Treatment Options for Co-Occurring Disorders
What Is a Co-Occurring Disorder?
It is estimated that as many as half of those who seek treatment to help manage and recover from the symptoms of a mental health condition also have a substance use disorder.
A co-occurring disorder (COD) means a person simultaneously struggles with a mental health condition and a substance use disorder.1
A variety of factors can lead to the development of co-occurring disorders. For some, there is a genetic risk factor for both addiction and certain mental health challenges that increases one’s risk of COD diagnosis. Other factors, including family history, environmental factors, trauma history, elevated stress levels, and other overlapping factors, may also contribute to COD illness.
Another significant risk factor is the use of drugs or alcohol to manage or “self-medicate” mental health symptoms instead of seeking mental health and substance abuse treatment at a treatment center. Although using substances can be helpful in the short term, it is not a permanent fix and often leads to worsening mental and physical health problems. In addition, ongoing drug and alcohol use can also lead to changes to the structure and function of the brain, which can cause worsening mental health symptoms.
Mental Health Conditions That Occur Commonly Alongside SUDs
How to Treat Co-Occurring Disorders?
The first step in co-occurring disorder treatment is diagnosis. It is essential for treatment providers (mental health or primary care providers) to conduct a comprehensive intake assessment to examine patients’ conditions and determine if other factors are contributing to their symptoms.
Once an evaluation is complete, it is important to find a treatment program that meets patients’ needs and goals. This is especially true of co-occurring disorder treatment as not all programs address co-occurring conditions.
Upon entering treatment, the treatment team will work with each patient to develop a treatment plan that incorporates evidence-based treatment models designed to address mental health and addiction. As the patients progress through therapy, medical professionals will determine their aftercare plan, including essential post-treatment care, is in place and ready for them to transition out of the treatment environment to an outpatient program or similar ongoing care environment.
Integrated Treatment for Co-Occurring Disorders
Data from the Substance Abuse and Mental Health Services Administration shows combining mental health and addiction treatment into an integrated treatment plan leads to positive treatment outcomes and improved relapse prevention. There are several benefits to integrated treatment, including:
Inpatient and Outpatient Care
Co-occurring disorder treatment can be applied in inpatient and outpatient treatment environments. Because the therapeutic models in these care levels are often similar, many of the therapeutic approaches mentioned above are used across all co-occurring disorder and substance abuse disorder care levels.
Co-occurring Treatment Process
When someone seeks help to overcome a co-occurring diagnosis, the first step is often detox. During detox, patients go through the process of getting rid of the chemicals and toxins in their bodies. Part of detox for some people often includes powerful withdrawal symptoms that can have mental health effects. At a program that offers treatment for co-occurring disorders, skilled professionals will help manage all the withdrawal symptoms.
There are various types of therapy that can be integrated into a treatment plan, depending on what will be most effective for the patient’s recovery.
Evidence-based techniques like cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), contingency management, and motivational enhancement are all proven effective in helping patients manage mental health conditions and substance use disorders.
Also, as part of co-occurring disorders treatment, patients can participate in peer support groups during therapy. The relationships forged during these groups can offer guidance and support during difficult times.
Barriers to Treatment Options for Co-Occurring Disorders
It is not uncommon for someone struggling with a mental health condition or addiction to fear seeking help due to the stigma surrounding these conditions. People worry about what others might think, losing their jobs, etc. These worries about how others view their decision to seek help cause many to avoid contacting a co-occurring disorder treatment center.
Finances and Costs
Financial barriers are another significant problem. Although insurance companies are required to provide coverage for mental health and addiction treatment needs, there is often an out-of-pocket cost that remains. For some, this cost puts seeking help out of financial reach.
Treatment at Alta Centers
At Alta Centers, we are here to help you begin your journey to recovery. We understand there are fears and challenges associated with seeking mental health and substance abuse help. Let our admissions team show you how we can help. Contact us at Alta Centers today for more information about our co-occurring disorder treatment programs.