The Role of Trauma in Addiction: Healing the Wounds

Trauma refers to deeply distressing events that can leave lasting scars on our minds and hearts. These events can range from childhood struggles to life-threatening situations like natural disasters, accidents, or even military combat. When people face such distress, they often turn to drugs or alcohol to cope with the overwhelming emotions. This explains the strong link between substance abuse and trauma.

The link between Addiction and Trauma

Trauma and addiction are closely intertwined, with trauma often serving as a catalyst for the development of substance use disorders. Numerous studies have shown that traumatic experiences, especially during childhood, can raise the risk of people turning to substances as a way to cope with their emotional pain and distress.

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One notable study is the original study of Adverse Childhood Experiences (ACEs). Researchers discovered that the risk of drug and alcohol abuse was higher among adults who had more ACEs. ACEs are traumatic experiences within the first 18 years of life and include:

So basically, someone who has four or more ACEs is 3x more likely to experience substance use problems later on in life. This can happen due to a blend of factors like: 

Post-Traumatic Stress Disorder and Addiction

When a person experiences or witnesses a traumatic event, they may develop a mental health condition referred to as PTSD. PTSD can occur in response to different traumatic experiences, including but not limited to physical or sexual assault, combat exposure, natural disasters, accidents, or childhood abuse.

Research has documented a high incidence of comorbid PTSD and substance abuse. In fact, people with PTSD are 14 times more likely to be diagnosed with SUD. And as mentioned earlier, self-medication is a huge driving factor. On the flip side, substance use can worsen PTSD symptoms and interfere with the effectiveness of treatment.

For example, drugs or alcohol can impair judgment, increase impulsivity, and interfere with the processing of traumatic memories in therapy. This can make it difficult for individuals with PTSD to engage fully in treatment and make progress towards recovery.

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Types of Trauma

Trauma can be physical or emotional. Physical trauma is a bodily injury or harm caused by an external event or force. On the other hand, emotional trauma is the psychological and emotional impact of distressing events or experiences. It can either be acute or chronic, depending on the duration and intensity of the distressing events.

Signs and Symptoms of Trauma

The signs of trauma can be physical or emotional. The emotional aspect can cause intense feelings that affect one's functioning, behavior, attitude, and view of the world. They may also experience adjustment disorder or PTSD after a traumatic event.

Signs of emotional trauma in adults include:

Signs of physical trauma in adults include:

Trauma-Informed Care in Addiction Treatment

The good news is help is available. Effective treatment approaches like trauma-informed care address both the underlying trauma and the addictive behaviors, providing a path toward healing and long-term sobriety.

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As the name suggests, trauma-informed care considers the impact of trauma on a person's life and integrates this understanding into every aspect of their care. It's not just about addressing the symptoms of addiction; it's about recognizing that the patient has experienced trauma in the past and that trauma plays a significant role in their addictive behaviors.

Trauma-informed care is important because it:

  1. Creates a safe and supportive space where you feel respected, heard, and empowered to share your experiences without fear of judgment or re-traumatization.
  2. Helps you recognize that your addiction is not just about the substance itself but about the underlying pain and trauma you're trying to cope with. Your mental health professional helps you understand how trauma has shaped your thoughts, emotions, and behaviors and works with you to develop healthier coping strategies.
  3. It means treating you as a whole person, addressing both your mental health needs and your substance use issues. This might involve behavioral health therapy techniques like Cognitive Behavioral Therapy (CBT) or Eye Movement Desensitization and Reprocessing (EMDR) to help you process trauma and develop new ways of thinking and behaving.
  4. It emphasizes empowerment and collaboration. You are not just a passive recipient of treatment but an active participant in your healing journey. Your therapist will help you set goals, identify strengths, and overcome challenges as you work towards lasting sobriety and emotional well-being.

Trauma-informed care isn't just about treating the symptoms of addiction; it's about recognizing the whole person and honoring their experiences. It's about creating a safe space where people feel empowered to explore their past or childhood traumas and work toward recovery.

At More than Rehab, we believe that everyone deserves a chance to heal and rebuild their lives. With trauma-informed care, we can help you break free from the cycle of addiction and create a brighter future for yourself and those you love.

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The Dual Diagnosis Dilemma in Addiction Recovery

It's not uncommon for people with addiction to experience mental health issues such as anxiety, depression, bipolar disorder, post-traumatic stress disorder (PTSD), schizophrenia, or others. In fact, according to the Substance Abuse and Mental Health Services Administration, about 9 million people have dual diagnosis. Despite this, only 7% of these people get treatment for both conditions, and 60% receive no treatment.

What is Dual Diagnosis?

Dual diagnosis, also known as co-comorbidity or co-occurring disorders, refers to the simultaneous presence of a substance use disorder (SUD) and a mental health disorder in an individual. In other words, it's when someone simultaneously deals with addiction and a mental health condition.

This can involve various combinations of diseases, such as depression and alcoholism, anxiety and cocaine addiction, bipolar disorder and opioid dependence, and many others. It's essential to understand dual diagnosis because the presence of one condition can often complicate the diagnosis, treatment, and recovery of the other.

Signs and Symptoms of Co-Occurring Disorders

Mental and substance use disorders often overlap, making it hard to know if you're dealing with a dual diagnosis. But there are some common signs to watch out for, including:

Why Addiction and Mental Illness Co-Occur

Young girl experiencing hallucinations due to addiction illustrating the co-occurrence of mental health issues and dual diagnosis

SUD and mental health disorders interact in complex ways; each condition can influence and worsen the symptoms of the other. But this does not mean that one necessarily leads to the other, even when one condition appears first. Here are some factors that contribute to the co-occurrence of addiction and mental illness:

Shared Risk Factors

Both addiction and mental health disorders can arise from shared risk factors, such as genetics, family history, childhood trauma, and environmental factors. Evidence shows that about 40-60% of someone's vulnerability can be attributed to genetics. So, a person with a genetic predisposition to depression might also have a genetic susceptibility to addiction. Besides, some drugs trigger symptoms of certain mental illnesses – like how marijuana increases the risk of psychosis.

Self-Medication

Some individuals with mental health disorders may turn to drugs or alcohol as a form of self-medication. They might use substances to alleviate distressing symptoms or emotional pain temporarily. For example, someone struggling with social anxiety might use alcohol to feel more comfortable in social situations. They may also use substances to escape from their distressing symptoms.

Neurobiological Interplay

The brain's reward system and neurotransmitter pathways affect addiction and mental health. Changes in brain chemistry due to substance abuse can contribute to the development or exacerbation of mental health symptoms and vice versa.

Cycle of Reinforcement

Addiction and mental health disorders can create a cycle of reinforcement. For instance, someone with depression who finds relief in alcohol might continue using alcohol to manage their mood. However, over time, alcohol dependence can worsen depression, creating a harmful feedback loop.

Impaired Decision-Making

Both addiction and certain mental health disorders can impair decision-making abilities. This can lead to increased risk-taking behavior and difficulty seeking or adhering to treatment.

Challenges and Complexities in Treating Dual Diagnosis

African psychologist supports male in rehab highlighting the complexities of treating addiction and mental health through dual diagnosis

Treating dual diagnosis presents numerous challenges and complexities. The intertwined nature of these conditions can make diagnosis, treatment planning, and recovery more intricate.

Diagnostic Difficulties

One of the biggest treatment challenges is determining which condition came first – whether it's a substance use disorder or the mental health disorder. Substance abuse can sometimes mask or mimic symptoms of mental health disorders, making accurate diagnosis complicated.

Shared Symptoms

Many symptoms of substance abuse and mental health disorders overlap, such as changes in sleep patterns, appetite, energy levels, and mood. This can lead to misdiagnosis or underdiagnosis if clinicians are not well-trained in recognizing co-occurring conditions.

Bidirectional Influence

One condition can exacerbate the other in a bidirectional manner. For example, substance abuse can worsen the symptoms of a mental health disorder, and a mental health disorder can lead to increased substance use as a coping mechanism.

Treatment Resistance

Individuals with dual diagnosis might not respond well to traditional treatment methods due to the interaction between the two conditions. For instance, a mental health disorder might impede an individual's ability to engage fully in addiction treatment and vice versa.

Our Dual Diagnosis Treatment Plans

Dual-diagnosis treatments must be comprehensive, integrated, and tailored to the individual's needs. These plans should address both conditions simultaneously to promote lasting recovery. Here's an overview of the components that are typically included in dual-diagnosis treatment plans:

Comprehensive Assessment

A thorough assessment is conducted by mental health and addiction professionals to accurately diagnose both the mental health disorder and the substance use disorder. The evaluation considers the individual's medical history, substance use patterns, mental health symptoms, and any co-occurring medical conditions.

Integrated Treatment Team

Professionals, including psychiatrists, psychologists, therapists, addiction counselors, and medical doctors, collaborate to create a cohesive treatment plan that addresses mental health and substance use components. These may include:

These medical and therapeutic strategies can be done in an inpatient or outpatient rehab setting, depending on the extent of addiction and patient preference.

Dual Diagnosis Treatment at More Than Rehab

Addressing co-occurring disorders requires a comprehensive and integrated approach to treatment. At More Than Rehab, we understand the intricate relationship between substance use and mental health disorders. That's why we provide an integrated care plan that thoroughly addresses both aspects, providing individuals with the best possible chance for lasting recovery and improved well-being.

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The Role of Family Therapy in Successful Addiction Recovery

Addiction does not just affect the person struggling with substance abuse but their loved ones as well. When a person abuses drugs or alcohol, their family and friends often experience a ripple effect of negative consequences. The communication breakdown, betrayal, neglected responsibilities, financial strain, and emotional & physical turmoil can strain relationships, erode trust, and create a significant rift between family and their loved ones. Family therapy is an important component of addiction treatment for these reasons.

Sadly, these effects can linger even in addiction recovery. Family members may continue to carry the emotional wounds and resentments caused by addiction. Trust may be fragile, and they may struggle with ongoing communication challenges and unresolved conflicts. They might not assume healthy roles and behavior to encourage and support recovery in this state. That's why family therapy is important. 

What is Family Therapy? 

Family therapy, also known as family counseling or systemic therapy, is a form of psychotherapy that focuses on improving the functioning and well-being of a family unit. It addresses the interpersonal dynamics, communication issues, and relationships among family members, with the aim of healing relationships, enhancing understanding, and promoting positive change. The therapy process involves all or most family members attending sessions together, although sometimes individual sessions may also be included.

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Practices in Family Therapy

Family group therapy rebuilds rifts between loved ones. A therapist may use different therapy models, including:

Why is Family Therapy Important in Recovery?

Family therapy plays a significant role in recovery by providing support, education, and intervention for individuals and families facing various challenges.

Education and Awareness

Therapy can play a vital role in addressing misconceptions surrounding addiction. One common misconception is the belief that addiction is solely a moral failing or a result of weak willpower. Family members may harbor judgment or blame towards their loved one, perceiving their addiction or relapse as a character flaw rather than a disease.

Education and awareness about addiction as a disease help family members overcome stigma and judgment. They come to recognize that addiction is not a choice but a medical condition that requires treatment and support. This understanding promotes empathy, compassion, and patience within the family system.

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Addresses Co-Occurring Issues

Co-occurring issues are mental disorders that often co-exist with substance use disorders. According to studies, 53% of drug and 37% of alcohol users also have at least one serious mental illness. And family plays a big role in mental health and addiction, so this type of therapy becomes crucial in addressing these co-occurring issues.

Utilizing this type of therapy can help family members understand the impact of family dynamics on mental health and addiction. This can, in turn, encourage families to create a nurturing and empowering environment for their loved ones to recover and thrive.

Encourages Family Involvement 

One of the key principles of family therapy is the encouragement of family involvement, which means involving all family unit members in the therapeutic strategies. This approach recognizes that issues within a family are often influenced by the dynamics and relationships among its members, and therefore, involving everyone is crucial for effective intervention and healing. These therapy sessions will encourage family involvement through family sessions, active participation, collaborative problem-solving, psychoeducation, and homework assignments. 

Improved treatment retention

Family group therapy helps create a supportive environment where family members actively engage in treatment. Their involvement and support can significantly enhance an individual's motivation to stay in addiction treatment and work toward recovery. Knowing that their family members are invested in their well-being and actively participating in therapy can give the individual a sense of purpose and support, increasing their commitment to the treatment program. Besides, family members can provide ongoing encouragement and reinforcement, positively impacting the individual's commitment to treatment and overall recovery.

Creates a Supportive Environment

Therapy with family present can also emphasize the importance of their support in the recovery process. It helps family members recognize their role in supporting their loved ones, providing them with tools and resources to create a nurturing and conducive environment for healing. This supportive atmosphere helps individuals feel understood, validated, and less alone in their recovery.

Improves Communication and Conflict Resolution Skills

Addiction or mental health issues can strain relationships, create misunderstandings, and lead to unhealthy communication patterns. Therapy provides a structured and supportive environment to address these challenges effectively.

During therapy sessions, family members learn valuable communication skills that foster understanding, empathy, and active listening. They also learn how to constructively express their thoughts, feelings, and concerns. This allows them to express their support better, establish boundaries, and navigate sensitive topics related to their loved one's recovery. 

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Safe Space for Family Members

This type of therapy provides a safe and supportive space where family members can express their emotions, concerns, and experiences related to addiction. It allows them to openly discuss the impact of addiction without fear of judgment or repercussions. Family members can share their struggles, frustrations, and fears and gain insight into their loved one's experiences and challenges. This safe space encourages open and honest communication, fostering understanding, empathy, and emotional healing within the family unit.

Preventing Relapse and Sustaining Recovery

Family support and involvement are crucial for preventing relapse and supporting sustained recovery. In family therapy, family members can learn about addiction, its triggers, and warning signs of relapse. They can also develop skills and strategies to support their loved one's recovery, such as creating a structured and supportive home environment, understanding relapse as part of the process, and encouraging healthy coping mechanisms. Family group therapy helps families become active in the recovery journey, increasing the chances of long-term success.

Family therapy is widely recognized as a valuable component of rehabilitation services and recovery. It acknowledges the impact that addiction has on the entire family system and emphasizes the importance of family support in the healing process. At More Than Rehab, we understand this importance and offer family group therapy as part of our services. 

Family group therapy provides a supportive and inclusive environment where family members can actively participate in the treatment and healing journey. By involving the family, More Than Rehab acknowledges the vital role that family support plays in promoting lasting recovery. If you are interested in learning more about our specific approach to family group therapy and the comprehensive services we provide, contact us today.

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High on Drugs, High on Risk: The Impulsive Gambler

Gambling is common in the US and worldwide. People gamble on everything from card games to sports and even casino games. For some, gambling is a harmless pastime; for others, it's quick cash. In moderation, gambling can be a fun activity. However, some people lose control of their gambling and end up being an impulsive gambler (or participating in problem gambling). And the thrill of gambling can be a much greater issue when substances are involved.

What is Impulsive Gambling?

Gambling involves risking something of value to get something of even greater value. As mentioned, people participate in sports betting, card games, etc., for entertainment. However, if a person cannot control their gambling to the level that it negatively affects their lives, they're said to have a gambling problem or impulsive gambling.

Impulsive gambling is a condition where a person cannot control their gambling behavior, despite its negative consequences. As Mayo Clinic puts it, this impulse control disorder is characterized by a persistent and uncontrollable urge to gamble and a preoccupation with gambling even when it interferes with daily life activities.

Gambling, like drugs or alcohol, stimulates the release of dopamine, a neurotransmitter often associated with feelings of pleasure and reward. This can create a cycle where the brain seeks out more of that reward, leading to a desire to gamble more frequently or at higher stakes. When one has a problem gambling, they may continually chase bets that lead to losses. Eventually, they'll use up all their savings and go into debt, trying to pursue a win. They will make the extra effort to conceal their actions and even turn to fraud or theft to support their addiction.

Gambling Addiction and Substance Abuse

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Gambling and mental health issues can reinforce each other. This means that a person with a mental health issue may gamble to escape or cope with the signs and symptoms. At the same time, a person with a gambling problem might develop mental health issues due to loss, feelings of shame, etc.

Similarly, gambling addiction and substance abuse have a high co-existence rate. In fact, those addicted to substances or gambling are already predisposed to thrill-seeking behaviors. 

According to one study, people diagnosed with impulsive gambling also end up having substance use disorder. This could be due to:

Besides, most casinos in the US offer free drinks for those who spend their money at slots or tables. This is a much bigger problem because, like drug abuse, problem gambling is considered a compulsive behavior.

The Effects of Being High While Gambling

Being high while gambling can have significant effects on a person's behavior and decision-making in the following ways:

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Drugs that Exacerbate Gambling Addiction

While no specific drug causes gambling addiction, certain substances may increase the risk of developing a gambling addiction. Research shows that individuals with gambling addiction commonly abuse substances like alcohol, tobacco, marijuana, and stimulants.

Alcohol and other substances can lower inhibitions and impair judgment, making it more likely for a person to engage in behavioral addictions like gambling. Data from a large study in the US found alcohol addiction to be the most common co-occurring disorder among those with pathological gambling. More than 73% of participants diagnosed with problem gambling had an alcohol use disorder.

Stimulants, such as cocaine and amphetamines, tend to increase feelings of excitement and pleasure, which may make gambling more appealing.

How to Help Cure a Gambling Addict

It can be tough to see a loved one struggle with gambling addiction. But the good news is that with help and treatment, they can go back to leading a healthy lifestyle. Here are a few tips to consider:

Remember that many people who develop problem gambling also develop substance use disorders. Neither addiction is easy to manage without professional help, so it's essential to encourage the person to seek help for both issues. At More Than Rehab, we offer treatment for gambling addiction and dual diagnosis, which means addressing both gambling addiction and any co-occurring substance use disorders. We utilize evidence-based therapies such as cognitive behavioral therapy (CBT) to help individuals understand the underlying reasons for their addiction and develop healthy coping mechanisms.

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Misdiagnosis of Withdrawal Symptoms as Mental Health Issues

Withdrawal symptoms are a natural and expected part of quitting addictive substances. They occur because the body and brain have become accustomed to the presence of the substance and have adapted to its effects. When the substance is removed, the body and brain need time to readjust, which can result in emotional, psychological, and social symptoms. The misdiagnosis of withdrawal symptoms, which include sweating, nausea, tremors, seizures, anxiety, depression, irritability, and hallucinations, can often mimic symptoms of mental health disorders.

For example, withdrawal from meth can cause extreme paranoia, anxiety, and hallucinations, which might be mistaken for symptoms of schizophrenia or other mental health conditions. Meth use can also cause long-term changes in the brain, which might lead to signs and symptoms that resemble mental health disorders even after the drug use has stopped.

Similarly, withdrawal from opioids such as heroin or prescription painkillers can cause anxiety, depression, and irritability, which can be misdiagnosed as generalized anxiety disorder or major depressive disorder.

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These symptoms may persist for weeks or even months after the drug use has stopped, making it difficult to distinguish between withdrawal symptoms and underlying mental health conditions. In such cases, a doctor might prescribe an antidepressant to treat symptoms. But this only worsens the situation since depression isn't the primary issue. Eventually, the patient might end up with issues like emotional blunting after stopping antidepressants.

The Negative Impact of Misdiagnosed Mental Illness

Misdiagnosing withdrawal symptoms as mental health can lead to psychological and physical health issues. It can:

Exacerbate the underlying condition

If a person is misdiagnosed with a mental health disorder and prescribed medication to treat that disorder, the medicine may not address the underlying issue of withdrawal, and the person's symptoms may persist or worsen. Moreover, when misdiagnosed with a mental health disorder, they may be prescribed medications that can worsen their withdrawal symptoms or cause new ones.

For example, benzodiazepines, often used to treat anxiety, are addictive and can worsen withdrawal symptoms if a person is already experiencing them. Misdiagnosis can also delay or prevent patients from receiving appropriate attention for their withdrawal, leading to worsening the underlying condition.

Potentially life-threatening consequences

Some withdrawal symptoms, such as seizures, delirium tremens, and respiratory depression, can be life-threatening if left untreated. But when these symptoms are misdiagnosed, and appropriate treatment is delayed or not given, the patient may end up with potentially life-threatening complications, including coma or even death.

Increase the risk of suicidal thoughts and self-harm scenarios

Withdrawal symptoms can lead to intense emotional distress and increase the risk of suicidal thoughts and self-harm scenarios. And the risk is even higher when healthcare providers misdiagnose the symptoms as mental health issues and offer inappropriate medication.

Psychological consequences

Misdiagnosis can also have psychological consequences, leading to a feeling of hopelessness and frustration for the individual. Patients with misdiagnosed mental conditions can end up feeling deflated, confused, and frustrated when they notice that the treatment prescribed is not working. Sometimes, they might feel hopeless or like failures and turn to drugs or alcohol to self-medicate. In extreme cases, they may self-harm or even commit suicide.

Increased risk to self-medicate

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Mental health issues often co-occur with substance use disorders. In fact, according to the National Institute of Mental Health, people with Drug abuse issues may also struggle with mental health issues like bipolar disorder, ADHD, schizophrenia, and personality disorders. This is mainly because these co-occurring disorders share the same contributing factors, including environmental and biological factors. 

A misdiagnosis, coupled with a lack of access to the proper psychiatric treatment can further drive one to addiction as they self-medicate to mask the symptoms, trying to make themselves feel better. Conditions like marijuana, cocaine, and opioid use disorder are common because they bring euphoria and escape from the reality of an undiagnosed mental issue.

Causes of Misdiagnosis of Withdrawal Symptoms

There are several potential causes of misdiagnosis of withdrawal symptoms, including:

Prevention and Treatment

Misdiagnosing withdrawal symptoms as mental health issues can significantly affect a patient's health and well-being. However, there are steps that healthcare professionals can take to prevent misdiagnosis and provide appropriate treatment.

  1. One of the most critical steps to prevent misdiagnosis of withdrawal symptoms is to increase education and awareness among healthcare professionals. Healthcare professionals should receive education and training on the common symptoms of withdrawal to improve their understanding and ability to recognize them. This education can help reduce the number of misdiagnosed cases.
  2. Open communication between healthcare professionals and patients is also essential. Patients should disclose their history of substance abuse and the extent of their withdrawal symptoms. This information can help healthcare professionals make a proper diagnosis.
  3. Proper assessment and diagnosis of withdrawal symptoms are crucial to providing the correct treatment. Healthcare professionals should assess and diagnose withdrawal symptoms properly. This assessment can help identify the root cause of the symptoms, leading to proper treatment.
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Once a patient is correctly diagnosed, the appropriate treatment can be administered. Treatment for withdrawal symptoms may include medications to manage physical symptoms, such as nausea, vomiting, and seizures. Behavioral therapies may also address psychological symptoms and help individuals manage their cravings and triggers. Patients can also try out natural remedies for antidepressant withdrawal.

At More Than Rehab, we offer comprehensive, evidence-based treatments to address withdrawal symptoms and support long-term recovery. Our treatment plans are personalized to meet each individual's unique needs and may include a combination of medications, behavioral therapies, and other supportive services. Therapies are especially critical in managing withdrawal as it helps patients handle stress better.

We offer a comprehensive assessment and evaluation process for misdiagnosed clients to determine the underlying causes of their addiction or related issues. This process involves gathering information about the individual's medical and psychiatric history, as well as their substance use, related behaviors and known side effects. If a client has been misdiagnosed, we work with them to re-evaluate their diagnosis and develop an appropriate treatment plan that addresses the underlying causes of their addiction or related issues.

We aim to provide personalized, compassionate care to help individuals achieve and maintain recovery. We are committed to providing the best substance abuse treatment and ongoing support and care to promote long-term success. Call us today. We are available to help 24/7.

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Why is Addiction So Hard to Overcome?

Most people don't understand why or how other people become addicted to drugs. They may mistakenly think that those who use drugs lack moral principles or willpower and that they could stop their drug use simply by choosing to do so. In reality, addiction is a complex disease, and quitting usually takes more than good intentions or a strong will. 

People with an addiction may feel compulsively driven to seek and use drugs even though they know the substance is causing them damage. They may want to stop using but feel powerless to do so. Over time, continued substance abuse changes how the brain functions, which can drive an increased need for the drug. These brain changes can be long-lasting and lead to harmful behaviors seen in people with substance use disorders. 

Understanding Drug Addiction

Drug addiction is a chronic disease that affects the brain's decision-making center. It is characterized by compulsive drug seeking despite negative consequences. People with addiction often feel unable to control their drug use and continue using despite the harm it causes.

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People who become addicted to drugs often start using substances recreationally or to cope with underlying mental health issues. They may not understand the risks involved and how quickly addiction can develop. Tolerance to drugs builds up quickly, meaning that larger and larger doses are needed to get the same effect. As drug use escalates, so do the risks for negative consequences, including addiction.

Unfortunately, overcoming addiction is not as easy. One cannot just snap out of it; attempting to quit cold turkey could lead to unpleasant withdrawal symptoms. In fact, many addicts will go back to using because the withdrawal symptoms are too difficult to bear.

Why Do Some People Develop Drug Addictions?

Most experts agree that addiction is not caused by a single factor but is instead the result of a combination of genetic, biochemical, and environmental factors. Addiction can also be due to psychological reasons. This means that some people are more vulnerable to addiction than others, even if they're exposed to the same risk factors. 

But just because someone has one or more of these risk factors doesn't mean they will necessarily develop an addiction. Likewise, not having any risk factors doesn't mean someone won't become addicted. Still, the more risk factors a person has, the greater their chance of developing an addiction. 

Psychological Reasons for Addiction 

People with mental issues like anxiety, depression, ADHD, guilt, shame, or bipolar disorder are more likely to turn to drugs as a form of self-medication. Drugs tend to temporarily relieve the symptoms of these underlying mental disorders.

For example, people with anxiety may use marijuana to relax, while someone with depression may temporarily use stimulants to feel happier. However, using drugs in this way can lead to addiction and make the underlying mental disorder worse.

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Biochemical Reasons for Addiction

When someone uses drugs or drinks alcohol, it triggers a dopamine release in the brain. Dopamine is a chemical that is associated with pleasure and rewards, and it helps to reinforce certain behaviors. As a result, the person feels good when they use drugs or drink alcohol and is more likely to repeat the behavior.

Over time, the brain's reward system becomes less sensitive to dopamine, and the person needs to use more drugs or alcohol to achieve the same level of pleasure. This can lead to biochemical addiction, as the person cannot control their use despite negative consequences.

Environmental Reasons for Addiction

Exposure to alcohol and drugs at an early age can increase the risk of developing an addiction later in life. This is because the developing brain is more susceptible to the effects of drugs and alcohol.

In addition, stress and trauma can also lead to addiction. People who cannot cope with their problems may turn to drugs or alcohol to numb the pain. These environmental factors can greatly increase the risk of developing an addiction.

The Challenge of Beating a Drug Addiction

Addiction is a serious issue that affects millions of people around the world. It is a complex condition that can profoundly impact every aspect of an individual's life. Despite the challenges, it is important to remember that addiction is treatable and recovery is possible. Beating addiction is hard, but it is not impossible. 

There are several reasons why overcoming addiction is so difficult.

  1. First and foremost, addiction changes the way the brain functions. Repeated drug abuse alters the brain's circuitry, making it difficult to stop using even when an individual wants to.
  2. Additionally, addiction can lead to physical dependence, meaning that the body becomes accustomed to functioning with the drug and begins to experience withdrawal symptoms when it is not present. These withdrawal symptoms can be extremely unpleasant, making it difficult for someone to stay sober for any time.
  3. Finally, addiction often co-occurs with other mental health problems, which can complicate treatment and make a recovery all the more difficult. 

Despite the challenges, however, treatment is possible, and many people do go on to lead healthy, drug-free lives.

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How to Overcome Addiction

Overcoming addiction requires a comprehensive treatment plan that addresses the underlying causes of addiction, as well as the addict's individual needs. Treatment should be tailored to each person and may include detoxification, therapy, and relapse prevention.

There is no one-size-fits-all approach to treating addiction, as each person’s experience is unique. However, certain principles are essential for all successful treatment programs. These principles include:

If you or someone you love is struggling with addiction, don't give up hope. Help is available, and there is light at the end of the tunnel. With treatment and support, it is possible to recover and lead healthy, drug-free lives.

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What Is A Dual Diagnosis?

Unfortunately, addiction or substance use disorders are very common in our country. Nearly 21 million Americans struggle with this disease every day. Sadly, out of those 21 million people, only around 10% of them will ever receive treatment for their addiction or substance use disorder. For those who are able to receive treatment, they know that it can sometimes be a bumpy road to recovery. But ultimately, they know that recovery is also very rewarding, especially once they are able to get to a point where they can manage their addiction and achieve meaningful sobriety. This can be especially difficult in the case of a dual diagnosis, where an underlying mental health problem is compounding their own personal struggle with addiction.

What is a dual diagnosis, exactly?

For those who are new to recovery, or for those who have never received professional help for their addiction or substance abuse, they may be unaware of these underlying mental health problems that only serve to amplify their issues with their alcohol or drug addiction. This is commonly referred to as a dual-diagnosis. Many who are new to recovery often have this very same question, what exactly is a dual diagnosis? Put simply, a dual diagnosis is when someone has both a substance use disorder and an underlying mental health disorder at the same time.

The combination of a substance use disorder and mental illness can become a vicious cycle. Mental health issues, especially if a person is unaware that they are suffering from one, can often drive people to self-medicate, which leads them to abuse drugs or alcohol in order to cope with the symptoms of their mental health disorder. The same goes for people who abuse drugs and alcohol. Substance use disorders can lead to mental health issues even if they weren’t there before that person began using drugs or alcohol. If someone has been diagnosed as having a dual diagnosis, usually the best course of action is to treat them at the same time, as they often play into each other.

What is treatment for a dual diagnosis like?

If you have recently been told that you have a dual diagnosis, or if you have a loved one or family member who has recently been diagnosed with a mental health issue as well as a substance abuse disorder, then please know that you are not alone. A dual diagnosis is very common. A 2019 study found that among adults 18 and onlder, approximately 9.5 million people who had any mental illness (AMI), also suffered from a substance use disorder (SUD). Other studies show that nearly half of all people with a mental health issue will also have a substance use disorder as well. This is perhaps in part due to the related risk factors of both mental health issues and substance use disorders, such as things like genetics, stress, environment, and current or past trauma.

How can doctors tell if someone has a dual diagnosis?

Keep in mind that the majority of health professionals will only be able to accurately diagnose a mental health disorder once the person is clean and sober with no drugs left in their system. This is because many drugs are known to cause side effects that can manifest as mental health issues. However, there are many different mental health disorders that can lead a person down the slippery slope of addiction--many end up trying to self-medicate, either when they are unaware they have a problem, or if they simply are not getting the proper care. However, here are a few mental health disorders that are very common to those who also suffer from substance use disorders:

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Of course, there are many other mental health issues, such as schizophrenia, that if left untreated can cause someone to begin abusing drugs or alcohol.

As mentioned earlier, treatment planning for someone with a dual diagnosis works best when it is specialized to the individual.  While it may seem impossible, we can assure you that it is not. For the best dual diagnosis treatment possible in the Texas area, More Than Rehab can show you the ropes to a successful sobriety while also being able to manage your mental health problems at the same time. There is hope for recovery, and we understand that we could all use a little help, especially in times like these! Call us today. We are open 24/7.

888-249-2191

Mental Health and Addiction Treatment

Dual diagnosis is the treatment of addiction with another co-occurring disorder.

In the field of addiction treatment, when someone has a substance use disorder, coupled with another form of mental health issue, we call this a co-occurring disorder or a dual diagnosis. Sometimes addiction treatment alone is not enough. We have helped many people in the Houston, Texas area by identifying a co-occurring mental health issue that was adding to their substance abuse problem. In a dual diagnosis treatment program, your treatment plan is customized to meet your specific individual needs. A personalized addiction treatment plan is the best chance for a successful recovery in these cases.

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For someone who has silently struggled with a mental health issue for years, often the only solace they find is to self-medicate with alcohol and drugs. Many patients say this helps quiet the voice in their head telling them that everything is wrong. People with depression may experience a boost of confidence when they use, even if it is only temporary. For someone dealing with and trying to hide their own troublesome internal thoughts, an addiction can develop quickly. If they receive treatment for their substance use disorder, but not for their mental health issue, they will be more likely to drop out of treatment, or even relapse into abusing drugs and alcohol.

Since mental health issues can lead to someone abusing substances, it is often hard to tell which one caused the other. Withdrawal symptoms can sometimes look like a mental or behavioral disorder to the untrained eye. Feelings of lethargy, depression, hopelessness and sudden weight gain are common signs of clinical depression. These same mental and physical symptoms can come from the early acute withdrawal symptoms from alcoholism. In most cases, it is not entirely clear if the mental health of the patient led them to abuse drugs and alcohol or if the abuse of substances created the mental problems they are experiencing.

Detox from drugs or alcohol is the first step in diagnosing an underlying mental health issue.

Cognitive impairment from long term drug and alcohol abuse can often interfere with the proper diagnosis of a mental illness. Once a patient undergoes a full medical detox, cleansing the chemicals from the body and mind, clinicians can start to assess the patient’s underlying mental health. This is a crucial part of addiction recovery, as many patients might not even realize they have been living with a mental health disorder. Some people have been using drugs or alcohol on a daily basis, filling up most of their daily life with intoxication. This can go on for years and years, without them ever realizing they have an underlying struggle with mental health.

When a patient finally experiences sobriety for the first time in a long while, the emotional stress can be very difficult to overcome. Stress, anxiety, sadness and guilt are all commonly experienced when someone first enters addiction recovery services. This is why it is important for someone who struggles with drugs or alcohol to seek rehab from a professional treatment facility. These facilities should offer detox and recovery services for addiction treatment while a dual diagnosis drug rehab will offer help with emotional recovery, medication management, stress reduction and other crucial mental health services. With the support of the right program it is entirely possible to transform your life and rebuild yourself from the ground up.

How mental health and substance abuse can develop together.

The US Department of Health and Human Services notes that, mental health and substance use disorders may share similar, underlying causes for their development. These include changes in brain chemistry, genetic vulnerabilities and childhood exposure to extreme stress or trauma. These problems are further compounded when the person begins using drugs or alcohol to hide their symptoms. Studies have shown that people who struggle with anxiety or mood disorders are almost twice as likely to struggle with addiction than the average person is.

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The four most common mental health issues where substance abuse is more prevalent are:

These types of disorders, when complicated with drug or alcohol abuse are often very difficult to treat. They may require months or even years for someone to fully recover towards a high-functioning state of well-being.  

How is a dual diagnosis treated?

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Treatment for co-occurring disorders at a drug rehabilitation facility will commonly include a variety of physical, mental and behavioral therapies. These are designed to work together on an individual basis, to help the patient with their mental health and to overcome their addiction. These will typically be conducted through a combination of individual and group therapy sessions.

Your treatment providers will work with you during your stay at rehab to formulate an aftercare plan that will help you stay focused on your recovery after you leave their direct care. Outpatient programs, 12-step support groups and relapse prevention strategies will help you during the crucial, early phase of your recovery.

If you or someone you love is struggling with addiction, consider seeking treatment right away. The pain experienced through a mental illness can have devastating consequences when left untreated. We employ a social model of addiction recovery in the Houston, Texas area. More Than Rehab is available 24/7, so we can get you the help you need, right away. Please call us:

888-249-2191