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An Explanation to Dual Diagnosis

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An Explanation to Dual Diagnosis

Around twenty years ago, dual diagnoses began to see light. The simple definition for one is when a drug or alcohol addiction co-occurring with a mental disorder.  The National Institute on Drug Abuse has claimed that individuals who abuse substances are twice as likely to suffer from a disorder of some sort.

According to the Substance Abuse and Mental Health Service Administration, close to nine million Americans are currently experiencing dual diagnoses.  The unfortunate truth is, only 7.4 percent of those Americans receive drug and alcohol treatment for both their drug and alcohol addiction and co-occuring mental disorder.  More than half don’t receive any treatment at all.

These statistics give us some insight as to how dual diagnoses are still all too unknown.  More often than not, individuals suffering from substance addiction don’t realize there are drug treatment options out there to care for both issues.  Therefore, it becomes very difficult to treat one issue when another one is still present.

Drug Abuse and Mental Illnesses are Commonly Combined

 

As mentioned above, it’s very common for individuals struggling with substance use to also face some sort of mental disorder.  There are also instances where drugs can commence a mental disorder.  In an example, psychedelic substances (such as LSD, PCP, or mushrooms) have been known to cause schizophrenia in certain individuals.

More commonly, however, the opposite is true – a person with a mental disorder will seek out alcohol and/or other substances to self-medicate which in turn may cause dependence or addiction.  This is not only true for alcohol and street drugs, but also for prescription drugs given to them by their doctor.  Benzodiazepines tend to be the most commonly abused prescription drugs, specifically Xanax.  Xanax treats anxiety disorders and can be highly addictive.  Even those with a prescription from a doctor can fall into dangerous dependence on the drug and experience serious withdrawals after even one week of continued use.

And even if somebody with anxiety doesn’t go to a doctor, there are substances widely available that make people feel more socially calm.  The most notable being alcohol.

Diagnosing and Integrated Treatment

 

In order to properly dual diagnose an individual, they must undergo an integrated screening protocol or a clinical evaluation for drug and alcohol use. According to the Substance Abuse and Mental Health Service Administration (SAMHSA), these individuals who’re admitted into addiction treatment should immediately be screened for both addiction and mental health.  With each problem being assessed at the same time, only then can a solution be worked towards.

It should be noted that treating an addiction and nothing more tends to be less effective than that of treating both an addiction and mental illness.  The reason being – as the statistics above have told us – many individuals who suffer from addiction usually suffer from a mental disorder as well.

Further, individuals who only get treated for one issue generally don’t have the tools to handle the other.   Let’s say someone has recovered from drug addiction, yet, continues to face a large amount of anxiety.  If they do not seek proper medical attention for their anxiety, this can lead them down either of two paths:

  1. Relapse; going back to substances as a means of relieving anxiety.
  2. Absolute confusion; without proper guidance, individuals are still in danger of harming themselves and others (even without drugs) due to the fact that they are unaware of how to control their emotion.

The purpose of integrated drug treatment is to reduce an individual’s use of substances while improving their mental health.  It can be expected that integrated treatment will help one problem in relation to the other.  The goal of dual diagnosis is to let individuals understand the source of their past experiences as a means of discovering how to solve future dilemmas.

Though drug therapy sessions can be expected in addiction treatment, with dual diagnosis, one can expect pharmacotherapy as well.  Along with this, one can expect psychotherapy (or talk therapy) as well.  The purpose of this is to help patients discover the true influences of both their addiction and their mental illness.

Which Treatment is Best for Dual Diagnosis?

 

One of the most prominent ways to treat individuals who’re dual diagnosed is through behavioral interventions. The following are commonly found in treating dual diagnosis:

  • Cognitive Behavioral Therapy: A means of creating healthier thinking and behavioral patterns for the sake of individuals staying sober. It can be expected that this will work at minimizing problematic beliefs and behaviors.
  • Integrated Group Therapy: A conversation amongst other dual diagnosed individuals that seeks to treat the symptoms of both substance abuse disorders and mental health conditions.
  • Dialectic Behavioral Therapy: Often, substance abuse disorders and addiction go hand-in-hand with self-harming behaviors. This is an effort to diminish that.
  • Individual Psychotherapy: Treats the behaviors often associated with mental health issues and substance abuse.

Due to the fact that everyone has different needs and preferences on how to carry out their treatment, it’s very likely that people will undergo different methods as a means of treating their dual diagnosis.  The only way to properly determine which form of addiction treatment will be most beneficial to you is to speak with a professional substance abuse counselor.

Below, we will look into the options of inpatient treatment and outpatient, however, it is highly recommended you complete an evaluation with a trained mental health professional to figure out which method of treatment will serve your specific circumstance the best.

Inpatient Treatment

 

More often than not, inpatient treatment is recommended for individuals with a dual diagnosis. This is when a person is placed in a residential rehabilitation program where he/she will live under the supervision of professionals.  It was mentioned earlier that individuals in certain environments will react to their addiction or mental health differently.

In an inpatient program, individuals will be in not only a safe environment, but one that’s supervised by professionals.  Dual diagnoses aren’t an easy matter to handle.  Therefore, these professionals along with ongoing support are very much a necessity.

Given, there will be times when the drug and alcohol treatment can feel very intensive.  Dual diagnoses are complex when one is trying to find a solution.  To cure two diseases in one session is to completely change one’s perspective on life and that of which is around them.  With inpatient treatment, individuals will have the opportunity to stay in one place and focus on their dilemma.

With an inpatient treatment, you can expect the following:

  • Daily therapy sessions.
  • The chance to be apart of support groups on a daily basis.
  • A community of a variety of individuals who’re in the same position.
  • The opportunity to receive consistent and professional about substance abuse and mental health.

Outpatient Treatment

 

The difference from an inpatient treatment is an intensive outpatient treatment allows individuals to get the care they need without committing to residency.  Usually taking around 10 weeks, individuals in outpatient treatment are allowed to go about their day-to-day lives if they have important responsibilities; work, school, a family, etc.

You can expect to receive the same kind of counseling and professional help you would from an inpatient treatment, but since you aren’t living in a facility, there’s a larger degree of personal responsibility.  In other words, how seriously you decide to take the treatment is entirely up to your willingness for a change.

Just like the inpatient program, it’s important to have the right motivation.  Individuals shouldn’t be forced into this situation out of their own will.

There’s one vital factor that’s also important to be aware of.  Being that your environment isn’t as controlled, there’s more of a chance to give into substances. Keeping this in mind, it’s essential to have self-control through an outpatient program.  That responsibility is the key to a successful treatment.

With an outpatient treatment, you can expect the following;

  • Group therapy three times a week for three hours a session.
  • The ability to live independently.
  • Peer support, community group, or 12-step program involvement.

If you or anyone you love is suffering from addiction and/or co-occuring mental disorder(s), or would like more information on the topics discussed above, please, give Stonewall Institute Treatment Center a call today at (602) 535-6468 or email us at [email protected].

Change is possible, Stonewall Institute Treatment Center can help you change your life.

Supplements to Reduce Anxiety in Recovery

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Supplements to Reduce Anxiety in Recovery

Being clean and sober from alcohol and drugs doesn’t mean you can’t take natural, homeopathic supplements to improve your mood and reduce anxiety. A wide variety of natural anti-anxiety remedies are out there to try. They’re non-addictive and non-habit forming. Some impact the brain in ways similar to alcohol, but without the addictive effects. You won’t feel intoxicated, but you may feel relaxed and ready to take on the day.

Stonewall Institute supports holistic and natural recovery, but understands that every patient is different. Proper medication, supplements, and intensive therapy are important for a successful recovery.  Please consult with your doctor before taking any of the supplements mentioned below.

Theanine

Theanine is an amino acid that has anxiolytic (anti-anxiety) effects. ​It’s found in​ high quantities in green tea leaves. When you’re recovering from addiction to drugs or alcohol, the brain may need a little encouragement to return to normal neurotransmitter production. Theanine is an amino acid analog of two critical neurotransmitters: L-glutamate and gamma-Aminobutyric acid (GABA).

When glutamate activity in the brain is high, and GABA activity is low, anxiety can become worse. Taking theanine as an oral supplement can promote the expression of GABA in the brain by suppressing the expression of glutamate.

Theanine also increases levels of nerve growth factor (NGF) and brain-derived neurotrophic factor in the brain (BDNF). BDNF is critical for rebuilding damaged neurons, something that’s often desperately needed in the brain of someone seeking substance use recovery.

Theanine increases alpha waves in the brain. Alpha waves are one of several ranges of frequency that characterize the brain depending on whether you’re sleeping, feeling energized, or in a state of calm. Alpha waves are present during meditation and REM sleep.

5-HTP

Before there was serotonin, there was 5-hydroxytryptophan (5-HTP). 5-HTP is an amino acid that serves as a primary building block for the production of the neurotransmitter serotonin. Rave culture is familiar with 5-HTP as an ecstasy (MDMA) hangover cure. MDMA (3,4-Methylenedioxymethamphetamine) induces feel-good effects by triggering the brain to produce serotonin in large quantities.

Serotonin has many functions throughout the body and ​is closely involved in digestion​. The majority of the serotonin produced in the body is made by bacteria deep in the intestinal tract. In the brain, serotonin is responsible for producing a feeling of peace and general well-being.

Supplementing with 5-HTP can help you sleep better. Recovery from addiction can make it hard to sleep at times. Poor sleep can further throw off neurotransmitter and hormone levels as you try to recover. While you’re awake, the brain converts 5-HTP into serotonin. While you sleep, it converts it into melatonin. Without adequate melatonin, the brain doesn’t know to shut off and get some rest.

By promoting restful sleep and increasing serotonin expression during the day, 5-HTP can be an excellent addition to your recovery toolkit.

GABA

GABA, full name gamma-Aminobutyric acid, is a non-essential amino acid that functions as a neurotransmitter in the brain. GABA’s job is to calm overactive brain activity and ​reduce anxiety​. When you drink alcohol, you can thank increased GABA production for the relaxation component of the alcohol buzz.

GABA is an inhibitory neurotransmitter of the excitatory neurotransmitter glutamate. Gaba reduces anxiety by decreasing glutamate activity.

GABA supplements don’t work for a large percentage of the population. For some, it can be very useful at inducing feelings of calm without being sedative. Individuals with anxiety tend to be low on GABA.

B-Complex Vitamin

If you’re deficient in GABA, it can be helpful to stock your body up on B-vitamins. The vitamin-B family includes all the essential water-soluble vitamins besides vitamin C. You have to get them through diet because the body can’t make them on its own. B-vitamins include thiamine, riboflavin, niacin, pantothenic acid, pyridoxine, biotin, folic acid, and the cobalamins. Pyridoxine, also known as B6, and the cobalamins, also known as B12, are especially helpful for treating anxiety and depression.

B6 and B12 are cofactors in many of the body’s metabolic processes. Being deficient in these essential nutrients can cause a host of cognitive problems, ​including anxiety and brain fog​. It’s important that your body’s vitamin B profile is balanced. Taking a B-complex multivitamin is a safe way to restore optimal brain activity following addiction. B-vitamins help balance hormone production, increase energy, support the adrenal gland, and maintain the health of nerve cells.

Valerian Root

Valerian root is one of several herbs that achieve their anxiolytic effects by increasing GABA production. This is another good one to take if you’ve been having a hard time sleeping at night. Valerian is a common ingredient in many herbal sleep tinctures along with kava, lemon balm, passionflower, and chamomile. Many of these share valerian’s GABA-promoting effects.

Xanax reduces anxiety by dramatically increasing the expression of GABA. If you’re recovering from addiction to Xanax, supplements like valerian that boost GABA may be especially helpful. Because valerian can be so sedative, it’s best to avoid taking it during the day.

Studies indicate that ​valerian root may slow the reuptake of GABA​ in the brain, thereby increasing its effects. This is the same way the selective serotonin reuptake inhibitors (SSRI’s) treat depression by slowing the reuptake of serotonin.

Magnesium

Several recent research studies have linked magnesium deficiency to increased rates of anxiety. In animal studies, ​test subjects display reduced anxious behavior​ when administered magnesium. Researchers believe that magnesium achieves its effects by modulating the HPA-axis, the body’s stress response system.

Being deficient in magnesium can have widespread negative effects on overall health. It’s involved in over 600 different processes in the body and brain. In addition to increasing anxiety, magnesium deficiency can contribute to low energy, brain fog, and depression.

Magnesium is used by the mitochondria in your cells to turn food into energy. It also helps repair damaged strands of DNA and RNA.

Although supplements can be helpful in your recovery, seeking proper treatment for substance use is also essential.  Stonewall Institute’s 10-week Intensive Outpatient Program allows for holistic recovery in a comfortable and flexible environment.

As a recovering addict, your brain has most likely been through a lot of stress. As you progress in recovery, your brain chemistry will stabilize and mood will improve. Along the way, the supplements covered in this article can help manage symptoms of anxiety. If you or someone you know is struggling with drug or alcohol abuse, Stonewall Institute Treatment Center is more than happy to answer any questions you may have. Call us today at 602-535 6468 or email us at [email protected].

Kyle Penniman – Phoenix Addiction Specialist

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Kyle Penniman is the CEO and Clinical Director of Stonewall Institute in Phoenix, Arizona. As a Phoenix addiction specialist, he has developed an Intensive Outpatient Program for Addiction Recovery rivaled by none. If you are looking for a substance abuse treatment therapist that is empathic and respectful and can meet you where you are at and guide you gently through recovery from addiction, look no further than Kyle Penniman. To make an appointment with Kyle Penniman, call 602-535-6468 or visit the website at www.stonewallinstitute.com.