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Intro to Co-occurring Disorders

Treatment for co-occurring disorders

Effective treatment for co-occurring disorders has been developed only recently. In the past, treatment professionals failed to understand that treating one disorder would not cause the other disorder to automatically improve. Both disorders need to be treated at the same time, which is called integrated treatment.

In integrated treatment, providers work together to develop a single treatment plan to address both disorders. 
Integrated treatment can stabilize the symptoms of co-occurring disorders and provide the foundation for lasting recovery from substance use and psychiatric disorders.

In integrated treatment, addiction and mental health services providers work together to develop a single treatment plan to address both disorders. They continue to interact and cooperate to monitor and reassess, if necessary, a patient's progress in recovery.

Effective therapy

Many types of therapy are available, including cognitive-behavioral therapy, motivational psychology, family systems, and group psychology. These therapies are different in their basic approaches, but effective therapies consist of several important practices:

  • Discussing substance use: Clinicians asks clients about their substance use throughout treatment.
  • Discussing psychiatric symptoms: Clinicians asks clients about their psychiatric symptoms throughout treatment.
  • Shared decision making: Clinicians and clients examine problems and goals, and consider interest and strategies for change.
  • Client education: Clinicians provide clients with basic information about their disorder and related problems.
  • Developing coping skills: Clients learn strategies to minimize their compulsion to use substances and strengthen their relationships and recreational lives.
  • Developing peer recovery supports: Clinicians help clients find peer recovery support and fellowship.
  • Recovery checkups: Clinicians and clients consider whether ongoing monitoring is needed.

Prescription medication

Medications are widely used in the treatment of people with co-occurring disorders. The medications prescribed can play an important role in reducing symptoms and preventing relapses of the psychiatric disorder. Medications can also be useful in minimizing cravings and maintaining abstinence from substances in the addiction.

In order to get the most out of medication, it is important for people to make an informed choice about taking medications, and to understand the potential benefits and costs associated with them. In addition, for people who have decided to use medication in their recovery, it is important to take the medication on a regular basis.

It's also important to understand that taking medication is not substance abuse. Some people in recovery for a substance use disorder may think it is wrong to take any medications. However, a medication that manages one's mood is very different from a drug that alters one's mood.

Finding support

Abstinence from all mood-altering chemicals is essential to recovery.

Peer support groups, such as Alcoholics Anonymous, Narcotics Anonymous, Dual Recovery Anonymous, and other Twelve Step groups, can help a person cope with his or her substance use disorder. It's important to find a group that welcomes people with co-occurring disorders. A member must feel comfortable talking about mental health problems at group meetings. It's also important to find a sponsor that is as concerned about mental health issues as sobriety.

 

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Also of interest

Introduction to co-occurring disorders
Dual disorders, dual diagnosis, co-occurring disorders — what are they?
Learn more


Common disorders
The most common mental health disorders found in chemically dependent people fall into three categories.
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Getting help
If you have co-occurring disorders, don't despair. There are effective ways to treat your mental health disorder while you heal from addiction.
Learn more


Recovery resources
Peer support groups, advocacy groups, and public policy agencies can help you learn more about co-occurring disorders.
Learn more


Frequently asked questions
Find answers to frequently asked questions.
Learn more

An effective, integrated
treatment program

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The Hazelden Co-occurring Disorders Program is the first comprehensive treatment program for people with non-severe mental health disorders that co-occur with substance use disorders.
Hazelden Co-occurring Disorders Program

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