The rate of dual diagnoses has increased significantly during the past decade. Research shows that approximately half of people struggling with a severe mental illness are also struggling with substance abuse.1 This statistic is staggering and highlights the current mental health epidemic that is happening across the nation.
There may be several contributing factors to this concerning rise, including a widespread lack of health insurance and access to health care, overwhelming access to social media, and unnaturally high levels of stress that many Americans face on a daily basis.
A dual diagnosis is a condition in which a person simultaneously has a mental health and substance use disorder. The number of people with dual diagnosis disorder has increased significantly over the years, and the numbers are showing no signs of decreasing.
It can be extremely difficult for doctors or therapists to determine which condition came first, as both conditions interact with and worsen the other. Researchers believe one of the most significant reasons that dual diagnosis occurs is because of the number of common risk factors present between the two conditions.
No two people will display the same signs of a dual diagnosis. The signs and symptoms that are present largely depend on the mental illness and the substance used.
For example, a patient with anxiety who smokes marijuana will have vastly different symptoms than a patient who has schizophrenia and uses methamphetamines.
Because there is such a large disparity between the types of symptoms that a person may exhibit, it can be extremely difficult to diagnose or for their family members to realize that something is wrong.
Nonetheless, more severe dual diagnoses show more prevalent signs and symptoms, becoming increasingly apparent to friends, family, and coworkers. Some of the warning signs to watch out for include the following.1
A family member or close friend who suddenly seems withdrawn, secretive, or unwilling to communicate or spend time with their loved ones may be experiencing a mental health crisis or substance abuse disorder.
It is important not to make hasty accusations or automatically assume that the person is doing something harmful, so try communicating with them first. Are they stressed? Are they busy with something important happening in their life? Expecting a significant change in the future?
Sometimes people pull away because they are going through an event that they are having difficulty processing, such as the loss of a job, loved one, or home. However, there is also a very real possibility of substance abuse if they are actively hiding things from those they love or going out of the way to avoid people.
If it appears that their health may be declining or they may be in danger, consult a mental health specialist or an intervention specialist for help in reaching them.
Many people have a drink occasionally when they are out with friends, but a few warning signs may include going out, partying, or drinking significantly more alcohol than they used to. Another warning sign to watch for is withdrawal symptoms. These are important signs to keep note of that may indicate it is time to seek professional help:
The common risk factors of dual diagnosis may include:
Research is still being conducted into the phenomenon of dual diagnosis in an attempt to understand it better and help prevent its occurrence in the future.3
Dual diagnosis recovery is possible through a dual diagnosis treatment program. When a person has a dual diagnosis, it is important that they are treated at a reputable rehabilitation center that specializes in dual diagnosis recovery.
The reason for this is that treating a dual diagnosis is significantly different than treating a mental health condition or an addiction alone. With a dual diagnosis, both conditions must be treated in tandem in order for a patient to have their best chance at recovery.
The first step in any treatment program that manages addiction is to help the patient detox. Recovery is not possible while a patient still has drugs or alcohol in their system, and it can be extremely difficult while they are dealing with withdrawal symptoms and cravings.
Rehabilitation centers first help patients fully detox from the chemicals and toxins in their bodies before they begin any other treatment.
A patient who is undergoing detox will be admitted to an inpatient rehabilitation program so they can be monitored as their bodies rid themselves of the drugs or alcohol. They will be constantly monitored to ensure that they are detoxing as safely as possible and as comfortable as possible.
Once the detox is finished, patients will begin treatment for their mental health condition before being released to an outpatient facility. Treatment is not complete until all underlying conditions have been diagnosed and a treatment plan has been initiated. This may include therapy or medication.
Depending on how long a person has been struggling with an addiction, they may need medication to help them manage their withdrawal symptoms. A person who is going through severe withdrawal may experience life-threatening withdrawal symptoms if they are left untreated.
This is why it is highly recommended that a person does a medically-assisted detox. Certain medications, such as methadone, naltrexone, or buprenorphine, can help protect the body from the most severe symptoms.
One of the most helpful tools in dual diagnosis recovery is group therapy. With a dual diagnosis, it can be very easy to feel alone in the world or to feel like they don’t have anyone to rely on.
A support group can help immensely. These groups exist to help people see that they are not alone and not the only ones struggling with their situation. In addition, it can be helpful and cathartic to hear the experiences of others and to share their own with people who understand these experiences without judgment.
Most reputable dual diagnosis programs understand the importance of a support group and the importance of a sponsor. While many mental health conditions can be managed through individual therapy or medication, it can be much more difficult for those who are also struggling with addiction to recover.
When a patient has a dual diagnosis, rehabilitation and treatment become more complex. This is because a doctor or specialist must treat two or more conditions simultaneously rather than focusing on one at a time.
A person with a dual diagnosis is fighting a war on two fronts, and each of their conditions feeds back on the other in a continuous loop. These conditions will continue to worsen and hinder treatment attempts if they are not treated together. If a person who has a dual diagnosis is only treated for their substance abuse disorder, then the underlying problem has not been addressed, and they are more likely to relapse.
Similarly, when a person is treated for a mental health condition, but their substance abuse isn’t addressed, the likelihood of stopping substance use on their own increases. This could also lead them to discontinue their mental health treatment.
The first thing people should do is seek professional support. Reach out to a therapist, addiction center, or intervention specialist to better understand what the options are.
There are many rehab centers that accept insurance, and many insurance providers will pay for some, if not all, of the cost of treatment for alcohol or other substance abuse.
It may also be helpful for people to look into information regarding helping their loved one return to life after recovery. This can look different for everyone, but most people will need help finding a place to live, gainful employment, a therapist, and a support group to help them maintain their sobriety.
While offering support, it is important to set boundaries. People must remember that they cannot make a person choose sobriety.
Ensure that there is a line, or a boundary, that will not be crossed. Boundaries often include not letting the person live in one’s home while they are struggling with addiction or not lending them any money until they have gone to a rehabilitation center.
Setting firm boundaries with a loved one can be extremely difficult, but it is essential in helping them realize that they must seek professional help. Additionally, these boundaries are there for protection in case the individual tries to lie, cheat, or to continue their addiction during a time of weakness.
A person living with an addiction has a brain disease, and while they are in the middle of their addiction, it can be very difficult to control their actions and impulses. This does not mean that they are a bad person or trying to hurt their loved ones. They simply need professional help to treat the dual diagnosis first-hand.
Addiction recovery and improved mental health are not things that happen overnight. Instead, recovery and treatment are slow, methodical processes that can take weeks, months, and even years of effort.
It is important to understand that the person may slip, relapse, and struggle while they are recovering and that all of this is completely normal. Be there to support and encourage them during their recovery but be sure to not directly or indirectly enable them to go back to their old ways.
In a situation involving substance use disorder, planning an intervention may be the best, and safest, option to help someone who is living with an addiction. So, what does intervention mean? An intervention is a strategically planned process of confronting the person who is living with addiction about the consequences of their actions while simultaneously encouraging them to accept help and treatment for their addiction.1
The key feature of an intercession is that while it can be an immensely helpful option in convincing a person that they should seek treatment, it should not be done solely by friends and family members. Without the aid of a specialist, or someone who is equally trained in the process of interventions, an intervention may do more harm than good.
An intervention specialist is someone that has been professionally trained in helping people break free from their addictions. They can help a person without judgment, emotions, or blame to understand how their actions are negatively impacting themselves and those that they care about.
When performed properly, without judgment or pressure, and with the aid of a qualified intercession specialist, 80-90% of substance use interventions are successful in convincing the patient to seek help.
Treatment is more effective the earlier that it begins for an alcohol or drug abuse disorder. As with any other health condition, early intervention and treatment can prevent more significant problems further on in life.
Unfortunately, in many cases, an alcohol addiction intervention or a drug abuse intercession does not take place until most other options have been exhausted. It can be difficult for those struggling with a substance use disorder to realize or admit that they need help.
It often takes a life-altering event, such as a divorce, loss of employment, or a housing crisis for a person to be willing to seek treatment. Because early
alcohol and drug intercession can be so beneficial, first responders must be able to recognize the symptoms of substance abuse.3
Nursing interventions are often the first time a patient will experience care for their disorder. It takes place when someone enters a care facility such as a clinic or hospital for a condition that may or may not be caused or exacerbated by their substance use disorder.
After initial evaluation and stabilization, a nurse will take action to help their patient by suggesting healthy physical or emotional coping mechanisms for a patient that wants to quit using the substance that they are addicted to. The nurse will also be able to offer education and information to the patient about other treatment facilities or care providers that can help them on their road to recovery.
Nearly 50% of adults in America regularly drink alcohol, and it is believed that as many as 25% of those Americans have an alcohol addiction, most commonly in the form of binge drinking. In many situations, once a person with an alcohol use disorder realizes the way that alcohol is negatively impacting their life, they can reduce the amount that they drink, or even quit entirely, without outside assistance.
However, some people that have an alcohol use disorder are unable to see how their addiction is negatively affecting them. In this situation, an alcohol use intercession can be extremely beneficial. Some of the benefits of interventions include:
Over nineteen million adults struggle with a drug abuse disorder and of those, nearly 74% also struggle with a co-existing alcohol abuse disorder. Drug abuse and addiction can be a much harder disorder to recover from than alcohol addiction, particularly due to the high rate of co-use that most people with a substance use disorder experience.
In many cases, suddenly stopping the use of an illicit substance can be just as harmful, if not more so than using the substance itself. The side effects and withdrawal symptoms that a person may experience when they decide to stop using a substance can be severe and at times life-threatening.
Luckily, substance use is a highly treatable disorder and several medications can help a person wean off of illicit substances in a safe, sustained, and monitored manner. A drug abuse intervention can help someone realize that they have options and that they can recover safely and healthily.
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