Dual Diagnosis

Why dual-diagnosis requires IMMEDIATE Attention

Before the presence of Dual Diagnosis Treatment methods, the pathway to sobriety would have been a long and twisty one. For the reason that when a individual is dual-diagnosed, he can be denied rehab service until they could remove their mental health issue. Sadly, mental health conditions will persist once they don’t get free of addiction. Likewise, abusing drugs will likely continue due to mental health challenges such as depression. Thus, many substance abusers in those days are stored in a maze without any exit.

Thankfully, the arrival of Dual Diagnosis Treatment inside the 1990s served as being a milestone to switch the previous counterproductive approach to treating dual-diagnosed people.

A history of Dual-diagnosis

The Old Way

Sequential treatment will address addiction independently to whatever mental health conditions plague the individual. Such rehabilitation attempt to take care of addiction without having done anything concerning the mental health condition. Worse, patients won’t be treated because of their mental medical condition once they aren’t sober. This is because professionals accustomed to feel that the mental health challenge will return within the existence of abusing drugs disorder, which is, of course, true and undeniable. Unfortunately, it is also correct that the abusing drugs disorder will probably return providing the mental health condition persists. This gap is exactly what parallel treatment models try and bridge.

Parallel treatments make an effort to treat both addiction as well as the mental health challenge. Whether it is the addiction that caused the mental health problem or it is the mental health issue that caused the addiction, treating them at the same time addresses the inadequateness of sequential treatments. If both is going to be treated simultaneously, the chicken-and-egg puzzle will in the end be solved. Sadly, even botox injections model failed. The reason for this failure is because parallel treatment specialists are not able to coordinate with each other. That is, a dependency specialist can do his top in treating the substance abuse disorder without addressing the mental health condition whilst the professional attempt to treat the mental health challenge. Deficiency of coordination between specialists and treatment facilities compromised each other’s treatment methods occasionally causing unnecessary drug interactions which hamper the complete treatment process. Addiction and mental health disorders were treated separate entities that must be treated concurrently but independent of the other person.

Present day Way

The present day way of treating dual-diagnosed disorders patches up the hole within the models sequential and parallel treatment models. Bearing the name “Integrated Treatment,” this contemporary approach addresses both addiction and mental health issue as well while treating them like a single entity. That’s, a cocaine abuser who has ADHD will require different treatment from an opiate abuser that has ADHD. Every case will probably be unique and tailor-made for someone and often will always involve the integration from the treatments. Such approach will avoid unnecessary delay, drug interactions, and also death.

Integrated care is usually carried out in a single facility, unlike parallel treatments. Additionally, it requires detailed planning thus requiring more inputs through the client, the client’s family, and even the client’s peers to get out an idea which is well-suited towards the case.

Exceptions for Integrated Treatment

Above all, the current substance abuse disorder and mental health challenge needs to be separate from one another. As an example, hallucinations alongside hallucinatory drug abuse might not qualify, unless it leads to long-term schizophrenia.

Treatment plans:

The procedure methods and options widely vary. There are thousands of permutations in relation to the combination of medicine and mental health problems. Hence, there are millions of treatment options at the same time. Take notice that every individual each case is unique and will need a special approach made simply for them. Additional advantage is the fact patients have their own social needs and life experiences thus further complicating things. Regardless of how varied, there are several common anxiety within every treatment:

• Methodical Planning – this phase requires cooperation through the patient along with the family. The professional ask a number of details, and because of this details, the therapy model is going to be planned.
• Detox – an internal treatment model will invariably include detox, the operation of removing the existence of the abused substance in the body.
• Counseling and Education – this could not seem medically necessary, however it helps increase the morale and may associated with an individual undergoing rehab. It helps lift off the curse of stigmatizations, self-blame and many psychological aspects that’ll be a blockage to the road to sobriety.

The way to Get ready for Integrated Treatment

The main factor here is to cooperate together with the professionals. The procedure methods to be executed will largely be determined by what details you give your professionals. Hence, giving the most accurate and more information for your specialist is so very important. Such details normally include (but isn’t limited to):

• History of drug abuse
• History of substance use for medical purposes
• Medical History
• Significant Life events
• The existence of other types of addiction (sex, gambling, alcohol, etc.)
• Social Life (has he recently abandoned his peers, family, etc.)
• Behaviors the consumer was lacking before
• Traumatic Experiences
• Stress-inducing activities
• Rehabilitation history (or no)

There are occasions that clients will not disclose a bunch of their abusing drugs details for fear of stereotyping and attracting lawyers and cops within their door. In these instances, treatment will prove to be very hard as the treatment model will spontaneously change because undisclosed drug use disorders reveal themselves. Worse, it could be very costly as more medications will probably be accustomed to undo the potential drug interactions.

Alternatives to Integrated Treatment

Let’s admit it. Integrated treatment is a costly endeavor. Thus, people end up searching for alternatives. The unhealthy news is there is no option to integrated treatments. You’ll find unviable substitutes like sequential treatment and parallel treatment, but it’ll are more expensive in the end. Would you rather undergo sequential treatment significantly compared to a single integrated treatment? Absolutely not. That will be extremely expensive, and it will devour some time you might have enjoyed outside rehab. Thankfully, there are methods you might use to assist you fund your dual-diagnosis treatment for example insurance, sliding scale fees, while stating sponsorship.

Insurance

Whether insurance firms will like it or not, non-grandfathered plans must cover mental health. The Mental Health Parity and Addiction Equity Act requires health plans who have mental coverage of health to attenuate restrictions for the mental health aspect. That is, such plans can never make mental health restrictions as strict as health limitations. This element of MHPAEA is reinforced from the Affordable Care Act, because it requires health promises to cover mental health. Hence, you’ll be able to usually assured that your insurance will take care of your integrated treatment. However, you have to be wary that insurance will not instantly cover your rehab. You will see factors like copayments and out-of-pocket maximums that can burden you for a time until the insurance covers a hundred percent with the expenses.

Sliding Scale Fees

Some rehab facilities (especially state-sponsored ones) will offer you sliding scale fees; fees that will scale based on your financial status. Thus, in case you fall below some threshold of capital, you’ll have to pay less to the rehabilitation.

In addition, you will find state-specific programs you can utilize. Addititionally there is the Medicare, Medicaid and, to the veterans, Tricare. Aforementioned three their very own eligibility requirements.

Signs and symptoms of Dual-diagnosis

Just like the treatment itself, signs of co-occurring disorders are unique at the same time. These symptoms vary from individual to individual and widely depends upon the combination in the substance abused along with the existing mental medical condition. Thankfully, there are general telltale signs warning that a person is in dire need for help.

• Inability to sleep
• Loss of hygiene and deterioration of physical health
• Tremors
• Needle marks (on account of intravenous utilisation of the substance)
• Paleness or blushing
• Dishonesty
• Oversensitivity
• Forgetfulness
• Lack of enthusiasm and self-esteem
• Difficulty in attending to
• Paranoia
• Disturbance in Self confidence (abandoning friends, befriending drug addicts)
• Significant weight change, whether it’s decrease or increase
• Sleeping for days (especially stimulant users after their energy outburst)
• Obsessive-compulsive behaviors like coming back home 3 times to ensure the appliances were unplugged
• Obsession with privacy
• Stealing

Moreover, you can find drug-specific symptoms such as sore, painful jaw from teeth-grinding during ecstasy high or dry lips for crack. Take into account that no matter what drug is abused, immediate attention is critical. Long-term abuse can result in more and more mental health conditions.

The Stigma of Dual-diagnosis

What happens the worst a part of being affected by the co-occurring disorder is? Seeing how cruel people could be. Yes, drug addicts are stigmatized and are also people being affected by mental health conditions. Surely, the even worst of stereotyping will likely be true for someone struggling with both addiction and mental health issues.

The issue is individuals who do not have the technical background in substance abuse, psychiatry, and psychology view addiction as being a problem that may instantly be solved by mind-over-matter means. People believe substance abusers can just sit down somewhere, jaw-dropped, eyes staring into nothingness and contemplate about their faults then remain true with a sudden realization of the destruction through the drugs along with the instant will to improve. Thus, SUDs sufferer winds up stigmatized and so are stereotyped to get a weaker will compared to others.

Implications
There are three purposes why individuals are stigmatized:
• Fear – those who have mental illness or/and must be feared and kept out of societies
• Authoritarianism -individuals who’ve some sort of addiction are noticed as irresponsible individuals and won’t pull their own weight thus people them being a burden they must carry.
• Benevolence -individuals need to be taken care of. [1][2]

All of the reasons lead to reduced independence and autonomy, thus hampering the lives with the sufferers as well as depleting their curiosity about seeking treatment or even adhering to current treatment. Thus, stigma is a crucial key to be addressed in treating individuals.

Individuals who agree with the stereotypes stated earlier (or whatever stereotypes exist) have a tendency to develop prejudice [3]. The person will tend to anticipate those prejudice, thus dealing stereotyping themselves also. Hence, there are three stages of self-stigmatization; awareness (from the existing prejudice), agreement (the affected person accepts the prejudice as truth) and application (self-stigmatization) [4] . That is another fact that could hamper your way to sobriety which is one of the leading issues addressed by counselors.

How is it that an element abuser undergo detox, NOW?

Now it is or never. It’s possible to experience denial and go like “Hey, I can be sober on my own.” Sadly, going cold turkey will do more damage than good. Furthermore, the intertwined addiction and mental health problem will worsen the other as time passes. Additional advantage will be the extreme stigma faced by the substance abuser. If left unattended, the stigma will spark more and more mental health problems, that may then ignite more addiction problems that will potentially worsen the stigma AND the mental health problems. As you know, this is a cycle of self-destruction which will don’ good. It’s now or never. Going all at once is not the key. Professional attention is critical.

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