Co-Occurring Disorders

What is a Co-Occurring Disorder?

A co-occurring disorder, also known as a dual-diagnosis, is the coexistence of a mental health disorder and a substance use disorder. Individuals with a primary mental health disorder may start using substances to cope with their symptoms, and alternatively, individuals who are misusing or abusing substances may develop a mental health disorder because of the substance use. Co-occurring disorders refer to any combination of two or more mental health diagnoses and substance use diagnoses. 
At HopeWay, approximately 65% of our adult clients have two or more diagnoses. 

Prevalence

According to data reported by the Substance Abuse and Mental Health Services Administration (SAMHSA), approximately 21.2 billion adults had a co-occurring mental illness and substance use disorder in 2024. (1)

Causes of Co-Occurring Disorders

Common risk factors include:

  • Genetics
  • Personality characteristics
  • Individual’s social environment
  • Other life circumstances (2)

Treatment For Co-Occurring Disorders

An integrated treatment approach is the most effective approach when treating co-occurring disorders. A clinical, evidence-based program that addresses both the mental health and substance use disorder, and the intersection between the two diagnoses, is essential for lasting recovery. Some key components to effective treatment include evidence-based therapies, like Cognitive Behavioral Therapy, Dialectical Behavioral Therapy and Motivation Interviewing, medication management, an interdisciplinary team of licensed medical and clinical professionals, and a whole-person approach to care. 

"Having spent almost 30 years in a 12-step program, I thought I had been given most of the recovery tools available - thank goodness I was mistaken. I now have a new set of recovery tools and have become aware of an entirely new 'me' - thanks to HopeWay." - Fielding

Sources

1.    https://www.samhsa.gov/substance-use/treatment/co-occurring-disorders
2.    https://nida.nih.gov/research-topics/co-occurring-disorders-health-conditions#problems-occur

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If you are in crisis, please call the Suicide Prevention Lifeline 988 or text TALK to 741-741