Dual diagnosis, having a mental health condition and a substance use disorder at the same time, is tricky to treat. Understanding this complex relationship is key to recovery. Trauma is often a big contributor to both, and affects brain function and behaviour. The neurobiology of addiction, particularly with dopamine, means we need to use special approaches. At Highlands Recovery, a centre of behavioural medicine, we create individualised treatment plans using evidence based modalities like Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR). In this article we will look at dual diagnosis and the full recovery programmes we offer to support you on your journey to long term wellness.
What is Dual Diagnosis?
Dual diagnosis means having a mental health condition like depression or anxiety and a substance use disorder like alcohol or drug addiction. Wherever these two conditions meet, treatment gets complicated because each condition can make the other worse. For example, someone with depression may turn to alcohol as a coping mechanism and substance use can lead to increased anxiety and other mental health issues. Understanding this duality is key to effective rehab because it requires a treatment that addresses both conditions at the same time.
At Highlands Recovery we know that treating dual diagnosis means understanding how these conditions work together. Our top-notch programmes focus on behavioural medicine combining psychological, biological and social factors to create individualised treatment plans. By addressing the root causes of both mental health and substance use disorders we can achieve long term recovery.
The Impact of Trauma on Dual Diagnosis
Trauma can be the trigger for mental health issues and substance misuse. The relationship between trauma and dual diagnosis is complex; trauma can lead to maladaptive coping mechanisms including substance use. Research shows people with post-traumatic stress disorder (PTSD) are at a much higher risk of developing a substance use disorder. This highlights the need to address trauma in any dual diagnosis treatment plan.
Looking at how trauma affects the brain is key to understanding why we need special treatment approaches. Trauma can deregulate the autonomic nervous system (ANS) and leave us in a state of hyper-arousal and emotional distress. In this state we may reach for substances to self-medicate and further entrench our dual diagnosis. At Highlands Recovery we use evidence-based therapies such as Eye Movement Desensitisation and Reprocessing (EMDR) and Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) to help clients process trauma and develop healthier coping mechanisms.
We see trauma as not just an event but an ongoing experience that shapes how we see ourselves and the world around us. By processing trauma in treatment we help clients take back their story and break the cycle of addiction and mental health.
Neurobiology of Addiction and Mental Health
Understanding the neurobiology of addiction and mental health is key to understanding how they develop together. At the heart of this is dopamine, often called the “pleasure chemical”. Originally thought to only be responsible for feelings of euphoria with rewards, recent research has shown dopamine also plays a big role in anticipation. When you experience cravings or triggers related to your substance use or mental health, dopamine is released in anticipation of a reward before you even take a hit.
This anticipation can lead to a cycle where people become more and more reliant on substances to get the dopamine hits they want. As their brains adapt to these patterns they may find themselves stuck in an addiction cycle that worsens their mental health. At Highlands Recovery we use behavioural medicine principles to help clients recalibrate their brain’s reward system.
Addiction and mental health disorders require an integrated approach that addresses both at the same time. By using modalities like Cognitive Processing Therapy (CPT) alongside traditional behavioural techniques we aim to break these maladaptive patterns and create healthier neural pathways. Our goal is not just abstinence from substances but emotional resilience and well-being.
Dual diagnosis is understanding the relationships between mental health disorders, substance use disorders, trauma and neurobiology. At Highlands Recovery we use a behavioural medicine approach to give clients the tools for lasting dual diagnosis recovery.
The Role of Behavioural Medicine in Treatment
Behavioural medicine is key in dual diagnosis treatment by bringing together multiple disciplines to address mental health and substance use disorders. This is the only way to create bespoke treatment plans that take into account biological, psychological and social factors. Unlike traditional medical models that may just focus on pharmacological interventions, behavioural medicine understands the interplay between an individual’s lifestyle, environment and psychological state.
At Highlands Recovery we are committed to behavioural medicine so our clients get a holistic treatment experience. We use a biopsychosocial model that recognises how these elements are interconnected in health outcomes. For example a client with depression may also be misusing substances as a coping mechanism. By addressing both issues at the same time through evidence based therapies such as CBT and EMDR we can break the cycle of dual diagnosis.
The therapeutic alliance is the foundation of behavioural medicine. This collaborative approach builds trust and gets clients invested in their recovery. By putting empathy and understanding first our team works with clients to develop self directed health and wellbeing.
Highlands Recovery: A Leading Institute for Dual Diagnosis
Highlands Recovery is the leading institute in Australia for dual diagnosis treatment. We have a world class programme for people who are dealing with these complex issues. Our inpatient programme is designed to provide intensive support in a safe environment so you can focus on your recovery without the distractions of everyday life.
What sets us apart is our commitment to a low client to staff ratio. We have a maximum of 10 clients at any one time so our team can give one on one attention to each person. This intimate setting creates a sense of safety and belonging which is essential for healing.
Our programme has a daily structured routine that includes individual therapy, group therapy and various therapeutic modalities to stabilise clients mental states. We don’t just focus on abstinence from substances but on building emotional resilience and giving clients the tools to navigate life after treatment. Our approach is evidence based so clients get the best care possible.
The Four Phases of Recovery at Highlands
At Highlands Recovery we have a 4 phase process: Stabilisation, Trauma Reprocessing, Integration, Consolidation. Each phase is critical to dual diagnosis recovery.
Phase 1: Stabilisation
In this first phase clients calm their highly anxious autonomic nervous system (ANS) which can trigger anxiety and dopamine cravings. We create an environment where clients can start to manage their distress. A combination of biological, psychological and social tools are used in this phase. Personal training and somatic massage are combined with social support to stabilise emotional states.
Phase 2: Trauma Reprocessing
Once stable we move onto trauma reprocessing. This phase involves guided therapy to decouple the maladaptive stimulus-response mechanisms that have developed from trauma. Various modalities are used in this phase including EMDR and Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) tailored to each client’s needs. We help clients to respond differently to triggers that previously triggered overwhelming emotional responses.
Phase 3: Integration
Integration is the phase where clients start to re-enter their daily lives and apply the skills they have learned in treatment. This can be the toughest phase as it’s the transition back into real world stressors. Ongoing support through virtual therapy sessions means clients have support as they navigate these new challenges.
Phase 4: Consolidation
The final phase is consolidation of what has been learned in treatment. Clients work towards being self-sufficient while maintaining connections with support networks such as family or peer groups. This phase is critical to reinforcing healthy habits and being able to manage triggers independently.
At Highlands Recovery we believe that understanding and navigating dual diagnosis requires more than just traditional treatment; it requires an innovative approach based on behavioural medicine principles tailored to each individual’s journey to recovery.
Therapeutic Modalities Utilised in Treatment
At Highlands Recovery we use many different therapies for dual diagnosis. This is because people with mental health and substance use disorders need specific interventions that take into account their individual situation. One of the therapies we use is Cognitive Behavioural Therapy (CBT). CBT is about identifying and challenging the thinking that causes mental health issues and substance misuse. By helping clients change their negative thinking CBT helps them develop healthier ways of coping and behaving.
We also use Eye Movement Desensitisation and Reprocessing (EMDR) which is great for clients with trauma symptoms. EMDR processes traumatic memories by using bilateral stimulation so clients can reprocess distressing experiences in a safe environment. This can reduce the emotional charge around traumatic memories and alleviate symptoms of anxiety and depression that often come with substance use disorders.
In addition to CBT and EMDR we also use Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) and Cognitive Processing Therapy (CPT) in our treatment plans. These therapies address the impact of trauma on mental health and substance use and give clients the tools to manage their symptoms. By using these evidence based approaches we make sure our clients get holistic treatment that targets the root of their dual diagnosis.
And our approach is holistic so we include biological and social elements in therapy such as nutrition, exercise and social support. This is for overall health and to get the best out of the therapies.
Aftercare Support: Ensuring Long-Term Success
Aftercare is a big part of recovery at Highlands Recovery especially for those with dual diagnosis. The transition from a structured rehab environment back to everyday life can be scary; hence ongoing support is key to maintaining recovery. Our aftercare programme is designed to give clients the tools and resources to navigate this transition.
We offer two types of aftercare: basic and intensive, both for a minimum of 6-12 months. The intensive model has more frequent check ins and support sessions so clients have support when they hit real life stressors that may trigger old behaviours. This ongoing support helps to reinforce the skills learned in treatment and encourages clients to use those skills in their daily life.
Weekly individual and group virtual therapy sessions are part of our aftercare programme. These sessions allow clients to talk about their experiences, share challenges and celebrate successes in a safe space. Regular well-being check ins also mean clients stay connected to their support network and feel supported during tough times.
The integration phase is key in this; it’s when clients are most vulnerable to relapse as they are exposed to triggers in their home environment. Our aftercare programme aims to reduce this risk by being a safety net through continuous support and encouragement.
Financing Options for Dual Diagnosis Treatment
Treatment costs can be overwhelming for many people seeking help for dual diagnosis. At Highlands Recovery we understand this and have various financing options to suit individual needs. We don’t accept private insurance or government funding but we have flexible payment plans to fit different financial situations.
One of the options is to access your superannuation early to fund rehab. This allows you to use your superannuation funds to pay for treatment and not have to worry about additional financial stress.
We don’t want financial considerations to be a barrier to world class treatment for dual diagnosis. We believe everyone deserves access to care tailored to their needs no matter their financial situation.
By offering these financing options with our treatment programmes Highlands Recovery aims to remove the obstacles that stop people from getting the help they need. We will support our clients every step of the way on their recovery journey so they have the resources they need to succeed long term with dual diagnosis.
Conclusion
Highlands Recovery has a solution for dual diagnosis, combining evidence based therapies with a structured recovery programme. Our world class approach uses Cognitive Behavioural Therapy (CBT), Eye Movement Desensitisation and Reprocessing (EMDR) and other therapies to address mental health and substance use disorders. With a focus on whole care we offer 24/7 support in a private setting so you get one to one attention throughout your recovery. Our aftercare programme reinforces the skills learned in treatment so you can transition back into daily life smoothly. By using behavioural medicine Highlands Recovery helps you achieve long term recovery and get your life back.
FAQ
What is dual diagnosis, and why is it significant?
Dual diagnosis is when you have a mental health condition and a substance use disorder. This makes treatment more complicated as each condition can feed into the other, so you need tailored treatment for recovery.
What therapeutic modalities are used at Highlands Recovery?
We use evidence based modalities such as Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR). These are tailored to your needs, to address both mental health and substance use disorders.
How does aftercare support contribute to long-term recovery?
Aftercare support is key to maintaining recovery post rehab. Highlands Recovery offers ongoing therapy sessions and regular wellbeing check-ins to help clients navigate real life stressors and reinforce the skills learned in treatment.
What financing options are available for dual diagnosis treatment?
At Highlands Recovery clients can access superannuation to fund their rehabilitation. We don’t accept insurance or government funding but we have flexible payment plans to suit individual financial situations.
What are the phases of recovery at Highlands Recovery?
The recovery process has four stages: Stabilisation, Trauma Reprocessing, Integration and Consolidation. Each stage addresses specific dual diagnosis challenges.
References
Cognitive Behavioural Therapy (CBT) for Dual Diagnosis. Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses. Cognitive Therapy and Research, 36(5), 427-440. https://link.springer.com/article/10.1007/s10608-012-9476-1
Eye Movement Desensitisation and Reprocessing (EMDR). Shapiro, F. (2014). EMDR: A Rapidly Evolving Treatment for Trauma. Journal of EMDR Practice and Research, 8(2), 89-96. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001080/
Trauma-Focused Cognitive Behavioural Therapy (TF-CBT). Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating Trauma and Traumatic Grief in Children and Adolescents. Guilford Press. https://www.guilford.com/books/Treating-Trauma-and-Traumatic-Grief-in-Children-and-Adolescents/Cohen-Mannarino-Deblinger/9781593853434
Neurobiology of Addiction and Dopamine. Volkow, N. D., & Morales, M. (2015). The Brain on Drugs: From Reward to Addiction. Cell, 162(4), 712-725. https://www.cell.com/fulltext/S0092-8674(15)00736-0
The Importance of Aftercare in Recovery. Kelly, J. F., & Yeterian, J. D. (2011). The Role of Aftercare in Recovery from Substance Use Disorders: A Review of the Literature. Substance Use & Misuse, 46(12), 1623-1645. https://www.tandfonline.com/doi/full/10.3109/10826084.2011.579078
Integrating Biological, Psychological, and Social Factors in Treatment. Engel, G. L. (1977). The Need for a New Medical Model: A Challenge for Biomedicine. Psychosomatic Medicine, 39(2), 101-107. https://journals.lww.com/psychosomaticmedicine/Abstract/1977/39020/The_Need_for_a_New_Medical_Model__A_Challenge_for.2.aspx
The Efficacy of EMDR in Treating PTSD. van der Kolk, B. A., et al. (2007). A Randomised Controlled Study of EMDR for PTSD in a Community Sample of Adults: Results of a Pilot Study. Journal of Traumatic Stress, 20(6), 977-981. https://onlinelibrary.wiley.com/doi/abs/10.1002/jts.20272
The Role of Therapeutic Alliance in Recovery. Horvath, A. O., & Symonds, B. D. (1991). Relation Between Working Alliance and Outcome in Psychotherapy: A Meta-Analysis. Journal of Counseling Psychology, 38(2), 139. https://psycnet.apa.org/record/1991-24297-001
Behavioural Medicine as an Integrated Approach. McHugh, R. K., & Weiss, R. D. (2019). Behavioral Medicine and the Treatment of Substance Use Disorders: An Overview and Future Directions for Research and Practice. Substance Abuse, 40(4), 473-484. https://www.tandfonline.com/doi/full/10.1080/08897077.2019.1639945