Dual Diagnosis Not So Sharp? I noticed quite a few years ago that suddenly everyone in early recovery from addiction to drugs and alcohol was also being diagnosed as bipolar; not just a few people, almost everyone was labeled bipolar. Most of these individuals were also taking medications that their doctor had prescribed to deal with their mania and depression. Suddenly everyone had a “dual diagnosis,” these seemed like magical words for managed-care approvals. Most of the thousands and thousands of substance abusers in early recovery, that I have crossed paths with over the past four decades, have had a great deal of trouble understanding who they are early on in their sobriety. One common factor that all substance abusers share in early …show more content…
The problem with diagnosing mental-health illness in early recovery before this period is the overlap in symptoms of several mental-health conditions that would seem reasonable; however, may well be false. The real person can’t possibly be known when someone is impacted by the process of withdrawing from their drug of choice and learning to cope with life without it. A person may also experience mental-health symptoms from post-acute withdrawal syndrome anywhere from six to eighteen months after withdrawal. A few years ago I learned about the problem solving principle of “Occam’s Razor.” The theory defined in simple terms: when you have competing hypotheses, the one that makes the fewest assumptions is most likely to be the most accurate and should be …show more content…
Larissa Mooney, an associate clinical professor of psychiatry at U.C.L.A.’s Addiction Medicine Clinic stated, treatment for those addicted who show signs of depression is talk therapy, social support, and a combination of medications. Today the thinking is that depression and addiction should be treated at the same time. Unfortunately Dr. Mooney doesn’t comment on why some clinicians think depression and addiction should be treated at the same time. I have talked with several doctors, mental-health professionals, addiction professionals, and individuals from the recovery community, the thinking is mixed on when someone should seek therapy or professional mental health guidance when suffering from addiction and signs of depression. It would be a shame for someone struggling to overcome addiction to be misdiagnosed and medicated for the wrong reason and it would also be terrible for someone who truly needs medication for clinical depression to be denied the proper treatment and medication needed to find balance in their
Medication management – Pharmacotherapy with anti-addiction medications or psychiatric drugs can reinforce the benefits of psychosocial treatment. These services may be provided as part of a comprehensive aftercare program.
More than 57 million people in the United States suffer from some type of mental disorder. Mental illnesses can turn a person’s world upside down. These medical conditions can disrupt every aspect of a person and their family’s lives. Mental disorders do not discriminate; age, sex, or color does not matter when it comes to mental illness. Many people live with different types of mental health problems. These problems can be anxieties, drug or alcohol addiction, obsessive compulsive disorder, and personality and mood disorders. People can suffer from one or more of these conditions. There are treatment options available but unfortunately treatable mental illness is being left untreated. Many people feel ashamed or just don’t realize the help available to them. In the past several decades there have been substantial changes in the care for those with mental disorders but even with all the technology, science and a better understanding of what mental illness is, improvement of the lives of those with a mental illness still falls short. One disorder seems to be making its way to the front of the line of all the different disorders out there. Bipolar disorder. Statistics are saying by 2020 bipolar disorder will be the number two health ailment, right behind heart decease (Reilly 224). We can teach society about this disorder and educate people on the see-saw of emotions tied to bipolar and the treatment that is available to them to help ease some of the weight on bipolar patients and their loved ones. There is hope!
Bipolar disorder is a lifelong mood disorder characterized by periods of mania, depression, or a mixed manic-depressive state. The condition can seriously affect a person’s reasoning, understanding, awareness, and behavior. Acco...
But often the symptoms do not stop at acute withdrawal. After the body makes initial adjustments to the absence of drugs, the changes that have occurred in the brain still need time to revert back to their original state. During this period, a variety of symptoms known as Post-Acute Withdrawal Syndrome (PAWS) begin to occur. In the book Uppers, Downers, All Arounders, published by CNS Productions, authors Darryl Inaba and William Cohen define PAWS as “a group of emotional and physical symptoms that appear after major withdrawal symptoms have abated” (Inaba & Cohen, 2011).
Bipolar Disorder (BD) affects about 2 million people in the United States in any given year. This troubling mental illness can disrupt a person’s daily life and often leads to thoughts of suicide or death. People who get inappropriately diagnosed with BD often get treated with medication that is unnecessary and potentially harmful. BD has become one of the most over diagnosed mental disorders, this due to the overlapping features between BP and other personality disorders. The creation of a universal assessment technique and reeducating the public and professionals would reduce the over-diagnosis problem.
There are many options for substance addiction treatment and utilizing medication as a means of eliminating substance use is one that has been called a double edge sword. There are two schools of thought with medically assisted treatment. First, let 's define medication assisted treatment (MAT): “it is the use of pharmacological medications, in combination with counseling and behavioral therapies, to provide a “whole patient” approach to the treatment of substance use disorders. Research indicates that a combination of medication and behavioral therapies can successfully treat substance use disorders, and for some people struggling with addiction, MAT can help sustain recovery” (Watkins, 2016). One side of this treatment option is that it provides that extra little nudge to start recovery with less or more withdrawal symptoms. For example, disulfiram is an alcohol aversion agent, that when taken with alcohol the person becomes very ill (Watkins, 2016). There are also other medications that help with reducing symptoms of withdrawal, such as methadone.
Alcoholism has been a fixture in our society since the first introduction of alcohol. Despite it being an equal opportunity disease, a large majority of not only the treatment, but also the research, has been about men. This lack of consideration of the different needs for men and women has led to many women going through recovery systems that do not address their experiences, and therefore do not allow them to take full advantage of that recovery system. This paper will attempt to look at the different experiences that men and women have in their journey through a substance addiction (particularly alcohol), from addiction through recovery. The main recovery method that will be discussed here is Alcoholics Anonymous. As an observation addition to this assignment, I sat in on an Alcoholics Anonymous meeting in Kerrville, TX. The meeting was on Thanksgiving Day at noon. I took detailed notes of the meeting, while keeping a watchful eye for any gendered interactions during the flow of the meeting.
Overcoming an addiction to alcohol can be a long and bumpy road. Many people feel that it is impossible to overcome an alcohol addiction. Many people feel that is it easier to be an addict than to be a recovering addict. However, recovering from alcoholism is possible if one is ready to seek the help and support they need on their road to recovery. Recovery is taking the time to regain one’s normal mind, health and strength. Recovery is process. It takes time to stop the alcohol cravings and pressure to drink. For most, rehab and professional help is needed, while others can stop drinking on their own. Recovery never ends. After rehab, professional help or quitting on your own, many people still need help staying sober. A lot of time, recovering
Young adults with opioid addictions worry what their friends, family and even doctors will think of them and hesitate to seek professional help. The result is that teen addiction often remains unaddressed, and it inevitably worsens without treatment. As a society, there is a lack of education about addiction as a disease, so most people simply don’t know how recovery works. Recovery from addiction is long and painful, and the stigma around addiction only prevents people from getting the help they need, making it crucial for society to look past the stigma that people in recovery are always on the brink of relapse, a false perception that affects self-esteem and relationships.
Canada, H. (2009, December 16). Best Practices- Concurrent Mental Health and Substance Use Disorders. Retrieved from Intergrated Treatment: www.hc-sc.gc.ca
Coming into the substance abuse meeting the student nurse was scared and nervous. She was scared of the reaction of the consumers and feared all the stereotypes she heard about typical alcoholics. Innervison gave the student nurse a new outlook on these types of consumers. She no longer looked at them as people who were just drunks and wanted to use AA as an excuse to make it seem like they are getting help. She never really looked at alcoholism as a true addiction; it seemed like more of an excuse to escape life’s problems. Sitting in and listening to these consumers gave the student nurse a dose of reality. The student nurse now understands alcoholism better and AA helped her realize recovery is truly a process that takes one day and one step at a time.
Drug addiction is more complicated than medicine thought in previous years. It’s not because someone is weak or unable to control themselves. They are chemical such a dopamine in the human body that makes the process difficult. The brain works in a neuropath way and drug interrupt the normal process which stops the frontal lobe to work as it should. Treatment isn’t done right and patients tend to repeat their habit after they get out of rehab. Psychological treatment is not as effective as chemical injection for dopamine to reward the brain. However, even after the treatment is complete, it will be a life struggle to stay away from drugs since the brain will always look for a simpler way to reward itself.
This experience helped me to recognize the internal struggle that a substance abuser faces on a continuous basis. In addition, I know that an individual can have a difficult time changing their behavior even when they have a strong desire to change; the smallest thing can cause a person to relapse.
Despite the higher cost, a high-end substance abuse treatment center does not constitute better treatment. The support of therapists, counselors, family, friends, and peers can all be important factors in the recovery process. The most significant factor for an individual in the recovery process is a desire and a willingness to change. Many options exist for individuals that want to recover from addiction. These options include substance abuse rehabilitation centers and support groups such as Alcoholics Anonymous and SMART Recovery. These programs all have the same goal but use different techniques that at times even contradict other programs. Although the approach of the programs may vary, they have all been proven to work for certain individuals.
Motivational interviewing began as a way of helping individuals suffering from alcohol addiction. Miller noted how different methods were helpfu...