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What is Dual Diagnosis?
When
a person has a mental or
physical disorder that occurs at
the same time as a substance abuse
disorder, many professionals call this dual diagnosis. It can also be
referred to as co-occurring or comorbid disorders. Sometimes it's hard
to determine which came first, the mental or physical
disorder, or the substance abuse problem. Some common co-occurring
mental health disorders include bipolar disorders (formerly called
"manic depression"); depressive disorders; anxiety disorders (quite
often Post Traumatic Stress Disorder, Social Phobia, Panic Disorder and
Generalized Anxiety Disorder), and sometimes mental retardation or
organic brain problems.
People with chronic pain disorders and chronic illnesses can also
have
dual diagnoses because the very medication that can be used to reduce
pain and discomfort can be highly addictive (e.g., muscle relaxers and
opiates such as Norco, Vicodin, and Oxycontin). It can be tricky to
treat the pain effectively while still staying sober, as the potential
for abusing such drugs is high.
Sometimes people have a hard time adjusting to the idea that they have
two or more health conditions to take care of, and feel overwhelmed and
stressed by it. I have heard people say "it's bad enough I'm Bipolar,
now I have to worry about my alcohol use too?" People with chronic back
pain and arthritis have also been upset when they have to find new
medications that do not have as much abuse potential.
I realize how frustrating and time-consuming it can be to work on
recovery from more than one disorder. Yet I
also
know that the alternative, just letting these conditions make each
other worse, usually results in disastrous consequences. It can take
professional help to manage and balance the needs of more than one
health condition. I hope that you consider turning to me for
assistance in your recovery. I have worked with dually diagnosed people
in various
settings including community mental health clinics, drug and alcohol
abuse recovery centers, and in my private practice. My approach to dual
diagnoses is practical, supportive and compassionate. I am happy to
work with your support team (psychiatrists, sponsors, family members,
friends, etc.) to help you cope with the challenges you face.
If you believe that you are dealing with dual diagnoses, I urge you to
give me a call so we can help you be healthy, happy and at peace. My
number is 661-233-6771.
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