Which Comes First: Mental Health Disorders or Substance Use Disorder?It is not always easy to answer the question: “Did the substance abuse problem or the mental health disorder occur first?” In some cases, it appears that the substance abuse issue predated the mental illness; in other cases, it appears that the mental illness predated the substance use disorder. In many cases, it can’t be determined. Show
Some drugs are thought to potentially elicit or mimic symptoms of certain mental illnesses. In some cases with chronic substance use this can lead to the development of more lasting mental conditions. For example, research into cannabis and cannabis-related psychosis has indicated that heavy users of marijuana are at a significantly higher risk to later develop psychosis. This has been used to support the idea that substance use itself may predate the arrival of mental health issues.9 On the other hand, there is some evidence that unmanaged mental health issues might drive to start using certain substances, which can turn into compulsive use. In lay circles, and even in some clinical circles, this is the very popular notion of self-medication, where an individual who has symptoms of a mental health disorder begins to use drugs or alcohol to cope with the stress of those symptoms. A third perspective notes that substance use disorders and other mental health disorders share many similar risk factors, and are often associated with specific environmental events, such as physical or emotional abuse.11 Thus, the development of both a mental health disorder and a substance use disorder simply reflects a shared vulnerability to developing a co-occurring disorder. Risk Factors for Co-Occurring DisordersThere are several risk factors that increase the probability you will develop a substance use disorder and a co-occurring mental health issue, including:12
What Are the Symptoms of Co-occurring Disorders?A diagnosis of co-occurring disorders is generally made if you meet the criteria for both a mental health and substance use disorder. There are some overlapping symptoms of many mental health disorders and substance use disorder which can make it difficult to determine which disorder came first. How to Treat Co-Occurring DisordersInterestingly, a large percentage of people who have co-occurring disorders are not thoroughly assessed or diagnosed properly. Often, many individuals are only diagnosed with only one of their co-occurring disorders. This can result in a number of difficulties with treatment. The goal of an integrated treatment program is to help the individual manage their mental health issues, become abstinent from substances of misuse, and reach their highest possible level of independence. An integrated treatment program uses a multidimensional team approach in 4 stages to address a person’s diagnosed co-occurring disorders. These stages include:13
Because there are so many different combinations of co-occurring disorders, and because every person is different when it comes to recovery, treatment for co-occurring disorders can vary drastically from person to person. This is why tailoring the treatment program to the individual’s needs along the way is so important. Co-Occurring Disorder Treatment at Oxford Treatment CenterOxford Treatment Center can take an integrated treatment approach with co-occurring disorders and has a team of experienced addiction treatment professionals to customize the correct treatment plan depending on the person and the co-occurring diagnosis. An integrated treatment program for co-occurring conditions might involve:14
Integrated treatment is designed to be as comprehensive and supportive as possible. Your treatment team will set realistic goals for your program and adjust them accordingly as you progress in care. You don’t have to do it alone; help is just a call away. Call us at and we can help you find the right rehab program for you or your loved one. Whether you choose to attend our addiction treatment program in Mississippi at Oxford Treatment Center or at one of American Addiction Centers’ other rehab facilities across the United States, we will be there with you at every step of the way. Does Insurance Cover Co-Occurring Disorder Treatment?In most cases, health insurance covers substance abuse treatment in some capacity, but the amount that will be covered for your treatment is going to depend on the insurance plan you have, as well as other factors such as what facility you choose and how long you stay in treatment. You can verify your insurance by using our or learn about other ways to pay for rehab that are available to you. Our Dual-Diagnosis Treatment Facility in MississippiLiving with co-occurring disorders can take a heavy toll on your quality of life. Fortunately, there are different levels of addiction treatment available at our inpatient rehab facility in Mississippi. Oxford Treatment Center offers evidence-based co-occurring disorder treatment programs that address your needs in a real and impactful way. You can find out more information about us, the rehab facility amenities our center offers, and the rehab admission process by contacting our team of compassionate and knowledgeable admissions navigators at . Do not wait to get the help that you deserve. Recovery is possible and we’ll help you get there. What is it called when you have more than one disorder?The co-existence of two or more disorders is called co-occurring disorders or comorbidity.
What is it called when you have two different mental disorders?Share on Pinterest Trauma during childhood is a possible cause of split personality disorder. A split personality is a popular term for DID. In the past, DID was known as multiple personality disorder. People with DID have two or more distinct personalities.
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