ADHA

• ADHD Report Card
• A Look At ADHD

Anxiety Disorder

• Facts About Anxiety Disorders
• Anxiety Disorders
• Helping Children Cope With Fear and Anxiety

Bipolar Disorder

• Bipolar Facts
• Child and Adolescent Bipolar Disorder: An Update From The National Institute of Mental Health

Depression

• Depression Facts
• Stories of Depression
• What Do These Students Have in Common?
• Suicide Prevention - Facts, Signs & Intervention

Dual Diagnosis

• What is a Dual Diagnosis?

Panic Disorder

• Panic Disorder, A Real Illness
• When Fear Holds Sway, Panic Disorder

Social Phobia

• Social Phobia, A Real Illness

Other

• Let's Talk Facts About Common Childhood Disorders
• Let's Talk Facts About Teen Suicide
• Treatment of Children with Mental Disorders
• What to do When a Friend is Depressed

What Is a Dual Diagnosis?

A person coping with a drug or alcohol problem in addition to an emotional or psychiatric problem is said to have a “dual diagnosis.” This is a relatively common diagnosis. The Journal of the American Medical Association reports that 37 percent of alcohol abusers and 53 percent of drug abuses also have at least one serious mental illness; and of all those diagnosed as mentally ill, 29 percent also abused drugs or alcohol. Common psychiatric conditions commonly presented in a dual diagnosis are depressive disorders such as depression and bipolar disorder; anxiety disorders, including generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and phobias; and other psychiatric disorders such as schizophrenia and personality disorders.

How Does Counseling and Therapy Help?

Sutherland Psychotherapy Associates ("SPA") can help individuals who have received a dual diagnosis receive the treatment they need to fully recover. For some individuals, alcohol or drug dependency began as the primary problem, with symptoms of a psychiatric disorder—such as episodes of depression, rage, hallucinations, or suicide attempts—appearing later. For others, the substance-abuse problem may have developed as the outcome of an individual’s attempt to "self-medicate” to deal with an emotional or psychiatric problem. Ideally, both symptoms should be treated simultaneously. But for any substance abuser, the first step in treatment must be detoxification, a period during which the body is allowed to cleanse itself of alcohol or drugs.

Once detoxification is completed, the patient is ready for dual treatment: rehabilitation for their drug or alcohol problem and treatment for their psychiatric problem. The latter treatment often involves individual or group therapy and may include the use of medications. Adjunct treatment, such as occupational or expressive therapy, also can help the individual understand and communicate his or her feelings and develop better problem-solving and decision-making skills.

Group Therapy

A support group of other people who are recovering from the same condition often proves highly beneficial. In group settings, the dual-diagnosis individual belongs to a community that openly supports recovery while providing a safe haven free of drugs or alcohol. Also, by belonging to a group, the individual has contact with others who may be more advanced in their recovery and will serve as positive role models.

SPA also views educational programs, counseling sessions, and support groups for the patient’s family as integral to the patient’s overall care. The more a patient’s family understands about the patient’s problem and learns how to stop enabling the patient to maintain a drug or alcohol habit, the better the client’s odds of experiencing a lasting recovery.

Recommended Reading

The Dual Diagnosis Recovery Sourcebook, 1st Edition, Ortman, Dennis.

Motivating Substance Abusers To Enter Treatment: Working With Family Members, Smith, Jane.

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