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Dual Diagnosis |
Very seldom do we see a straight-forward alcoholic. Very often the alcoholic suffers from another psychiatric disorder or the alcohol use is combined with the use of other drugs.
Depression
One of the most common links is the combination of alcoholism with depression. In some cases depression leads to the increased use of alcohol in an effort to self-medicate. But, in most cases, the depression is caused by alcohol abuse. This is because alcohol is a central nervous system depressant.
In all cases, once the body has become dependent on alcohol, the resultant alcoholism has to be treated first in order for the depression to be successfully managed. In other words, the alcoholic now has two major, life-threatening problems to deal with, depression and alcoholism. Even if the depression miraculously "went away" the affected person would still have to deal with their alcoholism.
This is why proper treatment is critical. An addiction aware psychiatrist has to be involved to determine whether to use medication, and when to withdraw this medication. While we aknowledge the role that medication plays, we also know that recovery goes much better if the alcoholic is off all medication and the brain is able to return to its proper functioning.
OTHER CONDITIONS
Other conditions that are associated with alcoholism are bipolar disorder, ADHD and ADD (Attention Deficit Hyperactive Disorder), personality disorders, eating disorders. And even schizophrenia. Medications are almost always needed and a skilful and addiction aware psychiatrist needs to be employed to achieve the correct balances.
Any addiction MUST be treated as a primary focus. There is no point in treating an indiviual if they are still drinking.
OTHER SUBSTANCE ABUSE
The rule of thumb is that the alcohol ic should be medically withdrawn from ALL mood altering substances at the same time as the alcohol. This must be done in a hospital setting under proper medical supervision.
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