The Relationship of Substance Use Disorder and Mental Illness

suicide and substance abuse, gateway treatment centersAt Gateway, we recognize that mental illness and Substance Use Disorder (SUD) often coincide. In fact, the presence of a co-occurring diagnosis is more the “rule” than the exception. The terms “dual diagnosis” or “co-occurring” refer to an individual that is affected by two or more disorders or illnesses.

The Journal of the American Medical Association (JAMA) reports that 37% of individuals with alcohol use disorder and 53% of those with a drug use disorder also have at least one serious mental illness.

It is difficult to diagnose which came first – the SUD or the mental health disorder. Drug use can cause one to experience symptoms of mental illness. However, mental illness can also lead to drug use as a form of self-medication to manage symptoms. There are many overlapping factors that can make it difficult to detect the initial issue.

“There is no question that no matter which came first; both issues need to be addressed in treatment,” said Katie Stout, Executive Director at Gateway. According to reports from the Substance Abuse and Mental Health Services Administration (SAMHSA), the most common reason for relapse is an untreated mental health problem.

“The best chance of recovery is through an integrated treatment program that includes treatment of the SUD and the mental health illness,” said Katie Stout.

Evidence-based treatment for co-occurring disorders includes: motivational interviewing, mindfulness based therapy, trauma informed therapy and 12 step facilitation.

Gateway is a recognized leader among behavioral health care providers in offering substance use disorder treatment, as well as treatment for individuals that are diagnosed with a co-occurring mental illness. To learn more about our treatment programs visit us at RecoverGateway.org.

About Gateway Treatment Centers
Every year Gateway Foundation Alcohol & Drug Treatment helps thousands of adults and teens get their life back on track and gives renewed hope to those who care about them. With more than 40 years of treatment experience, our specialists take the time to understand of the specific needs of each individual. We then develop a customized treatment plan with recommendations for the most appropriate care based on an individual's substance abuse and mental health history. As the largest provider of alcohol and drug abuse treatment in Illinois, Gateway has eight treatment centers throughout the state. Gateway outpatient and residential substance abuse treatment programs are not one-size fits all, but unique treatment plans that give an individual the highest chance for a successful outcome. With insurance acceptance and a track record of success, Gateway Treatment Centers help thousands of individual’s successfully complete treatment each year, and find the hope they need to live again.

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