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What Is Dual Diagnosis?

Dual diagnosis commonly refers to an individual who has both a substance use disorder and a co-occurring mental health disorder. Dual diagnoses are extremely common in the United States, yet they often go unrecognized. It is currently estimated that over 46.8 million adults in the United States have a substance use addiction, while 57.8 million U.S. adults live with a mental illness. Out of these populations, 21.5 million people in the United States currently have a substance use disorder and a co-occurring mental disorder. Additionally, those with a mental health issue are more likely to also have a substance use disorder than those who do not.

General risk factors, including stress, trauma, and genetics, can contribute to both substance use and co-occurring mental health disorders. No matter which condition begins first, the two go hand-in-hand.

Common Co-Occurring Disorders

Dual Diagnosis Cycle

The dual diagnosis cycle refers to the complex and intertwined relationship between mental health disorders and substance use disorders. Each condition can both contribute to and exacerbate the other, creating a challenging cycle that can be difficult to break.

Mental Health Disorders Leading to Substance Use
Many individuals with mental health conditions, such as anxiety or depression, may use drugs or alcohol as a way to self-medicate and manage their symptoms. This self-medication might offer temporary relief, but it often leads to worsening mental health over time. Additionally, mental health disorders can alter brain function, making individuals more susceptible to developing substance use disorders.

Substance Use Leading to Mental Health Disorders
On the other side, substance use can trigger or worsen mental health issues. Prolonged use of substances like alcohol, stimulants, or opioids can alter brain chemistry, leading to new mental health disorders, such as depression, anxiety, or even psychosis. The changes in the brain due to substance use can create a feedback loop, where worsening mental health leads to increased substance use, and vice versa.

Breaking this cycle requires a comprehensive approach that addresses both the mental health disorder and the substance use disorder simultaneously. For instance, someone with both depression and alcohol dependence may need therapy to address depressive symptoms while undergoing detoxification for alcohol use. Integrated treatment is key to disrupting the dual diagnosis cycle and promoting long-term recovery.

Personalized Dual Diagnosis Treatment

Our admissions process includes a detailed evaluation conducted by our experienced intake counselors. They meticulously review each client’s treatment history and medical records to understand the full scope of their dual diagnosis. Additionally, we perform our own thorough screening and assessment to identify symptoms of co-occurring disorders. This comprehensive evaluation ensures that we develop the most effective treatment plan tailored to the unique needs of each individual.

Once we have a complete understanding of each client’s situation, our dedicated team creates a personalized treatment program that addresses both the addiction and the mental health disorder. Treatment may include: 

  • Detox: The first step is usually to rid the body of the toxic substances so addiction and mental health treatment can begin. A medically supervised detoxification program will help the individual manage withdrawal symptoms and stay healthy throughout the process.
  • Inpatient Rehab: Addressing the individual’s addiction and mental health disorder can be most effective when they receive mental health and medical care 24/7. Therapy, health services, and support are available to the individual to treat their conditions and the underlying causes of each.
  • Psychotherapy: Therapy sessions have been proven to be effective in helping the individual with a dual diagnosis learn how to cope with and how to change ineffective patterns of thinking. Evidence-based practices used include individual and group therapy, recreational therapy, nutrition and exercise programs, family therapy, and more.

Throughout treatment, we continually monitor both the recovery process and the symptoms of the co-occurring mental health disorder. Our on-site prescribing psychiatrist works closely with clients to manage medications as needed, carefully observing their response to treatment. While some clients may not require medication, others might taper off after achieving initial sobriety. This can alleviate symptoms of their secondary, co-occurring diagnosis. For clients who were on psychiatric medications before entering treatment, we provide seamless continuity of care.

How Long Is Dual Diagnosis Treatment?

The length of dual diagnosis treatment varies based on the severity of the conditions and individual needs, typically ranging from 30, 60, to 90 days. Many experts recommend a 90-day program for the most effective results, as it provides ample time to address both the substance use disorder and the co-occurring mental health condition. Research shows that 90-day programs lead to higher success rates and lower relapse rates compared to shorter stays.

Assessment and Early Stages
Clients are usually assessed for dual diagnosis after a few weeks of sobriety. This period is essential to differentiate between symptoms caused by substance use and those related to mental health disorders, ensuring an accurate treatment plan.

Treatment Durations

  • 30-Day Programs: Offer a focused start to treatment, but may not be sufficient for long-term recovery in many dual diagnosis cases.
  • 60-Day Programs: Provide more time for stabilization and in-depth therapy, helping to build a stronger foundation for recovery.
  • 90-Day Programs: Most clients benefit from this duration, allowing for comprehensive treatment and better long-term outcomes.

For some, treatment may extend beyond 90 days through aftercare programs, with continued residential or outpatient care to support ongoing recovery.

Ultimately, the length of treatment is customized to each individual’s needs to ensure they receive the right level of care for lasting recovery.

Get Help Today for Substance Abuse and Mental Health

At Hope by the Sea, we believe in treating the whole person—addressing both substance use and mental health disorders with compassionate, expert care. Our dual diagnosis treatment program is designed to provide the comprehensive support you need to achieve lasting recovery.

If you or a loved one is struggling with addiction and a co-occurring mental health disorder, don’t wait to seek help. Contact us today to speak with one of our intake counselors and begin your path toward a healthier, more fulfilling life.

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