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	<title>Comments on: So What is a Dual Diagnosis?</title>
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	<description>...using 21st century brain and addiction-related research to change how we talk about, treat and prevent substance misuse, underage drinking, addiction and secondhand drinking/drugging.</description>
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		<title>By: Breakingthecycles.com &#8211; Changing the Conversations &#187; Blog Archive &#187; Dual Diagnosis? Consider NAMI</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-8168</link>
		<dc:creator>Breakingthecycles.com &#8211; Changing the Conversations &#187; Blog Archive &#187; Dual Diagnosis? Consider NAMI</dc:creator>
		<pubDate>Thu, 06 May 2010 23:15:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-8168</guid>
		<description>[...] &#8220;dual diagnosis&#8221; in the world of addiction treatment. Please see previous post, &#8220;What Is a Dual Diagnosis?&#8221; for more information. The reason for this post, however, it to bring your attention to NAMI [...]</description>
		<content:encoded><![CDATA[<p>[...] &#8220;dual diagnosis&#8221; in the world of addiction treatment. Please see previous post, &#8220;What Is a Dual Diagnosis?&#8221; for more information. The reason for this post, however, it to bring your attention to NAMI [...]</p>
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		<title>By: A Couple Of My Favorite Alcoholism Videos &#124; Addiction Recovery Basics</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-1887</link>
		<dc:creator>A Couple Of My Favorite Alcoholism Videos &#124; Addiction Recovery Basics</dc:creator>
		<pubDate>Tue, 09 Jun 2009 05:56:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-1887</guid>
		<description>[...] Breakingthecycles.com - Changing the Conversations Â» Blog Archive &#8230; [...]</description>
		<content:encoded><![CDATA[<p>[...] Breakingthecycles.com &#8211; Changing the Conversations Â» Blog Archive &#8230; [...]</p>
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		<title>By: Breakingthecycles.com - Changing the Conversations &#187; Blog Archive &#187; Policies for Handling Offender Sentencing That Makes Sense</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-406</link>
		<dc:creator>Breakingthecycles.com - Changing the Conversations &#187; Blog Archive &#187; Policies for Handling Offender Sentencing That Makes Sense</dc:creator>
		<pubDate>Tue, 31 Mar 2009 16:16:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-406</guid>
		<description>[...] It involves treating the contributing factors to crime - substance abuse and mental illness. [This post discusses the connection between mental illness and alcohol abuse/addiction]. As I&#8217;ve presented in several posts on this site, when a person is in the throws of an [...]</description>
		<content:encoded><![CDATA[<p>[...] It involves treating the contributing factors to crime &#8211; substance abuse and mental illness. [This post discusses the connection between mental illness and alcohol abuse/addiction]. As I&#8217;ve presented in several posts on this site, when a person is in the throws of an [...]</p>
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		<title>By: Breakingthecycles.com - Changing the Conversations &#187; Blog Archive &#187; More on Dual Diagnosis</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-332</link>
		<dc:creator>Breakingthecycles.com - Changing the Conversations &#187; Blog Archive &#187; More on Dual Diagnosis</dc:creator>
		<pubDate>Thu, 05 Mar 2009 11:37:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-332</guid>
		<description>[...] When I lecture at a treatment center or talk with parents and other groups whose work or lives put them in contact with either alcohol or mental health illness or both, the question about mental illness (e.g., depression, PTSD, ADHD, bipolar) and whether there&#8217;s a connection between it and alcohol (or any substance) abuse often comes up. In treatment center circles, when a person is diagnosed with both a mental illness and addiction, this is referred to as a dual diagnosis (check this link to one of my previous posts for a more detailed explanation of dual diagnosis). [...]</description>
		<content:encoded><![CDATA[<p>[...] When I lecture at a treatment center or talk with parents and other groups whose work or lives put them in contact with either alcohol or mental health illness or both, the question about mental illness (e.g., depression, PTSD, ADHD, bipolar) and whether there&#8217;s a connection between it and alcohol (or any substance) abuse often comes up. In treatment center circles, when a person is diagnosed with both a mental illness and addiction, this is referred to as a dual diagnosis (check this link to one of my previous posts for a more detailed explanation of dual diagnosis). [...]</p>
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		<title>By: lisaf</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-330</link>
		<dc:creator>lisaf</dc:creator>
		<pubDate>Wed, 04 Mar 2009 06:10:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-330</guid>
		<description>Hi Jasmine,
I just found another link that seems like it&#039;d be very helpful. It&#039;s titled, &quot;Dual Diagnosis:
Information and Treatment for Co-occurring Disorders,&quot; http://www.helpguide.org/mental/dual_diagnosis.htm
Look around the site...there are other pages on depression that seem as if they may answer questions as well.
Lisa</description>
		<content:encoded><![CDATA[<p>Hi Jasmine,<br />
I just found another link that seems like it&#8217;d be very helpful. It&#8217;s titled, &#8220;Dual Diagnosis:<br />
Information and Treatment for Co-occurring Disorders,&#8221; <a href="http://www.helpguide.org/mental/dual_diagnosis.htm" rel="nofollow">http://www.helpguide.org/mental/dual_diagnosis.htm</a><br />
Look around the site&#8230;there are other pages on depression that seem as if they may answer questions as well.<br />
Lisa</p>
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		<title>By: LisaF</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-329</link>
		<dc:creator>LisaF</dc:creator>
		<pubDate>Wed, 04 Mar 2009 04:05:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-329</guid>
		<description>Jasmine,
First of all -- congratulations!!! 4 weeks -- that is wonderful. 

You&#039;ve raised some very good questions. Before I respond, I need to make it clear that I am not a therapist nor medical doctor so this is not advice. I&#039;ll just share what I&#039;ve learned in my research. To answer your last Q, first, from what I&#039;ve learned, if you do have a mental health illness, it is unlikely the various non-medical treatments you&#039;ve tried will work. But, this is not bad -- really. Unfortunately, mental illness gets much of the same stigma attached as does addiction. But let me share some reserach with you that may help...[Since I&#039;m answering in the comments, I don&#039;t have the link capability, so cut and paste the links in your browser]:

I suggest you start with this one: &quot;Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery,&quot; provides substance abuse counselors the &quot;what,&quot; &quot;why,&quot; and &quot;how-to&quot; of working with clients with depressive symptoms and substance use disorders, covering topics such as counseling approaches, clinical settings, cultural concerns, counselor roles and responsibilities, screening and assessment, treatment planning and processes, and continuing care.&quot;  It is free, and although it&#039;s for counselors, etc., it should give you some ideas. Here&#039;s the link:
http://ncadistore.samhsa.gov/catalog/productDetails.aspx?ProductID=17976

Also try this one: &quot;A Consumer&#039;s Guide to Mental Health Services Decade of the Brain NIH.&quot; It&#039;s also under SAMHSA (Substance Abuse and Mental Health Services Administration)&#039;s National Mental Health Information Center. 
http://mentalhealth.samhsa.gov/publications/allpubs/cmh94-5001/Default.asp
The opening statement reads, &quot;Twenty percent of adult Americans â€“ or one in five â€“ will have a mental illness during their lifetime that is severe enough to require treatment, and many more have problems that prevent them from enjoying their lives.&quot;

I hope this helps you with a place to start. I am sure it&#039;s soooooooooooo frustrating to not feel a lot better now that you&#039;ve stopped drinking. Just know that BOTH depression and addiction can be fully treated! Another thing to know is that anti-depresssants don&#039;t necessarily have to go for the rest of your life, depending on your diagnosis, of course. I, myself, took them for a while some 12 years ago for what I was told was &quot;situational depression.&quot; Probably the best thing you can do is find a highly qualified person (one who is trained AND experienced in treating co-occuring addiction and mental illness) and get a professional assessment and consultation. You don&#039;t have to do anything else after that, but it may put your mind at rest -- you&#039;d know for sure what you are dealing with.

I hope this helps...it takes a HUGE amount of courage to do what you&#039;re doing.
Lisa</description>
		<content:encoded><![CDATA[<p>Jasmine,<br />
First of all &#8212; congratulations!!! 4 weeks &#8212; that is wonderful. </p>
<p>You&#8217;ve raised some very good questions. Before I respond, I need to make it clear that I am not a therapist nor medical doctor so this is not advice. I&#8217;ll just share what I&#8217;ve learned in my research. To answer your last Q, first, from what I&#8217;ve learned, if you do have a mental health illness, it is unlikely the various non-medical treatments you&#8217;ve tried will work. But, this is not bad &#8212; really. Unfortunately, mental illness gets much of the same stigma attached as does addiction. But let me share some reserach with you that may help&#8230;[Since I'm answering in the comments, I don't have the link capability, so cut and paste the links in your browser]:</p>
<p>I suggest you start with this one: &#8220;Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery,&#8221; provides substance abuse counselors the &#8220;what,&#8221; &#8220;why,&#8221; and &#8220;how-to&#8221; of working with clients with depressive symptoms and substance use disorders, covering topics such as counseling approaches, clinical settings, cultural concerns, counselor roles and responsibilities, screening and assessment, treatment planning and processes, and continuing care.&#8221;  It is free, and although it&#8217;s for counselors, etc., it should give you some ideas. Here&#8217;s the link:<br />
<a href="http://ncadistore.samhsa.gov/catalog/productDetails.aspx?ProductID=17976" rel="nofollow">http://ncadistore.samhsa.gov/catalog/productDetails.aspx?ProductID=17976</a></p>
<p>Also try this one: &#8220;A Consumer&#8217;s Guide to Mental Health Services Decade of the Brain NIH.&#8221; It&#8217;s also under SAMHSA (Substance Abuse and Mental Health Services Administration)&#8217;s National Mental Health Information Center.<br />
<a href="http://mentalhealth.samhsa.gov/publications/allpubs/cmh94-5001/Default.asp" rel="nofollow">http://mentalhealth.samhsa.gov/publications/allpubs/cmh94-5001/Default.asp</a><br />
The opening statement reads, &#8220;Twenty percent of adult Americans â€“ or one in five â€“ will have a mental illness during their lifetime that is severe enough to require treatment, and many more have problems that prevent them from enjoying their lives.&#8221;</p>
<p>I hope this helps you with a place to start. I am sure it&#8217;s soooooooooooo frustrating to not feel a lot better now that you&#8217;ve stopped drinking. Just know that BOTH depression and addiction can be fully treated! Another thing to know is that anti-depresssants don&#8217;t necessarily have to go for the rest of your life, depending on your diagnosis, of course. I, myself, took them for a while some 12 years ago for what I was told was &#8220;situational depression.&#8221; Probably the best thing you can do is find a highly qualified person (one who is trained AND experienced in treating co-occuring addiction and mental illness) and get a professional assessment and consultation. You don&#8217;t have to do anything else after that, but it may put your mind at rest &#8212; you&#8217;d know for sure what you are dealing with.</p>
<p>I hope this helps&#8230;it takes a HUGE amount of courage to do what you&#8217;re doing.<br />
Lisa</p>
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		<title>By: Jasmine</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-328</link>
		<dc:creator>Jasmine</dc:creator>
		<pubDate>Wed, 04 Mar 2009 00:47:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-328</guid>
		<description>Hi. It&#039;s late but I wanted to ask a quick question: Do you recommend alternative treatments for depression if it persists after sobriety has stabilised? I think I and many others self-medicated, telling each other that it was either that or anti-depressants, like we were using only to function because for whatever reason we didn&#039;t want to take lithium or other meds. I know you have studied the brain extensively so your input would be valuable. Having suffered awful bouts of depression and drug/alcohol abuse (although depression came before the drugs) myself I believe I would have been given such a dual diagnosis. I honestly need to make a list of all the things I want in life to be happy, and if I am still unhappy than I will accept being mentally ill. Until then I plan to stay off alcohol but what if I am still unhappy? I am adamant about not taking meds. So then what? I don&#039;t want to waste any more time not living life as a happy person but I feel as if I have tried almost everything else...Do you recomment EMDR? Omega fatty acids and vitamin B supplements? I feel as if I have really really tried but nothing has worked. Then again I have been using substances to calm myself as well, so perhaps my efforts all these years (aromatherapy, herbal therapy, art therapy, jungian psychotherapy--many many things including moving to cities I like better, exercise, pursuit of knowledge etc have been tried...) were bound to fail because of the alcohol and pot (and some earlier dabbling in LSD and cocaine) use? I am early in recovery (four weeks today!!!) so I know I must be patient (not my strong point) but I have tried and tried for fifteen years to rid myself of depression and anxiety (I don&#039;t like labels, but) disorders but NOTHING seems to work. 

So I recap: If I get my life back in order and I am still unhappy, do you have suggestions that do not involve anti-depressants?

ps I do not judge others for their anti-depressant use, I just don&#039;t want to use myself.</description>
		<content:encoded><![CDATA[<p>Hi. It&#8217;s late but I wanted to ask a quick question: Do you recommend alternative treatments for depression if it persists after sobriety has stabilised? I think I and many others self-medicated, telling each other that it was either that or anti-depressants, like we were using only to function because for whatever reason we didn&#8217;t want to take lithium or other meds. I know you have studied the brain extensively so your input would be valuable. Having suffered awful bouts of depression and drug/alcohol abuse (although depression came before the drugs) myself I believe I would have been given such a dual diagnosis. I honestly need to make a list of all the things I want in life to be happy, and if I am still unhappy than I will accept being mentally ill. Until then I plan to stay off alcohol but what if I am still unhappy? I am adamant about not taking meds. So then what? I don&#8217;t want to waste any more time not living life as a happy person but I feel as if I have tried almost everything else&#8230;Do you recomment EMDR? Omega fatty acids and vitamin B supplements? I feel as if I have really really tried but nothing has worked. Then again I have been using substances to calm myself as well, so perhaps my efforts all these years (aromatherapy, herbal therapy, art therapy, jungian psychotherapy&#8211;many many things including moving to cities I like better, exercise, pursuit of knowledge etc have been tried&#8230;) were bound to fail because of the alcohol and pot (and some earlier dabbling in LSD and cocaine) use? I am early in recovery (four weeks today!!!) so I know I must be patient (not my strong point) but I have tried and tried for fifteen years to rid myself of depression and anxiety (I don&#8217;t like labels, but) disorders but NOTHING seems to work. </p>
<p>So I recap: If I get my life back in order and I am still unhappy, do you have suggestions that do not involve anti-depressants?</p>
<p>ps I do not judge others for their anti-depressant use, I just don&#8217;t want to use myself.</p>
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		<title>By: Liz</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-48</link>
		<dc:creator>Liz</dc:creator>
		<pubDate>Tue, 11 Nov 2008 04:39:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-48</guid>
		<description>Thank you so much for this information. It brings a new perspective to alcoholsim that I have never encountered.</description>
		<content:encoded><![CDATA[<p>Thank you so much for this information. It brings a new perspective to alcoholsim that I have never encountered.</p>
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		<title>By: Lynn</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-29</link>
		<dc:creator>Lynn</dc:creator>
		<pubDate>Sun, 07 Sep 2008 01:58:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-29</guid>
		<description>Thanks so much for this clear explanation of the term &#039;dual diagnosis&#039;.  I found it very helpful.</description>
		<content:encoded><![CDATA[<p>Thanks so much for this clear explanation of the term &#8216;dual diagnosis&#8217;.  I found it very helpful.</p>
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		<title>By: Karen</title>
		<link>http://www.breakingthecycles.com/blog/2008/08/25/so-what-is-a-dual-diagnosis/comment-page-1/#comment-22</link>
		<dc:creator>Karen</dc:creator>
		<pubDate>Sat, 30 Aug 2008 05:18:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.breakingthecycles.com/blog/?p=66#comment-22</guid>
		<description>I was so glad to find information regarding dual diagnosis - alcohol and bi-polar.  I have a family member who now I can put together the manic times he over used alcohol to calm down (self medicate) his racing mind.  I found your information to be very helpful in determining why, the insanity increased and he was angry and resentful about confronting the problem.  Well, it turned out to be two problems - a dual diagnosis.  The doctors put him on lithium for the bi-polar, but it did nothing because he would binge drink.  It wasn&#039;t until many horrible encounters, legal and hospitalizations, that the alcohol was addressed.  Luckly, he agreed to go to AA and has been sobor for a year and a half.  This in turn has made the lithium work very well to combat his bi-polar symptoms.  Thank you for such valid and resourceful information on the topic.</description>
		<content:encoded><![CDATA[<p>I was so glad to find information regarding dual diagnosis &#8211; alcohol and bi-polar.  I have a family member who now I can put together the manic times he over used alcohol to calm down (self medicate) his racing mind.  I found your information to be very helpful in determining why, the insanity increased and he was angry and resentful about confronting the problem.  Well, it turned out to be two problems &#8211; a dual diagnosis.  The doctors put him on lithium for the bi-polar, but it did nothing because he would binge drink.  It wasn&#8217;t until many horrible encounters, legal and hospitalizations, that the alcohol was addressed.  Luckly, he agreed to go to AA and has been sobor for a year and a half.  This in turn has made the lithium work very well to combat his bi-polar symptoms.  Thank you for such valid and resourceful information on the topic.</p>
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