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Written and reviewed by the clinical and leadership team at 449 Recovery, including licensed therapists and behavioral health professionals experienced in treating mental health and substance use disorders. Based in Mission Viejo, California, our team provides evidence-based, integrated outpatient care focused on long-term recovery, stability, and personalized treatment.

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A co-occurring disorder, formerly known as a dual diagnosis, is when a patient has two different health issues occurring at the same time.

It is often thought to be a mental illness and substance abuse disorder, but it can also refer to other combinations of conditions. One could experience a mental health illness and personality disorder to have a co-occurring disorder.

 

Signs of a co-occurring disorder

Signs or symptoms of a co-occurring disorder are different depending on what two illnesses are co-occurring. Someone struggling with substance abuse and schizophrenia will be different from someone who suffers from anxiety disorder and alcohol abuse disorder.

Most people with the co-occurring disorder will have the following in common:

 

    • Daily life, such as work or school, is a daily struggle, and typically, they fail to get the job done.
    • They shut down communications with others.
    • They usually have legal issues
    • Almost certainly have financial problems.
    • They lack control over their emotions.

Beyond those common symptoms, all other symptoms change depending on the two illnesses and if they seek professional treatment that includes medication.

 

Co-occurring disorder common or uncommon

A co-occurring disorder is more common than you might think. According to a study by the NIDA, roughly 8 million Americans suffer some form of a co-occurring disease (National Institute of Drug Abuse).

The problem is a co-occurring disorder is rarely discussed. Like all mental illnesses, it seems to have a negative connotation. In order to change that negativity, we need to discuss it more out in the open. It is an illness, not a choice. The more we educate the public about the illness, the more those that are struggling with the co-occurring disorder will feel that it is ok to seek treatment.

If you have a loved one with substance abuse and a mental health illness, 449 Recovery can help them. We treat co-occurring disorders. Speak to your loved one about seeking help. Contact 449 Recovery or call (855) 435-7449 to discuss the program and get the answers you need to help your loved one make an informed decision.

 

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Dr. Barek Sharif, LMFT

(Medical Reviewer)
Dr. Sharif is a Licensed Marriage and Family Therapist who joined 449 Recovery in 2020 and oversees clinical operations as the Chief Clinical Officer. He earned his B.A. in Psychology and M.S. in Clinical Psychology from Vanguard University and completed his Doctor of Psychology from California School of Professional Psychology. Since 2011, Dr. Sharif has been dedicated to helping individuals, couples, and families heal from co-occurring disorders, including mental health, relational, and substance use challenges. He has led workshops on family dynamics, attachment injuries, spirituality in sobriety, and the impact of trauma on relationships.

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