If you or someone you love has an addiction problem, you know how challenging it is to stop the addictive behavior. For most people with substance use or abuse issues, it is not just a matter of identifying the problem and solving it. The origins of addiction are generally found in multiple layers of unresolved emotional issues, originating quite often in early-life trauma. For healing a substance use disorder, a comprehensive dual-track program is the best strategy.
The term dual diagnosis means that someone has at least two health conditions occurring at the same. These are also referred to as co-occurring disorders. For example, a person who has anxiety may turn to alcohol as a way to lessen the difficult symptoms of anxiety. Self-medicating in this way generally serves to make the problem worse. The underlying anxiety issue is left unacknowledged, and the alcohol problem worsens as the person becomes more reliant on it to cope. Dual diagnoses often feed off of each other, so when one aspect is untreated, it can awaken the symptoms of another.
Most acclaimed addiction treatment models today apply their program to both addiction and mental health problems. Dual-diagnosis treatment techniques have undergone evidence-based scrutiny and are widely used today in residential and outpatient addiction treatment facilities. This discussion explores some of the components of comprehensive addiction treatment models, aimed at increasing success rates in healing substance abuse issues.
Medical Monitoring
M.D. psychiatrists generally play an integral role in a comprehensive, dual-diagnosis treatment program. These doctors evaluate patients for emotional and psychological factors that may be contributing to substance problems. Substance use often starts as a means of self-medicating the symptoms of underlying psychological conditions, such as depression and anxiety. Once these factors are uncovered, they can be addressed with the help of a professional.
At first, patients may be given medications, so some initial headway can be made on the addiction behavior. Addiction psychiatrists are aware of the dangerous side effects many medications can have on patients with addiction disorders. Certain medications are addictive themselves, and others can exacerbate other symptoms of addiction. Doctors monitor the patients’ medication and ensure continuity after discharge. Patients’ challenges and progress are closely monitored by mental health staff and psychiatrists. Addressing mental health and addiction simultaneously increases the likelihood that the patient will be able to make lasting changes.
Treating the Source
Treating substance abuse in a vacuum, without addressing the source, may work for some people, but lasting sobriety generally requires moving beyond treating symptoms. The addictive behavior is a symptom of a deeper issue. Extreme nervous system stress from a childhood disruption or trauma is believed to be the origin of addiction problems.
Data show that many recovering people relapse at some point after the start of abstinence. The failure to address the emotional root of the addiction problem may contribute to relapse. Dual-diagnosis programs address both levels using a holistic range of treatment elements, such as 12-step involvement, trauma healing therapies, and behavioral techniques. Once the psychological underpinnings of the addictive behavior have been addressed, the patient often begins to feel more able to manage the remaining triggers for addiction.
Standardized Treatment
When you see the terms “dual-diagnosis” or “co-occurring disorders” used to describe an addiction treatment model, you can generally count on a set of relatively standardized treatment goals. The elements may differ but the intention is to heal addiction and its roots through simultaneously addressing the behavior and underlying cause of the problem. Programs that include therapeutic interventions for co-occurring psychological problems are becoming a consistent standard of care. A San Antonio drug rehab will generally have key elements in common with a program in Miami or Denver if they serve co-occurring disorders. Whatever the location, this more comprehensive, dual-track approach provides an important context to the process of healing addiction.
Counseling Focus
Dual-diagnosis addiction treatment programs generally provide an extensive counseling component. Patients participate in individual and group therapies, with a strong emphasis on family therapy. Chronic dynamics within one’s core support system, usually the family, can contribute to the patient’s substance abuse problems. Family therapists can help patients begin healing those relationship issues. In addition, families gain education about addiction and recovery, so they can be more understanding and supportive of the patient.
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