Co-Occurring Disorders

What Are Mental Health Disorders?

The phrases “mental illness,” “mental health disorder” and “mental health issue” are often used synonymously. In its diagnostics manual, the American Psychiatric Association uses the term mental disorder to define mental illnesses, but the organization also recommends using the term mental health challenge. The American Psychiatric Association defines a mental disorder as: “a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation or behavior that reflects a dysfunction in the psychological, biological or developmental processes underlying mental functioning.” Some mental disorders are more common than others. Conditions such as anxiety and depressive disorders, for example, occur more frequently than schizophrenia and psychosis. Each type of mental disorder can range in severity from mild to severe.

Developmental Disorders

Mental disorders are different from developmental disabilities. Developmental disorders, such as autism spectrum disorder and learning disabilities, impair social interaction, mobility, language and self-sufficiency. Substance use disorders and other mental health disorders can co-occur alongside developmental disorders. But the term co-occurring disorder most commonly refers to substance use disorders and mental disorders.

Dual Diagnosis & Comorbidity

Dual diagnosis is an outdated term for co-occurring disorders. Both of these terms are sometimes confused with comorbid disorders. Comorbidity is a broad term used to denote the existence of multiple physical or mental diseases or disorders. Co-occurring disorders and dual diagnosis are specific to substance use disorders and other mental health conditions.

Mental Disorders that Co-Occur with Substance Abuse

Any mental health disorder can co-occur alongside substance use disorders. The most common types of co-occurring disorders include mood, anxiety, psychotic, eating, personality and behavioral disorders. Each category includes numerous types of mental disorders that can range in severity.

Symptoms of Co-Occurring Disorders

The physical and emotional symptoms of co-occurring disorders vary depending on your life circumstances, the type of substances you use and the type of mental illness you possess. The symptoms of mental health disorders are similar to the side effects of addiction. Thus, it can be difficult to determine whether a mental illness is caused by substance abuse or vice versa. Reputable addiction treatment centers screen patients for mental illnesses and develop plans for treating co-occurring disorders simultaneously.

Why Substance Use and Other Mental Disorders Co-Occur

Mental health disorders increase a person’s risk of using drugs or drinking alcohol. Substance abuse also increases the risk of developing a mental illness. However, it’s difficult to prove that one causes the onset of the other. Scientists are still studying the brain to determine how mental disorders develop, but they have several theories.

“If someone drinks or uses drugs or alcohol heavily, they’re more likely to have mood problems as a result of the substance use.”

“There are likely to be direct links between substance use and the mental health problem,” Mark Ilgen, a psychologist and researcher at the University of Michigan, told DrugRehab.com. “If someone drinks or uses drugs or alcohol heavily, they’re more likely to have mood problems as a result of the substance use. In many cases, they’re more likely to cope with those problems by using other substances. So it’s a cyclical process.” In addition to self-medication, there are several reasons people with mental illnesses are more likely to develop substance use disorders. “A lot of the risk factors for drug and alcohol problems are shared with the risk factors for mental health problems,” Ilgen said. “You may have the same set of genes underlying the psychiatric and substance-related disorders. Even if one disorder isn’t directly feeding the other, you’re more likely to have both together.” Some otherwise healthy individuals develop mental health problems after abusing alcohol or other drugs. For example, alcohol can cause major depression. Long-term meth use can cause anxiety, paranoia and hallucinations. Drugs can also cause earlier onset of mental illness. For example, people with genetic risk factors for schizophrenia often develop symptoms of the mental illness earlier in life if they regularly smoke weed. In some situations, abstaining from alcohol or drug use can mitigate mental health issues. However, some substances can cause long-lasting or permanent damage, and treatment is necessary to help people cope with the symptoms of mental illness.

Stigma and Other Issues Involving Co-Occurring Disorders

Stigma is the greatest barrier to helping individuals with mental illness. Many people mistakenly think that people with mental illness are dangerous or that people with substance use disorders have a moral failing. In fact, the majority of people with mental illness pose no threat to others. And regardless of moral beliefs, addiction is a disease that impairs a person’s health, social function and ability to control substance use. Source: Substance Abuse and Mental Health Services Administration This misunderstanding causes feelings of shame and fear among people with co-occurring disorders. Many people isolate themselves to avoid embarrassment, or they deny that they need mental health treatment. Stigma in our society also prevents people in need from receiving help. Cultural rejection can prevent individuals with addiction from finding work, maintaining stable housing and providing for themselves. Learn more about stigma

The Criminal Justice System

The vast majority of inmates in the federal prison system have been convicted of drug-related offenses, and the criminal justice system in the United States is one of the biggest sources of addiction treatment referrals in the country. According to a 2017 report by the Bureau of Justice Statistics, a 2011–2012 national survey found that more than a third of prisoners and nearly half of jail inmates in the United States had a history of mental illness. A separate report found that 59 percent of state prisoners and 63 percent of sentenced jail inmates met the criteria for drug dependence or abuse from 2007 to 2009. Some criminal justice programs, such as drug courts, are trying to end the cycle of recidivism by providing alternatives to incarceration. Learn more about court-ordered treatment

Homelessness

Homeless people often have co-occurring disorders and limited or no access to health care. They may not know that they have a mental illness, and they may have a history of legal issues that makes it impossible to hold a job. More than 200,000 people who had a substance use disorder or a severe mental illness experienced homelessness in 2016, according to the Substance Abuse and Mental Health Services Administration. Learn more about substance abuse and homelessness

Veterans

Approximately 50 percent of veterans who need mental health treatment seek it, and slightly more than half of those who do receive treatment get adequate care, according to the Substance Abuse and Mental Health Services Administration. An estimated 70 percent of homeless veterans also have a substance use disorder. Some veterans choose not to seek treatment because they don’t want to be treated differently by peers, and many Veterans Affairs clinics have been plagued with long wait times. Learn more about substance abuse and veterans

Recognizing and Recovering from Co-Occurring Disorders

Since the 1980s, the medical community has recognized that co-occurring disorders require specialized treatment. Over the years, the experts in the medical community have used several different terms to describe individuals with co-occurring disorders. In recent years, experts have attempted to standardize the term co-occurring disorders to avoid confusion between individuals with developmental disorders and those with mental health disorders. The Substance Abuse and Mental Health Services Administration generally uses the term co-occurring disorders to refer to substance use disorders and mental disorders.