The Relationship of Substance Use Disorder and Mental Illness

At 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.

Gateway Treatment Centers Offers Two Free CEU Webinars: “Understanding Addiction: Why Can’t Those Affected Just Say No”

Addiction has a stigma attached to it, causing many to blame the struggling individual for their problems and assume that they should just be able to stop using if they want to. But the effects of substance use can change the chemistry of the brain, making the task of “Just Saying No” seem inaccessible.

This February, Gateway Alcohol & Drug Treatment Centers will offer two free webinars “Understanding Addiction: Why Can’t Those Affected Just Say No?” giving participants the opportunity to earn one continuing education unit (CEU) and learn about the brain processes that develop under the grips of addiction.

The webinar presenter is A’nna Jurich, LCPC, a Program Director at Gateway Treatment Centers. A’nna has worked with Gateway since 1994 and has worked as a clinician in addictions and mental health for the past 24 years. She is trained in Motivational Interviewing and EMDR.

Because of the way drugs work in the brain, addiction can form, causing compulsive behavior and a lack of control over seeking and taking the drug. “Addiction is a lifelong, chronic disease that affects millions of individuals. The more understanding and acceptance we are able to gain, the better prepared we are to treat and support those who suffer,” Jurich said.

The webinar will be offered on two occasions: Wednesday February 15^th, 2017 from 12:30 to 1:30 p.m. and Thursday February 23^rd, 2017 from 12:30 to 1:30 p.m. Participants can receive one CEU – NAADAC, Illinois: LCSW, LSW, LCPC, LPC, Nursing, Psychologist, IAODAPCA (Counselor I, Preventionist I, CARS I, MISA I, PCGC II, CCJP II, CAAP I, CRSS II, MAATP I, NCRS II, CFPP II)

For more details regarding the webinar, please visit Recovergatway.org/Training.

Registration in advance is required and space is limited.

 

New Year’s Resolutions to Achieve Sobriety

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 options, insurance coverage, and Gateway’s confidential consultation.

A Doctor’s Note: How Self-Medicating Spirals into Addiction

By Dr. John Larson
Corporate Medical Director, Gateway Treatment Centers

 

Dr. John Larson
Corporate Medical Director
Gateway Treatment Centers

For many, addiction unwittingly begins with self-medicating, which is when a person uses substances, like alcohol, marijuana, cocaine or prescription medication, in an attempt to appease symptoms related to physical pain, social anxiety or depression.

For example, take social anxiety—in modest doses alcohol may initially produce a sense of relief because of the effect it has on brain chemistry. However, since alcohol metabolizes in the body very quickly, it soon loses its effect.  Plus, as tolerance develops, drugs or alcohol will become less and less effective. Indeed, with regular, continued use of alcohol or other drugs of choice, the chemistry of the brain will gradually change, worsening feelings of anxiety when alcohol and/or drugs aren’t present—even if an individual is not in a stressful social situation.

Once the occasional drink escalates in frequency and volume to appease the aggravated anxiety symptoms, physical dependence can develop.  Attempts to stop or cut back only result in symptoms of withdrawal, which results in an increased preoccupation with obtaining and using alcohol (or one’s drug of choice).

Actually, when an individual tries to cut back, the rebound of the original symptoms only intensifies the discomfort experienced during withdrawal, making it very difficult to stop using.  This often occurs with drugs, such as Valium and Xanax, sleeping medications and drugs used to treat acute and chronic pain.

Unfortunately, many are under the mistaken impression that addiction issues will disappear if the underlying problem is treated:  “If I can find some other way of treating my social anxiety, my alcohol problem will simply go away.” This is seldom the case.  When it reaches this point, the drug or alcohol use has a life of its own and the individual needs to be specifically evaluated and treated for addiction as well as for the underlying psychiatric or medical problem. Failure to treat both inevitably results in continued suffering and worsening health complications.

Wondering if you may have a problem with alcohol addiction? Take this Alcohol-Dependency Self-Test.

For more information about substance abuse treatment, call 877-505-HOPE (4673) or visit RecoverGateway.org.

12 Tips for Staying Sober During the Holiday Season

Remaining sober can be especially challenging during the holidays.  Family gatherings, holiday parties, and other social occasions can be very difficult for someone who is in early recovery.  Thoughts of past holidays can bring up memories of celebratory drinking or drugs.

Although it seems hard to get used to the idea of a sober holiday season, especially if friends seem to be having a great time drinking or using drugs, completing treatment is an accomplishment that you should be proud of.

Here are some helpful and practical tips to make staying sober easier:

1. Write yourself a letter – “How I stayed sober over the holidays:” The act of writing your ideas on paper is a very powerful to reinforce your intentions. Think about your values write down all the activities that will help you have healthy, happy and sober holiday season.
2. Plan each and every day of your holiday season:  Plan to spend the majority of your free time with friends and family who are supportive of your recovery. Likewise, plan downtime for reflection and rejuvenation.
3. Keep a daily gratitude list: The quickest cure to get you out of the holiday blues is by counting your blessings and being grateful for what you have every morning.
4. Sober community support: Come to Gateway’s holiday celebrations in addition to your recovery group get-togethers to share your experience, strength and hope with others. Check out Gateway Foundation on Facebook to find schedules for recovery groups, alumni meetings and special events hosted at our treatment centers.
5. Tell your family and friends how they can support you: Those who are truly supportive of your recovery will be happy to help you throughout the holidays.
6. Create a contact list: Make a list of 10 people you can call. You are always welcome to call a counselor or confidant at Gateway Foundation. Carry your cell phone and list of names at all times.
7. Don’t skimp on exercise: Regular exercise is an essential component of any balanced recovery program and will help you weather the stresses that often accompany the season.
8. Avoid unhealthy hangouts: There is no reason to ever check out your former favorite establishments—no matter who is in town.
9. Begin for new traditions: Start an annual bowling tournament or flag football game with fun awards and prizes. Host a cookie baking party and trade cookies with your guests. Use your imagination, be creative and have fun.
10. Volunteer for a charitable organization: There are many people in your community who are less fortunate than you. You will be helping not only the needy but yourself!
11. Avoid H.A.L.T. (Hungry, Angry, Lonely, Tired):  If you are hungry, get something to eat. If you are angry, talk to somebody about it. If you are lonely, go to a meeting or call a friend. If you are tired, get a good night’s sleep.
12. Take one day at a time and enjoy your sobriety: Stay in the moment and live one day at a time. Never mind about what happened or what could happen. Enjoy today. Live today. Celebrate your sobriety.

Take this opportunity to celebrate not only the holidays, but also your new life of sobriety, which is something really worth celebrating. If you find yourself struggling during the holiday season, please remember that you are not alone. Help is only a phone call or meeting away. 877-505-HOPE (4673).

Stay Informed About Substance Abuse and Addiction

Don’t stay in the dark about drinking and drugs—the more you understand about the facts, the greater your understanding will be about what someone’s going through, and how he or she can overcome it.

If you’re not sure what kind of drug an individual is using, or whether one has an addiction, education will help you recognize certain behavior patterns or health issues an individual may have that are associated with different types of substances and addictions.

Determine If You Are Safe

Sometimes people can behave unpredictably when they drink or take drugs. Their moods and actions can become erratic, which at best can be embarrassing or frustrating for friends and family, but at worst can become aggressive or violent. You have the right to put your safety and the well-being of your family first.

If you’re living with a person whose substance abuse or addiction behavior puts your safety at risk, consider having a back-up plan. That plan may include arranging with family or friends to stay with them, or knowing where you can go in your community if an emergency arises.

Talking to Someone Who Is Abusing Drugs or Alcohol

Perhaps you feel upset, angry, frustrated or even ashamed about someone’s problem. Whatever you’re going through, it’s okay to feel the way you do. What’s more, it’s often worth talking to the person about your feelings –being honest may even encourage one to open up to you about underlying emotions, too. When you talk with someone about drinking and drug use, listen and respect what he or she has to say. It may also help the individual to face up to the problem. If someone shuts you down initially, it may be more difficult to get him or her to open up later. Just listen.

Substance Abuse is a Disease

It is important to realize that substance abuse is a disease. The person who is truly addicted is not able to take control of this problem without professional help. As a loved one, you cannot stop the individual’s substance abuse. Families can, however, avoid covering it up or doing things that make it easy for the person to continue the denial. Encourage your family member or friend to get the treatment needed through a professional licensed treatment provider or family physician.