though Garner denied having suicidal tendencies and he was released the day before the shooting.