Why dual-diagnosis requires IMMEDIATE Attention
Prior to the information on Dual Diagnosis Treatment methods, the pathway to sobriety was obviously a long and twisty one. It is because after a person is dual-diagnosed, he can be denied rehab service until they can get rid of their mental health problem. Sadly, mental health conditions will persist after they don’t get free of addiction. Likewise, drug use will probably continue because of mental health challenges for example depression. Thus, many substance abusers in those days are kept in a maze with no exit.
Thankfully, the advent of Dual Diagnosis Treatment in the 1990s served as a milestone to improve the last counterproductive way of treating dual-diagnosed people.
A brief history of Dual-diagnosis
That old Way
Sequential treatment will address addiction independently to whatever mental health conditions plague the person. Such rehabilitation will try to take care of addiction without doing anything about the mental medical condition. Worse, patients should never be treated for mental health condition once they aren’t sober. The reason being professionals employed to believe that the mental health challenge will return within the presence of substance abuse disorder, that is, of course, true and undeniable. Unfortunately, additionally it is genuine that the abusing drugs disorder will more than likely return provided that the mental health problem persists. This gap is what parallel treatment models make an effort to bridge.
Parallel treatment procedures try to treat both addiction as well as the mental health challenge. Whether it be the addiction that caused the mental health condition or it does not take mental health condition that caused the addiction, treating them concurrently addresses the inadequateness of sequential treatments. If both is going to be treated simultaneously, the chicken-and-egg puzzle will finally be solved. Sadly, even this treatment model failed. The reason for this failure is because parallel treatment specialists neglect to coordinate collectively. That is certainly, a dependency specialist is going to do his very best in treating the substance abuse disorder without addressing the mental health problem whilst the mental health expert make an effort to treat the mental health challenge. Having less coordination between specialists and treatment facilities compromised each other’s treatment procedures sometimes even causing unnecessary drug interactions which hamper the complete treatment process. Addiction and mental health disorders were treated separate entities that needed to be treated simultaneously but outside of each other.
The present day Way
The present day strategy for treating dual-diagnosed disorders patches up the hole from the models sequential and parallel treatment models. Bearing the name “Integrated Treatment,” this modern approach addresses both addiction and mental health condition at the same time while treating them like a single entity. That is, a cocaine abuser who has ADHD will require different treatment from an opiate abuser who’s ADHD. Every case is going to be unique and tailor-made for anyone and can always involve the combination in the treatment methods. Such approach will avoid unnecessary delay, drug interactions, and in many cases death.
Integrated remedies are usually done in an individual facility, unlike parallel treatments. In addition, it will take detailed planning thus requiring more inputs in the client, the client’s family, and even the client’s peers to lay out an agenda which is well-suited to the case.
Exceptions for Integrated Treatment
First of all, the present substance abuse disorder and mental health challenge needs to be independent of the other person. As an illustration, hallucinations alongside hallucinatory drug use might not exactly qualify, unless it results in long-term schizophrenia.
The therapy methods and options widely vary. There are thousands of permutations with regards to the mix of medicine and mental health conditions. Hence, there are many treatment procedures as well. Take notice that all individual every case differs from the others and can demand a special approach made only for them. Added to this would be the fact patients their very own social needs and activities thus further complicating things. Regardless how varied, there are some anxiousness within every treatment:
• Methodical Planning – this phase will require cooperation in the patient as well as the family. The professional asks several details, and because of this details, the therapy model will be planned.
• Detox – a treatment model will always include detox, the operation of removing the presence of the abused substance in the body.
• Counseling and Education – this may not seem medically necessary, nevertheless it does help raise the morale and can associated with an individual undergoing rehab. It helps lift over curse of stigmatizations, self-blame and several psychological aspects which will be a blockage towards the road to sobriety.
The way to Plan for Integrated Treatment
The key factor this is to cooperate using the professionals. The therapy ways to be executed will largely depend on what details allowing your professionals. Hence, providing the most accurate and more information for your specialist is of utmost importance. Such details normally include (however is not restricted to):
• History of drug abuse
• History of substance use for medical purposes
• Medical History
• Significant Life events
• The presence of other types of addiction (sex, gambling, alcohol, etc.)
• Social Life (has he recently abandoned his peers, family, etc.)
• Behaviors the client didn’t have before
• Traumatic Experiences
• Stress-inducing activities
• Rehabilitation history (if any)
There are occasions that clients will not likely disclose their drug abuse details for fear of stereotyping and attracting lawyers and cops at their door. In such cases, treatment will end up being very hard since the treatment model will spontaneously change as the undisclosed substance abuse disorders reveal themselves. Worse, it may be extremely expensive as more medications is going to be used to undo the potential drug interactions.
Alternatives to Integrated Treatment
Let’s face the facts. Integrated treatment would have been a costly endeavor. Thus, people turn out searching for alternatives. The not so good news is there is no substitute for integrated treatments. There are unviable substitutes like sequential treatment and parallel treatment, but it will become more expensive over time. Could you rather undergo sequential treatment much when compared to a single integrated treatment? Of course not. Which will be very expensive, and it will devour some time you may have enjoyed outside rehab. The good thing is, there are methods you might use to assist you pay for your dual-diagnosis treatment for example insurance, sliding scale fees, while stating sponsorship.
Whether insurance providers will cherish it you aren’t, non-grandfathered plans are required to cover mental health. The Mental Health Parity and Addiction Equity Act requires health plans which have mental coverage of health to lower restrictions for the mental health aspect. That is, such plans cannot make mental health restrictions as strict as physical health limitations. This facet of MHPAEA is reinforced from the Affordable Care Act, as it requires health plans to cover mental health. Hence, you can usually feel comfortable knowing that your insurance will handle your integrated treatment. However, you ought to be wary that insurance won’t instantly cover your rehab. There will be factors such as copayments and out-of-pocket maximums which will burden you for quite a while prior to the insurance insures double in the expenses.
Sliding Scale Fees
Some rehab facilities (especially state-sponsored ones) will offer you sliding scale fees; fees that can scale in accordance with your financial status. Thus, in case you fall below a particular threshold of greenbacks, you’ll have to pay less for that rehabilitation.
In addition, there are state-specific programs you can utilize. There is also the Medicare, Medicaid and, for your veterans, Tricare. The second three their very own eligibility requirements.
Signs of Dual-diagnosis
Just like the treatment itself, the signs of co-occurring disorders are unique as well. These symptoms will change from one person to another and widely is dependent upon the mix from the substance abused and also the existing mental health problem. Thankfully, there are general telltale signs warning that a person is in dire necessity of help.
• Inability to fall asleep
• Loss of hygiene and deterioration of health
• Needle marks (because of intravenous use of the substance)
• Paleness or blushing
• Lack of enthusiasm and self-esteem
• Difficulty in concentrating
• Disturbance in Dating life (abandoning friends, befriending drug addicts)
• Significant weight change, whether it be decrease or increase
• Sleeping for days (especially stimulant users after their energy outburst)
• Obsessive-compulsive behaviors like coming back home 3 times to make sure the appliances were unplugged
• Obsession with privacy
Additionally, you’ll find drug-specific symptoms for example sore, painful jaw from teeth-grinding during ecstasy high or dry lips for crack. Remember that regardless of what drug is abused, immediate attention is necessary. Long-term abuse will lead to a lot more mental health issues.
The Stigma of Dual-diagnosis
You know what the worst part of suffering from the co-occurring disorder is? Seeing how cruel people could be. Yes, drug addicts are stigmatized and are generally people being affected by mental health issues. Surely, the for the worst situation of stereotyping is going to be true for an individual being affected by both addiction and mental health conditions.
The thing is those who don’t have the technical background in substance abuse, psychiatry, and psychology view addiction as a problem that can instantly be solved by mind-over-matter means. People believe that substance abusers can easily sit back somewhere, jaw-dropped, eyes staring into nothingness and contemplate about their faults and after that fully stand up which has a sudden realization in the destruction due to the drugs along with the instant will to improve. Thus, SUDs sufferer ends up stigmatized and so are stereotyped to possess a weaker will when compared with other folks.
You can find three main reasons why individuals are stigmatized:
• Fear – individuals who have mental illness or/and ought to be feared and kept out of societies
• Authoritarianism -individuals who’ve some form of addiction have emerged as irresponsible individuals and will not pull their own weight thus people see them as being a burden they should carry.
• Benevolence -individuals need to be maintained. 
Dozens of reasons lead to reduced independence and autonomy, thus hampering the lives with the sufferers as well as depleting their desire for seeking treatment as well as staying with current treatment. Thus, stigma is a crucial factor to be addressed for individuals.
People who accept the stereotypes mentioned previously (or whatever stereotypes exist) often develop prejudice . The patient will usually anticipate those prejudice, thus winding up stereotyping themselves also. Hence, you can find three stages of self-stigmatization; awareness (in the existing prejudice), agreement (the affected person accepts the prejudice as truth) and application (self-stigmatization)  . This is something else that could hamper your journey to sobriety and is also one of the leading issues addressed by counselors.
How come a substance abuser undergo detox, NOW?
It is currently or never. It’s possible to are afflicted by denial and go like “Hey, I can be sober by myself.” Sadly, going all at once will perform more harm than good. Furthermore, the intertwined addiction and mental medical condition will worsen each other as time passes. Added to this could be the extreme stigma faced from the substance abuser. If left unattended, the stigma will spark a growing number of mental health conditions, that may then ignite more addiction problems that will potentially worsen the stigma Along with the mental health problems. As you can imagine, it’s a cycle of self-destruction that will don’ good. It is currently or never. Going cold turkey is not key. Professional attention is critical.
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