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Physical & Mental Disorder Comorbidity in Substance Users - page 39 / 40

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Case Study 2: Answers

Relationship between psychosis and substance misuse?

cannabis and heroin may both exacerbate and relieve psychosis

Drug induced psychosis (does he have schizophrenia?)

Medical conditions to exclude?

BBV, sepsis

Chest infections after cannabis

How to manage comorbid substance misuse and psychosis?

Encourage treatment be with psychiatry and addiction teams. Minimise drug use. Assertive case management to increase compliance with therapy.

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