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Co-Occurring Disorders / Dual Diagnosis

"Dual diagnosis" and "Co-Occurring disorder" refers to the presence of both a severe mental illness and a substance abuse problem. It is important to get effective treatment for both disorders. An effective treatment model is when one clinician or treatment team provides both mental health and substance abuse treatment.

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There is hope; people with dual disorders can and do recover. In fact, most people recover, and they report more satisfying lives while they are in recovery.

How does recovery from dual disorders occur?

  • Recovery must be the individual's choice. People cannot be "pushed" into giving up substances. Over time they can learn to manage both their illnesses and to get on with their lives in meaningful ways.
  • The process of recovery begins as soon as someone enters a dual disorders treatment program or becomes committed to managing their illnesses.
  • Recovery takes time, hope, and courage. For most people, recovery occurs over months or years.
  • People in Co-Occurring treatment programs learn to manage two long-term illnesses and build a new meaningful life without drugs. This process requires time, support, education, courage, and skills.
  • You can help. Everyone in your loved one's life can help by offering support, hope, and encouragement.


    • What are the facts about dual disorders?

    Vulnerability is important.
    People who are affected by a mental illness use drugs for the same reasons people without mental illness do, such as not having jobs, not feeling happy, and not having good skills for meeting people. In many cases, people with mental illness are more sensitive to the effects of alcohol and other drugs.

    Dual disorders are common.
    Study results show that one of every two individuals with severe mental illness has the additional problem of substance use disorder (abuse or dependence related to alcohol or other drugs).

    Integrated dual disorders treatment works.
    People with dual disorders have a much better chance of recovery from both disorders when they receive combined, or integrated mental health and substance abuse treatment from the same clinician or treatment team.
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