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Mental Health| NJ Recovery Solutions
Mental Health & Wellness in New Jersey

What to Know About Dual Diagnosis

Dealing with addiction is hard enough, but it can be even more challenging when paired with a mental health disorder like depression or anxiety. When someone is facing these issues at the same time, it’s called a dual diagnosis. This means they are struggling with both substance use and a mental health condition. Unfortunately, these problems often feed off each other, making both worse. Fortunately, recovery is possible with the right treatment. 

Understanding how dual diagnosis works is the first step toward getting help. This page explores this condition, examines how it affects people, and shows how specialized dual diagnosis treatment can make all the difference.

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What is Dual Diagnosis?

Dual diagnosis means that someone has a mental health condition and a substance use disorder at the same time. These disorders can include conditions like depression, anxiety, PTSD, or bipolar disorder combined with addiction to alcohol, drugs, or other substances. It’s more common than people realize, as many people with mental health struggles turn to substances as a way to cope with their symptoms. Unfortunately, this often creates a harmful cycle where the addiction worsens the mental health issue, and the mental health issue fuels the addiction. 

Dual diagnosis can happen with many different combinations of mental health and substance use disorders, which makes treatment more complex. Each disorder affects the other, and both can worsen over time when left untreated. This is why it’s so important to treat both conditions simultaneously. Ignoring one problem can make recovery from the other much harder. 

Because the symptoms of mental health disorders and substance use overlap, it can be difficult to figure out what came first. However, treatment involves managing both conditions to help people recover fully rather than worrying about which disorder caused the other.

The Overlap of Addiction & Mental Health

Addiction and mental health disorders often go hand in hand, and this overlap can make it challenging to figure out where one problem ends and the other begins. Many people who struggle with mental health issues like anxiety, depression, or PTSD may use drugs or alcohol to try to manage their feelings. This is called self-medicating. While it may offer temporary relief, it usually leads to more problems in the long run. 

Substance abuse can also change the way the brain works, sometimes leading to or worsening mental health disorders. For example, someone who frequently uses alcohol might start to feel more depressed or anxious when they’re not drinking. Similarly, drugs like meth or marijuana may trigger psychotic reactions or make pre-existing conditions like paranoia or anxiety much worse. This constant back-and-forth between mental health struggles and substance use creates a vicious cycle that’s difficult to break. 

Another reason addiction and mental health overlap is that they often share common risk factors. These can include genetics, environmental stress, trauma, or even changes in brain chemistry. People with a family history of mental illness or addiction are more likely to experience one or both of these issues. Additionally, experiences like childhood trauma or high-stress environments can increase the likelihood of both addiction and mental health disorders. 

When both conditions are addressed together, the chances of recovery are much better. Instead of treating just the addiction or just the mental health disorder, dual diagnosis treatment focuses on both, helping to break the cycle and lead to long-term recovery.

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Conditions We Treat

Depression | NJ Recovery Solutions

Depression

Anxiety

Anxiety

Bipolar

Bipolar

PTSD

PTSD

ADD/ADHD

ADD/ADHD

Common Dual Diagnoses

Dual diagnosis refers to having both a mental health disorder and a substance use disorder at the same time. While many different combinations are possible, some are more common than others. People often struggle with mental health conditions like depression, anxiety, or PTSD while also battling addiction to alcohol, drugs, or other substances. These pairings can make treatment more complicated because both issues feed into each other.

Depression & Addiction

Depression and addiction often go hand in hand. Many people who suffer from depression turn to alcohol or drugs as a way to escape their sadness or numb their emotional pain. While substances might offer temporary relief, they usually end up making the depression worse. This is because alcohol and many drugs are CNS depressants, which means they can slow down brain function and make someone feel even more down. 

Addiction can also cause depression. People who are addicted to drugs or alcohol may feel trapped in their addiction, ashamed of their behavior, or hopeless about the future. This sense of helplessness can lead to depression, creating a vicious cycle that’s hard to break. As the person continues to use substances, they may isolate themselves from family and friends, which can worsen their depression. 

Treating depression and addiction together is helpful because when one condition is left untreated, the other can become worse. In dual diagnosis treatment, therapists focus on helping people learn healthier ways to manage their depression while also addressing the root causes of their addiction. CBT, medication, and support groups are often used to help people with both disorders find recovery.

Trauma/PTSD & Addiction

Trauma and PTSD are strongly linked to addiction. People who have experienced trauma – whether from childhood abuse, a serious accident, or military combat – are more likely to turn to drugs or alcohol as a way to cope with the memories and emotions tied to that trauma. PTSD, in particular, can be overwhelming, with symptoms like flashbacks, nightmares, and constant feelings of anxiety or fear. To escape these intense feelings, many people start using substances to feel better, even if it’s just for a short time. 

That said, this kind of self-medication can quickly lead to addiction. The substances may offer relief, but only temporarily, and they often worsen the person’s mental state over time. Alcohol, for example, can interfere with sleep and increase feelings of fear or sadness, making PTSD symptoms more intense. Drugs like opioids or marijuana might numb the pain but can make it harder for someone to process their trauma healthily. 

In dual diagnosis treatment, people with PTSD and addiction receive specialized care to help them process their trauma without relying on substances. Therapy is a big part of this process, particularly trauma-focused CBT or EMDR (eye movement desensitization and reprocessing), which helps people work through their traumatic memories in a safe environment. By addressing both PTSD and addiction at the same time, people are more likely to find long-term healing.

Anxiety & Addiction

Anxiety disorders and addiction are another common dual diagnosis. Anxiety can come in many forms, from GAD (generalized anxiety disorder), which causes constant worry, to panic disorder, which can lead to sudden, intense feelings of fear. People with anxiety often feel overwhelmed by their thoughts and emotions, so they may turn to substances like alcohol, marijuana, or prescription drugs like benzodiazepines to calm themselves down. 

While substances might provide short-term relief from anxiety, they usually make things worse in the long run. For example, alcohol may initially help someone relax, but over time, it can disrupt sleep, increase worry, and lead to dependence. Prescription drugs, such as benzodiazepines, are sometimes prescribed to treat anxiety, but they can be addictive if used improperly. When someone becomes dependent on these substances, their anxiety often worsens, especially during withdrawal. 

In dual diagnosis treatment, individuals with anxiety and addiction learn healthier coping mechanisms to manage their anxiety without turning to drugs or alcohol. Behavioral therapies like CBT are particularly helpful in teaching people how to challenge anxious thoughts and develop better responses to stress. Medications like antidepressants may also be used to help manage anxiety symptoms while the person works on recovery from addiction. 

Treating anxiety and addiction together is key to breaking the cycle. By addressing both conditions at the same time, individuals can regain control over their lives and reduce their reliance on substances as a coping tool.

Typical Mental Health Conditions We Treat

Paying for treatment

We Work With Most Major Insurance

Most major PPO & POS health plans help cover many of the costs associated with treatment at NJ Recovery Solutions. To find out your personal options for treatment, fill out our free insurance verification form. Our caring treatment coordinators will help you find the best treatment options that meet your personal needs in treatment. Don’t give up hope, recovery is possible.

How Dual Diagnosis Treatment Centers Can Help

Dual diagnosis treatment centers NJ specialize in helping people who are struggling with both mental health disorders and substance use issues. These centers understand that treating just one of these problems is not enough for lasting recovery. If someone only focuses on their addiction without addressing their mental health, their untreated depression, anxiety, or trauma could drive them back to using substances. Likewise, treating mental health without addressing the addiction often leads to relapse because the root cause of their substance use hasn’t been solved. 

In a dual diagnosis treatment facility, both issues are treated at the same time through a mix of therapies, medications, and support. Some of the ways dual diagnosis treatment facilities help include: 

  • Comprehensive assessment: The first step in any dual diagnosis treatment plan is figuring out exactly what mental health and substance use disorders someone is facing. This allows therapists and medical professionals to create a plan tailored to the individual’s specific needs.
  • Therapies that work for both conditions: Many dual diagnosis treatment centers offer therapies that address both mental health and addiction. CBT is one of the most effective treatments because it helps people understand how their thoughts, feelings, and behaviors are connected. By learning to challenge harmful thinking patterns, individuals can improve both their mental health and their ability to resist substance use. Other therapies, such as DBT (dialectical behavior therapy) or trauma-focused therapy, are also commonly used.
  • Medical support: For some people, medications are an important part of recovery. Whether someone needs antidepressants to manage depression or medications to help with detox and withdrawal, dual diagnosis treatment centers offer medical support to ensure that both the mental health and addiction aspects of care are addressed safely.
  • Support groups: Being surrounded by people who understand what you’re going through can make a huge difference in recovery. Dual diagnosis treatment centers often provide group therapy and peer support groups where individuals can connect with others who are also dealing with both mental health and addiction issues. This shared understanding helps build a community of support, which can help people maintain long-term recovery.
  • Aftercare planning: Recovery doesn’t end when someone leaves treatment. Dual diagnosis centers help people develop a plan for life after treatment, which might include ongoing therapy, support groups, or other forms of care. This is key for preventing relapse and ensuring continued progress in both mental health and sobriety. 

By offering integrated care, dual diagnosis treatment centers can break the cycle of addiction and mental health struggles. They provide a safe, structured environment where individuals can focus on healing their mind and body.

Your Mental Health matters

Dual Diagnosis Treatment at NJ Recovery Solutions

At NJ Recovery Solutions, we are committed to helping people heal from both addictions and mental health disorders. Our dual diagnosis program is designed to provide the care, support, and guidance needed for lasting recovery, helping individuals build a healthier, happier future. 

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