Dual diagnosis is a term used to describe a person with a mental health disorder and a substance use disorder. It is a complex condition that requires specialized treatment, as the interactions between the two conditions can worsen both. People with dual diagnosis often experience increased risk of relapse or development of maladaptive behaviors, the struggle with self-medication, and financial, employment, housing, and legal issues. Treatment for dual diagnosis usually includes medication, individual or group counseling, self-help measures, lifestyle changes, and peer support.
However, standardized treatment packages and insufficient guidelines on substance abuse treatment make it difficult to treat patients with dual diagnosis. This article suggests that a more flexible and longer treatment period, together with more sufficient guidelines on dual-diagnosis treatment and more formalized collaboration with substance abuse treatment centers, will make it a less difficult topic to treat patients with dual diagnosis. Unfortunately, a dual diagnosis can result in dual stigmas if not well understood, leading to poorer social support. These challenges can affect a dual-diagnosis patient's approach and response to treatment, making recovery more complicated.
Therefore, it is important to understand the complexity of mental health and substance abuse in order to provide effective treatment for those with dual diagnosis. For example, alcoholism therapy is administered individually or as a group by one or more alcoholism counselors, while psychiatric treatment (including counseling and medication management) is administered by a psychiatrist. Because each dual disorder can aggravate the course of the other, both disorders must be treated so that the patient has the best chance of obtaining a good outcome (Woody et al.). The health consequences of a dual diagnosis depend both on the substance being used and on the mental disorder present.
Recognizing that addiction is often a symptom of an underlying mental health issue is key to providing effective treatment for those with dual diagnosis. With better understanding and education, this complex condition can be successfully recovered.
