Addiction is often viewed as a standalone disease. In reality, however, addiction is often coupled with other conditions. In particular, the combination of addiction and mental illness is common. Through dual diagnosis treatment, both conditions can be treated successfully.

Understanding Co-occurring Disorders

Co-occurring disorder is the name for any two disorders that appear at the same time among patients. In the world of addiction, this can mean two concurrent addictions, such as to alcohol and drugs. More commonly, however, a co-occurring disorder refers to having both a substance abuse disorder and a mental health disorder.

Mental health and substance abuse have a long and intertwined history. By some accounts, more than half of all those with severe mental illness also struggle with some form of addiction. Conversely, nearly half of those diagnosed with addiction also face some kind of mental health disorder.

It is impossible to know whether a person’s primary issue is mental health or addiction, because the two disorders can become so combined. In some cases, a person might use drugs or alcohol to self-medicate mental health disorders. This can be dangerous and it often leads to addiction.

On the other hand, some individuals develop the addiction first. This can create or exacerbate mental health problems. In particular, mental illness may cause things like paranoia, depression and anxiety, all of which can also be side effects of substance abuse.

The Importance of Dual Diagnosis Treatment

Dual diagnosis treatment is the treatment of both mental health disorders and addiction simultaneously. This is an important distinction, since not all rehab and addiction treatment facilities follow this approach to recovery. Without dual diagnosis, patients won’t get a comprehensive treatment of their health, bodies and minds.

In the past, dual diagnosis was not common in addiction treatment facilities. Unfortunately, mental health was often ignored altogether. Rather than identifying and diagnosing mental illness, which can become a tremendous stumbling block to sobriety, rehab centers focused only on physical health. Now that mental health and addiction are so closely related, we know that ignoring psychological wellness is clearly a mistake.

Even when mental health become something that treatment centers looked at, sequential treatment was considered the best approach. Sequential treatment, as the name suggests, focused on just one condition at a time. Typically, addiction treatment centers focused exclusively on sobriety. Then, patients were told to pursue mental health treatment on their own.

The problem with this, of course, is that mental health is often the cause of an addiction, or vice versa. It is impossible to treat addiction properly if a mental illness or disorder is left undiagnosed.

Patients who don’t receive comprehensive treatment that includes both mental and substance abuse disorders are less like to achieve sobriety in the long term. It is not enough just to go through the motions of a rehab program. The goal should be lifelong sobriety, not a short-term detox that leads to relapse.

Dual diagnosis treatment can go a long way in preventing relapse. To start, patients will understand how to treat their mental health disorders, and they will understand the connection between mental health and addiction. With the right tools, resources and support, it will be far easier to achieve health and sobriety, not to mention resist cravings, temptations and relapse.

Therapies and Methods Used in Dual Diagnosis Treatment

Dual diagnosis treatment is not one-size-fits-all. Instead, it utilizes a wide range of therapies and treatment methods to best address the needs of patients. The key is to use treatment approaches that account for both mental health and substance abuse.

One of the first things that can be used in dual diagnosis treatment is pharmacological treatment. Depending on the mental illness, medication might be necessary for patients. The right medication can lessen the impact of mental illness, which can go a long way in reducing a patient’s desire for drugs or alcohol.

Since some medications can be addictive, or can worsen a person’s substance abuse problems, it is key to have this done by someone familiar with addiction treatment. That way, patients can get treatment that helps their mental health but won’t sabotage their sobriety.

Therapy is a large part of most dual diagnosis treatment programs. Behavioral therapy, in particular, will seek to change negative behaviors to positive ones. By stabilizing emotions and focusing on positive changes, both cognitive behavioral therapy and dialectical behavioral therapy can be effective.

One-on-one therapy, also known as talk therapy, can also get to the heart of addiction. This is especially true for those patients who have a history of trauma, PTSD or relationship problems causing them pain. Talking through problems can offer the clarity and peace that addiction can’t.

Making Comprehensive Health the Priority

Dual diagnosis is so critical because it embraces the idea of comprehensive health and wellness. It is not enough to break down individual patients into a series of problems that need to be fixed independently. Health and sobriety are uniquely intertwined, and recovery has to be dealt with in a comprehensive way.

Rehab isn’t a success if patients leave sober but without the tools to treat a mental illness. Rehab isn’t a success if patients complete the program but immediately relapse without the right medication.

Rehab is only a success if patients are given every opportunity to live healthier, happier lives. Treatment that focuses on physical health, emotional fulfillment, mental health and addiction disorders will be the most effective.

A comprehensive approach to recovery can be a lot of different things depending on the patient and their conditions. The only way to know what treatment methods are needed is to analyze all new patients, assessing their health with a full evaluation. Then, it will be possible to determine how best to manage recovery.

Mental illness and mental health disorders are commonly found alongside substance abuse disorders and addiction. It is vital that they are treated simultaneously in order for patients to have the best chance of lasting success. Dual diagnosis treatment programs are designed to address multiple conditions and help patients achieve sobriety and overall health.

Is Drug or Alcohol Addiction a Problem?

Perhaps the easiest way to tell if a person needs detox is to determine whether they are struggling with drug or alcohol addiction. Individuals can be addicted to opioid prescription medications, heroin, cocaine, alcohol and countless other substances, but it is not always easy to tell from afar.

Addiction might be classified by an increased use of a particular substance, whether that is in frequency or in dosage. This happens because with addiction comes an increased tolerance. In order to feel the same buzz, euphoria or high, individuals will need to use addictive substances more often or in larger amounts.

Individuals may also be facing addiction if they continue use despite negative consequences. These consequences can be varied, but some of the most common include losing a job, breaking up a marriage, losing custody of children or facing bankruptcy. If substance abuse continues despite these consequences, then it is almost certainly a sign that a person requires intervention and detox in order to turn from the addiction.

Has Quitting Been a Problem in the Past?

Detox is the best solution for those who have tried quitting but have been unsuccessful in the past. This lack of success could be a result of inadequate accountability, proximity to temptations or uncomfortable withdrawal symptoms.

One of the most important aids in detoxing from drug or alcohol use is accountability. Detox takes an average of one week, and that week will typically be a serious challenge. In a detox facility, however, patients will be accountable and receive support throughout the process. This can often make them more likely to succeed with detox and keep moving on the path to lifelong recovery.

Those who try to quit drug or alcohol use at home cold turkey are often faced with tremendous challenges and temptations. To start, many people will be in an environment where their friends, partners or neighbors are still using substances. Having these temptations so close only makes it harder to detox, and in some cases it can be too much to handle.

It is also important to address the issue of withdrawal and how it can be an obstacle for those trying to detox. Without guidance and medical support, withdrawal can be dangerous as well as painful. In a medical detox, however, patients will get medications, resources, and support to ensure that the process is as comfortable as possible and sobriety is achieved.

Are Withdrawal Symptoms a Concern?

Unfortunately, some individuals who struggle with addiction don’t attempt sobriety because they are worried about unpleasant withdrawal symptoms. If these side effects are a concern, then remember that detox can offer solutions.

One of the ways that a detox mitigates discomfort is by administering prescription medications. These can range from ordinary painkillers to more potent sedatives that enable sleep. Most importantly, medical professionals in a detox center will understand the potential risks of these medications, and they will know which prescriptions are contraindicated for specific addictions or medical conditions.

In addition, some medical detox facilities can use weaning techniques, which involves replacing one addictive substance with a synthetic version. This is a temporary technique, and patients are then weaned from the synthetic drug as well. This can greatly reduce withdrawal symptoms, particularly for those who are struggling with opioid addictions.

Is There a History of Trauma or Mental Health Disorders?

Statistically, there is a high correlation between those dealing with substance abuse disorders and those with either a history of trauma or a mental health disorder. In detox, patients can receive better care and diagnoses for these conditions, which can be critical when working toward recovery.

Although patients may not receive a significant amount of behavioral therapy during detox, they can receive a diagnosis regarding mental health or trauma. This is key, because it can help patients see some of the factors leading to the development of their addictions. Furthermore, it can ensure that patients continue on from detox and receive appropriate treatment and therapy. Detox is just the first step, and dual diagnosis treatment may be necessary for lasting recovery.

Are There Physical Health Complications?

Quitting an addictive substance is a stressful process, and not just psychologically. It can also be physically stressful. As a result, individuals with any health conditions should quit taking drugs or alcohol only in a medical detox setting.

While less common, it is possible for patients in withdrawal to experience symptoms such as seizures or even cardiac arrest. Those with pre-existing health conditions or weakness may be at increased risk. In a detox facility, these health conditions can be addressed and patients will be closely monitored for emergency situations.

Is Lasting Sobriety the Goal?

Individuals may need detox if the ultimate goal is lasting sobriety. Without detox, achieving sobriety even in the short term will be challenging. With detox, patients will receive medical attention, support, therapy and recommendations for ongoing recovery and treatment.

One of the key ways that detox can aid in lasting sobriety is by including educational elements. Patients in detox will learn that moderation isn’t an option after struggling with addiction, for instance. Patients will also understand that addiction is an illness, not a choice or a flaw.

Detox can also help give patients recommendations for ongoing treatment or therapy. Getting professional opinions can ensure that patients make the right choices for their health and sobriety moving forward.

By answering these important questions, you can determine whether you need detox. These questions can also be applied to a loved one, ensuring they receive the help they need to fight addiction.