Co-occurring Disorders Worksheets PDF

Learn more about co-occurring disorders and how they can impact someone during their life. Utilize this worksheet to support your clients.

By Chloe Smith on Apr 08, 2024.

Fact Checked by Ericka Pingol.

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What are co-occurring disorders?

A psychological clinical term often used to identify individuals who are suffering from multiple mental health issues is co-occurring disorders. It often involves a mood disorder and substance abuse disorder or addiction. It is essential to recognize the mutual impact that co-occurring personality disorders can have on an individual when it comes to treatment options and success rates (Causes & Effects of Co-Occurring Disorders, 2024).

Knowing which mental health disorder came first is often a problem. Although it doesn't really matter all too much which problem came first, the treatment is still the same regardless of this fact. By adopting and developing a unified approach that considers both aspects, clinicians can provide more effective and tailored interventions, ultimately promoting holistic well-being for a group or family of individuals grappling with co-occurring disorders.

Printable Co-occurring Disorders Worksheets PDF

Download this Co-occurring Disorders Worksheets PDF to help patients who might be suffering from multiple mental health issues.

Common co-occurring disorders

Co-occurring disorders, where mental health challenges develop and intertwine with substance use issues, present a complex landscape in healthcare. Here are examples of common mental health disorders and substance use problems.

  • Depression and alcohol use disorder
  • Anxiety disorders and substance abuse
  • Bipolar disorder and cocaine addiction
  • PTSD and opioid use disorder
  • Schizophrenia and cannabis use disorder
  • ADHD and nicotine dependence
  • Eating disorders and stimulant abuse
  • Borderline personality disorder and alcoholism

Symptoms of co-occurring disorders

There are a variety of symptoms that can be related to addiction and mental health issues. This is simply the nature of co-occurring disorders. Here are some symptoms that may be suggestive that an individual has an addiction or more than one mental health disorder from Causes & Effects of Co-Occurring Disorders (2024):

Behavioral indicators

  • Coping with anger or sadness by using alcohol or drugs
  • Noticeable shifts in personality
  • Isolation from family or friends
  • Abandoning previously valued activities
  • Unpredictable behavior
  • Episodes of heightened energy
  • Associating with drug-using individuals
  • Displaying aggressive behaviors

Physical manifestations

  • Insomnia or hypersomnia
  • Malnutrition
  • Substantial weight loss or gain
  • Excessive fatigue
  • Poor hygiene

Cognitive indicators

  • Paranoia
  • Panic
  • Confusion episodes
  • Disorientation
  • Lack of focus
  • Blackouts/loss of consciousness

Psychosocial indicators

  • Unwarranted anger or aggression
  • Dramatic mood swings
  • Intense agitation and impatience
  • Hostility toward others
  • Prolonged periods of profound sadness
  • Sense of invincibility or omnipotence
  • Episodes of emotional detachment
  • Self-hatred
  • Suicidal ideation

How to use the co-occurring disorders worksheet?

Using this worksheet within therapy sessions has never been easier. We've created a step-by-step instruction set that is easy to follow.

Step 1: Obtain the worksheet

You can do this by navigating the Carepatron templates page. You can save and download the document to your device for electronic use. Or, if you're happier using a physical copy, you can go ahead and download and print from your device.

Step 2: Talk with your client

As with other mental health treatment worksheets, reviewing this worksheet with your client is a good idea. This worksheet is designed for you to set it as either a homework task or a task during the session. Either way, individuals will need guidance before or during working through this worksheet - so now is an excellent time to offer that support.

Step 3: Review the completed worksheet

You and your client can work through the completed worksheet together during your next therapy session. This feedback can support understanding the difference in the treatment goals and how it would be best to work through the specific difficulties they are facing.

Step 4: Create a treatment plan

Using the information provided by the client, you (with your client and family's input) can work to create a treatment plan that is going to be beneficial. Ask questions about what might work and who else can be supportive. This is also a good time to answer any questions, feelings, or concerns the client may have.

Step 5: Store the worksheet

After completion, storing this worksheet within your client's file is a good idea. This allows you to review information they have provided at a later date. You'll be glad you can easily store information like this worksheet securely within the Carepatron system.

Co-occurring Disorders Worksheets PDF example

Here at Carepatron, we're dedicated to making mental health professionals' lives much easier. We've gone ahead and created a sample of this completed worksheet. You can use this for professional reference or even when reviewing this worksheet with your patient.

Please note that the character in the sample is completely fictional. The answers your patient will give may vary from this, and it's up to you to make your best professional decisions around diagnosis and treatment.

Download this free Co-occurring Disorders Worksheets PDF example here:

Co-occurring Disorders Worksheets PDF example

Why use Carepatron as your psychiatry software?

Carepatron stands out as the premier platform for all your psychiatry software needs.

Our commitment to simplifying the lives of healthcare professionals is evident, with a particular focus on the mental healthcare community that sets us apart. We take pride in being driven by the needs and insights of mental health care specialists.

Dive into a comprehensive library of over 200 therapy templates tailored to various techniques, ensuring you can access the most significant and genuine information for your clinical setting. Our dedication extends to our cutting-edge OS system, featuring a range of tools and resources that elevate Carepatron above other healthcare systems.

When you opt for Carepatron, you gain access to advanced therapy practice management software designed to support you and your colleagues. Imagine the convenience of setting patient reminders through our appointment reminder software, efficient case management with our clinical note system that allows access from home or the office, and seamless payment processing with our medical billing software.

Don't hesitate – download Carepatron today. Explore various psychological and other resources that empower you and your clients to deliver top-of-the-line psychological care. Elevate your practice with Carepatron's innovative features and comprehensive support system.

Psychiatry EHR


Causes & Effects of Co-Occurring Disorders. (2024). Life Center of Galax.

National Institute on Drug Abuse. (2020, April). What are the treatments for comorbid substance use disorder and mental health conditions? National Institute on Drug Abuse.

What Are Co-occurring Disorders? (2024). Caron Treatment Centers.

What are the common mental health disorders in co-occurring disorders?
What are the common mental health disorders in co-occurring disorders?

Commonly asked questions

What are the common mental health disorders in co-occurring disorders?

Common mental health disorders in co-occurring disorders include depression, anxiety disorders, bipolar disorder, post-traumatic stress disorder (PTSD), schizophrenia, attention-deficit/hyperactivity disorder (ADHD), borderline personality disorder (BPD), and eating disorders. Individuals with co-occurring disorders face the challenge of identifying and managing both their mental health problems and substance use issues, emphasizing the need for integrated treatment strategies and approaches.

Do mental health problems, illness, or substance abuse problems come first?

The order varies. Mental illness may precede substance abuse, alcohol, or substance and following other abuse can worsen existing mental health issues.

Are co-occurring disorders common?

Yes, co-occurring disorders are common, with many individuals experiencing both mental health problems and substance use disorders simultaneously.

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