Clients who suffer comorbid disorders were thought to require separate treatment (e.g., mental health and addiction therapy). Professionals viewed each as a separate disorder that existed in one individual. Now, professionals believe that the person with the disorders requires integrated treatment whereby both the mental health and addiction disorders are treated by the same professional staff. The current belief is to use an integrated approach. This includes stabilizing the client’s mental health while helping him/her to achieve sobriety. To answer the questions below, use information from your assigned reading, especially from your TIP Guide.
RESPOND TO STUDENTS POSTS
This unit’s reading I find to be very interesting, especially the comorbid information. It is reasonable to think that if a person primarily struggles from substance use, then that person is more than likely to develop anxiety or depression, or some other type of mental disorder, and vice versa. “Typically, symptoms like aggression and depression that stem from substance use disorders decrease once the person stops using the addicting substance; if this does not happen, it is likely that the psychiatric problem was first” (Capuzzi, 2016). I like the example the book uses when Capuzzi (2016) speaks of a gang member continuing to be involved in criminal activity to obtain the drugs needed to support their habit. This example was an easy insight on how the circle starts. Either the individual began participating in criminal activity which, ultimately, lead to drug use. Or this individual has committed to criminal activity to support their addiction to a substance. To prevent an individual of this nature from relapsing, a professional can help the individual find other issues situated around gang membership. These patterns become compulsive which can interfere with treatment and lead to relapse.
Capuzzi (2016) discussed the different views a counselor may have on addiction and whether their perception is it is a disease, or if an alternative model is more acceptable. However, both models are beneficial when helping a client overcome a substance dependence. For a client with multiple, severe problems, the disease model concept would be more effective. The client would need to maintain abstinence from all substances at that point, and seek 12-step programs. Addressing the primary issue, and finding their underlying cause for a disorder, or comorbid disorders, would most sufficiently help the client overcome their addiction.
Capuzzi, D., & Stauffer, M. D. (2016). Foundations of addictions counseling. Boston: Pearson.