Co-occurring Disorders Assessment & Treatment

The experience of living with both a substance abuse disorder and a mental health disorder means that a patient is living with co-occurring disorders. When this occurs, it is important to connect the person with a medical and/or mental health professional who can pinpoint the exact nature of both diagnoses. This process will help to map out a course of treatment that will allow the patient to learn how to overcome and manage both issues and build a life of balance in recovery.

It’s not always easy to tell when co-occurring disorders are a problem. Often, people assume that certain symptoms are caused by substance abuse alone while others may not realize that certain struggles are actually mental health symptoms that can be treated.

If you are unsure whether or not you, or someone you love, are living with co-occurring disorders, consider some of the following signs that, when paired with a substance use disorder, can indicate a dual diagnosis:

  • Extreme eating behaviors (e.g., eating too much or too little)
  • Extreme sleeping behaviors (e.g., far too much or far too little)
  • Low energy
  • Unwillingness to spend time with friends or family
  • Unexplained pain
  • Feelings of helplessness, joylessness, or hopelessness
  • Intense feelings of anxiety, paranoia, or fear
  • Anger, mood swings, or constant irritability with little or no cause
  • Difficulty experiencing healthy, happy relationships with friends and family
  • Obsessive memories or thoughts
  • Hearing voices
  • Believing things which there is no evidence to support
  • Suicidal thoughts or behaviors
  • Difficulty managing basic tasks each day (e.g., caring for children, getting places on time, managing bills, etc.)

If you believe that you, or someone you care about, are living with co-occurring disorders, the good news is that help is available. Contact us at Orlando Recovery Center now to learn more about your options in treatment.

There are a number of different tests utilized to aid medical doctors and psychiatrists in diagnosing different mental health disorders. Depending upon the suspected disorder, different tests may be implemented. In the case that there are a number of possibilities due to the range of symptoms experienced by the patient, a number of different tests may be used to pinpoint the main diagnoses.

Tests & Assessments

Depression
Anxiety
Schizophrenia
ADHD

Depressive Disorders

Because depression may be a symptom of a complex mood disorder and not simply moderate to severe depression, some tests used to diagnose depression may not specifically be “depression tests” but tests used to rule out other diagnoses. Often, a doctor may utilize any combination of the following:

  • Physical exam: This determines whether or not the depression is caused by a medical issue (e.g., hypothyroidism, hyperthyroidism, etc.).
  • Blood tests: These may identify possible medical conditions causing depression, identify toxins, and measure kidney function.
  • CT scan or MRI of the brain: Either will rule out brain tumor.
  • Electrocardiogram
  • Electroencephalogram
  • Simple two-question screening test: This is a verbal quick test in which the diagnostician asks, “Have you been bothered by feeling down or hopeless in the past month?” and “Has a lack of interest or pleasure in things been intrusive in the past month?”
  • Beck Depression Inventory (BDI): A 21-question multiple-choice questionnaire filled out by the patient.
  • Patient Health Questionnaire-9 (PHQ-9): This is a nine-item survey filled out by the patient.
  • Hamilton Rating Scale for Depression (HRSD): Also known as a HAM-D, this is a multiple choice screening tool that a doctor uses with a patient.
  • Zung Self-Rating Depression Scale: Depression levels are measured using this short questionnaire.
  • Center for Epidemiologic Studies-Depression Scale (CES-D): This is given to patients to assist them in the self-evaluation of the feelings and perspectives they experienced in the past week.

There are a number of other depression questionnaires that may be self-administered or used together with a doctor and patient, but all have the goal of determining the severity and range of depression symptoms on the patient.

Anxiety Disorders

Much like depression, anxiety can be a signifier of a complex mental health disorder or serious mental illness – or it could be an anxiety disorder. Thus, doctors may utilize a number of different tests and diagnostics to get to the root of the issue, including:

  • Physical exam to rule out medical cause
  • Blood or urine tests to rule out medical cause
  • Interview with the patient about the nature and experience of symptoms
  • Self-report questionnaires that patients fill out to help measure their symptoms
  • Diagnostic evaluations utilized by the doctor with the patient to help measure the nature of symptoms

Affective Disorders and Schizophrenia

Often, patients do not seek out treatment for affective disorders and schizophrenia on their own. The nature of their illness is often such that it precludes their ability to recognize the need for self-care in some cases. However, concerned family members may try to connect their loved one with treatment, and/or an emergency medical professional may recognize the signs and recommend that the patient be evaluated. Evaluation options may include:

  • Physical exam, including blood and/or urine tests, to rule out underlying medical condition
  • MRI or CT scan to rule out or note brain damage
  • Interview with the patient to assess experience of symptoms and behavior
  • Interview with family members who may be better equipped to answer the doctor’s questions thoroughly
  • Structured Clinical Interview for DSM-IV (SCID), a questionnaire that aids in diagnosing the severity and experience of symptoms
  • Schedule for Affective Disorders and Schizophrenia (SADS), a questionnaire that similarly aids physicians in diagnosing affective disorders and schizophrenia

Attention Deficit and Hyperactivity Disorder (ADHD)

In order to diagnose ADHD in a patient, symptoms must be seen in two different forums (e.g., for children, at home and at school). Doctors may also:

  • Interview the patient in question
  • Administer a physical exam
  • Take a medical history
  • Utilize behavioral rating scales
  • Use ADHD checklists

Other learning and behavioral disorders may be diagnosed with checklists and scales specific to the suspected issue in order to determine the severity and nature of the disorder (e.g., autism spectrum disorders).

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Specific Mental Illnesses

Depression

  • Experiencing depression for months on end can be a sign of a complex mental illness (e.g., bipolar disorder, characterized by a depressive period as well as a manic, or high, period), or it can signify the experience of a depressive disorder like major depression, persistent depressive disorder, psychotic depression, postpartum depression, seasonal affective disorder, and others.
  • An estimated 10 percent of the American population experiences a form of depressive disorder at some point in their lives.
  • Depending upon the specifics of the disorder, depression symptoms may vary but may include feelings of joylessness or hopelessness, an inability to function, lack of interest in spending time with loved ones, extreme altered sleeping or eating habits, aches and pains, and/or suicidal thoughts or behaviors.
  • Antidepressants are most commonly used to treat depression. Selective serotonin reuptake inhibitors (SSRIs) are the most common (e.g., sertraline, fluoxetine, paroxetine, escitalopram, citalopram) followed by serotonin and norepinephrine reuptake inhibitors (SNRIs) (e.g., venlafaxine, duloxetine). Additionally, bupropion is another commonly prescribed drug for depression.
Anxiety Disorders

  • Anxiety disorders are characterized by intense levels of fear, obsession, and/or paranoia that occur frequently and do not go away on their own. The three types of anxiety disorders include generalized anxiety disorder (GAD), panic disorder, and social anxiety disorder (social phobia). These are generally diagnosed after symptoms are experienced for six months or more.
  • Anxiety disorders are the most common mental health disorder in the US: an estimated 40 million American adults (18 percent of the population) struggle with some form of anxiety. Women are 60 percent more likely than men to be diagnosed with the disorder.
  • The main symptoms of anxiety disorders vary depending upon the disorder but may include intense fear or dread of a specific situation, panic attacks, obsessive thoughts, severe anxiety, insomnia and/or nightmares, recurring flashbacks or memories, and more.
  • Antidepressants (e.g., paroxetine, fluoxetine, citalopram, sertraline, escitalopram), anti-anxiety drugs (e.g., clonazepam, lorazepam, alprazolam) and beta blockers (e.g., propranolol) are all commonly used to treat different anxiety symptoms.
Bipolar Disorder

  • Bipolar disorder, formerly known as manic depressive disorder, is characterized by extremes of mood that are more intense than the average person experiences. These mood shifts can be sudden and short or build in intensity and last for weeks; either way, they occur on a cycle that can be hard to predict and impossible to control, making it very difficult for the patient to have positive relationships with others at home and at work.
  • The lifetime rate of bipolar disorder in the United States is 4.4 percent – the highest of an 11-country study done in 2011.
  • Manic periods can be characterized by extreme happiness or extreme irritability. The person may speak quickly, move around frequently, jump from one task to the next, avoid sleeping and eating, and/or engage in risky behaviors. During depressive periods, patients may feel extremely sad or hopeless for long periods of time, stay in bed or on the couch, lose interest in activities, struggle with memory and concentration, and contemplate suicide.
  • Mood stabilizers (e.g., valproic acid, oxcarbazepine, lamotrigine, carbamazepine) atypical antipsychotics (e.g., risperidone, olanzapine, aripiprazole, ziprasidone, lurasidone, clozapine), and antidepressants (e.g., fluoxetine, sertraline, paroxetine) may be used in various combinations to treat bipolar disorder.
Post-Traumatic Stress Disorder (PTSD)

  • After the experience of a trauma or near-death experience, patients may experience an extreme and persistent state of fear or stress even when they are clearly not in danger. Being the victim of trauma, witnessing a trauma, or witnessing harm to a loved one can cause symptoms of post-traumatic stress disorder (PTSD). Natural disaster, rape, physical attack, seeing the attack of a loved one, car accident and other traumatic events can trigger PTSD symptoms.
  • About 8 percent of Americans will experience PTSD at some point in their lifetimes. Women are two times as likely as men to be diagnosed with PTSD. It is estimated that about 3.6 percent of adults in the US experience PTSD in a given year. Additionally, about 30 percent of people who serve time in a warzone will experience symptoms of PTSD.
  • People with PTSD may experience avoidance symptoms (e.g., avoiding the places, people, or things that remind the person of the trauma; feeling numb; having a hard time remembering the event), re-experiencing symptoms (e.g., experiencing flashbacks, nightmares, or obsessive thoughts about the trauma event), or hyper arousal symptoms (e.g., being edgy or easily startled, having difficulty sleeping, or experiencing extreme anger).
  • A number of antidepressants (e.g., sertraline) and anti-anxiety drugs (e.g., alprazolam) may be prescribed to treat PTSD.
Schizophrenia

  • Schizophrenia is a disabling brain disorder that is chronic and severe in nature. Without treatment, patients are often debilitated to the point that they often cannot maintain positive family relationships or maintain a job.
  • About 3.5 million people in the United States are living with schizophrenia. It is estimated that between 33 and 50 percent of homeless people are living with schizophrenia.
  • In order to be diagnosed with schizophrenia, a patient must experience at least three of the following: hallucinations, delusions, disorganized speech, negative symptoms, and/or disorganized or catatonic behavior. One of the three symptoms experienced must be hallucinations, disorganized speech, or delusions. Symptoms usually begin between the ages of 16 and 25.
  • Antipsychotic medications (e.g., fluphenazine, chlorpromazine, perphenazine, haloperidol) are used to treat schizophrenia.
Attention Deficit and Hyperactivity Disorder (ADHD)

  • Attention deficit and hyperactivity disorder (ADHD) is one of the most commonly diagnosed brain disorders among children and can continue well into adulthood. It can make it difficult for kids to function and progress at school or to experience happy and healthy relationships with peers and family members. There are different types of ADHD, including inattention, hyperactivity, or a combination of the two.
  • An estimated 5.9 million (or 9.5 percent) of children between the ages of 3 and 17 have been diagnosed with a form of ADHD at some point in their lives.
  • If the person is living with the inattentive form of ADHD, their symptoms may include an inability to focus on any one thing, daydreaming, becoming bored with tasks and not following through, struggling to follow instructions, and more. If the person is diagnosed with the hyperactive form of ADHD, then he or she may chatter incessantly, be in constant motion, and struggle with sitting still and focusing on a task. In some cases, a person can have experience a combination of symptoms from both forms.
  • Methylphenidate, amphetamine, and dextroamphetamine are commonly prescribed to kids with ADHD.

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Statistics and Research

mental illness and substance abuse

  • An estimated 7-10 million Americans are living with at least one mental health disorder in addition to a substance use disorder.
  • There are biological, social, and psychological effects of co-occurring disorders that must be treated. Each person will experience these differently and thus their treatment plans should be uniquely designed to meet their needs.
  • Though many people believe that those suffering with a mental illness are more likely to be violent, the fact is that only 3-5 percent of violent acts are committed by people due to untreated mental health symptoms. Additionally, mental health patients are more than 10 times more likely to be the victim of a violent crime as compared to those who are not diagnosed with a mental illness.

mental illness and violent acts

  • A mental health disorder is defined as any condition or collection of symptoms that results in a change in the person’s behavior, thought processes or patterns, and/or feelings that also causes them distress or decreases their ability to function.
  • No specific combination of mental health disorder or substance abuse problem is uniquely identified as co-occurring disorders; that is, any combination of substance abuse and mental health issues, even those that do not breach the threshold of diagnosis, can be treated as co-occurring disorders. Those that do not culminate in a diagnosis (e.g., binge drinking in combination with a mental health disorder) can and should be identified as co-occurring disorders and treated early on.

mental illness and disability

  • Each of the diagnoses may be mild, moderate, or severe, and one may be more intrusive in the person’s ability to function than the other. Mental health disorders are the leading cause of disability in Canada and the United States, and they are responsible for 25 percent of all years of life lost to disability and early death.
  • There may be overlapping risk factors for substance abuse and the mental health issue that increase the likelihood of developing co-occurring disorders in some patients and that also inform the need for comprehensive care that addresses both diagnoses during treatment. According to the National Institute on Drug Abuse, these may include an overlapping genetic predisposition to the disorders, overlapping environmental triggers, damaged brain regions that impact mental health and cravings for/use of substances,
  • Half of all mental health disorders that occur in a lifetime begin by the age of 14, and 75 percent have symptoms that manifest before the age of 24. The National Institute of Mental Health reports that many anxiety disorders begin in childhood while mood disorders may begin in late adolescence. Substance abuse disorders often become significant during early adulthood.

onset of mental illness

  • Patients diagnosed with a substance abuse disorder and/or mental health issues have the opportunity to live a normal life when their symptoms are effectively treated and managed. They can work and be productive in society, raise families, and live healthy lives just like anyone else – which is why so many employers offer coverage for mental health treatment and substance abuse treatment to employees who are in need of care.
  • Patients who are living with co-occurring disorders will require more intensive and comprehensive care than patients living with only a mental health disorder or substance abuse alone. Individualized treatment is recommended that is flexible and meets the patient’s needs, as is a heavy treatment schedule in the first weeks of recovery to improve retention rates.

level of care needed

What exactly is meant by the term “mental health”?

Mental health” is a term that encompasses every aspect of a person’s wellbeing: emotional health, social welfare, and psychological health. The way that a person thinks, behaves, and feels is impacted by their mental health; specifically, it can determine how people interact with other people, choose to respond to stressors, and how they live their lives. From childhood, mental health and wellness deeply affect a person’s choices and development, and there can be signs from very early on that someone is experiencing mental health symptoms that negatively impact their ability to function healthfully in the world.

The good news is that because mental health symptoms are exceedingly common, there are a wide range of treatment services available that are effective. Early identification of symptoms and treatment are recommended to minimize the negative, long-term consequences of untreated mental health symptoms.
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Is there a difference between “co-occurring disorders” and “dual diagnosis”?

There are a number of different terms used to describe someone who is struggling with both a substance use disorder and a mental health disorder. In some cases, these terms are meant to highlight a specific mental health issue or to identify which disorder is believed to be the primary problem for the patient. The terms “co-occurring disorders” and “dual diagnosis” are interchangeable, and additionally, there are a number of other terms and acronyms that can indicate someone who is living with both drug or alcohol abuse or dependence as well as a mental illness, including:

  • Comorbid disorders
  • Dually diagnosed or dually disordered
  • Mentally ill chemically dependent (MICD)
  • Mentally ill substance abuser (MISA)
  • Mentally ill chemical abuser (MICA)
  • Mentally ill substance using (MISU)
  • Substance-abusing mentally ill (SAMI)
  • Chemically abusing (or addicted) mentally ill (CAMI)
  • Individuals with co-occurring psychiatric and substance disorders (ICOPSD)

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Why do mental health disorders develop?

There is no one particular cause for any mental health disorder. In most cases, it is a combination of events and situations that contribute to the development of symptoms, which are not constant. Some possible contributing factors to the development of mental health disorders include:

  • Genetics: If one or more people in the family struggle with a certain mental health issue, it is more likely that others in the family will as well as compared to the general public.
  • Trauma: Sexual abuse, physical assault, as well as experiencing or being exposed to trauma (e.g., natural disaster, war, terrorist attacks, homicide, etc.) can contribute to the experience of mental health symptoms.
  • Biology: In some cases, levels of hormones or the function of certain neurotransmitters can impact how a person feels, thinks, and behaves.
  • Injury or infection: Damage to mental health and cognitive function can occur after certain infections or injury.
  • Substance abuse: Heavy use of drugs or alcohol can create or worsen certain mental health symptoms.

Additionally, exposure to lead and other toxins in the environment, prenatal exposure to chemicals or substances, and poor nutrition may be connected to the development or worsening of mental health issues.
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Can substance abuse cause a mental illness?

Absolutely. Substance use and abuse are contributing factors for the development of an underlying mental illness that has yet to manifest, and they can also worsen a current mental health issue. The National Center for Biotechnology Information (NCBI) says that the following substances may cause mental health issues:

  • Alcohol
  • Caffeine
  • Nicotine
  • Cocaine
  • Amphetamines
  • Sedatives
  • Hallucinogens
  • Opiates

Additionally, NCBI reports that the following mental health disorders can be caused or worsened by substance abuse:

  • Persisting dementia
  • Delirium
  • Persisting amnestic disorder
  • Sleep disorder
  • Psychotic disorder
  • Mood disorder
  • Perceptual disorder
  • Sexual dysfunction
  • Anxiety disorder

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Who is qualified to diagnose a co-occurring disorder?

Mental health professionals, especially psychiatrists and psychologists, may be best equipped to diagnose a mental health disorder. They may also be able to identify a substance abuse disorder, though a family physician or any medical doctor may be able to diagnose substance abuse and addiction.
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What added difficulties are there in treating multiple issues at the same time?

Treating a single mental health disorder or substance abuse alone can be difficult enough, but when there are two or more disorders, there may be even more challenges to face along the way. It is very important that the patient undergo a thorough evaluation and assessment period at the onset of treatment to identify all disorders at play and to determine how they are impacting the patient. In order to help the patient stop abusing drugs and alcohol, it will be necessary to address such issues:

  • Retention for substance abuse treatment as well as mental health treatment (e.g., continuing to take medication and take part in therapy)
  • Relapse on drugs or alcohol
  • Relapse on damaging and/or self-harming behaviors associated with the mental health disorder(s)
  • A patient’s willingness to meet treatment program requirements
  • Conflicting demands from multiple agencies
  • Increased need for support and education of family members

Often a patient who is living with co-occurring disorders will have a higher likelihood of repeatedly leaving and returning to a treatment program. Relapse may be a more pressing and frequent issue, and family members may need more intensive education and support assistance so they can better understand the nature of the illnesses facing their loved one and how they can best help.
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Where do people seek treatment for a co-occurring disorder?

People living with co-occurring disorders are encouraged to seek treatment at a program that has the resources to effectively treat both disorders at the same time. Thus enrolling in a drug rehab program that provides minimal mental health treatment beyond relapse prevention and basic support will not be sufficient to help the patient manage ongoing mental health symptoms and will in turn negatively impact his ability to avoid relapse for the long-term.

Dual diagnosis rehabilitation programs should be able to offer:

  • Medical detox, if needed
  • Medical supervision to address any complications that arise during detox
  • Evaluation to determine the exact nature of all co-occurring mental health issues including learning disorders, behavioral disorders, mood/personality disorders, vice addictions, and others
  • A unique treatment plan prioritizing a comprehensive therapeutic schedule that addresses the issues most pressingly facing the patient in recovery
  • Flexibility in treatment to account for changing treatment goals as well as progress made
  • Flexibility in scheduling to lengthen the time spent in treatment in order to stabilize fully if necessary
  • Ongoing support after rehab is complete through aftercare support

In short, a dual diagnosis rehab program should be able to provide the patient with everything he or she needs to make a strong start in independent living in recovery.
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Is mental illness something that can be cured?

Unfortunately, no. Neither drug or alcohol addiction nor any mental health disorder can be cured at this time; there is also no vaccine in place to prevent substance use disorders or mental illness in those who exhibit a high number of risk factors.

There are, however, a number of evidence-based treatments and therapies that have been proven to be effective in the treatment of dependence upon a range of substances as well as in the treatment of different mental health symptoms and disorders. For example, antidepressants are an excellent way for some patient to manage symptoms of anxiety or depression, and behavioral therapies have helped millions of patients to learn how to avoid relapse in addiction recovery and manage their mental health issues as well.
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How do medications help treat a mental illness?

Medications can be a hugely effective part of stabilizing a patient living with a mental health disorder and in managing ongoing mental health symptoms. Some people need only take them for a short time in recovery, especially if their symptoms were created or exacerbated by substance abuse, while others find it beneficial to continue taking medications for the purposes of long-term management of symptoms.

Different people experience medications differently, and thus it can be a process to determine the most effective medication, combination of medications, and/or doses for each individual. Factors that will affect this process include:

  • The specifics of the mental health disorder and symptoms experienced by the patient
  • Gender, age, and physiology of the patient
  • Use of other medications and supplements being taken to address medical issues
  • Existence of other medical disorders and their symptoms
  • Genetics
  • Functionality of the liver and kidneys
  • Diet
  • Whether not the patient adheres to the medication dosage and schedule
  • Use of substances, including alcohol, cigarettes, and others

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Can you die from a mental health issue?

A mental health disorder can be deadly if it is the cause of self-harming behaviors. Suicidal thoughts or actions can result in suicide, for example. An estimated 30,000 people in the US die by their own hand each year, making suicide the 11th leading cause of death.

Also, eating disorders characterized by starving oneself or severely limiting the intake of necessary nutrients and vitamins can result in death due to the body’s systems being shut down.

Additionally, untreated mental health issues that contribute to the use of illicit substances and other risky behaviors can contribute to a deadly accident (e.g., car accident, burning, drowning, etc.) or becoming the victim of a homicide.
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What is the history of treating mental illness?

Mental illness and substance abuse have likely played a role in human history since the dawn of man. Like substance abuse treatment, the history of mental health treatment goes back centuries and has changed rapidly and drastically in that time:

  • 400 BC: Hippocrates identifies mental health issues as diseases that can be treated physiologically as opposed to an indication that the person had angered the gods or was possessed by demons.
  • Middle Ages: Muslim Arabs built asylums for mentally ill people and continue to approach the disorders somewhat scientifically.
  • 1407: Facilities are likely designated for the treatment of the mentally ill in Spain.
  • 1600s: Mental health patients are frequently housed with criminals and disabled people and often abused and treated poorly.
  • Late 1700s: Reforms in the treatment of mental health patients begin in some parts of Europe.
  • 1840s: Dorothea Dix works to reveal the treatment conditions and poor housing for mentally ill people and to establish 32 state hospitals solely for the treatment of people significantly impaired by mental health disorders.
  • 1883: Emil Kraepelin begins to research mental health disorders. His distinction between schizophrenia and bipolar disorder stands today.
  • 1800s: Nellie Bly, a reporter for New York World, poses as a mental health patient in order to expose the continuing inhumane treatment inside mental health hospitals in the United States. Her report triggers increases in funding and support for the improvement of treatment and conditions.
  • 1900s: Sigmund Freud, Carl Jung, and others create the original treatments for mental health issues.
  • 1930s: Medication, surgery, and electro-convulsive therapy are utilized to treat patients living with mental illnesses like schizophrenia. The practice of lobotomy, or removal of part of the brain, begins.
  • 1938: Doctors begin using electroshock therapy to induce convulsions to treat schizophrenia, but the practice is more effective in treating depression.
  • 1946: The National Mental Health Act is signed by President Harry Truman and creates the National Institute of Mental Health (NIMH) to research the brain and behavior with the goal of reducing the rate of mental health disorders.
  • 1949: Lithium is used to treat psychosis. NIMH officially opens its doors.
  • 1950s: Antipsychotics are utilized to help manage symptoms of psychosis. Behavioral therapy is developed.
  • 1960s: Many patients are released from mental health facilities. Some fare well due to the use of antipsychotics while others end up homeless due to a lack of care. The Mental Retardation Facilities and Community Mental Health Centers Construction Act is passed to establish federal funding for community-based mental health treatment services.
  • 1990s: A new batch of antipsychotic medications is implemented in treatment and proves to be even more effective in the treatment of schizophrenia.

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Treatment Works

When a patient is diagnosed with both a mental health disorder and a substance use disorder, treatment is the best option for successful management of all symptoms. Treating for co-occurring disorders that starts with a thorough evaluation, follows through with comprehensive care that lasts until the patient is stable enough to live in a less structured recovery situation, and continues with ongoing aftercare and support can be a life-changing experience. Achieving a balanced state of mental and physical health allows a patient to:

  • Rebuild or build positive relationships with family and friends
  • Discover his full potential
  • Successfully manage stressors as they arise
  • Provide for himself and his family
  • Be a positive part of his community

If someone you love is struggling with a drug or alcohol addiction and a mental health disorder, co-occurring disorder treatment is recommended – sooner rather than later. Contact us at Orlando Recovery Center today to learn more about options in comprehensive care that can provide your loved one with everything he or she needs to become drug-free and learn how to manage mental symptoms and avoid relapse. Call today.