For those who struggle with drug or alcohol addiction and a mental disorder, also known as dual diagnosis, healing takes time and is not easy. Mental health and addiction are closely tied, and treating both is important for a person to recover. However, there is hope. At The Perry Clayman Project, we help people heal their mental health and stop using drugs and alcohol permanently.

What Is Dual-Diagnosis and Co-Occurring Disorders?

Dual Diagnosis

Dual-diagnosis is when a person who is struggling with addiction also has a mental health disorder. While the specific combination and challenges are unique to an individual, dual-diagnosis is common, and it often involves various mental disorders. Mental health disorders that commonly occur with addiction include the following:

  • Post-traumatic stress disorder (PTSD)

  • Anxiety and mood disorders

  • Major depression disorder

  • Attention/deficit-hyperactivity disorder (ADHD)

  • Schizophrenia

  • Bipolar disorder

  • Conduct disorders

Individuals with serious mental illness, such as schizophrenia and bipolar disorder, are particularly vulnerable to developing substance use disorders, making dual diagnosis a complex condition to treat.

The commonality of a dual-diagnosis speaks to the connection between drugs and alcohol abuse and mental health. When a person is struggling with a mental health disorder, there are many difficulties. Some of these symptoms can lead them to search for a way to self-medicate, often with drugs and alcohol. The changes in the brain due to a mental health disorder can also make a person more susceptible to addiction. Additionally, drug and alcohol abuse can lead to mental health symptoms and make symptoms of a mental health disorder worsen.

Understanding Dual Diagnosis

Dual diagnosis, also known as co-occurring disorders, refers to the simultaneous presence of a mental health disorder and a substance use disorder in an individual. This complex condition requires a comprehensive treatment approach that addresses both the mental health and substance use aspects. Understanding dual diagnosis is crucial for developing effective treatment plans and providing support to individuals struggling with these co-occurring conditions. By recognizing the intertwined nature of mental health issues and substance abuse, we can better tailor interventions that promote lasting recovery and improved quality of life.

Common Co-occurring Disorders

Co-occurring disorders can involve any combination of mental health and substance use disorders. Some common examples include:

  • Depression and alcohol use disorder

  • Anxiety disorders and opioid use disorder

  • Post-traumatic stress disorder (PTSD) and substance use disorder

  • Bipolar disorder and cocaine use disorder

  • Schizophrenia and cannabis use disorder

These combinations can vary widely, and individuals may experience different symptoms and challenges depending on their specific co-occurring disorders. Each pairing presents unique hurdles, but understanding these common combinations can help in identifying and addressing the specific needs of those affected.

Signs and Symptoms of Dual Diagnosis

Identifying the signs and symptoms of dual diagnosis can be challenging, as they can vary depending on the specific co-occurring disorders. However, some common signs and symptoms include:

  • Increased tolerance to substances

  • Withdrawal symptoms when attempting to stop substance use

  • Mood swings, irritability, or anxiety

  • Difficulty sleeping or insomnia

  • Changes in appetite or weight

  • Social withdrawal or isolation

  • Increased risk-taking behavior

  • Neglect of responsibilities or daily activities

Recognising these signs and symptoms is essential for providing timely and effective support to individuals struggling with dual diagnosis. Early identification can lead to more successful interventions and a better prognosis for recovery.

The Impact of Mental Illness on Dual Diagnosis

Mental illness can significantly impact dual diagnosis, as it can increase the risk of developing a substance use disorder. Individuals with mental health disorders may turn to substances as a coping mechanism for their symptoms, leading to the development of a substance use disorder. Additionally, mental illness can worsen the symptoms of substance use disorders, making it more challenging to achieve recovery.

Conversely, substance use disorders can also exacerbate mental health symptoms, creating a cycle of co-occurring disorders. Understanding the interplay between mental illness and substance use is crucial for developing effective treatment plans that address both aspects of dual diagnosis. By breaking this cycle, individuals can achieve a more stable and fulfilling recovery.

Dual-Diagnosis Treatment

A counsellor sits with a client in an addiction rehab treatment centre

As a result of the connection between addiction and mental health disorders, dual-diagnosis treatment is imperative and will help a person to maintain their sobriety and mental health, which makes their quality of life increase dramatically. Effective treatment often includes various methods such as detoxification and behavioral therapy to manage withdrawal symptoms and support long-term recovery. Treatment at The Perry Clayman Project incorporates both detox and addiction treatment, as well as therapy, medication, and mental health treatment options. Due to individual needs, the specific therapy for each person will be a unique combination that helps them heal.

Detox and Substance Abuse Treatment

The start of addiction treatment is often detox. Alcohol detox and drug detox are the processes that occur after a person ceases the use of drugs or alcohol. Detox is particularly challenging for individuals with co-occurring mental health problems, as these overlapping conditions require specialized care. Detox is necessary because alcohol and drugs rewire the brain, creating urges to use a specific substance again. As a result, people who are addicted may have tried to quit many times and still returned.

After detox, addiction treatment is the process of healing the mind and body from substance abuse. It will include understanding why a person started using and how to make the necessary changes to stay sober after they return home. Addiction treatment often includes individual therapy, group therapy, and more.

Therapy, Medication, and Mental Health Treatment

Mental health treatment, as a part of dual-diagnosis treatment, will look different for each person, depending on their specific mental health issue. For some, medications can be used to stave off symptoms. Individuals with severe mental illness, such as psychosis and schizophrenia, often require specialized treatment programs to address both their mental health and substance use disorders simultaneously. In treatment, individuals will work with a mental health professional to help them find the right fit to treat their mental health disorder. While medication is very helpful for many, not all mental health disorders require medication. Many individuals can heal and manage their mental health with lifestyle changes and other interventions.

Along with medication, mental health treatment generally includes therapy. This might include individual therapy and group therapy. In therapy for mental health, people have the opportunity to learn about their mental health disorders. This includes how it has been impacting their lives and the tools to manage it in the future. As a part of dual-diagnosis treatment, therapy can help a person to understand how their mental health disorder has led to and played a role in their substance abuse and addiction. This increased awareness is important in healing, as it helps a person to see a way out.

Self-Help Strategies for Dual Diagnosis

While professional treatment is essential for dual diagnosis, self-help strategies can also play a crucial role in recovery. Some effective self-help strategies for dual diagnosis include:

  • Seeking support from family and friends

  • Joining a support group, such as a 12-step program

  • Practicing stress management techniques, such as meditation or deep breathing

  • Engaging in regular exercise or physical activity

  • Developing a healthy sleep routine

  • Eating a balanced diet

  • Avoiding triggers for substance use or mental health symptoms

  • Building a strong social network

  • Engaging in activities that promote relaxation and stress reduction

These self-help strategies can help individuals with dual diagnosis manage their symptoms, reduce stress, and improve their overall well-being. However, it’s essential to remember that self-help strategies should be used in conjunction with professional treatment, not as a replacement for it. Combining these strategies with professional care can provide a comprehensive approach to managing dual diagnosis and achieving long-term recovery.

Who Is Dual-Diagnosis Treatment Right For?

Many people who struggle with addiction also have challenges with their mental health. However, some of these difficulties come with the territory of addiction and drugs and alcohol abuse. For example, difficulty with mood can be a result of long-term drug and alcohol use. The crossover of symptoms can cause confusion. So, who is dual-diagnosis treatment right for?

Dual-diagnosis treatment is right for people who have underlying and untreated mental health disorders alongside addiction. There are a couple of ways a person would know if this fits them. One is that symptoms of a mental health disorder were present before drugs or alcohol were used or abused. For example, someone who struggled with PTSD, which led to drug and alcohol abuse, likely had PTSD symptoms like difficulty sleeping, mood changes, and more prior to heavy substance use. This could be true even if these symptoms were made worse through drug and alcohol abuse. 

Additionally, some people may have already undergone treatment for addiction. If it didn’t stick, there may be a reason related to mental health. For those who struggle with a mental health disorder and addiction, staying sober without addressing the mental health difficulties is near impossible. This is the reason that at The Perry Clayman Project, we look for underlying causes of addiction, including mental health disorders. We understand that healing from addiction means addressing these challenges. Through medication, therapy, and more, people can overcome mental health disorders while learning the necessary tools to stay sober long-term. 

Mental health disorders and addiction occur together often, and at The Perry Clayman Project, we help people to get to the root causes of both, heal, and move forward. To learn more about dual-diagnosis treatment or get advice on how to heal, call us today at 08000 380 480.

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