Medication Management and Psychiatric Care
Evaluation and Treatment of clients with co-occurring disorders:In addition to problems with substance use and other addictive behaviors (i.e. gambling, disordered eating, sexually acting out, etc…) many clients who present for treatment also suffer with what are known as “co-occurring disorders”.
Co-occurring disorders are psychiatric problems that can have a strongly negative impact upon one’s ability to remain abstinent. The converse is also true: when people abuse drugs or engage in addictive behaviors, it can fuel psychiatric problems, counteract medication effectiveness and make it a real challenge to live ‘symptom free’. People suffering with co-occurring disorders are frequently termed “dually diagnosed” or “mentally ill chemical abuse”, or MICA. These disorders generally include: mood disorders such as depression and bipolar disorder, anxiety disorders such as panic disorder generalized anxiety and obsessive compulsive disorder, eating disorders such as bulimia and anorexia, developmental disorder such as ADHD and personality disorders.
At Rebound, we are dedicated to providing a comprehensive evaluation to all clients in order to screen for co-occurring disorders and to provide the highest level of care in treating these problems. Clients and their families can access the most up-to-date information about mental illness and addiction including the latest medical treatment modalities. Through psycho-education groups, one-on-one sessions and online materials, the goal is for families and clients to be on the same page when it comes to understanding the impact of being diagnosed with both a mental disorder as well as an addictive disorder.
Evaluation and treatment of dually diagnosed individuals focuses on the following areas:
- A thorough diagnostic evaluation of the client to be conducted by the psychiatrist in collaboration with the clinical team. The evaluation will likely involve interviewing family members, prior treaters and other pertinent collaterals
- Formulation of a treatment plan designed to target aspects of a clients struggles with mental illness and addiction such as (but not limited to):
- Clinical areas of focus for clients dealing with dual diagnoses address the following areas:
- Understanding the diagnosis;
- Symptom recognition;
- Medication education
- Medication interactions;
- Medication side effects;
- Potential consequences of using substances while on psychotropic (or other) medication;
- Understanding dosing schedules and the importance of medication compliance;
- Understanding the importance of monitoring blood levels of medication (when applicable);
- Education about over-the-counter medication and “natural remedies” and their interactions with psychotropic medication and/or drugs of abuse;
- Dealing with the issue of stigma;
- Cultural aspects of dealing with mental illness;
- The impact of substance abuse on mental illness;
- The impact of mental illness on substance abuse.
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