I shared this article on April 7, 2025, referencing our Fed AG Jan 31, 2019 decision. This was during President Trump’s administration. It is typical for these things to take some time to reach a conclusion. But preceding this date, several people held the office of AG or acting AG, which led up to this conclusion.   Jeff Sessions, Rod Rosenstein, Matthew Whitaker   Below that link to the article, I am sharing the information provided by perplexity.ai when I asked it: what comorbidities issues are generally involved with addiction.

I asked perplexity.ai what the DOJ has done regarding discrimination of pts with SUD/OUD since Jan 2019, and it came up with NADA. With our new Fed AG Pam Bondi, I doubt if she will pursue anything as well. I guess we have another law that is enforced at the discretion of  “who is in power.”

DOJ Considers Opioid Use Disorder an ADA Covered Disability and Pursues Claims Against a Provider for Refusing Medical Services to Opioid Users

what comorbidities issues are generally involved with addiction

Comorbidities associated with addiction, also known as substance use disorders (SUDs), are common and can significantly complicate treatment and recovery. These comorbidities span mental health disorders, medical conditions, and behavioral issues. Below is an overview of the most prevalent comorbidities:

### **Mental Health Disorders**
1. **Depression and Anxiety Disorders**: These are among the most frequent comorbid conditions. Many individuals use substances to self-medicate, which can create a vicious cycle of dependency[1][2].
2. **Bipolar Disorder**: Substance abuse often exacerbates mood instability in individuals with bipolar disorder[1][3].
3. **Post-Traumatic Stress Disorder (PTSD)**: Trauma survivors may turn to substances to cope with distressing memories and emotions[1][2].
4. **Personality Disorders**:
– **Borderline Personality Disorder (BPD)**: Impulsivity and emotional dysregulation in BPD increase vulnerability to substance use.
– **Antisocial Personality Disorder (ASPD)**: Individuals with ASPD are more likely to engage in substance abuse due to impulsivity and disregard for societal norms[1][3].
5. **Psychotic Disorders**: Schizophrenia frequently co-occurs with SUDs, complicating treatment adherence and symptom management[1][3].

### **Medical Conditions**
1. **Infectious Diseases**: Injection drug use is linked to a higher risk of HIV/AIDS and hepatitis.
2. **Cardiovascular Issues**: Stimulant use can lead to hypertension, arrhythmias, and heart attacks.
3. **Liver and Gastrointestinal Problems**: Chronic alcohol or drug use can cause liver damage and gastrointestinal disorders.
4. **Diabetes and Cancer**: Addiction may exacerbate these systemic conditions by hindering proper management[4][6].

### **Behavioral Disorders**
1. **Eating Disorders**: Conditions like anorexia, bulimia, and binge eating disorder often co-occur with SUDs due to shared risk factors such as low self-esteem[1][3].
2. **Gambling Disorder**: Both behaviors share underlying vulnerabilities in brain reward systems[1].

### **Challenges in Diagnosis and Treatment**
Diagnosing comorbidities is challenging due to overlapping symptoms, stigma, and limited integration between mental health and addiction treatment services. Untreated comorbidities often worsen outcomes by increasing relapse risks and reducing treatment effectiveness[2][6].

### **Integrated Care Approach**
Effective management requires a multidisciplinary approach that simultaneously addresses addiction and comorbid conditions through personalized treatment plans. This includes pharmacological interventions, psychotherapy, and social support systems tailored to individual needs[1][2].

Addressing these comorbidities holistically improves recovery outcomes and enhances quality of life for individuals struggling with addiction.

Citations:
[1] https://www.serenityspringsrecovery.com/blog/common-comorbidities-with-substance-use-disorders/
[2] https://www.euda.europa.eu/spotlights/comorbid-substance-use-and-mental-health-problems_en
[3] https://www.unodc.org/documents/drug-prevention-and-treatment/UNODC_Comorbidities_in_drug_use_disorders.pdf
[4] https://footprintstorecovery.com/comorbid-medical-conditions-addiction/
[5] https://www.youtube.com/watch?v=5RbEotf0jqI
[6] https://thephoenixrc.com/blog/addiction-recovery/handling-comorbidities-with-substance-use-disorder/
[7] https://www.ncbi.nlm.nih.gov/books/NBK571451/
[8] https://nida.nih.gov/research-topics/co-occurring-disorders-health-conditions
[9] https://altacenters.com/addiction-resources/comorbidity/
[10] https://www.helpguide.org/mental-health/addiction/substance-abuse-and-mental-health

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Answer from Perplexity: pplx.ai/share

Filed under: General Problems