2 Co-occurring Conditions Require a Different Approach
For many of us, addiction doesn’t come by itself. Rather, suffering from addiction beings in other issues, such as mental health problems, physical health problems, and any pre-existing conditions that you might not have been diagnosed with yet. Often, the therapy work that we do in rehab unlocks other issues we didn’t notice before – after all, most substance abusers use their drug as a coping mechanism. Unless both conditions are treated, there’s a higher chance that you will return to your old habits instead of breaking free from addictions.
When you have this dual health problem such as dual diagnosis of alcohol and depression, we call it a dual diagnosis, although you may also recognise the term co-occurring conditions. People who suffer from more than one condition need to be treated a little differently. For example, if you have depression with suicidal tendencies, quitting alcohol or drug addiction will need to be carefully managed by your healthcare team. Otherwise, the risk is that you might take an episode and die due to poorly managed treatments. It is important to note that you should seek help immediately and consider an inpatient psychiatric program to get you on the mend.
If you have received a dual diagnosis, our organisation specialises in connecting you with the right resources to help you recover. Whether you want to find a rehab clinic near you or whether you just need a chat about potentially quitting at a later date – we are here for you. Call us as soon as you can, on 0203 955 7700, or log on to our online consultation service and one of our valued team will get in touch.
Let’s examine the dual diagnosis issue in more detail.
What A Dual Diagnosis Means to You?
A Dual Diagnosis is a bit of an umbrella term. If you were suffering from four separate conditions, we would still call that a dual diagnosis. It simply means that you have more than one disorder that you are battling and therefore that special conditions need to be set up during the creation of your treatment plan.
When you call our welcoming and helpful team, here at Help4Addiction, you will be connected to all the resources you need throughout England and Wales that will give you the best chance at recovering. We will ask you a variety of questions to get to the bottom of your personality because only by knowing your hopes and expectations regarding rehab can we begin to find the best service for your conditions. Before you are sent off to rehab, however, you will be seen by a qualified consultant psychiatrist from your choice of centre. They will make an initial assessment and, if you are treating drug addiction or alcoholism as isolated conditions, that will likely be the last time that you are seen by a psychiatrist.
On the other hand, those seeking rehab for emotional problems, coupled with those who obtain a dual diagnosis during that consultation session, will need a more complex treatment plan that is likely to include at least one more trip to the Psychiatrist.
If you think any of this applies to you, remember that we are here to support you through this tough time. Contact us by phone, on 0203 955 7700, if you feel you need extra information or advice.
Dual Diagnoses are Difficult to Recognise
It is often the case that a dual diagnosis isn’t noticed straight away. More often than not, these separate conditions will come to light through the therapies you receive as part of your rehabilitation treatments. At this stage, you are in the best possible place to get that extra help and to adjust your treatment plan to accommodate the change.
Dual diagnoses are difficult to pick up on because they often trigger one another. Being an addict comes with an unmanageable amount of anxiety, for example, not to mention that your addiction might feed the depression you have or give you some other mental health issues. When we drink or do drugs, we are using the substance in order to cope with life situations, normally because we haven’t learned the healthy ways to deal with our problems. While an addict can be taught these healthy coping tactics, it can take a lot longer to learn and be more confusing, if you have an underlying condition that hasn’t been picked up on yet.
If any of this sounds overly familiar, remember to contact our helpline, on 0203 955 7700. Alternatively, you can read about some of the support methods we facilitate, such as online therapy or at home detox kits for alcohol detox. Please note that these are not suitable for drug detox clients.
What To Expect from Dual Diagnosis Treatment for Addiction?
Just because you have a dual diagnosis, doesn’t mean you can’t still get the help you need to break free from your addiction. You will have access to all the support any other client would be given from the outset of your treatment plan, the difference is that the detox process and the counselling sessions you receive will operate on another level.
Detox With a Dual Diagnosis
If you have a dual diagnosis you will not be eligible for one of our at-home detox kits. You will usually need to detox in the presence of medical professionals so that you are supervised. Please remember that this is for your health and safety and not because anyone doesn’t trust you to do it alone.
The detox process will probably need a different set of medications if you have more than one condition. This is due to the different ways in which medications interact with one another. The doctor may need to be careful about any negative impact on your mental health caused by common anti-withdrawal drugs such as Disulfiram or Naltrexone.
It is highly common for a client with a dual diagnosis to be monitored during every step of detox. They will want you to go through detox as an inpatient and to go from there straight into your recovery program.
Therapy With a Dual Diagnosis
Both inpatient services and outpatient rehab services are eligible for therapy. When seen as an outpatient, you can even get online therapy sessions to cut down on travel expenses. When you have a dual diagnosis, however, the therapy, counselling, or psychiatry sessions double in intensity.
The reason for this is straightforward. Let’s use an example. If you were suffering from depression and went into alcohol rehab or drug rehab, your treatment plan would aim to tackle both of your conditions at once. Treating the two as separate entities is tough, complex, and usually can’t be completed because your addiction and your depression are intrinsically linked. They feed each other in the most negative sense of the word. If you are suffering from two conditions or more, your doctors will tackle them as such because otherwise your therapy sessions won’t work as they should.
So those with a dual diagnosis can expect to have to work a little harder in the counsellor’s office. That being said, all of this therapy is going to take your mind off the withdrawal symptoms while you recover, so it isn’t all as bad as it seems. You will emerge from rehab a more rounded person who understands themselves and their outside influences, better.
If you do have that dual diagnosis of addiction and depression, Help4Addiction cover this in a separate page, so head over and have a look if it applies to you.
What If You Can’t Afford The Cost of Rehab?
We commonly find that clients will come to us feeling that they can’t afford the costs of rehab. Typically, we advise them to borrow the money from whatever source possible in order to get the help they need in the present. If you can get yourself sober, you will be able to repay that debt in a year or two. If you never sober up there is a chance you might never make that amount of money again.
Rehab is a personal investment. It allows you to plan for a future which is reminiscent of the “good old days”. You could have that regular life again, with walks in the park, ice cream on a Sunday, and your family around you. It is within your reach.
That being said, there are people suffering from addictions that have been in this cycle for quite some time now. The longer you spend feeding your addictions, the harder it is to break and the more debt you accumulate. If you find yourself with terrible credit and no way to get the initial small personal loan to pay for treatment, you can source a rehab clinic that lets you pay by instalment. You might even borrow from a family member who can afford it and pay them back at a later date. It may sound risky to you, so if you don’t trust yourself with the money get this person to pay the rehab clinic you chose directly. That way you don’t touch the money and all you need to do is show up.
If you are serious about giving up drink or quitting drugs, you will use the borrowed money as motivation to stay away from substance abuse. If you borrow from a friend or relative it is a sign that they believe in you… if you let them down, you are disappointing that belief. If you want more advice or information regarding the costs of rehab, you can visit our page specific to this. Otherwise, give us a call, on 0203 955 7700. One of our advisors would be happy to talk through your options.
Can I be Treated For a Dual Diagnosis as an Inpatient or as an Outpatient?
Just because you have that dual diagnosis doesn’t mean that you can’t choose to have outpatient treatment. The detox process will need to be medically supervised, of course, but there is no reason why you should have your options limited due to your conditions. When you are addicted to drugs or alcohol and don’t have a co-occurring condition, you are given the choice between inpatient or outpatient services and you will have that same option.
Other Considerations for Dual Diagnosis Rehab Treatments
There are other things to think about carefully before you choose the right rehab clinic for you when you have a dual diagnosis. You face increased rates of homelessness, statistically higher relapse rates and more complex needs to be filled. You may fine you struggle to hold down a job, especially when going through the rehab process, as your tolerance for extra stress is lower. You have a higher chance of developing eating disorders, becoming suicidal, or having unstable relationships. Mental health conditions are often the result of trauma in early life, which has a direct impact on all that you do in the here and now.
Luckily, rehab clinics use a variety of therapies to combat your dual diagnosis.
Some of the techniques used in therapy include:
- Integrated group therapy, which puts you in touch with others in a similar recovery situation.
- DBT – Dialectic Behavioural Therapy aims to open up discussion about your behaviour and change those patterns. Often used in self-harm patients.
- CBT – Cognitive Behavioural Therapy which teaches you healthier coping mechanisms than substance misuse.
- One-on-One sessions aimed at discussing the root causes of your addictions.
- Exploring the causality theory – which looks at the link between drug use and mental ill health.
- Examining your history of psychiatric drug use to potentially trace mental ill health to this source.
- Discerning whether your drug use is actually a form of self-medication.
As you can see from the theories and practises used, a dual diagnosis doesn’t mean that it can’t be successfully treated. The issue seems to be that those suffering from dual conditions aren’t always aware of it and therefore don’t seek rehab help. As long as you reach out, you have the same chances at recovering from both conditions as any over addict.
If you are sure you have more than one condition, but you still want to go into rehab for an addiction in England and Wales, contact us now. Help4Addiction will match you to specialist facilities that can get you the help you need. Call us on 0203 955 7700 to get started. We are waiting, all you have to do is pick up the phone and dial.