Last Updated:

January 8th, 2025

Dual Diagnosis | What Are They and How Are They Treated?

A dual diagnosis means having both a mental health disorder and a substance use disorder at the same time. This can make treatment more complex, as both issues interact and influence each other. As a singular example, someone might struggle with depression and alcohol addiction, but many other combinations can occur. Treating dual diagnosis requires a comprehensive approach that addresses both conditions simultaneously, ensuring that the individual receives the necessary support for their mental health and substance use challenges.

What are the most common types of dual diagnoses?

As we mentioned, there are many different combinations of mental health issues alongside addiction, but below, we take a look at some of the most common occurrences. If you’d like to learn more about each type of dual diagnosis, click the link below to take you to your page of interest:

ADHD and Addiction

ADHD can lead to impulsive behaviour and difficulties in focusing, which might cause individuals to turn to substances as a way to self-medicate and manage symptoms. This reliance on substances can quickly escalate into addiction, complicating their mental health challenges further. Click on the button below to learn more.
ADHD and Addiction

Anger Management and Addiction

Struggling with anger management often leads individuals to use substances as a coping mechanism to calm their emotions. This can create a cycle where the substances exacerbate anger issues. Click below to learn more.
Anger Management and Addiction

Anxiety and Addiction

Anxiety disorders can drive individuals to use drugs or alcohol to manage their overwhelming feelings. This temporary relief can lead to dependency, as the underlying anxiety remains untreated, perpetuating a cycle of increased substance use and addiction. Click on the button below if you are interested in learning more.
Anxiety and Addiction

Autism and Addiction

Individuals with autism may turn to substances to cope with social challenges and sensory overloads. This can lead to addiction, as they become reliant on drugs or alcohol to manage their unique stressors and sensory experiences. Click the button below to learn more.
Autism and Addiction

BDD and Addiction

Body Dysmorphic Disorder (BDD) causes individuals to obsess over perceived flaws, often leading to substance use to alleviate distress. This reliance on substances can spiral into addiction, as the underlying insecurities and obsessive behaviours remain unaddressed.
BDD and Addiction

Bipolar and Addiction

Bipolar disorder involves extreme mood swings, which can lead individuals to self-medicate with substances to manage their highs and lows. This can quickly turn into addiction, as substance use exacerbates mood instability and overall mental health.

Bipolar and Addiction

Borderline Personality Disorder and Addiction

BPD often includes intense emotional pain and instability. Individuals may use substances to cope with these feelings, which can lead to a destructive cycle of addiction, further aggravating their emotional and mental health challenges.

Borderline Personality Disorder and Addiction

Codependency and Addiction

Codependency involves excessive emotional reliance on others, which can lead to using substances to cope with relationship stress. This behaviour can result in addiction, as individuals become dependent on substances to manage their emotional needs. Click the button to learn more.

Codependency and Addiction

Depression and Addiction

Depression can drive individuals to use substances to escape feelings of sadness and hopelessness. This self-medication can quickly turn into an addiction, as the temporary relief provided by substances masks the underlying depression, leading to increased use.

Depression and Addiction

Grief and Addiction

Grief from loss can lead individuals to seek solace in substances to numb emotional pain. This coping mechanism can escalate into addiction as the unresolved grief continues to fuel substance use, creating a harmful cycle. Click the button to learn more.

Grief and Addiction

Insomnia and Addiction

Insomnia can cause individuals to use substances to induce sleep or manage fatigue. Over time, this can lead to dependency and addiction, as the reliance on substances disrupts natural sleep patterns and overall health. Click the button below to learn more.
Insomnia and Addiction

OCD and Addiction

Obsessive-Compulsive Disorder (OCD) can drive individuals to use substances to manage their compulsive thoughts and behaviours. This temporary escape can lead to addiction, as the underlying OCD remains untreated, perpetuating a cycle of increased substance use.
OCD and Addiction

PTSD and Addiction

Post-Traumatic Stress Disorder (PTSD) often leads individuals to use substances to cope with flashbacks and anxiety. This self-medication can turn into addiction, as the substances provide temporary relief but fail to address the root trauma. If you would like to learn more, click on the button provided below.
PTSD and Addiction

Schizophrenia and Addiction

Schizophrenia can cause individuals to use substances to manage symptoms like hallucinations and delusions. This can result in addiction, as the substances offer temporary relief but worsen the overall mental health condition over time.

Schizophrenia and Addiction

Self-Harm and Addiction

Self-harm often stems from emotional distress, leading individuals to use substances to numb pain. This behaviour can escalate into addiction, as the substances provide a temporary escape from emotional turmoil but exacerbate the overall issue. Click the button below if you would like to learn more.
Self-Harm and Addiction

Stress and Addiction

Chronic stress can lead individuals to use substances to relax or cope with pressure. This reliance can quickly develop into an addiction, as the temporary relief provided by substances masks the underlying stress, leading to increased use.

Stress and Addiction

Suicide and Addiction

Suicidal thoughts often arise from deep despair and can lead individuals to use substances as a coping mechanism. This dangerous cycle can result in addiction, as substance use exacerbates feelings of hopelessness and increases suicidal ideation.
Suicide and Addiction

What causes mental health issues and addiction to occur so often?

As we can see from the many instances of mental health and addiction issues mentioned above, pinpointing a single cause is nearly impossible. This complexity arises from the numerous variables and factors that must be considered when assessing each unique situation. However, certain common factors often play a role in determining the cause.

Certain risk factors can lead to both addiction and mental health issues, such as genetic predisposition, trauma and environmental stressors. If someone has a family history of mental illness or addiction, they are more likely to face one or both of these challenges.

Similarly, traumatic experiences like childhood abuse or significant life stressors can cause mental health problems and lead to substance use as a way to cope.

Many people with mental health disorders turn to substances for self-medication. For instance, someone with anxiety might use alcohol to calm their nerves, or someone struggling with depression might use drugs to feel a temporary sense of relief. While this might offer short-term comfort, it often makes the underlying mental health issue worse and can lead to dependency on the substance.

It’s also well-documented that addiction to substances could cause mental health problems. Substance abuse can change brain chemistry and function, sometimes triggering mental health issues in individuals who didn’t have them before. For example, prolonged use of stimulants can lead to anxiety disorders and chronic alcohol abuse can result in depression.

How are dual diagnoses treated?

Treating mental health issues alone can often be managed in an outpatient setting with medications, therapy and regular check-ups. However, when addiction is also present, the situation becomes more complex. Addiction treatment usually requires an inpatient setting, and this need becomes even greater when combined with a mental health issue.

Managing co-occurring disorders on your own is not recommended, as self-help strategies are typically ineffective for long-term recovery. Dual-diagnosis issues are complex and require a thorough understanding of both addiction and mental health disorders. Seeking professional help is crucial for effectively navigating this challenging journey.

How is a dual diagnosis treated at Linwood House?

At Linwood House, we understand that dual diagnoses require a nuanced approach, and our extensive experience in this field ensures compassionate and effective care. Our dedicated team is well-versed in addressing both mental health disorders and substance abuse issues simultaneously, providing a supportive environment where healing and recovery can flourish.

Initial assessment

At Linwood House, your journey begins with a thorough initial assessment. This step helps us understand your unique needs, considering both your mental health conditions and substance use. By gathering comprehensive information, we can create a personalised treatment plan that addresses all aspects of your dual diagnosis.

Detox

During the detox stage, our priority is your safety and comfort. Our medical team closely monitors you to manage the physical withdrawal symptoms associated with substance use. This process clears your body of harmful substances, laying the foundation for the therapeutic work ahead.

Therapies

We offer a range of therapies tailored to address both your addiction and mental health issues:

Dialectical Behaviour Therapy (DBT): Focuses on developing coping skills and emotional regulation to help you manage stress and cravings.
Group Counselling: Provides a supportive community where you can share experiences and gain insights from others facing similar challenges.
One-on-One Counselling: Offers personalised support, allowing you to work through specific issues in a confidential setting.
Holistic Therapies (Art, Yoga): These therapies promote overall well-being, reduce stress and provide healthy outlets for your emotions, supporting your recovery from both addiction and mental health disorders.

Aftercare

Aftercare is a crucial component of your long-term recovery. At Linwood House, we provide continuous support and resources to help you maintain your progress after leaving our facility. Our aftercare programmes include ongoing counselling, support groups and relapse prevention strategies, ensuring you have the tools you need to sustain your recovery journey.

What’s next?

If you or a loved one is struggling with a dual diagnosis, don’t wait to seek help. Contact Linwood House today to learn more about our comprehensive rehab programmes. Our compassionate and experienced team is ready to support you every step of the way on your journey to recovery. Take the first step towards a healthier, happier life by reaching out now.

Frequently asked questions

Is it possible to treat both aspects of a dual diagnosis simultaneously?

Yes, it is possible and often recommended to treat both addiction and mental health issues simultaneously. This integrated approach helps address the interconnected nature of both conditions, leading to more effective recovery outcomes.

Does a dual diagnosis go by any other terms?

Yes, a dual diagnosis is also referred to as co-occurring disorders or comorbid disorders, highlighting the presence of both a mental health disorder and substance use disorder in an individual.

Does UKAT have any facilities that provide specialised mental health treatment?

All UKAT rehab centres address co-occurring mental health issues alongside addiction. However, our UKAT London Clinic stands out as a specialised mental health facility dedicated to ensuring that all mental health concerns are thoroughly addressed.

(Click here to see works cited)

Genes and Addiction, learn.genetics.utah.edu/content/addiction/genes. Accessed 18 June 2024.
Khoury L, Tang YL, Bradley B, Cubells JF, Ressler KJ. Substance use, childhood traumatic experience and Posttraumatic Stress Disorder in an urban civilian population. Depress Anxiety. 2010 Dec;27(12):1077-86. doi: 10.1002/da.20751. PMID: 21049532; PMCID: PMC3051362.
Harris KM, Edlund MJ. Self-medication of mental health problems: new evidence from a national survey. Health Serv Res. 2005 Feb;40(1):117-34. doi: 10.1111/j.1475-6773.2005.00345.x. PMID: 15663705; PMCID: PMC1361129.
Revadigar N, Gupta V. Substance-Induced Mood Disorders. [Updated 2022 Nov 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555887/