Dual diagnosis, also known as co-occurring disorders, describes the co-existence of a mental health problem and a substance abuse problem. Dual diagnosis conditions include a wide range of interactions, with people living with depression disorder, anxiety disorders and schizophrenia particularly susceptible to developing addiction problems. There has been some controversy surrounding the use of the dual diagnosis descriptor. Some experts say it’s inappropriate to label such a large and heterogeneous group of people with a single condition.
Common dual diagnosis interactions include depression and alcoholism, anxiety disorders and prescription drug abuse, post-traumatic stress disorder (PTSD) and alcoholism, and psychosis and methamphetamine abuse. There are a number of problems associated with dual diagnosis treatment.
Doctors face difficulties with diagnosis and patients facing difficulties with patient placement and treatment access. Co-occurring conditions can be dealt with in numerous ways, with typical treatment patterns including primary, sequential parallel and integrated treatment. To get more information on the care of such disorders, contact Drug Treatment Centers Belleville today at (973) 547-8142.
Before treating patients, doctors will attempt to differentiate between pre-existing mental illnesses and substance induced disorders. While this might seem like a simple distinction to make, complex bi-directional relationships often exist between mental health and substance use problems. For example, people with depression are more likely to use drugs or alcohol as a form of self-medication, with ongoing substance use also likely to influence depression rates. Doctors also face difficulties trying to pin down a primary disorder, with drugs often influencing mental health in unexpected ways.
For example, the abuse of methamphetamine or hallucinogens can trigger delusional and psychotic states long after the cessation of drug use, with cannabis also known to trigger panic attacks. Even when substance abuse came first, mental health problems can present themselves as the primary condition. When a primary condition can be diagnosed, a primary treatment plan will normally be initiated.
Sequential treatment is another option, with the secondary condition also treated once the primary disorder has been evaluated and stabilized. Parallel treatment represents another option, with both disorders treated at the same time. Integrated treatment plans are also available from some alcohol and drug rehab centers, with no distinction made between disorders and a single plan administered.
According to the Substance Abuse and Mental Health Services Administration, over 8.9 million American adults are living with co-occurring disorders. Despite this large number, only 7.4 percent of people receive care for both conditions, with 55.8 percent receiving no treatment for either condition. 45.1 million Americans have lived with a mental illness in the past year, with 11 million people living with a serious mental illness. 2.8 million people are living with a serious mental illness and substance use dependence, representing 25.7 percent of all cases. Poverty is correlated with the existence of dual diagnosis. People living with co-occurring conditions are twice as likely to have an income less than 150 percent of poverty levels as people without either disorder.
Behavior therapy forms the basis of rehabilitation care at many facilities. Patients are taught how to reconcile the split between their thoughts, feelings and behavioral responses. Common therapy models include cognitive behavioral therapy, motivational incentives, motivational interviewing and family therapy.
Patients can benefit from each of these approaches, especially when they are implemented as part of an integrated plan. Conventional counseling and relapse prevention also play an important role in drug treatment. Dual diagnosis patients often require special care in order to reduce the possibility of relapse.
To find out how you can get the best care for you or your loved ones dual diagnosis, call Belleville rehab centers today at (973) 547-8142.
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