By Sonia Tagliareni of DrugRehab.com
#Fearless Family Writer
Mental illness and substance use disorders go hand in hand. People struggling with drug use disorders are twice as likely as the general population to struggle with mood and anxiety disorders, according to the National Institute on Drug Abuse.
The 2014 National Survey on Drug Use and Health reported that 7.9 million Americans suffered from a co-occurring mental illness and substance use disorder. People suffering from depression, anxiety disorders, schizophrenia and personality disorders are more likely to experience addiction, according to MentalHealth.gov.
Substance use disorders and mental health disorders share similar risk factors, including:
- Genetic risk factors that make a person vulnerable to substance use and mental health disorders
- Environmental risk factors, such as stress, trauma and early exposure to drugs
They also have similar traits, such as:
- The ability to change similar parts of the brain
- The ability to disrupt development, especially during early childhood
People who use drugs may experience symptoms of mental illness. For example, people who abuse marijuana are at an increased risk of psychosis, according to NIDA. Similarly, people suffering from mental illnesses may resort to drugs to self-medicate, which may lead to a substance use disorder.
According to a 2005 study published in the Health Services Research journal, 51 percent of Americans with a substance use disorder also had a mental disorder during their lifetime. The mental health disorders often developed first. Researchers explained that individuals suffering from mental illness were likely to use psychoactive drugs to self-medicate their symptoms.
The study found that 72 percent of participants wanted to treat their disorders on their own, and 60 percent thought that their problem would solve itself. Other barriers to treatment included a negative perception of treatment effectiveness, financial constraints, uncertainty about where to receive treatment and the inconvenience of treatment.
“Correct diagnosis is critical to ensuring appropriate and effective treatment,” Dr. Nora D. Volkow, director of NIDA, wrote in a blog.
According to the National Survey of Substance Abuse Treatment Services, 45 percent of individuals in the United States requiring substance abuse treatment also have a co-occurring mental disorder.
The Substance Abuse and Mental Health Services Administration recommends several ways to increase the effectiveness of treatment for co-occurring disorders. These include:
- Staged interventions, where the client progresses through treatment stages
- Assertive outreach, where programs ensure that clients have access to treatment services
- Motivational interventions, where therapists inspire the client to want a better life
- Counseling, where the client attends family, group or individual sessions to help them cope with their disorders and work toward recovery
Because of high comorbidity rates between substance use disorders and mental illness, NIDA suggests that individuals looking for treatment for either condition be tested for both. Tailoring behavioral therapies to a person’s specific needs increases the effectiveness of treatment for co-occurring disorders.
Sonia Tagliareni is a writer and researcher for DrugRehab.com, an online resource that provides information about addiction and treatment. She is passionate about helping people. She started her professional writing career in 2012 and has since written for the finance, engineering, lifestyle and entertainment industries.
Harris, K.M. & Edlund, M.J. (2005, February). Self-Medication of Mental Health Problems: New Evidence from a National Survey. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1361129/
MentalHealth.gov. (n.d.). Mental Health and Substance Use Disorders. Retrieved from https://www.mentalhealth.gov/what-to-look-for/substance-abuse/
National Institute on Drug Abuse. (2010, September). Why Do Drug Use Disorders Often Co-occur with Other Mental Illnesses? Retrieved from https://www.drugabuse.gov/publications/research-reports/comorbidity-addiction-other-mental-illnesses/why-do-drug-use-disorders-often-co-occur-other-men
National Institute on Drug Abuse. (2011, March). Comorbidity: Addiction and Other Mental Disorders. Retrieved from https://www.drugabuse.gov/publications/drugfacts/comorbidity-addiction-other-mental-disorders
Substance Abuse and Mental Health Services Administration. (2009). Integrated Treatment for Co-Occurring Disorders. Retrieved from http://store.samhsa.gov/shin/content//SMA08-4367/TheEvidence-ITC.pdf
Substance Abuse and Mental Health Services Administration. (2016, March 8). Mental and Substance Use Disorders. Retrieved from https://www.samhsa.gov/disorders
Substance Abuse and Mental Health Services Administration. (2017, April 9). Behavioral Health Treatments and Services. Retrieved from https://www.samhsa.gov/treatment#co-occurring
Thank you to Sonia & DrugRehab for sharing this incredibly informative story!
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