Dual Diagnosis Treatment

Mental health in word tag cloudDual Diagnosis Treatment

Dual Diagnosis Treatment is much more common that it once was. Years ago, addiction and mental health disorders were treated separately. In fact, many believed that one had to overcome addiction first in order to work on mental health disorders. Research shows that working on both addictive disorders (alcoholism, drug addiction, gambling addiction, sex addiction or another behavioral addiction) and mental health disorders (depression, bipolar disorder, anxiety disorders, schizophrenia, a personality disorder, etc.) can result in successful outcomes.

So, instead of drawing a hard line between psychiatric health and addiction, the two areas of addiction and mental health are treated as part of a continuum. Therapists and clinicians who work in addiction recovery treatment can now receive training and credentials in the treatment of co-occurring mental health disorders. Also, many rehab facilities now offer recovery services that are personalized for clients with a Dual Diagnosis.

However, research shows that finding the right rehabilitation program can still be challenging, especially if individuals are struggling with depression or anxiety as well as substance abuse. Interestingly, The Office of Applied Studies, a division of the U.S. Department of Health and Human Services, reports that in 2002, just 12 percent of the 4 million American adults who suffered from a Dual Diagnosis received adequate treatment for both conditions.

If an individual meets the diagnostic criteria for a mental health disorder and an addictive disorder, they can be classified as a Dual Diagnosis client when entering treatment. The best treatment for a Dual Diagnosis should involve considering both the addiction and the mental illness when going through the recovery process.

Dualdiagnosis.org indicates that to increase the chances of recovering fully, one’s care should include:

“Parallel treatment of your mental health and substance use disorders by the members of a highly trained treatment team

Acknowledgement of the importance of psychotherapeutic medications, such as antidepressants or anti-anxiety meds, in the treatment of co-occurring disorders

A supportive approach to therapy that reinforces self-esteem and builds self-confidence instead of confronting the client with negative, aggressive statements

An inclusive treatment strategy that brings partners, spouses, children and other household members into therapy for individual counseling, group meetings or education

‘Sequential treatment’ was the norm before the 1990s, when clinicians believed that there should be a division between mental health treatment and addiction rehabilitation, note the authors of the text Integrated Treatment for Dual Disorders: A Guide to Effective Practice. In the sequential approach, clients with a Dual Diagnosis were excluded from one area of treatment until they were considered stable in the other. For instance, a depressed person with active alcoholism might not be able to receive therapy for depression until she had been through detox and rehab. Sequential treatment became less popular as research showed that it led to a higher rate of relapse.”

If an individual is struggling with both addiction and mental health issues, it would benefit them greatly to explore the possibilities of Dual Diagnosis Treatment.

Source: dualdiagnosis.org

 

 

Myths about clinical depression

girl sits in a depression on the floor near the wallMyths about clinical depression

According to the National Institute of Mental Health (NIMH), about 2% of the adult population struggles with clinical depression at some point in their lives. This psychiatric disorder is one of the most common in the United States.

When diagnosed, many individuals seek treatment for their clinical depression. However, many avoid treatment and continue to suffer. There are several reasons why people don’t seek treatment for their clinical depression. For instance, they may not believe the diagnosis and may be hesitant to accept the fact that they have clinical depression. They may not believe that treatment for clinical depression can help them. There is also a chance that they don’t even recognize that they need help.

Some believe the common myths that are associated with clinical depression. Understanding these myths about depression can help individuals seek the help they need and find answers to the questions they are seeking. Common myths about depression include:

Only women get depressed. Although it’s not true that only women get depressed, it is true that women are more likely to report it to their doctors, or talk about their depression symptoms with other people. Men need help just as much as women when it comes to overcoming depression, especially since they rarely seek out help or support on their own.

Antidepressants will cure depression. While antidepressants can help to minimize the symptoms of depression, therapy will generally also be prescribed to help those struggling with clinical depression. Whether individuals participate in therapy in an outpatient setting or a clinical depression treatment center, the combination of therapy and antidepressants can help patients find quick and more long-lasting relief from their depression symptoms.

Depression is hereditary; if a parent suffers from clinical depression, the child will suffer from depression too. Although a family history of depression can be a contributing factor to a diagnosis of clinical depression, it is not the primary factor. If a parent has struggled with depression, it can be helpful to find out what treatment was effective in overcoming the depression for the parent. The more one knows, the better equipped they may be to recover from their own battle with clinical depression.

Depression will go away on its own. Sometimes this happens, but more often, depression symptoms can linger with many people for months, even years. For individuals with clinical depression, the symptoms may seem to pass momentarily, only to come back at a later date.

Depression always leads to suicide. This is a common myth – especially among young people. But just because an individual is suffering from clinical depression, it doesn’t mean that they are having suicidal thoughts or actions. Many symptoms of depression have nothing to do with thoughts of suicide, such as lack of drive or motivation, having no desire to be social, lack of appetite, or an inability to get out of bed. Usually, suicidal thoughts come with very severe depression, and can be a symptom of another psychiatric disorder.

The Dangers of Mixing Drugs and Alcohol

The Dangers of Mixing Drugs and Alcohol

Addictions to alcohol or prescription drugs are often dangerous on their own. However, when drugs and alcohol are mixed, the lethal consequences increase severely. On their own, an alcohol addiction or a prescription drug addiction can be dangerous. For those who choose to mix alcohol with prescription drugs, the risk of lethal consequences increases exponentially.

Mixing alcohol and prescription drugs is never safe; the combination is risky and can quickly turn lethal. Depending on the type of prescription drug that is mixed with alcohol, you can experience a variety of side effects as your body works to process the combination.

However, even though it is well known that mixing drugs and alcohol is dangerous, a recent study by shows that 60 percent of those who regularly use prescription drugs also drink alcohol. And further, about 5 percent of those have at least three drinks at a time. (Brown University)

According to residentialtreatmentcenter.com, when drugs and alcohol are mixed, regardless of one’s level of addiction to either or both, certain things can happen including:

SONY DSC“Internal bleeding: Many prescription drugs, primarily narcotic painkillers, can cause internal bleeding within the stomach and other gastrointestinal organs. Should you misuse narcotics and consume alcohol simultaneously, you can make this internal bleeding much worse, to a point where the blood is unable to clot.

Organ failure: Organ failure is a risk for individuals who abuse prescription drugs and/or have an alcohol addiction because organs such the liver and kidneys are unable to process the amount of substances going into the body. If you abuse even one of these substances, organ failure is a concern. If you abuse alcohol and prescription drugs simultaneously, however, your odds of suffering this life-threatening side effect are more likely in a shorter period of time.

Respiratory depression: Alcohol is a depressant, meaning that it slows down your system and its functions. When you abuse alcohol and prescription drugs that are also depressants (such as Klonopin, Xanax, or Ativan), you put your body at risk for experiencing an excess of depressive symptoms that can cause your breathing to slow down to dangerous levels. This can cause suffocation, as well as death.

Cardiac complications: Both alcohol and prescription drugs affect your heart, especially if you abuse them at the same time. Depending on the types of prescription drugs that you take, you can send mixed signals to your heart that can cause it to malfunction. This can lead to blood clots, heart attacks, and other side effects that can threaten your life.”

When mixing drugs and alcohol the results are always unpredictable and one’s life is put at risk. The result can be life lasting permanent effects on not only the user, but also others who care about that person.

 

Michael Phelps second DUI

Drunk drivingMichael Phelps receives second DUI

It’s been 10 years since the last time Olympic swimmer Michael Phelps pleaded guilty to drunk driving charges. He’s headed to rehab again after being booked in Baltimore, MD, on charges of DUI, excessive speeding and crossing double lane lines.

In a series of tweets, he indicated, “I’m going to take some time away to attend a program that will provide the help I need to better understand myself. Swimming is a major part of my life, but right now I need to focus my attention on me as an individual, and do the necessary work to learn from this experience and make better decisions in the future.”

Rival Olympic swimmer and competitor Ryan Lochte is quoted as responding to the arrest by saying, “He has so much money to get a driver. I even have a driver. It just stinks for the sport of swimming. But he will become smarter from this. Luckily he did not hurt himself or someone else.”

USA Swimming announced that they are suspending Michael Phelps for six months due to Code of Conduct violations. He will have to forfeit payments from his USA Swimming stipend during this suspension because of the DUI and he has agreed to withdraw from the 2015 FINA World Swimming Championships held in Russia next August.

As previously mentioned, this isn’t the first time that Phelps has been suspended and made headlines for DUI/drug abuse. During 2009, he was photographed inhaling from a marijuana pipe during a party and received a three-month suspension. The marijuana stint resulted Kellogg dropping his sponsorship. Further, media also questioned him during the 2008 Beijing Olympics as to whether he was using performance-enhancing drugs, but successfully passed 9 drug tests.

Teamusa.org reports that, “the current sanction sends a message to fans that Phelps’ actions are unacceptable and not in line with USA Swimming’s code of conduct, which states that, ‘The privilege of membership may be withdrawn or denied by USA Swimming at any time where USA Swimming determines that a member’s conduct is inconsistent with the mission of the organization or the best interest of the sport and those who participate in it.’”

 

Consequences of Teenage Drinking

girl putting joint in ashtray at crazy partyConsequences of Teenage Drinking

Most teens encounter alcohol at some point before adulthood. Many think that drinking is “no big deal” and that parents make too big of an issue about it. Some experiment with drinking and don’t ever face serious challenges. Many, however, find that teenage drinking has many consequences.

According to info published by the Mayo clinic, consequences occur with teenage drinking regardless of the reasons teen drink. That is to say, whether teens justify drinking as just a fun occasional thing, an escape from pressure, or an addiction, or for any other reason, the outcomes and problems that can arise from teenage drinking are often the same. For example, the mayoclinic.com indicates that these consequences can lead to:

  • Sexual activity: Teens who drink tend to become sexually active earlier and have sex more often than do teens that don’t drink. Teenagers who drink are also more likely to have unprotected sex than are teens that don’t drink.
  • School problems: Teenagers who drink tend to have more academic and school related conduct problems than do teens that don’t drink.
  • Alcohol-related fatalities: Alcohol-related accidents are a leading cause of teen deaths. Teen drowning, suicides and murders also have been linked with alcohol use.
  • Alcoholism: People who begin drinking as teenagers are more likely to develop alcohol dependence and deal with alcoholism than are people who wait until they’re adults to drink.
  • Violent crime: Teenagers who drink are more likely to be hurt in a violent crime, such as rape, assault or robbery.
  • Mental Health: Research shows that alcohol use might permanently distort a teen’s mental development.

Teenage drinking is not only illegal; it is, as shown above, a serious problem with potential major effects. Talking to your teenager about drinking is an effective tool to educate them about these consequences.

 

Source: mayoclinic.com

 

 

WAX – Warning to Teen Parents

Wax-lipbalmdrugWAX – Warning to Teen Parents

A new drug, called WAX, is becoming increasingly popular amongst teens. The drug, which is a based with marijuana plant oils, looks and feels a lot like lip balm and is easy to hide. Teenagers are replacing the lip balm from containers, like Carmex, with the waxy drug and it is going undetected.  The drug has dangerously high levels of THC and is harmful to the growing teenage brain and body. Parents should be aware of this drug and initiate conversations with their teenagers. For more information and pictures of the drugs, go here.

Talking to your child about drugs:

medicinal marijuanaTalking to your child about drugs: Part 2 – teens and marijuana

Talking with your teen about drugs, particularly marijuana is important to helping them chart a course away from drug abuse. When we are empowered with knowledge, and know the risks and dangers of something, we are less likely to engage in those behaviors. Drugabuse.gov recently published an article about discussing marijuana with your teen. The information therein will be cited and quoted throughout this post, as it is very informative on the subject.

For some teenagers, drug use begins as a means of coping. Kids use drugs to deal with anxiety, anger, depression, boredom, and other unpleasant feelings. However, sometimes getting high can be a way of simply avoiding the problems and challenges of growing up. Some kids also use drugs because their family members do. Parents, grandparents, and older brothers and sisters are models that younger kids look up to and follow their example.

Research shows that talking with kids about the key issues and getting information “out in the open” can help kids know what they are up against and understand long term consequences of their behavior. Drugabuse.gov answered the most frequently asked recent questions by teens through their website. The questions asked and the answers given are summarized below. Talking to your teen about these questions and answers can help to open the door to a great conversation between your teen and you regarding marijuana.

Can marijuana be addictive? Yes, marijuana can be addictive. In fact, “about 1 in 6 people who start smoking in their teens, and 25–50 percent of people who use it every day, become addicted to marijuana.” (drugabuse.gov)

Is it safe to drive while using marijuana? No, marijuana is unsafe behind the wheel. “Marijuana is the most commonly identified illegal drug in fatal accidents (showing up in the bloodstream of about 14 percent of drivers), sometimes in combination with alcohol or other drugs.” (drugabuse.gov)

How does marijuana affect school grades? “Marijuana is associated with school failure. Compared with their nonsmoking peers, students who smoke marijuana tend to get lower grades and are more likely to drop out of high school.” (drugabuse.gov)

How can marijuana affect me mentally? “High doses of marijuana can cause psychosis or panic during intoxication. Although scientists do not yet know whether the use of marijuana causes mental illness, high doses can induce an acute psychosis (disturbed perceptions and thoughts, including paranoia) or panic attacks.” (drugabuse.gov)

What is marijuana? “Marijuana is a green, brown, or gray mixture of dried, shredded leaves, stems, seeds, and flowers of the hemp plant (Cannabis sativa).” All marijuana is made of the same mind altering chemical. (drugabuse.gov)

How is marijuana used? “Most users roll loose marijuana into a cigarette (called a joint) or smoke it in a pipe or a water pipe, sometimes referred to as a bong. Some users mix marijuana into foods, or use it to brew a tea.” (drugabuse.gov)

How many people use marijuana? Today, marijuana “is the most often used illegal drug in the United States. According to a 2012 national survey, more than 111 million Americans over the age of 12 had tried marijuana at least once, and nearly 19 million had used the drug in the month before the survey.” (drugabuse.gov)

What are the quick effects of marijuana? These short term effects include: euphoria (high), memory impairment, adverse mental reactions (in some), and physical changes. Other effects include: “depression, anxiety, suicidal thoughts, and personality disturbances. One of the effects most frequently reported is an “amotivational syndrome” characterized by a diminished or lost drive to engage in formerly rewarding activities.” (drugabuse.gov)

Can smoking marijuana cause lung cancer? There is no proven research on this, but “marijuana users can have many of the same respiratory problems tobacco smokers have, such as chronic cough and more frequent chest colds.” (drugabuse.gov)

Is Spice or synthetic marijuana as bad for you? Spice, synthetic marijuana, or K2 is just as harmful if not more harmful than regular marijuana.

Starting an open conversation with your teen and talking to your teen about marijuana is a positive start to steering them away from marijuana abuse. The above questions and answers can be useful in beginning this discussion. When teens are made aware of facts and have discussed dangers with their parents, they are more equipped to deal with the pressures and temptations that their teen years bring.

Talking to Your Child About Drugs and Alcohol – Part 1

TalkingtoYourChildAboutDrugsandAlcoholTalking to your child about drugs and alcohol (part 1)

No one: child, parent, grandparent, or family is immune to the effects of drugs and/or alcohol abuse. Good kids can end up in trouble, even when they have made an effort to avoid drugs and alcohol and have had great guidance from their parents.

The issue of drug and alcohol use can be very confusing to kids. For instance, they may think, “If drugs are dangerous, then why do we take so much medicine for headaches or coughs? And, if drugs are so bad, then why does the media make them look or sound so cool through TV, movies, or music?

Beginning the conversation with kids about drug use early is key. Open, honest talks can prevent drug and alcohol abuse and can help answer the many questions kids have. Kids need to know what is true and what is not. Childrennow.org reports that, “National studies show that the average age when a child first tries alcohol is 11; for marijuana, it’s 12. And many kids start becoming curious about these substances even sooner.” This shocking statistic shows how urgently we need to get started in talking to our kids about drugs and alcohol.

Listening and communicating are extremely important when it comes to talking to your child about drugs and alcohol. When parents listen to their children’s feelings and concerns, their kids feel comfortable talking with them and are more likely to stay drug-free.

Another strategy often discussed when talking to your kids about drug and alcohol use, is role-playing. Role playing can help your child be prepared with responses when difficult situations arise. By practicing these conversations, you enable your child to have the power to say “no” in a way that they are familiar and comfortable with.

Knowing your children’s friends and encouraging good friendships will go a long way with drug prevention. Certain groups of kids may be more likely to use drugs than others. It’s a fact that kids who have friends who use drugs are likely to try drugs themselves. Also, those who feel socially isolated-or like they have no friends- are also at risk for turning to drugs or alcohol. So, it’s important to know your child’s friends and their parents and their friend’s siblings. Be the “question-asker” in your child’s life. Know what’s going on, where they are, who they are with, what they are doing. Be involved. Recognize if your child has friends who are not making good choices or are not building your child up in a healthy way. Be aware if your child seems friendless or lonely.

Providing information to your children about the dangers of drugs can also empower them to make the right choices. While pointing out to younger children that we take care of our bodies so we can be healthy, we can also add that things like smoking harms our bodies and we shouldn’t do that. Older children need to know the dangers of drugs and the risks involved. You may want to specifically talk with them about how smoking can affect them in the long term. They may want to know what drugs look like or what their street names are. If your child has questions, answer them the best you can. If you don’t know all of the answers, do your homework and follow up with them. Quick conversations that happen often are much more effective than one long talk in your child’s developing years.

Next week’s post will include information on talking to your child specifically about the dangers of marijuana. There will be future posts about talking to your child about other specific drugs as well.

Geography and Drug Abuse

PrintGeography and drug abuse

Certain areas of the country or even the state in which you live seem to have higher rates of reported drug abuse.  Many wonder what these trends are and may even move or relocate accordingly.  For instance, some cities may have a reputation for having a lot of heavy drinkers, while other cities may be known for meth labs.  Often, people in rural communities report that there is drug abuse in their community since, “there is nothing else to do.”

Several government studies and reports from rehab centers suggest that and geography not only influences drug use, but also rehab initiation. Many additional factors can influence drug abuse but looking at the trends of geography in relation to addiction can be insightful in understanding drug abuse.

Alcoholanddrugsrehab.com reports that, “The Substance Abuse and Mental Health Services Administration (SAMHSA) conducted a national survey in 2011 and found that among people age 12 or older, 10.5% of the West Coast population, 9.2% of the Northeast, 8.5% of the Midwest, and 7.5% of the South reported using an illicit drug in the past month (SAMHSA). Actual rates may be somewhat higher as some survey-takers may have been reluctant to admit to using drugs. The SAMHSA survey also found that the rate of illicit drug use among people 12 or older is higher in more populated areas with 9.2% in large metropolitan areas, 8.7% in small metropolitan areas, and 7.2% across nonmetropolitan counties. These nonmetropolitan areas were further broken down to reveal some interesting trends in addiction and rehab: that illegal drug use rates are higher, 8.5% in urbanized counties, 6.3% in less urbanized counties, and 5.7% in completely rural counties.”

Further research indicates that while rural areas and smaller cities can appear to have lower rates of drug abuse, these same locations have higher rates of binge drinking, heavy alcohol use, tobacco use, inhalants, and illicit pharmaceuticals (prescription drugs) than larger cities. Also, studies show that while more residents of smaller cities and rural areas disapprove of illegal drug use, these same individuals are less likely to disapprove of the abuse of legal drugs such as alcohol.  This information suggests that in rural areas, or smaller cities, individuals are more concerned about the type of drug that is being abused rather than the level of drug abuse.

These correlations between geography and drug abuse may not be the reason people become addicts, but they do show some interesting influential trends.

Drug abuse: Men vs. Women

drugabuse-menvswomenDrug abuse: Men vs. Women

There are so many differences between men and women that it seems natural to wonder if there are variations when it comes to gender and drug abuse.  For instance, do men or women abuse drugs earlier? Longer? Certain types?  Is it easier for men or women to break addictive cycles?  Are there differing factors that initially set the addiction in motion?  Although it may seem trivial, studies have shown significant differences between men and women when it comes to specific kinds of drugs and the likelihood of becoming addicted to them.

For instance, The National Institution on Drug Abuse (NIDA) indicate that there is, in fact, a difference between male and female exposure to drugs and likelihood of drug abuse/addiction and has provided research that shows that gender differences play a key role when it comes to drug abuse.  Interestingly, they report that men are more likely than women to have opportunities to use drugs, but men and women given an opportunity to use drugs for the first time are equally likely to do so and to progress from initial use to addiction. However, women and men appear to differ in their vulnerability to some particular drugs.

Further, both men and women are equally likely to become addicted to or dependent on hallucinogens, tobacco, cocaine, heroin, and inhalants. Moreover, studies reveal that women tend to use cocaine to self-medicate when feeling depressed and unhappy. Men, on the other hand, generally use cocaine when they are feeling good, in order to feel even better.  When it comes to tobacco, cigarette smoking also shows gender specific patterns.  Men are more likely to smoke cigarettes to improve their attention and performance at work, ease feelings of aggression and relieve pain, while women tend to use smoking to regulate their mood and suppress their appetites.  Also, women are more likely than men to become addicted to or dependent on drugs and sedatives that treat anxiety or sleeplessness, and women are less likely than men to abuse alcohol and marijuana.

The NIDA study also indicates that there are also differences between men and women who seek treatment for drug abuse. For instance, women in treatmentprograms for drug abuse are more likely than men to have other health problems, to have sought previous drug treatment, attempted suicide, and to have suffered sexual abuse or other physical abuse.  Also women who struggle with drug abuse are less likely than men to have graduated from high school and to be employed.