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Dual diagnosis treatment centers provide proper rehabilitation for people with a psychological disorder and a substance abuse issue. The term dual diagnosis is defined as an individual who has at least one psychological disorder as well as an alcohol or drug use disorder. It is now referred to as a co-occurring disorder. This can include a bipolar disorder, depression, anxiety, ADHD and others. Studies have shown nearly 37% of alcohol abusers and over 50% of drug addicts suffer from at least one psychiatric condition.
- It is vitally important both conditions receive proper treatment simultaneously.
How Dual Diagnosis Rehab Centers Work
Dual treatment refers to a type of program that provides therapy which addresses both the substance abuse and psychiatric condition. This area of addiction medicine has been growing in popularity in recent years, and is thought to be a more comprehensive, effective approach. Most addiction experts believe in the importance of treating both conditions as the best way to be successful. Treating both conditions simultaneously has been shown to be more effective in long-term recovery.
These centers tends to be effective for several reasons, including:
- The therapy focuses on the underlying causes behind an addiction
- It has been found to be more effective over the long run
- Patients are more likely to reach a long lasting recovery
- Clients have better tools to recover from relapses more quickly
People suffering from a psychiatric disorder are more likely to abuse drugs and alcohol, so it is important that the facility they attend be experienced and well-versed in addressing both the mental disorder as well as alcohol and drug misuse.
The co-occurring condition can be bipolar disorder, depression, anxiety, ADHD, panic, personality disorders and others. When these two illnesses interact with each other, it can become difficult to determine which symptoms are being caused by which disorder.
Dual Diagnosis Treatment Centers – Therapy Model
Therapy is most effective in evidence-based programs. Evidenced-based practices use a combination of cognitive behavioral therapy, motivational enhancement therapy, family counseling and community oriented support groups.
The best therapy consists of a variety of techniques for both the mental illness and substance abuse. It should be designed to help the client develop hope, knowledge, and skills to better manage their conditions. Properly trained therapists can help a patient realize the destructive role alcohol and drugs have been playing in their lives. They need to realize alcohol and drugs have been exacerbate their psychiatric disorder. The best dual diagnosis treatment centers offer a variety of addiction counseling and cognitive therapy programs that are individually tailored to address each patient’s specific needs.
When the two conditions interact with each other, it can become difficult to determine which symptoms are caused by which disorder. Conversely, alcohol or drug abuse can cause similar type behaviors that can mimic real psychiatric conditions. Because these symptoms are so tightly intertwined, it is vital for anyone suffering from both a mental illness and substance abuse problem to get treatment at an inpatient drug rehab facility experienced in dual diagnosis treatment.
According to the Journal of Addiction Medicine, 60% of individuals diagnosed with a bipolar condition are also struggling with addiction, generally substance abuse. According to the Journal of the American Medical Association, 37% of all alcohol abusers and 53% of drug abusers also have at least one psychological disorder.
- About 44 million Americans experience some type of mental disorder.
- Nearly 7 million adults in the US have a co-occurring mental health and substance-related disorder
- Almost 50 percent of individuals diagnosed with psychiatric disorders are affected by substance abuse.
- Nearly 40 percent of people diagnosed with alcoholism have at least one mental condition.
- Over 50 percent of individuals with drug addiction have a co-occurring psyche disorder.
In order to get admitted, someone must meet the criteria of having a clear and diagnosable mental health disorder, as defined by the current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Secondly, the person needs to have a clear diagnosis of either substance abuse and or drug abuse as defined by the same manual listed above.
10 Best Dual Diagnosis Treatment Centers in the US
Here it is, our list of the 10 best programs in the United States. It is based on staff, success rate, facilities, program integrity & treating patients with compassion.
Each program treats alcoholism and addiction as diseases. The criteria included staff quality, individualized programs, success rate, living facilities, reviews and overall integrity.
- Programs are listed in alphabetical order by name.
- Each program’s name is linked to their website.
- All are accredited by JCAHO
Personality Disorders & Co-Occurring Disorders
Co-occurring disorder indicates a drug or alcohol addict with one or more mental illnesses. Formerly referred to as a dual diagnosis or dual disorder co-occurring disorder means the substance abuser has been found to have a mental illness.
Co-Occurring disorders is the term for having both a psychiatric and substance abuse issue. It was formally called “dual diagnosis”.
Many addicts suffer from one or more personality disorders that makes them more likely to adopt drug-seeking behaviors. Personality traits characteristic of personality disorders will severely impair an addict’s ability to maintain employment, engage in healthy relationships, exert proper impulse control and recognize abnormal thinking patterns.
The DSM-IV categorizes personality disorders in clusters. For example, Cluster A includes schizoid and paranoid personalities, Cluster B includes borderline, narcissistic and antisocial personalities and Cluster C includes avoidant, obsessive-compulsive and dependent personalities.
Prevalence of personality disorders among substance abusers is extremely high, so high that the majority of integrated treatments for co-occurring disorders focuses on patients with antisocial and borderline personality disorders.
Psychiatric Disorders Can Trigger Substance Abuse
When addicts with schizophrenia or schizophrenia sub-types abuse alcohol and/or drugs. their mental illness tends to be more severe than it would be if they were not addicts. To determine if hallucinations and delusional thinking can be attributed to mental illness, patients entering a rehab center will need to undergo detoxification first before a co-occurring disorder diagnose can be correctly made.
Nearly 20 Millions Americans Suffer From Depression. It Is a serious medical condition. many people are “self-medicating” their depression with drugs and/or alcohol, resulting in a “co-occurring” disorder.
Severe depression, bipolar depression and mania are considered mood disorders. When a mood disorder continues affecting an addict following detoxification, they will likely receive a co-occurring disorder diagnose.
Treatment Of Co-Occurring Disorders
General treatment guidelines for addressing addiction and mental illness involve the following principles and protocols:
- Developing and utilizing therapeutic alliance to help fully engage patients in treatment
- Maintaining a perspective that emphasizes recovery and a goal-oriented future
- Monitoring psychiatric symptoms through through empathetic, supportive counseling methods
- Providing motivational support consist with the patient’s stage in recovery
- Using cognitive behavioral therapy and relapse prevention techniques
- Facilitating patient participation in group therapy
Features of the recovery perspective found in integrated treatments for co-occurring disorders include acknowledging the long-term, internal process of recovering from an addiction and understanding how recovery progresses in stages that happen over the patient’s lifetime.
Aftercare Support For Co-Occurring Disorders
Neither addiction nor mental illness are “curable”. Instead, integrated aftercare services must be incorporated into a recovering addict’s treatment plan to address emerging physical and mental issues on an ongoing basis. In addition to medical care and psycho-therapeutic counseling, patients may also benefit from holistic therapies involving creative, spiritual and nature-oriented activities.
Also essential to an excellent aftercare support program for addicts with co-occurring disorders are medications for controlling mental illness symptoms that heavily contribute to addictive behaviors. Since many substance abusers with mental illnesses or personality disorders turn to drugs or alcohol as a form of self-medication, case managers need to impart the importance of taking medications as prescribed to their clients in treatment.