What is Dual Diagnosis
Dual diagnosis is a term that refers to the common co-occurrence of substance dependence and mental health disorders. Both need to be addressed and treated to achieve the best result.
The Recovery Road Medical Center Program for dual diagnosis offers a well structured treatment plan to help patients at a stressful point in their life when they are struggling with both chemical dependency and mental health disorders. It is designed for patients who have an acute exacerbation of their symptoms of either substance dependence and/or mental health disorder, but yet do not require inpatient hospitalization and they can contract for safety in regards to thoughts of harming their self or others. The patient has to be organized enough to benefit from the treatment program and not to be disruptive to other patients.
Our physicians are highly qualified and experienced in prescribing medications that can help with stopping the cravings and relieving withdrawal symptoms for different substances. Our physicians can also provide hospital based detoxification for those patients in need of this level of care prior to entering into an intensive outpatient program.
Recovery road medical center provides expert assessment for both these conditions and individualized treatment which can include appropriate medication for both craving and the mental health disorder in conjunction with intensive daily therapy. Recovery Road offers family members opportunities through education and group therapy to work together in gaining knowledge about their loved one’s illness and the power to change its self destructive course.
Chemical Dependency:
Chemical Dependency is a term that refers to a disease of the nervous system which is manifested by a loss of control over the use of a substance resulting in problems from its use and may be accompanied by withdrawal symptoms when the substance is discontinued. The person may experience craving for the substance and continue to use the substance despite adverse consequences. Each substance can carry the risk for misuse, abuse or dependence.
The use of the drug may also result in both physical and psychological injury or illness. These can include liver damage, heart problems, infections such as AIDs, legal problems, divorce, alienation from children, financial loss, depression, panic attacks, hospitalization, memory loss(both acute blackouts and actual brain injury that may be permanent) and multiple injuries . Patients may develop physical, mental and emotion pain.
Mental Health Disorders:
Mood Disorder: Major Depression, Cyclothymia, Dysthymia, Bipolar Spectrum Disorders.
Anxiety Disorder: Generalized Anxiety Disorder, Post Traumatic Stress Disorder, Panic Disorder, Obsessive Compulsive Disorder.
Attention Deficit Disorder: With or without hyperactivity.
Eating Disorders: Anorexia and Bulimia.
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SUBSTANCE ABUSE DISORDERS |
| 1. |
Alcohol Dependence.
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| 2. |
Sedative Hypnotic Dependence.
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| 3. |
Opiate Dependence.
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| 4. |
Stimulant Dependence. |
| 5. |
Marijuana Dependence.
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All patients receive weekly random urine drug testing.
| THE OBJECTIVES OF THE PROGRAM INCLUDE: |
| 1. |
Abstinence from addictive chemicals unless the patient is on approved opiate maintenance(such as Suboxone or methadone).
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| 2. |
Development of skills such as assertive communication, relaxation training, drink refusal training, relapse prevention skills.
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| 3. |
Improvement in depression, anxiety and anger.
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| 4. |
When stressed the ability to take time out, share and ask for help.
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| 5. |
Reduction in cognitive distortions which increase dysfunction and lead to relapse.
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| 6. |
Initiation of long term participation in 12 step programs.
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| TOPICS FOR MENTAL HEALTH |
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Daily thought recording
The Three Imperatives(Time Out, Sharing,Asking for Help)
Practicing Reframing of Thoughts
10 cognitive errors
Challenging the negative thought
Core belief and the Child hood contribution to the core belief
Relaxation Techniques and Meditation
Medication Adherence and Honesty with Psychiatrist
Self Assessment for Self Esteem
Working with feelings of stress
Goal Setting and Working in Small Steps for change
Projections and Skewed Thinking
Depression, Anxiety and Anger
Family Groups
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| TOPICS FOR CHEMICAL DEPENDENCY |
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Cycle of change
Values: what they value in their life
(Pros and Cons) Benefits of Sobriety and negative Consequences of using
Physical Addiction and Disease Concept
Problem solving
Identifying triggers and their management(HALT, anger, anxiety, depression)
Managing stress
Managing criticism
Managing cravings and urges
Effective refusals
AA and the 12 steps
Recommitting after a slip
Rewarding my success
New ways to enjoy life
Confidence and temptations
Proper boundaries in relationship
Support and honesty in relationship
Shame and Stigma of Addiction and Mood Disorder
The Old Addiction Brain
Dealing with the inner critic |
Cognitive Behavioral Therapy Skills and Practice are integrated into each educational and processing group.
Undiagnosed or untreated disorders may form an obstacle in your recovery. To learn more about this talk with the professionals at Recovery Road.
DUAL DIAGNOSIS 12 STEP PROGRAM:
DDA (Dual Diagnosis Anonymous) is a 12 step program which has come about to assist those with addiction and another mental health disorder. For more information check: http://www.ddaworldwide.org
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