More Than Just Addiction: Why Dual Diagnosis Care is Essential

Dual diagnosis is more common than most people realize. In fact, research finds that roughly half of all people with a mental illness will also struggle with addiction at some point. Among adolescents in addiction programs, over 60% meet the criteria for another psychiatric condition. In the US, about 21.5 million adults have a co-occurring disorder.

The most frequently linked mental health conditions include anxiety disorders, major depression, bipolar disorder, post-traumatic stress disorder (PTSD), attention-deficit/hyperactivity disorder (ADHD), and other psychiatric disorders. These mental health issues often fuel substance abuse (as people try to self-medicate painful symptoms), and vice versa – drugs and alcohol can trigger or worsen psychiatric symptoms.

Why Do Co-Occurring Disorders Happen?

Researchers explain that dual diagnosis arises partly from shared risk factors:

In other words, there’s nothing mysterious preventing someone from having both kinds of disorders. For example, some people with depression or PTSD may turn to alcohol or drugs to cope, while certain substances (like stimulants or alcohol) can mimic or worsen symptoms of anxiety, depression, or psychosis.

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As SAMHSA notes, “the coexistence of both a mental health disorder and a substance use disorder… is referred to as co-occurring disorders.” People with mental health conditions are at higher risk of developing addiction, and those with addictions are vulnerable to psychiatric illness.

The result is a vicious cycle: if one condition flares up, the other often does too. In fact, experts observe that untreated anxiety or depression tends to intensify substance use, and vice versa. In a nutshell, these co-occurring issues feel like playing “whack-a-mole” – you treat one problem and the other pops back up.

What Are the Signs and Symptoms of Co-Occurring Disorders?

Warning signs of co-occurring disorders often include symptoms of both addiction and mental health issues. For substance abuse, red flags can include:

Likewise, untreated mental health conditions can manifest as persistent anxiety, deep depression, irritability, or sudden bursts of anger, often driving a person toward alcohol or drugs in an attempt to feel better. These overlapping symptoms underscore the need to consider both sides of the problem.

The Myth: “Get Sober First”

A dangerous myth is that someone must “get sober first” before addressing any mental health issues. In reality, experts warn this approach often fails. Simply staying clean doesn’t automatically resolve underlying psychiatric issues. Without integrated care, the untreated disorder usually resurfaces and drives a relapse.

What Integrated Dual Diagnosis Care Looks Like

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Dual diagnosis treatment typically involves one-on-one counseling and integrated therapies that address both addiction and mental health. Integrated care brings therapists and counselors together so that every treatment plan is tailored to the whole person, not just the addiction or just the depression.

For instance, dual diagnosis programs generally begin with a comprehensive psychiatric and substance abuse evaluation. This helps clinicians identify conditions like anxiety disorders, PTSD, bipolar disorder, or others alongside any substance use issues. Treatment often proceeds with a combination of behavioral therapies (such as cognitive-behavioral therapy or dialectical behavior therapy) and medication management, all in a coordinated way.

Key Components of Dual Diagnosis Treatment

A core goal of dual diagnosis care is to teach healthier coping skills for the negative emotions and stressors that contribute to both problems. Therapy sessions (individual and group) help clients learn to recognize triggers for cravings and anxiety, and to practice skills like emotion regulation and relaxation.

Medical interventions, such as antidepressants or anti-anxiety medications, may be used alongside addiction medications (for example, buprenorphine or naltrexone) to stabilize brain chemistry. Importantly, medical detoxification is provided when needed: withdrawal from alcohol or sedatives can be dangerous, so patients are monitored 24/7 until they’re safely through the worst symptoms. This careful approach means clients can start treatment on solid footing rather than dropping out or relapsing due to unmanaged withdrawal symptoms or untreated depression.

What Dual Diagnosis Treatment Includes

Experienced programs use evidence-based behavioral therapies to treat both issues at once. Clients might attend group and family therapy sessions to build support, meet one-on-one with counselors, and work on relapse prevention planning.

Typical components include psychiatric care and medications to stabilize mood or anxiety, behavioral therapy (like CBT or motivational interviewing) to develop coping strategies, and support groups (such as AA/NA or SMART Recovery) for ongoing peer support. Patients and therapists also create a personalized relapse-prevention plan, focusing on how to handle triggers and distress without resorting to substances. Each plan emphasizes long-term recovery and teaches coping skills to deal with negative emotions in a healthy way.

Why Integrated Dual Diagnosis Care Works

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The “gold standard” is to treat both disorders simultaneously in the same program. Integrated dual diagnosis care leads to better outcomes: studies find that clients who address mental health and addiction together use fewer substances over time and have fewer hospitalizations than those who treat only one disorder. By contrast, if only the drug or alcohol use disorder is treated, any lurking depression or PTSD will likely derail sobriety.

Integrated treatment avoids this trap. For example, specialized therapies like Integrated Group Therapy (IGT) for people with addiction and bipolar disorder or combined exposure/relapse-prevention therapies for PTSD and substance abuse have proven very effective. While more research continues, clinicians know that helping a person manage all their symptoms at once is far more successful than tackling issues in isolation.

Support and Aftercare

Recovery doesn’t end at discharge. Effective dual diagnosis programs often transition clients to outpatient support, sober living communities, or ongoing therapy to maintain gains. Peer support groups (AA, NA, SMART Recovery, etc.) and support from family play a lasting role. Education about warning signs and cravings helps patients activate coping strategies early.

For instance, relapse prevention plans might include identifying triggering negative emotions (like extreme stress or loneliness) and having ready alternatives (such as exercise, counseling, or 12-step meetings) to manage them. Patients also learn to recognize any warning signs of recurring mental health problems (for example, worsening sleep or mood), so they can seek help promptly. This comprehensive approach – combining medication, therapy, community support, and skills training – gives individuals the best chance for sustained, long-term recovery.

Take the Next Step with More Than Rehab

At More Than Rehab, we understand that dual diagnosis care is about healing the whole person. Our Texas-based programs treat mental health conditions and addiction together, with a warm, personalized approach. We offer evidence-based behavioral therapies, medical treatment for co-occurring disorders, family support, and peer groups to guide you through recovery.

If you or a family member has been dealing with substance abuse and an underlying psychiatric issue, our skilled team can help you build a relapse prevention plan and teach coping skills to regain control of your life. Call More Than Rehab (888-249-2191) or visit our website to learn about our integrated dual diagnosis programs. Recovery from both addiction and mental health issues is possible, and you don’t have to face it alone.

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The Role of Sleep Disorders in Addiction & Mental Health

Sleep is essential for maintaining emotional stability, enhancing memory, and promoting brain recovery. But if you're in addiction recovery, you might find it challenging to catch a good night sleep because of withdrawal symptoms, nutrient deficiencies, and the effects of past substance use on the body's natural sleep-wake cycle. Sleep disorders are another common concern in addiction recovery.

In fact, the impacts of addiction on the natural sleep regulation process have been thought to cause or exacerbate sleep disorders. And the relationship is bidirectional. Sleep disorders, too, can lead to addiction and mental and physical health issues. The three are closely intertwined, with studies showing that one increases the risk of the other.

The Bidirectional Relationship Between Sleep Disorders and Addiction

Sleep disorders and substance use disorders are closely linked through complex neurobiological mechanisms. Each condition can both contribute to and exacerbate the other, creating a cycle that is difficult to break without integrated care.

How Sleep Disorders Can Contribute to Addiction

Sleep disorders such as restless leg syndrome, circadian rhythm disruptions, and obstructive sleep apnea can increase the risk of substance use. The underlying science points to several key mechanisms:

1. Altered Reward Processing

Chronic sleep deprivation affects the brain’s reward circuitry, particularly the dopaminergic system. Lack of sleep causes the brain to become more sensitive to rewards, which can heighten cravings and impulsivity. This heightened sensitivity can increase the likelihood of using substances—such as alcohol, cannabis, or sedatives—as a means of achieving short-term relief or pleasure.

2. Impaired Emotional Regulation

Sleep is essential for regulating mood and managing stress. Inadequate sleep diminishes the function of the prefrontal cortex (responsible for decision-making and self-control) while increasing amygdala reactivity (associated with stress and emotional responses). This imbalance contributes to mood swings, anxiety, and poor judgment—factors commonly associated with increased substance use and relapse risk.

3. Activation of the Stress Response System

Persistent insomnia and other sleep disorders activate the hypothalamic-pituitary-adrenal (HPA) axis, the body’s central stress response system. Chronic activation leads to elevated cortisol levels, which are associated with higher rates of depression, anxiety, and subsequent self-medication with substances.

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How Substance Use Contributes to Sleep Disorders

Substance use can directly impair sleep quality and disrupt the brain’s natural sleep architecture. These effects may continue well into recovery, particularly during post-acute withdrawal.

1. Circadian Rhythm Disruption

Many substances—including alcohol, stimulants, and opioids—interfere with the suprachiasmatic nucleus (SCN), which governs circadian rhythms. Disruption of this internal clock leads to irregular sleep-wake cycles, delayed sleep onset, and daytime fatigue.

2. Neurotransmitter Imbalances

Substances affect key neurotransmitters that regulate sleep:

3. Long-Term Impact on Sleep Architecture

Substance use can cause lasting alterations in sleep structure. Reduced slow-wave (deep) sleep and REM sleep lead to non-restorative sleep, memory impairment, and emotional instability. These disruptions often persist during early recovery, contributing to post-acute withdrawal syndrome (PAWS)—a set of lingering symptoms including insomnia, irritability, and poor concentration.

The Cycle of Sleep Disruption and Substance Use

Together, these factors create a bidirectional and self-reinforcing cycle:

This cycle not only impairs quality of life but also undermines recovery efforts if not properly addressed.

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Why Sleep Matters in Recovery

Quality sleep is essential for rebuilding emotional and cognitive balance during recovery. Sleep supports key functions like emotional regulation, impulse control, and decision-making—skills that are often challenged in early sobriety.

When sleep is disrupted, the brain’s ability to manage stress and resist cravings declines, increasing the risk of relapse. Sleep disturbances can also worsen symptoms of post-acute withdrawal, such as anxiety, mood swings, and low energy.

Structured routines are critical in recovery, but disorders like insomnia or circadian rhythm disruptions can make consistency difficult. Poor sleep undermines progress, making it harder to stay engaged in therapy, maintain relationships, and follow recovery plans.

Healing Your Sleep

Left unaddressed, chronic sleep disturbances can push you to self-medicate in an effort to feel “normal” again. But using substances to cope with sleep loss only restarts the cycle, making both sleep and recovery harder to maintain.

Given the strong interplay between sleep and substance use disorders, treating sleep disturbances should be a core component of addiction recovery. These evidence-based interventions can help restore sleep health and support long-term recovery outcomes:

1. Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is a non-medication therapy widely recommended for sleep issues in addiction recovery. It targets the root causes of insomnia through:

CBT-I helps you sleep better without the risk of developing a dependency on a new substance. This is huge if you’re in recovery.

2. Sleep Hygiene Habits

Practicing good sleep hygiene helps reinforce your body’s natural rhythms and reduce sleep latency (the time it takes to fall asleep). Some useful habits include:

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These changes may seem small, but they can greatly improve your sleep quality and mental clarity.

3. Medication-Assisted Treatment (MAT) and Sleep

If you're receiving addiction treatment programs involving MAT (e.g., methadone or buprenorphine), your medication could be affecting your sleep. It's worth discussing any sleep issues with your provider. They may adjust your dosage or suggest timing changes to minimize impact.

Non-habit-forming medications, such as trazodone, gabapentin, or melatonin, may be used temporarily under supervision. These options can offer relief from insomnia symptoms without the risks of traditional sleeping pills.

Always avoid over-the-counter sleep aids unless approved by your healthcare provider, especially during recovery. Many OTC sleep aids contain antihistamines, which can lead to next-day drowsiness and long-term tolerance. It is also essential to follow the instructions provided when using the sleep aids.

Sleep As a Recovery Tool

Sleep is not a luxury but rather a necessary part of the work, especially as you progress through your recovery journey.

If you’re struggling with sleep, don’t ignore it. Addressing it can make everything else a little easier. Consult with your provider, explore available support options, and take it seriously. It will help you get the rest you need at night and stay on track during the day. Set one small sleep goal tonight. That’s a real step forward.

Need help navigating recovery and sleep? Reach out to More Than Rehab today. We are here to support your healing every step of the way.

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Political Anxiety: How Hopelessness Leads to Substance Abuse

Let’s be honest. It’s hard to stay hopeful when everything feels like it’s falling apart. You open your phone, and it’s politics. You turn on the TV, and it’s worse. Your social media feeds are a constant doomscroll of fights and emotional responses — friends, family members, strangers yelling into the void. Everyone’s angry, everyone’s scared, and you’re just trying to hold it together. But between inflation, political polarization, and whatever new crisis just dropped, for many, it feels like the world is spiraling out of control.

But, you keep it moving during the day. You go to work, you pay bills, and you show up again the next day. But at night, when it’s quiet, the anxiety starts to creep in. What happens if the “wrong” person wins the next presidential election? What if policies change and your community suffers? What if your voice, your vote, doesn’t seem to matter anymore? This is political anxiety. And it’s a much bigger issue than most people think.

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This Isn’t Just About Politics—It’s Personal

When the side you support loses, it doesn’t just feel like a policy shift. It feels like you lost. Like your values, your beliefs, your place in this country suddenly don’t count. It can be exhausting – especially for people living in swing states. Every ad feels like it’s targeting you. The pressure feels constant. Everyone wants something; your vote, your support, your attention, and you seemingly never get a break from it all.

Now add financial stress, economic hardship, climate grief, or just trying to raise a family in this chaos — and it can be a lot. You start to feel like you’re just surviving. Waiting for the next hit. That helplessness? That’s what drives people toward the edge. Not because they’re weak, but because they’re tired.

How Hopelessness, Stress and Anxiety Causes Substance Abuse

The cycle of political anxiety can mess with your brain in ways you don’t always notice right away. Your nervous system doesn’t know the difference between a real physical threat and constant mental stress, so it stays activated. Your body keeps pumping out stress hormones like cortisol, which, over time, messes with how you sleep, how you focus, and how you feel.

Self-Medicating With Drugs and Alcohol

Eventually, your brain stops regulating itself properly. You feel disconnected, flat, and worn down. And when nothing feels good anymore, your brain looks for something... anything, to bring relief. Drugs and alcohol often feel like the fastest way to escape the tension, albiet briefly. According to one study, 21.9% to 24.1% of people with anxiety disorder report self-medication with alcohol and drugs.

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Tolerance Builds Up

Once substances enter the picture, the relief is fast but temporary. You may feel calmer, lighter, maybe even numb. That escape can become addictive, both chemically and emotionally. Your brain floods with dopamine, and you start associating that high with safety, control, and peace. But eventually, your brain starts to adapt. It notices that dopamine is being supplied artificially, so it reduces its own natural production.

Over time, this leads to dopamine depletion, which makes it harder for you to feel pleasure from everyday things like food, music, conversation, or even rest. Your reward system gets thrown off balance, and now the only thing that gives you a sense of relief is the substance itself. Tolerance kicks in when your brain becomes less sensitive to the same amount of the substance, so you need more of it to get the same effect.

Meanwhile, the parts of the brain responsible for judgment, impulse control, and emotional regulation—especially the prefrontal cortex—start to weaken. You may act impulsively, struggle with focus, or react more intensely to stress. The substance that once gave you a break from anxiety now amplifies it when you’re not using.

Substance Abuse and Addiction

During this process, the body begins to depend on the substance just to maintain balance. This is physical and psychological dependence. Without the substance, withdrawal symptoms set in: irritability, restlessness, insomnia, and even panic. At this stage, you're no longer using to feel good. You're using it to avoid feeling worse. And because the root issue—election anxiety, hopelessness, and chronic stress—remains unresolved, the cycle deepens.

Healthier Ways to Process Political Disappointment

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No, you can’t control election results. You can’t fix every policy. You can’t change the political climate overnight. But you can learn to protect your mental health and handle political disappointment in a healthier way.

1. Unplug intentionally

Politics is one of the primary sources of depression and anxiety in today's society. It’s okay to disconnect – even from participating in a healthy political discussion. Take breaks from the news and social media every once in awhile. Not because you’re avoiding reality but because your brain needs recovery time. Boundaries aren’t ignorance. They’re survival.

2. Move your body

Stress lives in your nervous system. Physical movement, walks, yoga, stretching, helps release it. You don’t need a gym. Just move.

3. Reconnect with people you trust

Political tension breaks relationships, but healing starts with honest conversations. Talk to friends or family members who feel safe. You don’t need to agree on everything; you just need to feel heard.

4. Invest in self-care, even if it feels small

Eat. Hydrate. Sleep. These basics sound simple, but they rebuild resilience. Caring for your body creates the foundation your mind needs to recover.

5. Channel your energy into action

Hopelessness shrinks when you do something. Volunteer. Organize. Support a cause that matters. Even small actions within your own community can help build back your sense of purpose.

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When It’s Time to Get Help

Sometimes, it’s deeper than a rough week or a bad election cycle. If you’ve been using substances to numb out, if you’re noticing a pattern that’s hard to break, or if you just feel like you’re not okay anymore, please don’t wait for it to get worse.

Reaching out for help doesn’t mean you’re broken. It means you’re ready to feel better. Therapy helps you unpack the pressure you’ve been carrying. It gives you tools to deal with stress and manage anxiety without needing to self-medicate with alcohol, illicit drugs or controlled substances.

Support groups are also critical as they allow you to connect with like-minded individuals. If you’re dealing with a substance use disorder, treatment options range from outpatient care to detox and structured support.

The first step? Say something. Even if it’s just, “I need help.”

Talk to Us

At More Than Rehab (MTR), we understand how deeply political anxiety and chronic stress affect your mental health. We also know how easy it is to fall into unhealthy patterns when hope feels out of reach. Whether you’re struggling with anxiety, substance use disorders, or just feel stuck, you’re not alone—and you don’t have to figure it out on your own.

We offer comprehensive care that meets you where you are. No shame. No judgment. Just a path forward. You deserve to feel like yourself again. Let’s take the next step together.

888-249-2191

The Connection Between Chronic Pain, Opioid Use, & Mental Health

Chronic pain is more common and more misunderstood than many people realize. In the United States, nearly 50 million adults live with chronic pain. That’s one in five people waking up daily with discomfort that doesn’t go away.

If that’s you, you know it’s not “just pain.” It affects all aspects of your life – from sleep and energy to the ability to work, connect, and actually enjoy your life. It wears you down, physically and emotionally. And too often, the only solution offered by your doctor is a prescription drug.

For many, that prescription is an opioid. In the beginning, it helps. You might feel some relief, but over time, it stops working the same way. You may need a higher dose. You may start depending on it just to function. And slowly, without even realizing it, you're no longer managing pain – you’re managing your mind and body's dependence on the drug.

Understand Chronic Pain

Chronic pain is pain that doesn’t go away, even when doctors say you should be healed. It can show up after surgery, injury, or a health condition. Sometimes, there’s no clear reason. No test explains it. No scan shows it. And that can leave you frustrated and dismissed for months or even years.

The pain might be in your back, your neck, your joints, or deep in your nerves. It might stay in one spot or move around. Some days are better than others. But the hard days – the ones that steal your energy, focus, and joy, can pile up. It’s draining and a huge reason why most people with chronic pain also suffer from emotional issues.

Chronic Pain’s Impact on Mental Health

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When you’re in pain for a long time, your nervous system stays in constant stress. The brain keeps receiving pain signals—even when the injury has healed, or there’s no clear reason for the pain. This continuous signal disrupts how your brain regulates mood, focus, and emotion.

Studies show that long-term pain alters the structure of the brain. It affects areas like the amygdala (which processes fear and anxiety), the prefrontal cortex (responsible for decision-making), and the hippocampus (which handles memory and emotional balance). These changes can lead to symptoms of depression, anxiety, and emotional numbness. You might notice you feel more anxious than usual. Or that it’s harder to stay motivated, focus, or find joy in things you used to love.

There’s also the hormonal side. Chronic pain activates your body’s stress system—the HPA axis. This leads to an increase in cortisol, your stress hormone. Elevated cortisol over time can worsen inflammation, disrupt your sleep, and lower your mood. It also reduces your body’s ability to manage pain naturally.

That’s why emotional struggles often go hand in hand with chronic pain. Research shows that depression is up to four times more likely in people with long-term pain. Anxiety disorders are also far more common.

And then there’s the social impact. Pain can interrupt your ability to work, stay active, or maintain relationships. That isolation creates more emotional strain. Many people living with chronic pain feel like they have to prove their experience. That lack of validation can add to emotional distress.

The Link Between Pain, Opioids, and Dependence

Opioids are often prescribed for chronic pain because they work fast. They block pain signals and release dopamine, a chemical that helps you feel calm and relaxed. For a while, you might feel like yourself again. But over time, your brain adapts.

It stops responding the same way. You build tolerance, meaning you need more of the drug to get the same relief. If you’ve been on opioids for a while, you might notice the dose that once worked doesn’t help much anymore. So you might need higher doses just to take the edge off.

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But with higher doses come more side effects like constipation, brain fog, mood swings, and hormone issues. You may also notice that your pain doesn’t go away. It just gets masked for a little while. Then there’s the risk of opioid dependence, where your body starts to rely on the drug to function. If you skip a dose or try to stop, you might face withdrawal symptoms like anxiety, chills, or insomnia.

For some people, this leads to opioid misuse, even when the original goal was just to find relief. And the longer you’re on opioids, the greater the risk of accidental overdose, especially if you mix them with other medications or alcohol or if your health changes.

Research shows that 64.4% of people diagnosed with opioid use disorder (OUD) also live with chronic pain. And for most (about 61.8%), the pain comes first. Opioid use commonly begins as a treatment, but somewhere along the way, the drug ends up becoming the bigger problem. This is why long-term opioid therapy is no longer recommended as a first choice for most chronic pain. Not because your pain isn’t real. But because there are safer, more effective ways to manage it.

Stigma and Opioid Abuse

In the United States health care system, many people fear the label “drug-seeking” if they ask for stronger pain medication. Others worry they will be judged if they admit to feeling low or depressed. This stigma can prevent you from speaking openly with doctors, family, or friends. It can also keep you from finding the mental health services you need.

Stigma exists in two directions:

  1. Self-Stigma: Feeling ashamed of needing help for pain or mental health.
  2. Social Stigma: Others may label you as “addicted to painkillers” or weak if you use opioids or if you struggle with mood issues.

Breaking down stigma involves honest conversations with healthcare providers about pain management, potential opioid overdose prevention methods, and alternative therapies. It also involves acknowledging that chronic pain is real and deserves proper treatment.

Alternative Strategies for Pain Management

Chronic pain can be managed without over-relying on opioids. Approaches like physical therapy, gentle exercise, non-opioid medications, and cognitive-behavioral therapy (CBT) can reduce pain and improve your ability to cope.

Other options such as mindfulness, nerve blocks, and simple lifestyle changes can help calm the nervous system and restore a sense of control. These strategies focus on long-term relief without the risks of dependence, making them safer and more sustainable tools for daily life.

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The Role of Integrated Care

If you’re managing both chronic pain and signs of substance abuse, integrated care brings everything together. You work with a team—doctors, mental health professionals, pain specialists—who create a plan tailored to your needs. This may include medication-assisted treatment (MAT) to reduce cravings, therapy to process emotional pain, and regular check-ins to track your progress. Integrated care treats your whole self—not just your symptoms—so you can break the cycle of pain, dependence, and isolation.

Opioid Addiction Treatment at MTR

At More Than Rehab, you’ll find comprehensive, whole-person opioid addiction treatment that honors your pain and helps you heal physically and emotionally. Whether you're seeking alternatives to opioids or support with addiction recovery, our team is here to guide you. Reach out to More Than Rehab today and take your next step toward lasting relief and recovery.

 888-249-2191

The Stigma of Seeking Help: Why Do Veterans Avoid Addiction Treatment?

If you care about a veteran in your life, you may have noticed them struggling with the invisible wounds of military service. They might be drinking alcohol more frequently, using illicit drugs to cope, or withdrawing from loved ones due to stigma. You want to help, but when you bring up addiction treatment or mental health services, they shut down or push back.

This is a common challenge. Many veterans avoid seeking help for addiction and mental health issues due to fear, shame, and the stigma surrounding mental health. They may worry about being judged, appearing weak, or jeopardizing their career or VA benefits. Others simply don’t know where to turn or feel overwhelmed by the process.

The Reality of Addiction Among Veterans

Veterans face unique challenges that can increase their risk of addiction. Many struggle with post-traumatic stress disorder (PTSD), depression, or moral injury—a deep sense of guilt or shame related to their actions during military service. These issues can make the transition to civilian life incredibly difficult, leading some veterans to turn to drugs and alcohol as a way to cope.

What begins as occasional drinking alcohol to relax or using illicit drugs to escape can quickly spiral into a more serious problem. Without access to proper mental health services, these struggles can worsen over time, affecting not only the veteran but also their families and communities.

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The Department of Veterans Affairs (VA) and the Department of Defense (DoD) offer a range of addiction treatment and mental health services, but many veterans do not take advantage of these resources. The stigma surrounding mental health and addiction often prevents them from seeking the help they need.

Barriers Preventing Veterans from Seeking Help

Several factors can prevent veterans from accessing treatment programs, including:

1. The Stigma Surrounding Mental Health

Military culture emphasizes strength, discipline, and self-reliance. Many service members are taught to handle challenges on their own, which can make asking for help feel like a failure. This mindset often persists even after leaving the military.

Additionally, veterans may encounter stigmatizing language about addiction and mental health. Terms like “junkie” or “broken” can deepen feelings of shame and discourage them from seeking treatment. They may fear being labeled or treated differently if they admit to struggling with PTSD, depression, or substance use.

2. Fear of Judgment

Many veterans worry about how others will see them if they seek treatment. They do not want to be judged by their peers, family, or community. Some fear they will lose the respect of fellow veterans who believe in staying strong no matter what.

In some cases, veterans fear judgment from employers. They believe that admitting to PTSD and depression or a history of drug and alcohol use may hurt their job prospects. They might worry that employers will view them differently if they disclose a history of mental health issues or addiction.

3. Concerns about Career and VA Benefits

Some veterans believe that seeking mental health services or addiction treatment could negatively impact their military career or VA benefits. They may fear that reaching out for help could lead to a dishonorable discharge or limit future opportunities.

In reality, VA benefits include coverage for addiction treatment and mental health services. The Department of Veterans Affairs actively encourages veterans to seek help, but many are unaware of these resources or distrust the system.

4. Lack of Awareness About Treatment Programs

Many veterans simply don’t know where to find help. They may be unaware of the outpatient programs, peer support groups, and veteran-specific treatment programs available to them. Without clear guidance, they may feel lost and choose to avoid treatment altogether.

The Importance of Veteran-Specific Treatment Programs

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Veterans need treatment programs that understand the unique challenges of military service. Issues like PTSD, depression, moral injury, and the difficulties of transitioning to civilian life require specialized care. A one-size-fits-all approach to addiction treatment often falls short because it fails to address the root causes of substance use in veterans.

Veteran-specific programs are designed to meet these needs. They go beyond treating addiction by addressing the underlying mental and emotional wounds that often contribute to substance use. These programs offer evidence-based therapies for PTSD, trauma counseling, and support for co-occurring conditions like depression and anxiety. They also provide a sense of camaraderie by connecting veterans with peers who share similar experiences, creating a supportive environment where they can heal together.

Additionally, veteran-specific programs often collaborate with the Department of Veterans Affairs (VA) and the Department of Defense (DoD) to ensure veterans receive the benefits and specialized care they deserve. Whether through inpatient or outpatient programs, these services are tailored to fit the unique needs of veterans.

How Families and Communities Can Help

If you’re concerned about a veteran in your life, there are several ways you can support them:

1. Encourage Open Conversations

Talking openly about mental health and addiction can help break the stigma. Let veterans know that seeking help is a sign of strength, not weakness. Encourage them to share their feelings and experiences without fear of judgment.

2. Share Available Resources

Many veterans are unaware of the resources available to them. Help them navigate VA benefits, local treatment programs, and peer support groups. Providing clear, actionable information can make it easier for them to take the first step toward recovery.

3. Avoid Stigmatizing Language

The words we use matter. Avoid labels like “addict” or “alcoholic,” which can reinforce shame. Instead, use person-first language like “someone struggling with addiction” or “a veteran in recovery.” This small shift can make a huge difference in how veterans perceive themselves and their willingness to seek help.

4. Offer Support Without Judgment: Start the Conversation

Talking about mental health helps reduce stigma. Let your loved one know you’re there for them, but avoid pressuring them into treatment. Sometimes, simply listening and showing unconditional support can encourage them to take the next step when they’re ready.

5. Educate Yourself

Learn about the challenges veterans face, including PTSD, depression, and moral injury. Understanding these issues can help you provide more compassionate and informed support.

6. Provide Information About Resources

Many veterans do not know where to start when seeking help. You can guide them by sharing information about VA benefits, local treatment programs, and peer support groups. Look into addiction treatment options together and help them find the right program for their needs.

7. Be There Without Pressure

Support without judgment is key. Let your loved one know you are there for them, but do not force them into treatment. Sometimes, just having someone listen and show care encourages them to take the next step when they are ready.

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We Support Veterans on the Path to Recovery

At More Than Rehab, we are committed to supporting veterans on their path to recovery. Our veteran-specific treatment programs are tailored to address the impact of PTSD, depression, and the difficulties of transitioning to civilian life. We provide real solutions, not just temporary fixes, and work closely within VA and DoD guidelines to ensure veterans receive the care they deserve.

Recovery is possible, and no one has to face these challenges alone. Together, we can break the stigma and help veterans find the treatment and support they need to heal. Reach out to us today.

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The Link Between ADHD and Substance Use: Untreated Diagnosis in Adults

Many people think of ADHD as a childhood issue. In reality, it affects millions of adults too. Studies estimate that over 15 million adults in the US —about 5% of the population—have ADHD symptoms. Yet less than 20% of those know it. Even among those who know, only about a quarter receive treatment. That leaves millions struggling with symptoms that affect work, relationships, and daily life.

If ADHD goes untreated, people often look for ways to cope. Some turn to alcohol, nicotine, or illicit drugs—not necessarily to get high, but to feel more in control. It’s not about making bad choices. It’s about trying to quiet the mental chaos.

Research confirms this connection. A study published by the National Institute of Health found that adults with ADHD are nearly 3.10 times more likely to develop a substance use disorder compared to controls. Another study found children to be at risk, too. The risk factors for SUD were twice as high among those with ADHD and four times higher for those with comorbid conduct disorder.

If you’ve been using substances to manage ADHD symptoms, it’s not a sign of failure. It’s a sign that your brain is looking for relief. Below, we’ll show you better ways to manage ADHD, ones that help in the long term.

ADHD Symptoms and the Risk of Substance Use

ADHD is a neurodevelopmental disorder that affects the brain’s executive functions, including impulse control, attention regulation, and emotional processing. These functions are primarily influenced by neurotransmitters, particularly dopamine and norepinephrine, which play a critical role in motivation, reward processing, and focus.

People with ADHD often have lower baseline levels of dopamine activity in key areas of the brain, including the prefrontal cortex and striatum. Dopamine is responsible for reinforcing pleasurable behaviors, regulating motivation, and sustaining attention. Because ADHD brains struggle to use dopamine efficiently, they often seek out external stimuli to compensate.

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This biological drive for stimulation can make substances particularly appealing. Stimulants like nicotine and cocaine artificially increase dopamine levels, providing a temporary sense of focus and motivation. Depressants like alcohol and cannabis can dull hyperactivity and impulsivity, creating a sense of calm. The problem is that these effects are short-lived, and over time, they disrupt the brain’s natural dopamine regulation, increasing the risk of tolerance, dependence, and addiction.

The Connection Between Adderall Misuse and ADHD

ADHD makes it hard for the brain to regulate dopamine. When dopamine levels are too low, tasks that require sustained attention feel impossible. This is why ADHD can cause:

Stimulant medications like Adderall (a mix of amphetamine and dextroamphetamine) help increase dopamine levels in a controlled way. For people with ADHD, this makes it easier to concentrate, stay organized, and manage impulses. When prescribed, doctors carefully adjust the dose to ensure the brain gets the right amount—enough to improve symptoms without unwanted side effects.

Why Some People Misuse Adderall

Not everyone with ADHD gets diagnosed early. Many adults struggle with focus, productivity, and mental fatigue without realizing why. When they try Adderall—often borrowed from a friend or taken for school or work—they suddenly feel “normal” for the first time.

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This can be eye-opening but also risky. Without medical advice, people may take more than their brain needs, leading to misuse and dependency.

Too much Adderall can overload the brain with dopamine, causing:

Since Adderall activates the brain’s reward system, it’s easy to develop a reliance on it, mainly when used without a prescription. That’s why the DEA classifies Adderall as a Schedule II controlled substance—it’s medically useful but highly addictive when misused.

Adderall Misuse in Adults with ADHD

Even those with a prescription can struggle with Adderall misuse. Studies show that up to 25% of adults prescribed stimulants take more than they should, hoping for better focus or energy. This often happens with immediate-release (IR) Adderall, which wears off faster, making people tempted to take extra doses.

Some research suggests that extended-release (XR) Adderall is harder to abuse because it enters the bloodstream more slowly. But misuse can still happen, especially if someone builds a tolerance and starts increasing their dose without medical guidance.

ADHD, Adderall, and Substance Use Risk

People with ADHD are almost three times more likely to develop a substance use disorder (SUD) than those without ADHD. Stimulant misuse can also lead to polysubstance use, where individuals start experimenting with other gateway drugs like opioids or cocaine to maintain the same feeling of focus or energy.

This is why proper diagnosis and treatment matter. When ADHD is treated correctly, with the proper medication, therapy, and support groups, the need to self-medicate decreases. Adderall can be life-changing when used the right way—but without medical oversight, it can lead to more harm than good.

If you think you have ADHD and have been using Adderall without a prescription, talking to a doctor can help you find a safer, long-term solution. ADHD is manageable, and you don’t have to rely on self-medicating to feel in control.

Barriers to Diagnosis and Treatment in Adults

Many adults with ADHD go undiagnosed because their symptoms don’t match the childhood stereotype of hyperactivity. Instead of bouncing off the walls, they might struggle with difficulty focusing, organization, emotional regulation, or chronic procrastination. Because of this, ADHD is often mistaken for anxiety, depression, or other mental health disorders, making it harder for people to get the right diagnosis and treatment.

Stigma and misconceptions also play a role. Many adults hesitate to seek help because they worry they won’t be taken seriously or have been told that ADHD is just an excuse. Women, in particular, are often overlooked because their symptoms tend to be more internal—like overthinking, forgetfulness, or feeling overwhelmed. Even when people recognize their symptoms, getting an ADHD diagnosis can be difficult due to long wait times, expensive evaluations, and a lack of trained specialists.

Breaking the Cycle with Proper ADHD Treatment

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The good news is that effective ADHD treatment reduces the risk of substance use disorder. Studies indicate that early diagnosis and treatment—especially with stimulant medications prescribed under medical advice—significantly lower the likelihood of developing addiction. This is because ADHD medications help regulate dopamine levels in a controlled way, reducing the brain’s need to seek external stimulation.

Other interventions, such as cognitive behavioral therapy (CBT), structured routines, family therapy, and lifestyle modifications, further support the long-term management of ADHD symptoms without the risks associated with illicit drugs.

Get Help at More Than Rehab

If ADHD and addiction have been controlling your life, there is a way out. More Than Rehab (MTR) takes a dual diagnosis approach, meaning we treat ADHD and substance use disorder together—because when both conditions are addressed, real recovery happens. Our team provides evidence-based therapies, medical support, and long-term strategies to help you manage ADHD effectively without turning to substances.

If you or your family members need help, don’t wait. Support groups, therapy, and addiction treatment can make all the difference. Reach out today and take the first step toward lasting recovery.

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Breaking the Cycle: How Addiction Affects Future Generations

You’ve probably heard people say, “The apple doesn’t fall far from the tree.” It’s often about physical traits or quirks—like having your mom’s smile or your dad’s stubborn streak. But it also applies to things we don’t always talk about, like how addiction affects future generations.

Addiction often has deep roots in a family’s history. If your family history includes substance use disorders, you’re at a higher risk of developing them yourself. Why? It’s partly genetic and partly environmental.

On the genetic side, research shows that some people are more vulnerable to drug addiction due to inherited traits that affect how their brain responds to substances. But it’s not just biology—what you see growing up also plays a huge role. If your family members struggled with substance use disorders, you might have grown up in an environment where drug or alcohol use seemed “normal” or even as a legitimate way to cope with stress.

When these patterns go unaddressed, they don’t just affect you—they affect future generations.

Family Dynamics and Emotional Patterns

Your family dynamics shape your understanding of emotions, relationships, and challenges. If addiction was part of your family environment, it likely caused emotional instability or even trauma. For example:

These learned behaviors often follow a generational cycle of addiction, where emotional wounds and unhealthy habits are unintentionally passed down to children.

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Environmental Factors and Addiction’s Impact on Families

It’s not just genetics or behavior—it’s also about the environment you grew up in. Living in a household where addiction is present creates stress and unpredictability. Children in these homes often experience neglect, anxiety, or even abuse, which increases their risk of mental health disorders or substance use disorders later in life.

The pressure to keep the family functioning often falls unevenly on different age groups. For example, older siblings might take on a caretaker role, while younger ones may act out to seek attention. These dynamics reinforce unhealthy roles that can persist into adulthood, further contributing to the history of substance abuse in the family.

Inherited Behavioral Patterns Across Generations

Behavioral patterns, like how you handle stress or conflict, are often modeled by parents and caregivers. If addiction was part of your family’s story, you may have learned these patterns without even realizing it. For instance:

Over time, these inherited behaviors create a ripple effect. They don’t just impact you; they shape how future generations navigate life. Without intervention, these cycles can continue indefinitely.

Breaking the Cycle of Addiction with Evidence-Based Treatments

The good news is that with the right support and evidence-based treatments, it’s absolutely possible to break the cycle of addiction and create a healthier future for yourself and your family.

How CBT Helps Break the Cycle

Cognitive Behavioral Therapy (CBT) is one of the most effective tools for treating substance use disorders. Why? Because it focuses on changing the thought patterns and behaviors that keep addiction alive.

Here’s how it works:

  1. Identifies triggers: CBT helps you recognize the situations, emotions, or environmental factors that lead to substance use. For example, if stress at work or unresolved family conflict is a trigger, CBT helps you develop healthier ways to cope.
  2. Builds healthy coping mechanisms: Addiction often develops as a way to deal with pain or stress. CBT teaches practical tools for handling these challenges without turning to drugs or alcohol.
  3. Prevents relapse: One of the biggest benefits of CBT is its focus on preventing relapse. You’ll learn strategies to stay on track even when life gets tough, like how to manage cravings or avoid high-risk situations.
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The Role of Family Therapy in Addiction Treatment

Addiction doesn’t happen in isolation—it affects the entire family. That’s where family therapy comes in. This treatment focuses on improving communication, resolving conflicts, and addressing the underlying issues that contribute to addiction.

Here’s what makes family therapy so powerful:

Why Community Support is Critical

While therapies like CBT and family therapy are essential, recovery doesn’t end there. A strong support network is just as important. Groups like Narcotics Anonymous provide a space to connect with others who understand what you’re going through.

NA meetings offer:

Combining evidence-based therapies with community support is a powerful way to stay committed to your recovery and prevent relapse.

Why Evidence-Based Treatment Works for All Age Groups

One of the best things about these addiction treatment approaches is that they can work for anyone, no matter their age or background. Whether you’re a young adult trying to overcome early substance use or a parent wanting to break the cycle for future generations, these treatments meet you where you are.

By focusing on both the individual and their environment, evidence-based treatments help you address the root causes of addiction while equipping you with the tools to build a healthier life.

Ready to Break the Cycle?

Addiction is tough, but it doesn’t have to define your family’s story. With evidence-based approaches and support from groups, you can overcome the challenges of addiction and have a brighter future for you and your loved ones.

If you’re ready to take that first step, More Than Rehab is here to help. We can help you break intergenerational trauma and addiction so you can heal and thrive.  

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Reentering Society after Addiction: Steps for a Successful Transition

Getting back to “normal” life after rehab is no small feat. You’ve put in the hard work, faced the inner battles, and made it through a journey many can’t fully understand. But now, standing on the edge of reentering society, things might feel overwhelming. The idea of building new routines, reconnecting with people, or even just finding your place again can feel like a huge weight on your shoulders.

And the world doesn’t always make it easy. You might run into people who don’t quite get it, or you may feel moments of self-doubt creeping in, making you wonder if you’re ready for this. There’s also this sense sometimes that everyone else is just living their lives while you’re here, trying to catch up. It can be frustrating, and even though you’ve come so far, the process can still feel lonely.

But you’re not alone in this. Reentering society is doable, one step at a time. According to a study published by the CDC and NIH, 3 of 4 people who experience addiction eventually recover. You’ve already made it through the hardest part—now, it’s about moving forward with strength and purpose. Let’s dive into some practical steps to help make this transition smoother and set you up for real, lasting success.

Find Stable Housing

First, you should find a good place to live. You need a safe and steady environment to feel secure and focus on your recovery journey. If you’re coming out of treatment, consider looking into aftercare programs or sober living homes, which provide support and structure as you transition back into everyday life.

Living in a space that supports your mental health and well-being is key. Long-term recovery is much easier to sustain when your surroundings encourage it. Plus, stable housing reduces stress and gives you one less thing to worry about.

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Give Yourself Time

The recovery process isn’t always smooth or predictable, and it’s okay if it takes time to feel like yourself again. Remember, it’s about progress, not perfection. There will be ups and downs, days that feel easier, and days that feel harder, and that’s completely normal.

Be gentle with yourself and celebrate the small wins along the way. Each positive step, no matter how small, is progress. Allow yourself the grace to grow at your own pace. Healing is a journey, and it might take eight years or even longer to achieve long-term remission, even with high-quality medical care and treatment.

Apologize and Move On

Addiction may have strained relationships with friends and family members, but recovery is an opportunity to start fresh. Talk to your loved ones and be honest and empathetic. Also know that they may need time to process everything.

Work on overcoming the shame and guilt that might linger. Remember, your past mistakes do not define you. Apologize, make amends where you can, and focus on moving forward with a positive outlook. The goal is to surround yourself with people who understand your journey. Healthy relationships are key to staying on track and can help you feel good about your progress.

Cut Ties with Your Old Life

As hard as it may be, letting go of certain parts of your past is essential for a fresh start. Old habits, places, or even people connected to your addiction can pull you back into patterns that don’t support your recovery. While this may feel difficult, especially when it involves people you care about; remember that your well-being comes first.

Surround yourself with new influences that encourage your growth and sobriety. Focus on building a life that aligns with who you want to become. Moving forward sometimes means leaving certain things behind—and that’s okay. You’re creating space for a healthier, brighter future.

Get a Job

Finding a job can be a big boost in reentering society. It helps you feel more independent and motivated and provides structure to your days. Start by assessing your skills—what are your strengths, and what types of jobs interest you? If you’re still figuring it out, many recovery centers offer vocational training or career counseling to help you find the right job.

It’s also okay to take small steps. Volunteer, join online support groups focused on employment, or attend job fairs to build your confidence and make connections. Over time, working a steady job can help you feel like a productive member of society, giving you a sense of accomplishment.

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Take Care of Your Mental and Emotional Well-Being

In recovery, you may experience a range of mental health hurdles like:

These are completely normal. Emotions tend to heighten after addiction treatment – so give yourself grace. But since mental health issues can trigger substance use, it’s good to find healthy outlets like journaling, meditation, mindfulness, etc. These tools give you ways to process your feelings and keep moving forward. And remember, you don’t have to go through this alone—lean on your support network whenever you need to.

Build a Support Network

Explore options like aftercare programs, online support groups, or local recovery meetings to stay connected with others on a similar path. Joining a support group can provide you with people who understand your struggles and victories.

Your network helps you during tough times, reminding you of your goals and keeping you accountable. Remember, the goal of recovery isn’t just to stay sober but also to build a life filled with positive, healthy connections.

Overcome the Stigma of Addiction

Unfortunately, stigma around substance use disorders still exists, and dealing with it can be challenging. As we’ve mentioned, you're not defined by your past. Stay positive and show people through your behavior that you’re committed to change to shift how others see you gradually. And again, you don’t have to do this alone.

At More Than Rehab, we understand that recovery doesn’t end after treatment. That’s why we offer comprehensive aftercare and evidence-based treatment to help you continue building a fulfilling, sober life.

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Hallucinogens & Addiction: Understanding the Complex Relationship

Hallucinogens are a class of drugs that can change the way you perceive the world around you. These substances might make you see, hear, or even feel things that aren't there, altering your sense of reality. Common hallucinogens include:

These can be consumed:

Hallucinogens can come from naturally occurring sources and synthetic lab drugs. Naturally occurring hallucinogens include psilocybin mushrooms, which have been used in spiritual practices for centuries. Other plant-based hallucinogens like peyote (which contains mescaline) and ayahuasca are also used in traditional rituals.

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Synthetic hallucinogens like LSD and MDMA are made in labs and are often more potent. These synthetic drugs are widely available and have gained popularity for their intense, mind-altering effects. However, synthetic hallucinogens tend to have more unpredictable side effects and can pose a greater risk to your mental and physical health.

Hallucinogen Use

When you use hallucinogens, you’ll feel detached from your body and surroundings. You may also hallucinate or experience alterations in your perception of the world. This experience often ranges from mild to intense and may vary from one person to the other and drug to drug. For example, you may feel subtle changes in your surroundings or extreme terror with a belief that the perceptions or visions are real.

When you take a large dose of a hallucinogen, it is referred to as “tripping.” Tripping can either be a good trip with great experiences and feelings or you could experience a bad trip that is unpleasant or frightening.

A small dose of a hallucinogen is called microdosing, which means using 5 to 10% of a usual psychoactive dose. People micro dose to:

How Do Hallucinogens Work?

Hallucinogens primarily affect your brain by interacting with serotonin receptors responsible for regulating mood, perception, and emotions. When you use a hallucinogen like LSD or psilocybin, these drugs overstimulate the serotonin system, leading to altered sensory experiences, changes in thinking, and even shifts in your sense of self.

Some hallucinogens, like MDMA, also release large amounts of serotonin and other neurotransmitters, creating feelings of emotional connection and empathy. However, this disruption of normal brain function can also lead to adverse effects, such as bad trips, paranoia, and confusion.

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Can You Get Addicted to Hallucinogens?

While hallucinogens are not considered as physically addictive as other controlled substances like opioids or alcohol, they can still lead to psychological dependency. Many dissociative drugs and MDMA have an increased risk of physiological addiction. You may experience withdrawal symptoms when you stop MDMA, ketamine, or PCP after a long period.

Hallucinogens reinforce continued use. So, you might find yourself craving the experiences these drugs create, mainly if you use them to escape from reality or cope with emotional pain or past trauma. Over time, this can lead to a pattern of abuse, where the drug becomes a regular part of your life despite its negative effects on your mental health.

NIDA points out that repeated LSD use may cause tolerance. Tolerance happens when your body adjusts to a certain amount of a drug. When you have tolerance, you may need to use larger doses to get the desired effect. And this can be very dangerous. As we mentioned earlier, hallucinogens can cause bad trips. Bad trips have been linked to emotional and psychological trauma.

Effects of Hallucinogens

While some people use hallucinogens recreationally, they can have severe long-term impacts on your brain. Prolonged use can cause persistent changes in mood, memory, and mental clarity. One of the significant risks is developing hallucinogen persisting perception disorder (HPPD), where hallucinations and visual disturbances continue long after the drug has worn off.

Hallucinogens can also trigger or worsen mental health conditions, particularly depression and anxiety. Repeated use may increase your vulnerability to mood disorders, and in some cases, the psychological damage can be life-threatening. There’s also a possibility of overdose. While overdose on classic hallucinogens like psilocybin, mescaline, or LSD is rare, dissociative drugs like ketamine and PCP carry an increased risk of overdoes.

Other common effects include hyperthermia, dehydration, increased heart rate, nausea, and elevated blood pressure that can leave you feeling disoriented, dizzy, and physically uncomfortable. Dissociative hallucinogens can also affect motor coordination and cause numbness, leading to an increased risk of accidents or injuries. Long-term use may damage your organs, including your liver and kidneys, as your body struggles to process and eliminate the drugs.

Signs of Addiction

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Some signs of addiction to hallucinogens can be subtle at first but become more noticeable over time. Here are a few key indicators:

  1. Cravings
  2. Increased use
  3. Neglecting responsibilities
  4. Withdrawal from social life
  5. Physical and mental health changes
  6. Failed attempts to stop

Seeking Treatment for Hallucinogen Abuse

If you or someone you know is struggling with hallucinogen abuse, it’s essential to know that help is available. Over time, hallucinogen use can lead to serious physical, mental, and emotional harm, and breaking free from this cycle may feel overwhelming. However, mental health services and specialized addiction treatment programs can offer the support you need.

One of the first steps in getting help is recognizing the issue and reaching out to professionals who understand the complexity of psychedelic drug use. Currently, there’s no FDA-approved treatments specifically for hallucinogen addiction, but a comprehensive treatment plan can make a big difference in recovery. Your doctor will likely recommend cognitive-behavioral therapy (CBT), individual counseling, and group support. These interventions help address both the physical effects of hallucinogen use and the underlying emotional or psychological issues that may be driving the addiction.

Facilities like More Than Rehab provide comprehensive care, offering detox programs, behavioral therapies, and support for both the short- and long-term effects of hallucinogens. Whether you're experiencing adverse effects from a single bad trip or you're dealing with prolonged use, professional help can make a big difference.

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Will Contingency Management Help Me Overcome A Substance Use Disorder?

Your doctor has probably recommended contingency management as part of your substance abuse treatment plan. This might have left you wondering: What exactly is contingency management, and how can it help you overcome addiction and regain control of your life? You’re not alone in seeking answers. Many people facing substance use disorders find themselves at a crossroads, searching for practical solutions that can truly make a difference.

Contingency management (CM) is an evidence-based approach that promises to do just that. It offers tangible rewards for positive behavior, tapping into the psychology of motivation and change. Could this be the key to breaking free from addiction and building a healthier future? Let’s explore how this innovative treatment method works and how it might be the missing piece in your recovery journey.

Understanding Contingency Management

CM is a behavioral therapy approach that leverages positive reinforcement to encourage patients to maintain sobriety and adhere to their treatment plans. At its core, CM focuses on rewarding desired behaviors, strengthening them through motivational incentives.

The principle behind CM is simple: when positive actions are followed by rewards, they are more likely to be repeated. This approach draws on well-established psychological theories about behavior modification and has shown promising results in treating substance use disorders. As the drug overdose epidemic continues to rise, effective treatments like CM play a crucial role in public health initiatives aimed at reducing addiction rates and improving mental health outcomes.

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How It Works

Contingency management programs typically include a few key elements:

CM encourages you to engage with your treatment plan through this structured approach, making recovery more tangible and attainable. Studies performed over the past three decades have found that CM can help promote abstinence from cocaine, tobacco, methamphetamine, opioids, alcohol, cannabis, and benzodiazepines. The studies also found CM to be effective among a highly diverse population, including individuals who are unhoused, pregnant, veterans, from the LGBTQ+ community, dealing with mental or physical health issues, etc.

The Controversy Surrounding Contingency Management

Despite its effectiveness, contingency management is not without controversy. Some critics argue that offering rewards for sobriety is like "buying" someone's sobriety. Others criticize external reinforcers (reward systems) because they:

This perspective raises ethical questions about the nature of motivation and the integrity of treatment programs. Concerns about body brokering and illegal kickbacks have also emerged, with some unscrupulous actors exploiting vulnerable patients in addiction treatment settings.

However, it's essential to distinguish between unethical practices and legitimate CM programs conducted under medical supervision and within ethical guidelines. Unlike body brokering, contingency management is a clinically validated approach designed to support individuals in their recovery, not exploit them.

Evidence Supporting Contingency Management

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Research consistently demonstrates the effectiveness of contingency management in treating various substance use disorders. Numerous studies provide compelling evidence of CM's success in reducing substance use and improving treatment adherence.

For instance, studies show that participants in CM programs often experience significant reductions in drug use compared to those receiving standard care alone. Success rates increase dramatically, with CM participants twice as likely to maintain sobriety compared to non-CM counterparts. Not only that, CM patients have:

In fact, CM has been shown to produce abstinence that lasts at least one year following treatment, either as a standalone treatment or in combination with other science-backed behavioral therapies for SUDs. Other studies found that CM decreases overall substance use. For example, people who smoke cigarettes with no intention of quitting and receive CM significantly reduced their smoking. The therapy has similar effects on marijuana, benzodiazepines, and alcohol.

Benefits of CM

The benefits of CM extend beyond mere abstinence. Reinforcing positive behaviors helps reduce recidivism and prevent relapse, which are essential components in the long-term recovery journey. CM's adaptability allows it to complement other addiction treatment programs, such as cognitive-behavioral therapy (CBT) and medication-assisted treatment (MAT), making it a versatile tool in comprehensive treatment plans.

Moreover, CM can be effectively integrated into outpatient treatment services, expanding access and making it a viable option for individuals unable to participate in inpatient programs. As a result, CM helps bridge the gap in care, particularly for those facing barriers to traditional treatment.

Challenges and Limitations of Contingency Management

Despite its success, contingency management has its challenges. The sustainability of rewards is a common concern, as some fear patients may become reliant on external motivators rather than developing intrinsic motivation for sobriety. Additionally, the cost of implementing CM programs, particularly for large populations, can strain resources and limit availability.

Another potential drawback involves addressing the diverse needs of people in recovery. The CM must be tailored to fit the unique circumstances of each participant, considering personal preferences, cultural backgrounds, and specific addiction challenges. Failure to individualize CM programs may reduce their effectiveness and limit participant engagement.

Integrating Contingency Management with Other Treatment Modalities

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Contingency management works best with other evidence-based treatments, such as cognitive-behavioral therapy (CBT), motivational interviewing, and medication-assisted treatment (MAT). This comprehensive approach addresses the multifaceted nature of substance use disorders, enhancing overall recovery outcomes.

CM can also complement psychosocial treatments, such as family therapy and peer support groups, by fostering positive behaviors within supportive environments. Collaboration between treatment modalities enhances recovery efforts and provides a holistic approach to addressing addiction's complexities.

Holistic Recovery Strategies

Holistic strategies play a big part in relapse prevention and helping you regain a sense of control over your life. They include activities that heal the body, mind, and soul, such as exercise, proper nutrition, emotional support, and community engagement.

Get the Most Advanced Addiction Treatment at More Than Rehab

More Than Rehab offers a wide range of comprehensive addiction treatment programs. Our team will work with you to personalize your treatment to meet your unique needs, ensuring you receive the most effective and supportive care on your journey to recovery. Through our commitment to exceptional care we strive to empower you to achieve and maintain sobriety for a lasting change and a healthier future. Call us today, we are available 24/7, 365 days a year.

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