Dual-Diagnosis (Co-Occurring Outpatient)

Mental health disorders and substance use disorder (SUD) are two groups of conditions that affect every aspect of a person’s life, such as the workplace, the home, and school. These conditions often co-occur, meaning that a person has both a mental disturbance and a drug or alcohol problem. The relationship between them is bidirectional; either one can cause the other.

At 449 Recovery, we help individuals recover from both conditions in our dual-diagnosis program. This ensures that underlying issues are resolved or managed so clients can rid themselves of maladaptive behaviors for good.

Why Do People Abuse Substances?

Some people believe that those who use a lot of drugs or alcohol are inherently bad or have no interest in living differently. They may see them as untrustworthy or dangerous, and develop stigmatizing beliefs about them. These beliefs often fail to acknowledge the disease of addiction, as well as the possibility of an underlying mental illness. A person may become addicted more easily than others by the way some mental disorders alter brain structure and function.

At 499 Recovery, we understand that a person may get hooked on substances for reasons that make a lot of sense but are painful to discuss and even admit to themselves. It takes compassion and patience to understand how a person can end up in such a difficult position.

The Trials and Tribulations of Life

There are common struggles faced by most people at some point in their life, such as:

  • Severe stress
  • Great uncertainty
  • Life transitions
  • Personal insecurities
  • Interpersonal conflicts
  • Natural disasters
  • Poverty or financial stress
  • Loss of a loved one
  • Unhealthy relationships or work environment

These issues and their wounds can last for many months or even years, fostering emotional and physical tension. Without healthy coping mechanisms and a strong sense of self, maladaptive behaviors like substance abuse may take hold.

Learning to Cope in Childhood

To be sure, life is not an easy endeavor.

That is why learning how to deal with uncertainty and conflict in early childhood is so important. Some adults were never taught how to restore a sense of calm and clarity in times of distress. They were not given the tools to develop the self-confidence and self-reassurance that they can make it through whatever life throws at them.

Re-building these essential life skills is an important part of what we help our clients do in treatment for dual diagnosis so they no longer have the urge to use substances when faced with pressure.

Pre-existing Mental Health Disorders

Some individuals have a pre-existing mental health disorder that makes it more difficult to manage these types of situations. Working through one’s daily routine and effectively responding to minor disruptions may take significant effort.

Mental health disorders can also be triggered by adverse life experiences like neglect, abuse, and trauma. No one knows what causes mental health conditions exactly, but researchers point to the following impacts:

  • Social
  • Genetic
  • Medical
  • Biological
  • Emotional
  • Environmental

449 Recovery Treats Mental Health Disorders

With these things in mind, 449 Recovery takes a strong position that deep-seated issues must be addressed for a person to function effectively and avoid harmful behaviors in the long run.

We treat disorders that affect a person’s mental and emotional health, as well as those that cause intra-and interpersonal conflicts, such as:

  • Attention-deficit/hyperactivity disorder (ADHD)
  • Bipolar disorder
  • Anxiety disorders
  • Schizoaffective disorder
  • Major depressive disorder
  • Histrionic personality disorder
  • Borderline personality disorder (BPD)
  • Obsessive-compulsive disorder (OCD)
  • Dependent personality disorder
  • Post-traumatic stress disorder (PTSD)
  • Dissosciative personality disorder

How Can Dual-Diagnosis Help?

About half of individuals diagnosed with a mental health disorder also have SUD and vice versa. A person’s mental state and physical dependence can be worsened as the two conditions reinforce each other. This can make treatment more complicated.

Nevertheless, these conditions can be treated effectively with clinical excellence and client commitment. 449 Recovery offers a dual-diagnosis program specially designed to help clients with co-occurring disorders.

What to Expect in Dual Diagnosis Treatment

Dual diagnosis treatment at 499 Recovery is an integrated approach to improving a client’s physical, emotional, mental, and spiritual health. Although every person is different, the following elements are a part of a general framework for treatment:

  • Detox: SUD, particularly opioid and alcohol addiction, requires detoxification in a safe environment supervised by medical professionals. We review each client on a case-by-case basis to provide guidance and refer out for detox and stabilization for 3-7 days if needed.
  • Medication management: We provide (non-narcotic) medication-assisted treatment such as Vivitrol, Naltrexone, and Sublocade, as well as mood-stabilizing medications for conditions like depression, anxiety, and sleep.
  • Case management: Each client is provided a case manager to help them plan for the future by locating key resources that will support them after primary treatment.
  • Level of care: Clients have two options for their level of care. Clients attend intensive outpatient programming for a few days per week and a few hours per day. Alternatively, clients can choose partial hospitalization, which requires participation about five days per week and at least four hours per day.
  • Clinical therapies: Our therapies are led by well-educated and experienced clinicians, counselors, and therapists. We offer traditional psychotherapies and experiential modalities to cover the mind-body-spirit continuum:
    • Art therapy
    • Psychotherapy
    • Drama therapy
    • Activity therapy
    • Relapse prevention
    • Anger management
    • Motivational interviewing
    • Cognitive-behavioral therapy (CBT)
    • Dialectical behavior therapy (DBT)
    • Exposure and response prevention
    • Mindfulness-based stress reduction
    • Acceptance and commitment therapy (ACT)
    • Eye movement desensitization reprocessing (EMDR)
  • Holistic approaches: Our holistic modalities aim to reconnect the mind and body to promote better self-awareness of one’s physical and spiritual self. These methods include yoga, meditation, and other mindfulness practices.
  • Social support: Recovery is limited without a strong support system of peers. We largely operate by the philosophies of the Twelve Steps and encourage 12-Step orientation groups. However, we also offer a mix of support groups, such as:
    • Process groups
    • Vocational groups
    • Spirituality groups
    • Experiential groups
    • Trauma-focused groups

449 Recovery is located in Mission Viejo, CA. Our dual-diagnosis treatment program was created to help our clients get back into the swing of life sober and at an improved level of functioning. We work hard to facilitate a compassionate and supportive environment that prioritizes healing and fun. Through our program, we hope clients will come to discover how rewarding sobriety can be when they are mentally and emotionally safe.

449 Recovery is a mental health treatment center for those using drugs or alcohol to cope with issues. Call us at (949) 435-7449 today to learn more.