Dual diagnosis, mental health and substance abuse

Mental health rehabilitation

Over 40% of people entering drug and alcohol rehab suffer from a dual diagnosis or comorbid condition. This essentially means that almost half of the people through the doors of addiction treatment centre are also suffering from another mental health as well as a substance misuse problem. Likewise, this demands that addiction treatment centres need to have a comprehensive program which treats both conditions.

What is dual diagnosis?

The term dual diagnosis refers to a person suffering from more than one medical condition at a time. In connection with treatment for addiction to drugs and alcohol, this can mean one of 3 things.

  • The person has a substance dependency and a mental health condition
  • The person has a substance dependency and a physical health condition
  • The person has a substance dependency and another addiction issue.

Recent research indicates that more than half of people addicted to drugs and alcohol also fit into one of the above categories. Dual diagnosis is sometimes referred to as ‘comorbidity’ or a ‘co-occurring disorder’.

Mental health conditions that commonly occur alongside substance abuse issues include problems from all these categories.

  • Mood Disorders

A comprehensive category, mood disorders include many common mental health such as all types of depression and different severities of bipolar disorders.

  • Anxiety Disorders

Anxiety and fear are normal feelings, however, prolonged periods of anxiety that worsen over time may be indicative of an anxiety disorder. This is a difficult area to accurately diagnose.

  • Psychotic Disorders

Psychotic disorders usually cause two different types of serious symptoms which include delusions and hallucinations. People with psychosis are disconnected from reality and may become a danger to themselves or others.

  • Eating Disorders

Like addiction to drugs and alcohol, eating disorders are misunderstood. People with eating disorders do not choose to eat unhealthy diets they suffer from a serious mental illness.

  • Personality Disorders

Personality disorders are a type of mental health problem which is associated with unhealthy thoughts, beliefs and actions. This is frequently triggered by everyday stresses and can severely disrupt work and relationships.

  • Behavioural Disorders

Behavioural disorders are associated with inattention, defiance and hyperactivity and usually occur in children.

Behavioural Addictions

Other behavioural addictions related to dual diagnosis frequently include the following:

  • Obsessive Compulsive Disorder

OCD is an anxiety related disorder which is characterised by obsession and compulsion. People with OCD can spend an extraordinary amount of time each day either thinking about their obsession or engaging in behaviours that temporarily relieve the anxiety caused by their obsession.

  • Codependency

Sometimes co-dependency is also referred to as relationship addiction and it is characterised by one-sided, emotionally destructive and/or abusive relationships with others. The disorder was first identified as the result of years of studying interpersonal relationships in families of alcoholics.

  • Gambling Addiction

Gambling addiction is the inability to stop gambling when losses begin to take a toll on relationships, finances and career. Gambling addiction regularly co-occurs with alcohol or drug addiction.

  • Process Addiction

Process addiction is an addiction to an activity or process which covers many of the activities listed here. It can include eating, spending money, or gambling. These behaviours can be as devastating as those associated with substance addictions, and they require psychological treatment.

  • Sex Addiction

Sex addiction is a state regarded as the compulsive participation or engagement in a sexual activity which may or may not include sexual intercourse, despite negative consequences.

Mental health rehabilitation and addiction treatment

Dual diagnosis, mental health and substance misuse are a highly complex area of addiction treatment is highly specialised and requires expert diagnosis and treatment. In the most difficult cases people present with one or more mental health issues plus multiple addictions. The best place to treat this is at a mental health retreat with a team of dual diagnosis experts.

Accurate diagnosis is the key for clients to start successful long-term recovery from this complex problem. This can be problematic for three main reasons.

  • For some people, their mental health condition is masked by their substance use.
  • For some people, their mental health issue is exacerbated by drugs and alcohol.
  • Other people find that once they stop using and drinking the symptoms of their mental health issue vanish. This is because the negative effects of addiction commonly mimic the symptoms of disorders like depression, anxiety and psychosis.

All of these cases require an effective treatment program that balances the most successful elements of mental health care with proven drug and alcohol rehabilitation.

Why Choose a Residential Drug and Alcohol Rehab Centre?

A residential drug and alcohol rehab program is the best environment to treat people suffering from comorbidity. Trying to treat clients in their own homes presents a number of challenges.

  • It is difficult to deliver real continuity of care when several support providers are involved and not coordinated properly.
  • The effects of addiction, alcoholism and some mental health conditions mean some clients are unable to fully engage or even attend appointments.

Effective Dual Diagnosis Treatment at Seasons Bali

Seasons Bali believes in the provision of an integrated model of care that treats the whole person. Our expert team includes specialists that accurately diagnose and treat dual diagnosis patients. They identify the primary condition and deal with that first.

Wherever possible the Seasons Bali team works closely with a client’s diagnosing physician to formulate a personalised treatment plan. Our onsite clinical and medical teams consult with each other on a daily basis and are well aware these clients require extra supervision and support.

Clients with co-occurring disorders are more vulnerable to relapse or destructive behaviours such as self-harm and suicide. Members of our well-trained team supervise the community 24 hours a day and are always attentive to those who require additional help.

The team at Seasons Bali is the perfect mental health retreat. The team has helped numerous people suffering from a variety of complex co-occurring disorders to achieve long-term recovery. After treatment, our well connected international team can make referrals to the right care providers should continuing maintenance of a psychiatric condition be required.

We highly recommend that people with dual diagnosis attend the Primary Program for the full 90 days. This gives time for both conditions to stabilise and to be addressed. Seasons Bali also offers 28 and 60-day treatment programs.

Treatment for Addiction, Alcoholism and Depression at Seasons Bali

Depression is the most common co-occurring disorder that presents in addicts and alcoholics. This can exist in many forms, from mild to manic or bipolar. Our staff have extensive experience helping clients with this issue.

At Seasons Bali we deliver a range of personally tailored solutions for depression and addiction. This could mean assisting clients to stop taking antidepressant medication or stabilising them on a suitable dose.

The substance issue is the first thing which must be addressed because using and drinking alters the mood of the user. Some clients find that once their chemical dependency is addressed the symptoms of depression disappear. For others, however, the symptoms remain and require ongoing management.

Our clinical and medical staff create treatment plans for depression in consultation with our psychiatrist, the client and their prescribing doctor.

Treatment for Addiction, Alcoholism and Anxiety

Addicts and alcoholics also commonly suffer from a range of anxiety disorders. The consequences of addiction negatively affect things like the family dynamic, work, finances and unresolved grief or trauma. This naturally brings on stress and anxiety.

Sometimes by treating the disease of addiction or alcoholism, clients experience relief from their symptoms. For others their anxiety is deeply rooted and psychological in origin. This is a complex field of addiction treatment as the symptoms of anxiety can mirror those of addiction. These occur on a scale from distorted thinking to fear and panic attacks.

Some people who suffer from anxiety develop an addiction to the medications prescribed by their doctors and others self-medicate their anxiety disorder and become addicted that way. Seasons Bali has found that it is necessary to treat both addiction and anxiety concurrently.

Our clinical and medical teams are highly trained and experienced at providing effective anxiety treatment within a therapeutic community. Where possible our team liaises with client’s doctor back home and a treatment plan is developed accordingly.

Seasons Bali treats other co-occurring conditions, including but are not limited to

  • Bi-polar disorder
  • Borderline Personality disorder
  • Schizophrenia
  • Obsessive Compulsive disorder
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