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  • Jim Piffath

    Counseling for Individuals, Couples & Families

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    What is a Dual Diagnosis?

    July 1, 2022

    There are times when a person is diagnosed with a mental health issue, such as depression or anxiety. Other times, someone might be diagnosed as having a substance abuse issue. When someone has both a mental health issue and a substance abuse issue, we call it a dual diagnosis.

    How Does Dual Diagnosis Develop?

    Often, addictive behaviors are a result of someone trying to cope with their mental health issues. In fact, according to the Journal of the American Medical Association, roughly 53% of individuals with drug addiction and 35% with an addiction to alcohol

    meet the requirements for a mental health diagnosis. These numbers tell the story of the strong correlation between mental health and addiction. 

    The following are some of the mental health issues that often occur alongside addiction:

    • Schizophrenia
    • Depression
    • Anxiety
    • Obsessive-Compulsive Disorder (OCD)
    • Bipolar Disorder
    • Posttraumatic stress (PTSD)
    • Eating Disorders

    It’s important to note that while these mental health issues are often associated with substance abuse, they do not always present alongside drug and alcohol addiction.

    Treatment for Dual Diagnosis

    Dual diagnosis cases are very complex in nature and require different treatment styles. Typically speaking, there are four types of treatment:

    Partial Treatment

    This model refers to treating the primary mental health issue alone, but not the concurring substance abuse concerns.

    Sequential Treatment

    This approach treats the mental health issue first, then addresses the addiction after.

    Parallel Treatment 

    This treatment focuses on addressing both the mental health concern and addiction at the same time, though separately and using different care providers.

    Integrated Treatment

    As the name suggests, this model has the individual receiving mental health and addiction treatment concurrently, under a unified and robust treatment program. This program can be in an outpatient setting or in a rehab facility.

    It can be very difficult for the person struggling with a substance abuse issue and mental health issue, or their family members, to determine the best course of treatment. It is recommended that you initially work with a licensed therapist who can accurately diagnose you and recommend the right course of treatment.

    If you’d like to speak with someone, please get in touch with me. I’d be more than happy to discuss how I can help your journey back to health and well-being.

    SOURCES:

    • https://www.goodtherapy.org/learn-about-therapy/issues/dual-diagnosis
    • https://www.addictioncenter.com/addiction/dual-diagnosis/
    • https://www.psychologytoday.com/us/blog/the-anatomy-addiction/201110/what-is-dual-diagnosis

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    Filed Under: Addiction, mental health

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    3881 Ten Oaks Rd, Ste 2A
    Glenelg, MD 21737

    (443) 520-1005
    jpiffath.lcpc@gmail.com

    Convenient to Glenelg, Columbia,
    Ellicott City, & Western Howard County

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    Jim Piffath, LCPC
    jpiffath.lcpc@gmail.com | (443) 520-1005

    Counseling services in Glenelg, Columbia,
    Ellicott City, and Western Howard County

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