Tag Archives: sobriety

The Dual-Diagnosis Challenge


Dual diagnosis is a condition where a person is diagnosed with both substance addiction and a serious mental health problem such as an anxiety disorder, depression, or a bipolar disorder. It also goes by the names co-morbid disorders, co-occurring disorders, and co-existing disorders. They all refer to the same issue. When an individual has a co-occurring disorder, they have to simultaneously deal with both problems which makes their road to sober living and mental health much more difficult.


However, having a co-occurring disorder does not mean making a full recovery is impossible. The right help can help make a sober, steady life a reality. Many recovery programs have trained personnel who deal with both types of issues regularly. As such, it is imperative that you ask the treatment center you are seeking for your loved one whether they have expertise and experience in treating both addiction and mental health issues. They must provide assurance that they understand mental health concerns and how to help an individual recover from those as they treat the addiction problem. Not all treatment centers have the expertise and equipment to handle such situations. Failure to treat both issues concurrently almost always leads in one or both of the issues worsening.


Why Dual-Diagnosis is Difficult to Treat


When the individual increases their substance abuse, managing their mental problem becomes a lot more difficult. The reverse is also true. Moreover, having both mental health and addiction issues makes both problems more difficult to diagnose, as the behaviors and symptoms associated with each disorder will often complicate or mask the symptoms of the other.


As such it takes trained and dedicated specialists to untangle the disorders. Determining which condition came first is not as important as ensuring that both are resolved using appropriate treatment and care.


Nevertheless, denial is a common factor in both mental health and addiction problems. An addict often has a hard time accepting that their alcoholism or drug addiction is having negative effects on them and their loved ones. The stress of trying to mask the effects of their substance use causes them to feel ashamed and anxious. Moreover, the effects of the substances they are abusing can cause them to be depressed, have mood swings, panic attacks, and other symptoms that will only exacerbate the mental problem.


The same also holds true for individuals who have mental health problems. A lot of people find their symptoms to be shameful or as weakness. As such, they may either choose to ignore them and hope that they will go away, or turn to drugs and alcohol in an attempt to find relief. After depending on these substances to cure their frustrations, it eventually results in alcoholism and drug addiction, thus creating the co-occurring disorder.


Thus, even though it is hard to admit that they have these problems, it is the most critical step towards resolving their conditions.


Often, individuals suffering from either mental health issues or addiction problems find that other people within their families suffered or suffer from the same issue. It, therefore, seems to be a link between these issues and family ties. However, the exact role that genetics play in the development of these conditions has not been figured out yet. Nonetheless, patients of co-occurring disorders need professional help if they are ever going to overcome these problems and lead a healthy life.


Common Mental Health Disorders Linked to Dual Diagnoses


Substance addiction does not always lead to mental health issues, nor do mental conditions lead to addiction. However, they often become co-current because people turn to drugs and alcohol to alleviate their symptoms. Thus, substance abuse does increase an individual’s susceptibility to mental health problems.


Nevertheless, the following are the most common mental health disorders in Dual-Diagnoses:


 Depression.

 Anxiety.

 Bipolar Disorder.

 Schizophrenia.

 Attention Deficit Disorders.

 Personality Disorders.

 Post-traumatic Stress Disorder.


It is important to note that even the prescription medication for mental illnesses such as antidepressants can also cause more problems.


How Many People are affected by Dual-Diagnoses


The Journal of the American Medical Association  reports that around 50 percent of all people diagnosed with serious mental health issues also struggle with substance abuse. Moreover, about 37% of alcoholics and 53% of drug addicts have at least one severe mental illness. Additionally, the Journal of Addiction Medicine reveals that nearly 60 percent of individuals with bipolar disorder also suffer from some form of addiction. About 44 million Americans have been diagnosed with some type of mental condition.


However, the number of people suffering from mental illnesses but have not sought help remains unknown. Nevertheless, estimates indicate that about 7 million US adults are coping with both mental health conditions and addiction, or have a dual-diagnoses. Sadly, however, it is estimated that only about 16% of individuals with dual-diagnoses ever seek treatment.


Treating Dual Diagnosis


The past three decades have witnessed a great deal of change on how co-occurring disorders are treated. Up until the mid-90s, people who were suffering from both addictions and mental illnesses were often denied access to treatment for their mental health issues until they were sober. This approach was heavily flawed as substance abuse is one of the major contributors towards mental disorders. As such, a lot of individuals with dual diagnoses were denied the treatment they required.


Today, however, treatment is focused on addressing addiction and mental health problems concurrently. It is a growing field of therapy that is more comprehensive and effective at ensuring that individuals suffering from both conditions make a successful recovery. Dual diagnoses treatment utilizes evidence-based programs such as cognitive-behavioral therapy, counseling, motivation enhancement therapy, in addition to 12-step programs.

Counseling, in particular, is essential during this treatment as it helps patients learn how to cope with their mental health issues without relying on alcohol or drugs to manage their symptoms. They are taught that these substances actually aggravate their problems. As such, these patients need to be seen regularly by a psychiatrist.


Moreover, these individuals are also taught about medication compliance, and the importance of taking their medication as prescribed. Individualized treatment plans and cognitive therapy programs are essential towards addressing the needs of each patient to further enhance the success of the program.


Co-occurring disorders require a minimum of a 30-day inpatient program in addition to an outpatient aftercare treatment to realize success. However, the best outcome is usually realized when the patient stays in the inpatient treatment for an extended period. Recovering from dual-diagnoses is not easy, it needs courage and commitment from the patient. This is because it can take months or years to change their maladaptive habits and behaviors. Treatment is essential in helping teach them that basics of sober living, decision making, and coping skills. However, they need to make long-term commitments so that the treatment can be successful.


Dual diagnosis is a condition where substance addiction and a mental health condition manifest themselves at the same time on an individual. For a long time, this condition was not handled appropriately, and patients rarely made a successful recovery. However, advancements in healthcare have seen to newer and more efficient techniques of dealing with the disorder. No one promises that recovering will be easy, but in the right hands, your loved one should get their life back on track.


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How I Rediscovered Creativity Through Sobriety

This post was provided by a former Hickory Wind Ranch resident, Shane M.

After a quick run to my local hobby store, I pulled out charcoal and a large pad of drawing paper.  “Just start! Just go for it.  Let it come out. ” My mind repeated these words over and over in my head. I put the charcoal to the paper and began to draw.  What eventually showed up on the simple white, blank sheet of paper blew my mind.

Before I moved into Hickory Wind Ranch Sober Living Community, the owner, Polly Parsons, said that it was an environment that “promoted creativity”. “ Yeah, right,” I thought to myself. “ I lost my creativity years ago.  She is crazy if she thinks that I will be able to have some sort of miraculous change in my mind and all of a sudden the flood gates will release my artistic ability.”

(That sounds a little dramatic, but I was an addict at the time.)

It had been years since I had put medium to a piece of paper. While in college, I minored in art and did a little writing here and there – starting journals and never even completing them.  It wasn’t exactly brain science, but I remember the sense of serenity that it had brought me, and the freedom and pure joy I felt when I was creating something.

But that was several years ago., and I had so much hesitation built up inside me.  I had been filling myself down to the crevices of my soul with alcohol and drugs, masking anything and everything, not daring to let things out.  I had been lying, cheating others and myself, existing in an overall gloomy and shameful environment I had created.  “Could I feel that sense of peace again?” I wondered.

There is a common misconception among addicts that over time they lose their sense of creativity for good.  We all have different levels in our abilities. We all have inventiveness about us, whether it is writing, drawing, painting, music, or many of the other outlets. For addicts in recovery, being imaginative may be a little more difficult after the damage we’ve done to our bodies and brains through the use of drugs and alcohol.  But, the imaginative ability is there and it has NOT gone away.  It just needs to be nourished.

There is so much change going on as we begin our new lives in sobriety.  We are learning who we are all over again.  Spending time with new friends, in new places, doing new and old things that we haven’t done in many years.  Every day we are expanding our cognitive capacity to enjoy life and our new freedoms.  We are coming out of the fog that trapped us in a dark hole for many years. Every day, we become clearer and clearer and our physical state becomes healthier.  The healing process is in full force, both physically and emotionally.

Creativity is by no means the solution to all of our problems, but it is an energy force that can help your mind in the healing process.  It may even bring some issues to surface before you even realize it.

For me , creativity allowed me to be honest with myself, to let things out that I didn’t even know I was holding back. As they slowly and sometimes quickly poured out of me, I was able to come to terms with them, accept them, and move forward.  Sometimes I would write. Sometimes I would draw. Sometimes I would meditate..

Being imaginative, helped me realize the endless possibilities that this new life holds for me.  I could get creative in my ideas, but I came to find that they are way beyond anything I could have imagined before. I have gained confidence, hope, and overall, happiness from this release.  Working the twelve steps with a sponsor, being close to my higher power, and helping others are the most important things in my sobriety, but healing and forgiveness comes along with them. This is what creativity encourages for me.

Today I feel so free. Free from my hesitations, from judgments, and free to let my heart glow from the joy of my imaginative and artistic productions. I am creating my own beauty. I don’t have to be loaded to pull myself away from the darkness.

Sit in a quiet place where you can be alone so you will not have any judgments or distractions. Maybe turn some music on for inspiration.  This is just for you and no one else. Put a pencil to a piece of paper and see where it takes you.  If you want a real challenge, promise your self not to erase anything.  Just feel free, free to let go, free to create whatever your mind can imagine.

“I say, follow your bliss and don’t be afraid, and doors will open where you didn’t know they were going to be. If you follow your bliss, doors will open for you that wouldn’t have opened for anyone else.”

~Joseph Campbell