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.

A Note of Appreciation for the Hospital Worker

Portrait Of Medical Staff Standing In Lobby Of Hospital

In recognition of National Hospital Week, Gateway  expresses sincere gratitude for all hospital workers.

A stay in the hospital can be scary and let’s be honest, unpleasant to even think about. It’s the hospital workers who change this to a more pleasant experience.  The teamwork of a hospital’s clinical and support workers is essential for the healing of a patient. It could be the doctor with the great bedside manner, the social worker who took the time to listen, or the custodian that made sure your window was clean and clear so that you could see the sunshine; all of these people made an impact on your experience.

As a healthcare provider in substance use disorder treatment, Gateway recognizes the important role that hospital workers play in assisting with the detection and guidance of patients with a substance use disorder.

“The collaboration we have with hospitals is crucial in our mission of reducing substance use disorders and co-occurring mental health problems through effective and efficient treatment programs. Gateway extends its’ sincere gratitude to all hospital workers for the impact they have in the lives of those persons struggling with mental illness and substance use disorders,” said Dr. Thomas Britton, President and CEO of Gateway Foundation.

Stress on the Road to Recovery

April is Natiroadonal Stress Awareness Month. According to the National Institute on Drug Abuse (NIDA), medical specialists believe that stress is the leading cause of relapse back into drug use. Research shows that the brain of those with substance use disorder is more hypersensitive to stress, which may provoke them to relieve their stress by returning to drugs.

 

 

For those in recovery, many stressors arise such as family/relationship conflicts, work, money and health concerns. It is important to pay attention to the signs your body is giving you to recognize stress.

  • Headaches
  • Neck or back pain
  • Stomach upset
  • Difficulty sleeping
  • Fatigue
  • Change in appetite
  • Irritability
  • Anxiety

Stress is often unavoidable. However, you can take a proactive role in acknowledging and calming the stress to avoid relapse. There are many healthy and practical ways to reduce stress and increase your chance of staying sober. Among these are: Exercise, talking it out (or write about it), breathing with purpose (yoga/meditation), and of course good old laughter.

Most important is to recognize when you are experiencing stress and find your most healthy way to cope with it.

What Is the Difference Between Alcoholics Anonymous and an Alcohol Use Disorder Treatment Program?

In Honor of Alcohol Awareness Month in April, Gateway highlights the differences between 12-Step Meetings (such as Alcoholics Anonymous) and an Alcohol Use Disorder Treatment Program.
What is Alcoholics Anonymous or 12-Step?

Alcoholics Anonymous (AA) is a 12-Step group for those struggling with alcohol use disorder. Led by peers, this group allows participants to follow a set of recovery steps to achieve and maintain abstinence from alcohol.

The only requirement for AA membership is a desire to stop drinking. AA works through members telling their stories of recovery from alcohol use disorder. AA is nonprofessional – it doesn’t have clinics, doctors, counselors or psychologists. All members are themselves recovering from alcoholism. There is no central authority controlling how AA groups operate. It is up to the members of each group to decide what they do. However, the AA program of recovery has proven to be very successful and almost every group follows it in very similar ways.

How is an Alcohol Use Disorder Treatment Program Different from AA?

Gateway Alcohol & Drug Treatment believes 12-step groups such as Alcoholics Anonymous and other kinds of recovery support groups play a valuable role in substance abuse treatment, but they only comprise part of the picture.

Gateway believes that a substance use disorder treatment program should include the use of evidence-based practices – drug and alcohol disorder treatments that integrate professional research and clinical expertise to achieve the best outcome for an individual.  The clinical professionals at Gateway Alcohol & Drug Treatment Centers employ evidenced-based practices to create meaningful, individualized treatment programs. We believe there is more than one pathway to recovery so we expose clients to a wide array of treatment methodologies. The greatest benefit can be derived from experiencing 12-step programs in conjunction with evidenced-based treatment.

Gateway engages both adults and teens through a variety of highly effective clinical approaches and therapies to help them get life back on track. On average, Gateway’s drug rehab programs have a 10% higher successful treatment completion rate when compared to other Treatment Providers.

12-Step as Part of Gateway’s Integrated Treatment Programs

“It’s a Personal Choice – Some individuals come to Gateway convinced that a 12-step program is the only thing that will work for them, while others have equally strong reservations about them. We make it a priority to accommodate the needs of clients who are of either mindset and implement the 12-steps accordingly,” said Gilbert Lichstein, LCPC, MS Clinical Psychology, Program Manager at Gateway Chicago.

Gradual Exposure- Our experienced staff utilizes a targeted approach that provides clients with an in-depth understanding of 12-step principles. Our curriculum is designed to break down barriers to participation and “kick start” the process of attending meetings and finding a sponsor.

12-step meetings can not only be challenging for some, they also vary from group to group and meeting to meeting. In order to give clients a good idea of what to expect out of support groups like these after leaving treatment, Gateway provides exposure to 12-steps in multiple settings. To offer our full support, we accompany individuals in our treatment programs to both on-site and off-site 12-step meetings.

For those who prefer not to use 12-step techniques, many Gateway treatment locations offer on-site SMART recovery groups and linkage to other peer support options such as Dual Recovery Anonymous.

To learn more about Gateway’s alcohol and drug treatment programs, visit RecoverGateway.org

The Role of Nutrition in Recovery

Substance Use Dnutrients and substance abuse recoveryisorder (SUD) and poor nutrition often go hand-in-hand. Nutrient imbalances can intensify the cravings for alcohol and drugs. Poor nutrition can also have an effect on co-occurring disorders such as depression and anxiety. According to an article in Today’s Dietitian SUD is known to lead to vitamin and mineral deficiencies that threaten physical and mental health, damage vital organs and the nervous system, and decrease immunity.

“A well balanced diet rich in nutrients is needed for cognitive repair, processing and critical thinking; which are all compounding factors to a healthful and lasting recovery,” said Jayne Chatzidakis, Gateway’s dietitian consultant with Cynthia Chow & Associates.

The recovery process at Gateway Foundation includes encouragement for proper nutrition through collaboration with the dietitians from Cynthia Chow & Associates. The dietitians provide the highest standard of dietary consultation for the specialized needs of Gateway clients.

Proper nutrition aids in ridding the body of toxins and restores the nutrients that have been lost as a result of substance use. What does proper nutrition look like? “Eat more nutrient rich foods such as fruits, vegetables, whole grains and fish,” encourages Jayne Chatzidakis. “Stay away from overly prep
ared, frozen, processed, or prepackaged foods. Also, drinking plenty of water throughout the day is vital to hydrate the body and assist in the detoxification process.”

“Overall, it’s about achieving a healthy lifestyle that is drug free, nutritious and active,” said Jayne Chatzidakis.

Meet Gaia McVey, MS, LCPC Adolescent Clinical Supervisor

“Watching an individual change, succeed and grow through treatment is very motivating,” says Gaia McVey, Adolescent Program Clinical Supervisor at Gateway CarbondaleGaia McVey. With a wealth of experience in substance use disorder treatment, she works closely with her team at the Adolescent Male Residential Program.

“We are flexible in our individualized treatment planning and approach for adolescents. We use a great deal of interactive activities in our group counseling sessions to help teens learn new skills in a variety of ways,” explains Gaia. Gaia has been a member of the Gateway’s clinical team since 2000.

She obtained her Master of Science degree in Rehabilitation Counseling from the Rehabilitation Institute at Southern Illinois University in Carbondale, IL.

 

Appreciate a Social Worker: Social Worker Appreciation Month

Young Woman Having Counselling SessionMarch is National Professional Social Work Month as recognized by the National Association of Social Workers (NASW). According to the NASW our nation has more than 600,000 social workers, yet many people still misunderstand who social workers are and the invaluable contributions they bring to society.

Social workers are responsible for helping individuals, families, and groups of people to cope with problems they’re facing in their lives. Being a social worker is often a challenging, yet gratifying career.

As a part of this role, social workers regularly encounter individuals and families affected by substance use disorders (SUDs). Social workers must be knowledgeable about the dynamics of substance use, dependency, and recovery.

Working with clients with SUDs, a social worker must possess specialized knowledge and understanding of psychological and emotional factors, physiological issues, legal considerations, and the co-occurrence of mental health disorders that can coincide with substance use.

“Gateway’s collaboration with the social work profession is key in ensuring that our clients receive the highest quality of coordinated care,” said Katie Stout, Executive Director at Gateway Foundation in Carbondale, IL. “Social workers are instrumental to the evidence-based treatment offered by our programs.”

Social workers begin at the frontline of treatment continuum and are the advocate for their client. As part of this advocacy social workers help their clients gain access to the proper resources and treatment; from start to finish.

Please join Gateway in celebrating this month by honoring a social worker today!

Addiction: A Disease Delegitimized by Stigma

Professional medical associheroinations, such as the American Society of Addiction Medicine and American Medical Association, define addiction as a disease just like diabetes, cancer, or heart disease. Articulating a usable definition of what “disease” actually is can be surprisingly difficult, as notions of health vary by context. Dorland’s Medical Dictionary generally defines disease as any condition that causes pain, dysfunction, distress, social problems, or death to the person afflicted.

Dr. Thomas Britton, CEO of Gateway Foundation, wrote in his article “Releasing Stigma’s Grip” that the many facets of drugs and alcohol addiction make it a unique disease. In comparison to cancer or diabetes, addiction strongly affects spiritual and mental wellness—not just physical wellness. Dr. Britton explains that this cumulative approach generates internal battles in those inflicted and seeking help. He writes, “Many people are simply overcome with feelings of inadequacy, shame and embarrassment.”

Perhaps this is due to society’s disillusioned notions of addiction. Stereotypes of dependency disrupt society at large from truly understanding the legitimacy of the disease. Drug and alcohol abuse are commonly associated with crime, broken homes, laziness, violence, and moral failing. Dr. Britton explains that fear of judgment may prevent those suffering from seeking the treatment they need.

According to the Center of Addiction, up to 25 percent of people with substance abuse problems appear to have a chronic disorder, meaning that their disease is a long-lasting condition that can be controlled but not cured. For chronic sufferers, addiction is a progressive, relapsing disease that requires intensive treatments and continuing aftercare, monitoring, and support to manage recovery.

You may find Dr. Thomas Britton’s full article, “Releasing Stigma’s Grip,” here. If you or someone you know is suffering from substance abuse disorder, do not let shame or judgment impede pursuit of treatment. To get your or your loved one’s life back on track, learn more about treatment options at RecoverGateway.org.

 

New Year’s Resolutions to Achieve Sobriety

unspecifiedpsfvqjzw

New Year’s resolutions often stem from self-evaluation, enabling us to learn more about ourselves and push us to make better choices. Those who make New Year’s resolutions are 10 times more likely to change their behavior than those who don’t, according to researchers at the University of Scranton.

The severity of resolutions can vary from person to person whether they revolve around finances or health. With a new year representing change and optimism, a person struggling with substance abuse disorder often sees a new year as an opportunity for a fresh start. Those looking to break free of addiction can increase their chance of success by resolving to enter a drug rehab program in January of the New Year.

Because New Year’s resolutions often fail to launch, it’s a running joke how many commitments disintegrate on January 2nd. A resolution to enter a rehab program can flop just as easily, especially because getting clean and sober is so multifaceted. Drugs and alcohol affect and control every aspect of live, so resolving to quit is not just a matter of lack of will power or follow-through. With that said, it is important to stay focused and committed on this journey, while enlisting the support of friends and family members to help make the resolution succeed.

If you are new to goal setting or new to taking resolutions seriously, it’s OK to start slow. Read more about the full continuum of substance abuse treatment  options that Gateway can offer, including Fispecialized programs and schedules.

A resolution to enter drug rehab can be an important first step towards a better future. If you or someone you know is struggling with alcohol or drugs, visit RecoverGateway.org or call 877-505-4673 to learn more about treatment optionsinsurance coverage, and Gateway’s confidential consultation.

Tips for Avoiding Temptation at Holiday Parties

Golden streamers with sparkling glitterThe holiday season is filled with social activities, from family dinners to parties with friends and coworkers. These celebrations often center around over-indulgence, be it in food or alcohol. In fact, in a 2012 American Alcohol Consumption Study conducted by Gateway Treatment Centers, it was found that 51% of adults drink alcohol due to “celebrations, special events, and holidays.” For someone in recovery, this over-indulgent atmosphere can make holiday parties difficult to navigate.

There can be anxiety over the temptation of easily accessible alcohol, as well as over the perceived judgment of others if you don’t partake in drinking. Depending on your support system and where you are in your recovery, it may be easier to skip the parties. But if you want to attend a party, there are a few things you can do to help you avoid temptation and lessen your nerves.

Bring a sober friend. It can be easier to avoid alcohol if you are not the only one abstaining at the party. Bring someone else with you who will stay by your side and ensure you have a good time without using drugs or alcohol.

Prepare your response for turning down offered drinks. Do not fear that attending a holiday party means that you will be offered drink after drink. But if the fear of that happening is keeping you from attending, prepare your response ahead of time. If you are comfortable mentioning that you are in recovery, you can use that to turn down offered alcoholic drinks. But if you are not, don’t stress. There can be many reasons someone may turn down a drink, such as not liking the taste or having to drive, and you can use any of these excuses. Having your excuse in mind before you go can help relieve any anxiety and prepare you to remain alcohol free throughout the party.

Only stay as long as you are comfortable. Often we are invited to holiday parties that we may feel obligated to go to. But just because you show up doesn’t mean you need to stay very long. If the party is too overwhelming, leave early.

Remember that everyone is preoccupied with themselves, not you. You may feel like you are the only one not drinking, and therefore that everyone is watching and judging you. But know that most people are so busy with their own drinking that they aren’t keeping track of what you are, or are not, consuming.

Serve yourself. If you are worried about others asking you to consume alcohol, an easy way around it is to serve yourself a nonalcoholic drink. When you get to the party, grab water or pop, or bring your own, and keep it in your hand. It will curb drink offers from other people since you already have something to drink. Also, you don’t have to worry about someone adding alcohol to your drink if you get it yourself.

Remember that if temptation becomes too much, you can always rely on your support network or aftercare program. By making plans before a party or following some of the above tips, you can mitigate anxiety and navigate holiday parties without using drugs or alcohol.

If you or someone you know is struggling with drugs or alcohol, visit RecoverGateway.org or call 877-505-HOPE (4673) for information about drug and alcohol abuse and treatment options.

%d bloggers like this: