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Dual diagnosis refers to the coexistence of addiction and a mental health disorder at the same time.[1]
People with dual diagnosis often experience overlapping symptoms, which can make substance abuse worse and complicate their overall well-being.
Effective treatment for dual diagnosis requires an integrated approach that addresses both conditions at the same time, helping you alleviate your symptoms and establish your recovery with the right support for long-term sobriety.
Dual diagnosis, also known as a co-occurring disorder, refers to a condition where a person simultaneously experiences both a mental health disorder and a substance use disorder. For example, a person might have both depression and alcohol addiction or an anxiety disorder and opioid dependence.
The relationship between these conditions can be complex, as they often interact with one another and can make the recovery process more complicated.[2]
Dual diagnosis issues are relatively common, with over 7 million people in the US estimated to have concurrent mental health and substance use disorders.[3] Unfortunately, over 50 percent of people with co-occurring disorders never receive either mental health or substance abuse treatment.
Dual diagnosis can have profound, far-reaching impacts on a person’s life, affecting their mental and physical health, relationships, and overall quality of life.[4]
Substance addictions that commonly co-occur with mental health conditions include:[7]
These addictions frequently overlap with mental health conditions.[8] The coexistence of these conditions isn’t random – people struggling with mental health issues may turn to substances as a form of self-medication, while substance use can also trigger or exacerbate mental health problems. For example, those with mood disorders might be more prone to using substances that alter their mood, while those with anxiety disorders might gravitate towards substances with calming effects. Multiple substances can also be abused, further complicating the experience.
Understanding the potential for these conditions to coexist is critical for effective diagnosis and comprehensive care at a dual-diagnosis treatment center
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Struggling with dual diagnosis issues frequently requires a full spectrum of addiction treatment care, complete with several evidence-based and holistic interventions for total-person wellness
Ongoing support and resources after completing primary treatment to maintain your sobriety and prevent relapse.
Medical and psychological intervention aimed at safely managing withdrawal symptoms and preparing you for further treatment.
Structured therapy and education sessions designed to involve and support family members in the recovery process of their loved ones.
Residential treatment program where you’ll receive intensive therapy and therapeutic programming within a controlled environment.
Structured treatment program that provides intensive therapy and support while allowing you to live at home or in another treatment environment and continue with daily activities.
These facilities are residential spaces providing a supportive environment for those in recovery to live independently while maintaining sobriety and integrating into daily life.
Day treatment program offering intensive therapeutic and medical support without overnight stays.
Treatment at dual-diagnosis treatment facilities involves integrated care where both mental health disorders and substance use disorders are addressed at the same time. This typically includes interventions that focus on both issues and holistic approaches that promote overall well-being. Therapies such as CBT, DBT, and trauma-informed care are often utilized to address underlying issues and develop coping skills.
Aftercare services at dual diagnosis rehab centers are essential for supporting long-term recovery. These may include outpatient therapy, support groups, relapse prevention planning, and ongoing monitoring of mental health and substance use. Case managers or counselors often help coordinate aftercare services to ensure a seamless transition and sustained support post-treatment.
Many dual diagnosis rehabs accept private health insurance plans, including those provided by employers or purchased individually. Depending on eligibility and the specific services provided, Medicaid and Medicare may also cover some or all of the costs. Some facilities offer sliding-scale fees based on income or financial need, making treatment more affordable for those without insurance coverage. Additionally, some individuals may choose to pay for treatment out-of-pocket or through financing options offered by the rehabilitation center.
[1] MedlinePlus. (2019). Dual Diagnosis. Medlineplus.gov; National Library of Medicine. https://medlineplus.gov/dualdiagnosis.html on June 21, 2024
[2] NAMI. (2017, October 4).. NAMI. https://www.nami.org/advocate/understanding-dual-diagnosis/ on June 21, 2024
[3] National Institute on Drug Abuse. (2018, August 15). Comorbidity: Substance Use and Other Mental Disorders. National Institute on Drug Abuse. https://nida.nih.gov/research-topics/comorbidity/comorbidity-substance-use-other-mental-disorders-infographic on June 21, 2024
[4] Buckley, P. F. (2006). Prevalence and consequences of the dual diagnosis of substance abuse and severe mental illness. The Journal of Clinical Psychiatry, 67 Suppl 7, 5–9. https://pubmed.ncbi.nlm.nih.gov/16961418/ on June 21, 2024
[5] Substance Abuse and Mental Health Services Administration. (2023, July 26). Co-Occurring disorders and other health conditions. Www.samhsa.gov. https://www.samhsa.gov/medications-substance-use-disorders/medications-counseling-related-conditions/co-occurring-disorders on June 21, 2024
[6] National Institute on Drug Abuse. (2020). Why is there comorbidity between substance use disorders and mental illnesses? National Institute on Drug Abuse. https://nida.nih.gov/publications/research-reports/common-comorbidities-substance-use-disorders/why-there-comorbidity-between-substance-use-disorders-mental-illnesses on June 21, 2024
[7] Richesson, D., Jr., Hoenig, J., & Substance Abuse and Mental Health Services Administration. (2021). Key Substance Use and Mental Health Indicators in the United States: Results from the 2020 National Survey on Drug Use and Health. In RTI International, Substance Abuse and Mental Health Services Administration [Report]. https://www.samhsa.gov/data/sites/default/files/reports/rpt35325/NSDUHFFRPDFWHTMLFiles2020/2020NSDUHFFR1PDFW102121.pdf on June 21, 2024
[8] Co-Occurring Mental Illness and Substance Use Disorders (CODs). (n.d.). https://www.ncsc.org/__data/assets/pdf_file/0013/14512/mhf3-cods-mar2020.pdf on June 21, 2024
