Drug and Depression RehabHow Dual Diagnosis Treatment Works
What is depression?
- Feeling sad, depressed, or irritated
- Reduction of physical movements
- Lack of joy and interest in hobbies and activities
- Thoughts of suicide and death
- Problems concentrating and inability to make decisions
- Feeling hopeless, worthless, and guilty
- Lack of motivation and energy
- Insomnia / hypersomnia
- Loss of appetite / increased appetite
Common types of depression
Co-occurring depression and drugs abuse
Drugs that are often linked to depression
Marijuana abuse and depression
Stimulants and depression
Criteria for Substance Use Disorders
The four groups of the Diagnostic and Statistical Manual of Mental Disorders, 5 th Edition (DSM-5)
diagnostic criteria for Substance Use Disorders are listed below. People with six or more of the
following conditions (across all categories) are considered to have a severe disorder, meaning that
rehab is likely necessary.
Risky use of substance
When to seek help for addiction and depression?
- Is my depression and addiction stopping me from doing things that I want to do such as sport, dating, or pursuing career goals?
- Have my attempts at trying to pull myself out of depression and cutting back on my drug of choice been unsuccessful?
- Have my loved ones expressed fear and concern about my drug usage and changes in my behaviour?
- Have I become accustomed to the effects of the drugs and needing to consume larger amounts to achieve the same high?
- Have I experienced physical withdrawal symptoms, such as irritation, agitation, measure, or cold sweats?
- Have I experienced psychiatric symptoms such as depressive episodes, flashback or panic attacks?
- Have I used drugs to cope with feeling down or depressive moods?
- Have I used emergency services for acute intoxication, self-harm or suicide attempts?
- Have I engaged in dangerous behaviours and/or put myself in legal difficulties?
drug and depression rehab
Drug and depression rehab is a multi-stage service that begins with diagnosis and then a period of detox if necessary. These are followed by various forms of behavioural therapy (delivered in one-on-one as well as group settings), to provide you with the mental tools and positive mindset you need to move past drug addiction as well as depression.
Residential treatment centres allow you to focus on your recovery goals, while removing most external pressures and stresses that drug addiction can bring. All the while, rehab centres provide additional support both during and after your main period of care, to maintain your progress and prevent a relapse.
How rehab treats depression & drug abuse
The complex symptoms of both depression and substance use require a comprehensive and integrated treatment programme in order to achieve long-term recovery. Your treatment plan should include elements of the following:
Drug detox and withdrawal management
- Detoxification is defined as a set of interventions aimed at managing acute intoxication and withdrawal.
- A key aim of this stage is to cleanse your body of drugs, help you resist the physical urge to self-medicate, and preparing you for successful treatment of each condition
- Detoxification is an important part of addiction treatment, but should form only the first stage of a continuum of care
Medication for depression
- Selective serotonin reuptake inhibitors (SSRIs)
- Serotonin and norepinephrine reuptake inhibitors (SNRIs)
- Atypical antidepressants
- Tricyclic antidepressants (TCAs)
- Monoamine oxidase inhibitors (MAOIs)
- Other medications or combinations of antidepressants
Cognitive Behavioural Therapy (CBT): A widely used approach, CBT centres around one-on-one conversational interactions with a trained counsellor. The method is used to build clients’ cognitive and emotional toolkit, helping them learn new ways to manage and direct their thought processes toward positive ends.
Dialectical Behaviour Therapy (DBT): DBT utilises both individual and group therapy to encourage an outlook based around acceptance and change. This evidence-based method uses mindfulness, emotion regulation, and other related approaches to promote internal improvement and self-control.
Assertive Community Therapy (ACT): ACT helps clients accept their feelings and emotions without judgment, as a way of coping with and embracing the complexity of life. This method allows clients to look forward rather than backward, and prepares them to meet the coming challenges with maturity.
Contingency Management (CM): CM uses a rewards-based system to encourage constructive behaviour, and maintain motivation toward continuous improvement.
12 Steps methods
Ongoing recovery plan
Drug and depression facts
- Depression and drug addiction commonly occur together
- Individuals with depression and drug addiction are a higher suicide risk
- Depression is the biggest cause of relapse
- Quitting drugs will usually make depression worse initially
- Over half the people who go to rehab for drug addiction also suffer from a mental illness
- Long-term treatment for both conditions is the most effective way to recover
Why choose inpatient drug and depression rehab
The following are reasons why integrated care lends itself to a residential rehab approach:
- Access to medications such as antidepressants, mood stabilisers and antipsychotic agents to ease withdrawal and mental health symptoms
- A range of psychological treatments available, including individual and group therapy, as well as therapy and support for loved ones
- Removal from stressors and triggers from your home environment
- A range of resources that provide support for clients’ psychological, medical, and psychosocial needs
- Integrated treatment plans that encompass detoxification, addiction, and mental health needs
- Clients will learn coping skills and strategies to deal with everyday life triggers and prevent relapse
- A chance to explore the relationship between your alcohol use and depression, and develop personal recovery goals
- Strong peer support, providing social interaction and connection among clients
Sources “What Is Depression?” Edited by Ranna Parekh, Psychiatry, The American Psychiatric Association (APA), www.psychiatry.org/patients-families/depression/what-is-depression.
Godier-McBard, Lauren & Park, Rebecca. (2015). Does compulsive behavior in Anorexia Nervosa resemble an addiction? A qualitative investigation. Frontiers in Psychology. 6. 10.3389/fpsyg.2015.01608.
Center for Substance Abuse Treatment. Detoxification and Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment, 2006.
NIDA. “Common Comorbidities with Substance Use Disorders.” National Institute on Drug Abuse, 27 Feb. 2018, https://www.drugabuse.gov/publications/research-reports/common-comorbidities-substance-use-disorders. Accessed 25 Feb. 2020.