Integrating behavioral and pharmacological interventions in treating clients with psychiatric disorders and mental retardation

While the literature on treatment of dually diagnosed individuals continues to grow, few studies have examined the potential interactions between beha vioral interventions and pharmacological interventions in treating persons with a developmental disability and a concurrent psychiatric disorder. The current theoretical paper discusses different manners in which psychotropic medications and behavioral interventions can interact, including the poten tial for facilitative or inhibitory effects of one treatment modality on th e other. Possible permutations of these interactions are discussed. Case ex amples, including objective measures of psychiatric and behavioral symptoms over time, representing possible illustrations of these permutations,. are presented. The authors argue that in many cases the potential effect of on e treatment procedure on the efficacy of another may be an important consid eration in treating dually diagnosed individuals. (C) 2001 Elsevier Science Ltd. All rights reserved.