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What is a dual diagnosis?
Dual diagnosis, also known as co-occurring disorder, is the result of an addiction to drugs or alcohol presenting at the same time as a mental health disorder.
Research indicates that the most effective co-occurring disorder treatment involves targeting both conditions simultaneously.
Learn about the most common dual diagnoses and discover how to connect with the best dual diagnosis treatment centers California like Gratitude Lodge.
When addiction and mental health disorders manifest simultaneously, this is known as a co-occurring disorder. A co-occurring disorder is often referred to as a dual diagnosis.
The addiction component of a co-occurring disorder can involve any of the following substances:
The most diagnosed dual diagnosis mental health conditions in the context of co-occurring disorder are:
In the event of co-occurring disorder, either the mental health disorder or the substance use disorder may develop first.
While co-occurring disorders can be aggravating and disruptive to daily functioning, the coordinated treatment of both conditions with personalized and evidence-based treatment typically delivers favorable outcomes.
The most common cases of dual diagnosis involve alcoholism or drug addiction presenting with one of the following:
Successful treatment of co-occurring disorders depends on a precise diagnosis. Many individuals with dual diagnosis prove to be treatment-resistant, so it may be necessary to try more than one combination of therapies.
Despite the closely interrelated nature of substance abuse and mental health issues, one condition does not necessarily cause the other.
Many people resort to substance abuse as a means of self-medicating the disturbing untreated symptoms of an undiagnosed mental health disorder. Others self-medicate volatile emotions or regulate their mood using alcohol, prescription medications, or illicit drugs. Although self-medication can provide fleeting respite, symptoms will normally worsen over time.
Abusing alcohol, prescription medications, or illegal drugs can heighten your risk of developing a mental health condition. Additionally, substance abuse can exacerbate the symptoms of existing mental health disorders. Both alcohol and drugs can trigger adverse interactions with a variety of medications, including antidepressants and anti-psychotics.
What is a co-occurring disorder, precisely?
Treating dual diagnosis patients began in the 1980s among those with severe and co-occurring substance use disorders and mental illness. Today, SAMHSA (Substance Abuse and Mental Health Services Administration) uses the term COD (co-occurring disorders) to express the concurrent presentation of substance use disorders and mental health disorders.
A clinical dual diagnosis definition is the co-occurrence of mental disorders and substance-related disorders. Those with dual diagnosis have at least one substance-related disorder and at least one mental health disorder.
The symptoms associated with co-occurring disorders will vary depending on the addiction and the mental health condition.
The clinical descriptor for addiction is substance use disorder, diagnosed according to the following symptoms listed in DSM-5-TR, a benchmark diagnostic tool published by APA (American Psychiatric Association):
Substance use disorder is classified according to the number of symptoms that present as mild (2 or 3), moderate (4 or 5), or severe (6 or more).
The other symptoms that present will vary depending on the mental health component of the dual diagnosis.
Here are the three most common examples of mental health conditions co-occurring with addictions, along with the likely symptoms of each condition:
According to ADAA (Anxiety and Depression Association of America), 20% of U.S. adults with anxiety disorders or depressive disorders have co-occurring alcohol use disorder or substance use disorder.
Treating the addiction separately often leads to relapse if the untreated symptoms of anxiety return. If the addiction is treated and the anxiety neglected, on the other hands, this will often lead to symptoms worsening.
These are the most common symptoms of generalized anxiety disorder:
Research shows that roughly one-third of those with major depressive disorder also abuse addictive substances.
There are many types of depression varying in duration, severity, and cause. The most common of these is major depressive disorder.
The most common symptoms of major depressive disorder are as follows:
If the above symptoms persist for more than two weeks and disrupt your daily functioning, you should request a diagnosis for depression.
The following dual diagnosis treatments statistics are published in NSDUH 2021 (SAMHSA’s most recent National Survey on Drug Use and Health).
adults were diagnosed with either a substance use disorder or mental health disorder in 2021.
of young adults aged 18 to 25 reported a diagnosable addiction or mental health condition.
U.S. adults had co-occurring disorders that required dual diagnosis rehab.
Co-occurring disorders in the United States were most prevalent among multiracial adults.
of young adults satisfied the criteria for both mental illness and substance use disorder.
Typically, co-occurring disorders are most effectively treated at dual diagnosis inpatient treatment centers.
PTSD (post-traumatic stress disorder) is closely linked to addiction. Half of those who seek treatment for substance abuse satisfy the lifetime criteria for PTSD, according to APA.
Research suggests that those seeking PTSD treatment are up to fourteen times more likely to develop alcohol use disorder or substance use disorder than those in the general population.
Some people develop the symptoms of PTSD after exposure to a traumatic event. You must experience all these symptoms over one month or more to meet the criteria of PTSD:
These are the most reported avoidance symptoms:
These are the most reported re-experiencing symptoms:
These are the most reported mood and cognition symptoms:
These are the most reported reactivity and arousal symptoms:
At Gratitude Lodge’s Orange County rehab facilities, we have a professional staff to help treat your co-occurring disorders. The programs we offer include stress management, group therapy, individual counseling, cognitive behavioral therapy, experiential therapy, relapse prevention, breathwork, and introduction to 12 steps, which is a spiritual-based program. Call us today to see if we can help with your individual situation.
All co-occurring disorders are unique and there is no approach to dual diagnosis treatment that is universally effective. The best treatment centers for dual diagnosis will offer a personalized and integrated dual diagnosis program.
You will first need to detox from alcohol, prescription medications, or illicit drugs. Inpatient dual diagnosis treatment centers provide access to MAT (medication-assisted treatment) to reduce the severity of withdrawal symptoms and cravings for substances during a supervised medical detox. This normally takes about one week. After detox, you will transition directly into ongoing therapy at the residential rehab center.
In the case of both alcohol use disorder and opioid use disorder, MAT can be an effective component of ongoing treatment, minimizing cravings and inhibiting substance abuse.
Co-occurring disorders are treated with a combination of medications and behavioral interventions that may include:
Gratitude Lodge dual diagnosis treatment program combine science-backed treatments and holistic therapies that may include:
If you arrived here today wondering “what is a co-occurring disorder” or “what is a dual diagnosis treatment center”, you should now have a clear understanding of dual diagnosis.
At Gratitude Lodge, our treatment centers for dual diagnosis provide you with a tranquil and pet-friendly setting in which to address your addiction and mental health dual diagnosis.
Call admissions today at 888-861-1658 for immediate assistance with dual diagnosis in Southern California.
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