There’s a strong connection between substance abuse and mental illness. Usually, an underlying psychological condition can lead individuals to self-medicate with alcohol or drugs to relieve their symptoms. Resultantly, with long term use, these substances can instigate severe mental health conditions.
Due to this connection, it is not unusual for people to struggle with substance use disorder (SUD) and mental illness at the same time. Generally, there are three words used to define this occurrence: dual diagnosis, comorbidity, and co-occurring disorders.
These terms are often used interchangeably when referring to somebody who has both, a mental health condition and an addiction to alcohol or drugs. However, there are some trivial differences between the three. Therefore, it is essential to know how they vary, particularly if you are or someone you know is seeking treatment for a mental illness and substance use disorder (SUD).
This IOT Chicago guide will provide you an overview of co-occurring disorders, dual diagnosis treatment, and learn how intensive outpatient treatment can help battle these conditions.
First and foremost, it is essential to recognize and acknowledge that drug addiction is a mental ailment. Alcohol and drug use can alter your brain’s function and structure. Changes transpire on some of the brain’s mutual areas impacted by other psychological disorders such as depression, anxiety, and even schizophrenia.
Substance use disorder (SUD) or disease of addiction is categorized by compulsive and usually uncontrollable cravings. Despite the overwhelming consequences of alcohol or drug use, an addicted person may continue to search for addicted substances unless they receive professional help and treatment.
Comorbidity is one way to describe a person who has both a psychological disorder and addiction. Nevertheless, the term also has a broader meaning – comorbidity can be used to define any circumstance where two diseases or disorders occur in the same individual. While this word can be applied to mental illnesses and substance use disorder (SUD), it can also define somebody who has anxiety and Parkinson’s disease, for example.
A person with comorbidity does not need to have both disorders simultaneously. Sometimes, one ailment can initiate once the other seems resolved. Comorbidity insinuates that there’s some form of connection between the two conditions affecting both, how they progress, and their treatment.
The short answer is no.
Dual diagnosis is a more general word for two or more conditions that ensue in one person at the same time, whether psychological or physical. The presence of diabetes and heart disease could be considered a dual diagnosis. However, today, dual diagnosis treatment is most often used to define how people who have both, an addiction and psychological illness, are treated.
On the other hand, co-occurring disorders define a variety of diseases that usually occur along with substance use disorder (SUD). This term is almost exclusively used to refer to somebody who has a psychological disorder that contributes to, or is a result of, alcohol or drug addiction. Nonetheless, an addicted person’s co-occurring disorder can also be cancer, HIV, hepatitis C or another disease.
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In 2019, 9.5 million U.S adults between the ages of eighteen to twenty-five were diagnosed with at least one co-occurring disorder together with a substance use disorder (SUD). Amid this population, only 742,000 individuals (7.8%) acquired treatment for both, mental health disorder and substance use disorder simultaneously.
A co-occurring disorder refers to a person who has two or more psychological health disorders or medical illnesses. These co-occurring ailments may overlap and commence at the same time, or one may appear before or after the other.
Moreover, there’s a strong relation between SUDs and other psychological health disorders. In fact, about half of the individuals with one disorder will eventually cultivate at least one more co-occurring psychological health condition in their lifetime. Additionally, co-occurring disorders can also aggravate each other’s level of severity.
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While there are many exclusive examples to list – any single substance addiction related to any individual psychological health condition – a few of the most common forms of co-occurring disorders include:
Many more examples can amplify this list, but these are a few of the most common illustrations of co-occurring disorders.
Researchers have identified three possible mechanisms that might illuminate why co-occurring disorders are so rampant:
Psychological conditions or ailments can lead to substance use disorder as a means of coping with symptoms. This notion is casually termed “self-medicating.” However, this title may be misleading because although substance use can cover symptoms of some mental health conditions, at the same time, they also exacerbate symptoms in both the long and short term.
Common risk factors for substance use disorders and other psychological health conditions usually overlap. These may involve genetics as well as environmental factors, e.g., exposure to trauma, that can make an individual more likely to develop these problems.
The use of drugs and alcohol can lead to changes in areas of the brain disrupted by psychological health disorders, which in turn, can increase somebody’s likelihood of budding symptoms of a psychological disorder that affects the brain.
The parts of the brain affected by substance abuse disorders seem to be linked with parts associated with mood, impulse-control, anxiety disorders, and even schizophrenia.
For decades, scientists have studied the frequency of co-occurring disorders, and they have recognized that some psychological health disorders are related to substance use disorders more often than others. Psychological conditions that are most likely to occur alongside SUDs involve, but are not limited to:
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It is not easy to distinguish the difference between mental illness and addiction at times, considering there can be several overlapping symptoms between them. Therefore, to avoid confusion and be sure, a psychological health diagnosis should be performed while the individual is abstinent, and there isn’t any form of the drug in their system.
While every psychological disorder has varying symptoms, nonetheless, there are some general signs and signals that point to the possibility of a particular mental disorder. Some of those symptoms and signs involve:
The symptoms and signs of substance use disorder can also vary depending on the substance used, but common symptoms can signify that a person may be going through an SUD. Some of these warning signs and indications include:
Co-occurring disorders can produce or result in supplementary problems or compound problems ascending from both or one disorder. Difficulty maintaining housing, relationships, employment, health issues, and an increased risk of suicide can be seen in patients with co-occurring disorders, especially as the disorders amplify in severity. More importantly, if not treated properly, each disorder can make the other worse, making it much harder to treat and recover.
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Several people depend on individual therapy for medical support, but there are times when they need additional support, which cannot be provided by individual therapy alone. Women and men in need of more comprehensive psychological health services can be referred to an intensive outpatient program (IOP).
Intensive outpatient treatment takes place in a structured therapeutic setting with a group that typically meets three to five times a week for around three to four hours every day. The treatment program usually runs for five to eight weeks. Intensive outpatient treatment might be a suitable treatment option for people in various situations, including those on leave from school or work and those requiring more support than weekly counseling.
In addition to this, IOT is usually the next step for patients who’ve received inpatient care or have undergone a fractional hospitalization program for their psychological health disorder. It also serves as a preventative measure before an individual pursues inpatient treatment.
Intensive outpatient treatment therapy treats a variety of psychological disorders, including:
The core intensive outpatient treatment method encompasses group therapy sessions— family and individual counseling sessions can be planned on an as-needed basis. The CRC Institute uses a variety of therapies, such as:
Our counselors endeavor to develop a wide-ranging treatment plan that best suits your psychological needs.
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The goal of an intensive outpatient treatment (IOT) is to help you manage your psychological condition or disorder more effectively. People in the program are typically struggling in their day-to-day lives and require intensive support. With the completion of IOT, you can anticipate the following treatment outcomes:
There are intensive outpatient treatment programs, particularly for young adults, adults with anxiety and depression, and for people struggling with self-harm, impulse control, and even for treating substance abuse disorders.
The main objective of an intensive outpatient treatment program is to provide more frequent care and support throughout the week as compared to an outpatient counseling program. The flexibility of an intensive outpatient treatment (IOT) schedule helps you tend to responsibilities that you may otherwise leave and maintain employment while receiving the support and care needed for your psychological well-being.
An IOT program can allow individuals to build on foundational psychological health skills that will assist them to successfully face triggers and stressors. Moreover, the objectives of every IOT program will differ depending on the matter/problem the program is designed to tackle. For example, individuals with SUD will learn and acquire tools to allow them to maintain sobriety and recognize potential triggers for relapse.
The IOT in Chicago at CRC Institute offers a thorough program that provides therapy to people struggling to function on a regular basis and people who are in crises. Our therapy groups are designed in such a way that each individual receives adequate attention.
Whether you call it dual diagnosis, comorbidity, or a co-occurring disorder, proper diagnosis and treatment are vital to offer you the best chance of recovery. It can be challenging to untangle many of the interrelating signs and symptoms of alcohol or drug abuse and certain psychological disorders to make sure appropriate support and care are provided. That is why you need the help of substance use disorder and co-occurring disorder specialists who understand the nuances of IOT and dual diagnosis treatment.
At CRC institute, we specialize in the evidence-based intensive outpatient treatment (IOT) to make sure you receive the highest quality of care. If you feel that your psychological health condition has added to a substance abuse disorder or vice versa, we are here to help. Contact us today to learn more about dual diagnosis treatment and care.
We work with evidence-based elements and integrated practices to treat the whole person. Run by doctors, PhDs, clinicians, and the best holistic practitioners, CRC Institute is home to the industry’s most stimulating and successful programming.
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