Mental illness is a frequent partner of substance abuse and addiction, although the cause-and-effect between the two isn’t always clear. However, the issue is a prevalent one that needs to be considered anytime treatment is sought for substance abuse, because diagnosing both correctly is a key component to a healthy recovery process. There are a number of different types of mental illnesses that are often seen in combination with substance abuse and addiction.
In this brief overview of Dialectical Behavioral Therapy (DBT), we are illustrating the efficacy of DBT for the treatment of patients with suicidal behavior, bipolar disorder, and borderline personality disorder. DBT has been shown to reduce severe dysfunctional behaviors in clients. DBT uses validation has a tool to the client accept unpleasant thoughts and feelings rather than react to them in a dysfunctional way. Simply put, dialectical means that two ideas can be true at the same time. Validation is the action of telling someone that what they see, feel, think or experience is real, logical and understandable. It’s important to remember that validation is non-judgmental and doesn’t mean you agree or even approve of the behavior you are validating.
Self-care is one of the most important things we learn to do in recovery. When we drink and use, or when we suffer from mental illness, we look for outside sources to self-soothe. Our internal resources are often verboten to us; they are either non-existent or significantly unsafe. The recovery process helps us cultivate that inner resource, where we become able to self-soothe, and take care of our own needs without sacrificing our well-being.
I’m pleased to share a guest post from one of our Alumni, bravely sharing about her experience as a bipolar teen in recovery. She is not only inspiring and courageous, her post is a testament to the clarity and hope willingness and recovery brings.
“I’m 17, Bipolar and in Recovery”
How old are you when you are in the 5th grade? Ten, maybe 11 years old? I was probably closer to 11 given that I was held back in preschool. Now, who exactly gets held back in preschool? I didn’t really pay it any mind when I was in preschool, yet I still struggle with the shame of having repeated a grade so early on in my education. I remember feeling extremely uncomfortable in the 3rd grade for having to be pulled out of class to learn to read in a private room with Mrs. A, the learning specialist teacher. Learning to read had come so easily to my older sister, C; it was not the same case for me.
On Friday, September 28, we had the honor of co-hosting a Behavioral Health Educational Seminar, addressing Treatment Resistant Mood Disorders, and BiPolar Disorders. We co-hosted the seminar with Austen Riggs and PCH Treatment at the beautiful Victorian in Santa Monica, California.
Eric Plakun, MD, DFAPA, FACPsych and Director of Admissions and Public Relations at Austen Riggs Center spoke about A Psychodynamic Approach to Treatment Resistant Mood Disorders.
Sometimes someone comes into contact with treatment because their drug use got out of control only to discover their problem isn’t actually addiction, but rather, an untreated mental health issue. Often times the misuse of drugs and alcohol is an ardent attempt to quell the feelings of anxiety or lift the fog of depression. Sometimes it’s a way to disengage from the flashbacks of trauma. Sometimes it’s a way to close the door on a panic attack. However, many times, these modes of self-treatment go too far, and the claws of addiction sink in, creating another layer to uncover and treat. Still, once the addiction piece of the puzzle is treated, therein lies the deeper, more complicated issue of mental illness. What then?
- Genes, because the illness runs in families. Children with a parent or sibling with bipolar disorder are more likely to get the illness than other children.
- Abnormal brain structure and brain function.
- Anxiety disorders. Children with anxiety disorders are more likely to develop bipolar disorder.
These mood episodes can last a week or even two and are heavy in their intensity. NIMHhas provided a listof symptoms from the two phases of bipolar disorder. Keep in mind, these symptoms are determined by their intensity and are not to be confused with the natural ups and downs of childhood emotional development.