Why dual-diagnosis requires IMMEDIATE Attention
Before the information on Dual Diagnosis Treatment options, the pathway to sobriety was a long and twisty one. This is because once a body’s dual-diagnosed, he will be denied rehab service until they could remove their mental health issue. Sadly, mental health issues will persist once they don’t get clear of addiction. Likewise, abusing drugs may continue because of mental health challenges like depression. Thus, many substance abusers previously are trapped in a maze without any exit.
Thankfully, the advent of Dual Diagnosis Treatment from the 1990s served as a milestone to change the prior counterproductive approach to treating dual-diagnosed people.
A brief history of Dual-diagnosis
That old Way
Sequential treatment will address addiction independently to whatever mental medical problems plague the sufferer. Such rehabilitation will endeavour to take care of addiction without having done any anything about the mental health problem. Worse, patients will never be treated because of their mental health issue as long as they are certainly not sober. The reason being professionals accustomed to believe the mental health challenge will return in the existence of substance abuse disorder, that’s, obviously, true and undeniable. Unfortunately, it’s also factual that the substance abuse disorder may return providing the mental health condition persists. This gap is what parallel treatment models try to bridge.
Parallel treatments try to treat both addiction and also the mental health challenge. Be it the addiction that caused the mental health issue or it’s the mental health issue that caused the addiction, treating them at the same time addresses the inadequateness of sequential treatments. If both will probably be treated concurrently, the chicken-and-egg puzzle will ultimately be solved. Sadly, even this treatment model failed. The reason behind this failure is simply because parallel treatment specialists fail to coordinate with one another. That’s, a drug addiction specialist will do his finest in treating the drug use disorder without addressing the mental medical condition as the mental health expert make an effort to treat the mental health challenge. The possible lack of coordination between specialists and treatment facilities compromised each other’s treatment options sometimes even causing unnecessary drug interactions which hamper your entire course of treatment. Addiction and mental health disorders were treated as separate entities that would have to be treated simultaneously but separate from the other person.
The present day Way
The modern method of treating dual-diagnosed disorders patches the hole within the models sequential and parallel treatment models. Bearing the name “Integrated Treatment,” this contemporary approach addresses both addiction and mental health problem concurrently while treating them as being a single entity. That is, a cocaine abuser who’s ADHD requires different treatment from an opiate abuser that has ADHD. Every case will likely be unique and tailor-made for someone and often will always involve the mixing of the treatment methods. Such approach will avoid unnecessary delay, drug interactions, and even death.
Integrated remedies are usually carried out a single facility, unlike parallel treatments. Furthermore, it needs detailed planning thus requiring more inputs in the client, the client’s family, and even the client’s peers to put out an idea which is well-suited for the case.
Exceptions for Integrated Treatment
First of all, the existing substance abuse disorder and mental health challenge should be outside of the other person. For instance, hallucinations alongside hallucinatory abusing drugs may not qualify, unless it brings about long-term schizophrenia.
Treatments:
The procedure methods and options widely vary. There are lots of permutations when it comes to the mix of medication and mental medical problems. Hence, there are many treatment procedures at the same time. Be aware that each individual and each case is different and can need a special approach made only for them. Added to this is the fact patients their very own social needs and life experiences thus further complicating things. Regardless how varied, there are many common anxiety found in every treatment:
• Methodical Planning – this phase requires cooperation through the patient and the family. The professional will ask numerous details, and out of this details, the treatment model will likely be planned.
• Detox – an internal treatment model will usually include detox, the process of taking out the presence of the abused substance by the body processes.
• Counseling and Education – this will likely not seem medically necessary, nevertheless it helps improve the morale and will of your individual undergoing rehab. It helps lift off the curse of stigmatizations, self-blame and many psychological aspects which will be a blockage towards the route to sobriety.
How you can Plan for Integrated Treatment
The main factor here is to cooperate with the professionals. The treatment ways to be executed will largely depend on what details allowing your professionals. Hence, supplying the most accurate and details to your specialist is most important. Such details can include (but is not limited to):
• History of abusing drugs
• History of substance use for medical purposes
• Medical History
• Significant Life events
• The existence of other types of addiction (sex, gambling, alcohol, etc.)
• Social Life (has he recently abandoned his peers, family, etc.)
• Behaviors the consumer didn’t have before
• Traumatic Experiences
• Stress-inducing activities
• Rehabilitation history (or no)
There are occasions that clients is not going to disclose a bunch of their abusing drugs details for anxiety about stereotyping and attracting lawyers and cops inside their door. In these cases, treatment will prove to be very difficult because the treatment model will spontaneously change as the undisclosed substance abuse disorders reveal themselves. Worse, it can be extremely expensive as more medications is going to be employed to undo the possible drug interactions.
Options to Integrated Treatment
Let’s face it. Integrated treatment would have been a costly endeavor. Thus, people end up trying to find alternatives. The not so good news can there be isn’t any replacement for integrated treatments. You’ll find unviable substitutes like sequential treatment and parallel treatment, but it’ll be a little more expensive in the long run. Do you rather undergo sequential treatment significantly when compared to a single integrated treatment? You know they don’t. Which will be expensive, and it’ll devour the time you could have enjoyed outside rehab. Thankfully, strategies you might use that may help you invest in your dual-diagnosis treatment like insurance, sliding scale fees, and state sponsorship.
Insurance
Whether insurance agencies will like it you aren’t, non-grandfathered plans must cover mental health. The Mental Health Parity and Addiction Equity Act requires health plans which have mental well being services to lower restrictions about the mental health aspect. That is certainly, such plans can’t ever make mental health restrictions as strict as physical health limitations. This element of MHPAEA is reinforced by the Affordable Care Act, mainly because it requires health promises to cover mental health. Hence, it is possible to usually be assured that your insurance will handle your integrated treatment. However, you have to be wary that insurance will not instantly cover your rehab. You will see factors like copayments and out-of-pocket maximums which will burden you for quite a while prior to the insurance will pay for a hundred percent of the expenses.
Sliding Scale Fees
Some rehab facilities (especially state-sponsored ones) will offer sliding scale fees; fees which will scale according to your financial status. Thus, in case you fall below a certain threshold of capital, you will have to pay less for the rehabilitation.
Furthermore, you can find state-specific programs you can use. Another highlight is the Medicare, Medicaid and, for the veterans, Tricare. Aforementioned three have their own eligibility requirements.
The signs of Dual-diagnosis
Similar to the treatment itself, the signs of co-occurring disorders are unique too. These symptoms will change from one person to another and widely is determined by a combination in the substance abused and also the existing mental health issue. Thankfully, there are general telltale signs warning that some people are in dire need for help.
• Inability to rest
• Loss of hygiene and deterioration of physical health
• Tremors
• Needle marks (as a result of intravenous use of the substance)
• Paleness or blushing
• Dishonesty
• Oversensitivity
• Forgetfulness
• Lack of enthusiasm and self-esteem
• Difficulty in concentrating
• Paranoia
• Disturbance in Dating life (abandoning friends, befriending drug addicts)
• Significant weight change, be it decrease or increase
• Sleeping for many days (especially stimulant users after their energy outburst)
• Obsessive-compulsive behaviors like returning 3 times to be sure the appliances were unplugged
• Obsession with privacy
• Stealing
Moreover, you can find drug-specific symptoms like sore, painful jaw from teeth-grinding during ecstasy high or dry lips for crack. Keep in mind that whatever drug is abused, immediate attention is critical. Long-term abuse will lead to a growing number of mental health conditions.
The Stigma of Dual-diagnosis
What happens the worst portion of suffering from the co-occurring disorder is? Seeing how cruel people could be. Yes, drug addicts are stigmatized and they are people suffering from mental health conditions. Surely, the worst case of stereotyping will be true for an individual being affected by both addiction and mental health issues.
The problem is individuals who would not have the technical background in drug use, psychiatry, and psychology view addiction as being a problem that will instantly be solved by mind-over-matter means. People feel that substance abusers can easily take a moment somewhere, jaw-dropped, eyes staring into nothingness and contemplate regarding faults and then operate using a sudden realization from the destruction due to the drugs and the instant will to improve. Thus, SUDs sufferer eventually ends up stigmatized and therefore are stereotyped to experience a weaker will compared to other people.
Implications
You can find three logic behind why people are stigmatized:
• Fear – those who have mental illness or/and should be feared and driven out of societies
• Authoritarianism -individuals who may have some kind of addiction have emerged as irresponsible individuals will not pull their very own weight thus people them as being a burden they should carry.
• Benevolence -individuals need to be cared for. [1][2]
All those reasons cause reduced independence and autonomy, thus hampering the lives with the sufferers and also depleting their desire for seeking treatment and even sticking to current treatment. Thus, stigma is a vital step to be addressed for individuals.
Those who accept the stereotypes stated previously (or whatever stereotypes exist) tend to develop prejudice [3]. The patient will usually anticipate those prejudice, thus dealing stereotyping themselves too. Hence, you will find three stages of self-stigmatization; awareness (of the existing prejudice), agreement (the affected person accepts the prejudice as truth) and application (self-stigmatization) [4] . This is another fact that may hamper right onto your pathway to sobriety which is one of the main issues addressed by counselors.
How is it that a substance abuser undergo detox, NOW?
Now it is or never. You can are afflicted by denial and go like “Hey, I’m able to be sober alone.” Sadly, going all at once will perform more harm than good. Furthermore, the intertwined addiction and mental health issue will worsen one another over time. Added to this will be the extreme stigma faced through the substance abuser. If left unattended, the stigma will spark increasingly more mental health issues, that may then ignite more addiction issues that will potentially worsen the stigma As well as the mental health issues. Obviously, it’s a cycle of self-destruction that can don’ good. It is currently or never. Going all at once isn’t key. Professional attention is important.
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