Epidemiology

To date, the largest study of the prevalence and co-occurrence of alcohol, drug, mood, and anxiety disorders is the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC; Grant et al., 2004). The NESARC included 43,000 adult, noninstitutionalized, civilian citizens of the United States, utilizing the fourth edition of the Diagnostic and Statistical Manual of the Mental Disorders (DSM-IV: American Psychiatric Association, 1994) definitions of the aforementioned disorders. Findings of the NESARC are striking and informative, showing that 9.4% of the population (or approximately 19.4 million persons) met clinical criteria for either an alcohol or drug use disorder, or both, and that 9.2% of this same sample (or about 19.2 million adult Americans) met diagnostic criteria for independent mood disorders (including major depression, dysthymia, and bipolar spectrum disorders) not accounted for by intoxication or withdrawal from alcohol or other drugs. Furthermore, associations between most substance use disorders and independent mood disorders were positive and highly significant. About 20% of participants with at least one current (i.e., within the past year) independent mood disorder had a comorbid substance use disorder. Likewise, approximately 20% of the general population with a current substance use disorder had at least one independent mood disorder. Although the NESARC study does not resolve questions about causal mechanisms that may underlie relationships between DSM-IV substance use and mood disorders (Grant et al., 2004), it highlights the importance of assessing and treating these two major problems areas simultaneously in clinical practice.

How To Win Your War Against Anxiety Disorders

How To Win Your War Against Anxiety Disorders

Tips And Tricks For Relieving Anxiety... Fast Everyone feels anxious sometimes. Whether work is getting to us or we're simply having hard time managing all that we have to do, we can feel overwhelmed and worried that we might not be able to manage it all. When these feelings hit, we don't have to suffer. By taking some simple steps, you can begin to create a calmer attitude, one that not only helps you feel better, but one that allows you the chance to make better decisions about what you need to do next.

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