(360) 637-6242

Dual Diagnosis Treatment Port Orchard WA 

Serving Port Orchard and the state of Washington


Greenfields has been at the forefront of addiction treatment in Washington for almost 60 years. Our facility provides a range of treatments for people seeking long-term recovery from addiction, including non-medical detox, short and long-term residential treatment, and intensive outpatient treatment.

Who Are We?

Our team of psychiatrists, addiction counselors, and certified mental health specialists draws on decades of expertise to provide the most up-to-date treatment choices. We aim to optimise our customers’ chances of a long-term, sustainable recovery by using a targeted, comprehensive approach to therapy. We provide a variety of services to assist people in finding their way back to health.

Co-Occurring Disorder & Dual Diagnosis Treatment Centers in Port Orchard Washington

When an individual fulfills the criteria for a substance usage condition (SUD), a medical condition defined by unmanageable use of substances regardless of the unfavorable repercussions, and they are also detected with one or more additional mental disorders, this is called having co-occurring conditions or a dual diagnosis.

SUDs typically co-occur with other mental illness, nevertheless, this does not imply that one caused the other. It’s often hard for clinicians to develop which came first, or perhaps why both disorders occur in the very first place. Nevertheless, research study reveals that a person condition can affect and, in some instances, cause the other. They likewise can have a bidirectional relationship, meaning they can each impact or intensify the course of the other.

The Substance Abuse and Mental Health Services Administration recommends that an integrated treatment approach which attends to SUDs and other mental illness concurrently can enhance outcomes and quality of life for individuals with co-occurring conditions. Treatment is generally tailored to address an individual’s unique diagnoses through behavioral therapies and medication.1 This guide supplies details on the prevalence of co-occurring mental disorders, how they are treated, and how to discover treatment for substance use disorders that happen together with other mental disorders.


Dual Diagnosis Data and Occurrence In Port Orchard

SUDs and other mental disorders frequently occur together.

  • Of the 20.3 million adults diagnosed with SUDs, more than a third of them likewise suffer from mental illness.
  • Almost 20% of the 42.1 million individuals identified with a psychological health condition likewise have a SUD.
  • Unfortunately, more than 50% of those detected with co-occurring conditions never ever receive treatment for either condition.
    Cost tends to be the primary barrier to treatment for over half of those who are diagnosed but do not receive treatment.


Dual Diagnosis vs. Comorbidity vs. Co-Occurring Disorder

The differences are somewhat scholastic, though for most purposes, these concepts are utilized rather interchangeably. Dual diagnosis is increasingly ending up being changed by the concept of co-occurring disorders, though both terms describe a situation where an individual has both a SUD and another psychological health problem. In such a situation, each condition might be described as a comorbidity of the other, though the phrase comorbidity is likewise widely utilized beyond the mental health/behavioral health field to explain the co-existence of several medical concerns.


In addition, dual diagnosis is a psychiatric term that explains a person who experiences two or more psychiatric conditions at the same time, each as an unique medical diagnosis. First introduced in the 1980s, the term “dual diagnosis” initially referred to people with existing side-by-side severe mental illness and a SUD. Considering that the early 2000s, the Substance Abuse and Mental Health Solutions Administration (SAMHSA) utilizes the term “co-occurring conditions” to describe the existence of two or more conditions. It is essential to keep in mind, however, that Dual Diagnosis Confidential, which began in 1996, exists as a global organization of support groups for those attempting to live a substance-free, healthy life.

Co-occuring disorder Washington

Thus, now, co-occurring disorders is normally utilized when referring to an individual who has a SUD and another mental disorder, although it can in some cases be used when describing a person who has 2 or more mental health disorders, such as comorbid anxiety and schizophrenia, for example. Individuals with SUDs frequently have one or more co-occurring mental illness, with about half of individuals who have one likewise have the other. Co-occurring disorders often overlap, and they might start at the same time, or one might appear prior to or after the other.

There is a strong link in between SUDs and other mental health disorders. In reality, about half of people with one disorder will eventually develop at least another co-occurring mental health condition in their life time. Co-occurring disorders can likewise worsen each other’s level of intensity. Researchers have actually recognized 3 possible mechanisms that may describe why co-occurring conditions are so widespread:

  • Overlapping Threat Elements: Common risk factors for SUDs and other mental health conditions often overlap. These may include genetics as well as ecological elements, such as direct exposure to injury, that can make a person more likely to establish these concerns.
  • Self-Medicating: Mental illness can result in substance abuse as a method of handling symptoms. This principle is typically delicately termed, “self-medicating,” nevertheless that label might be deceptive due to the fact that while substance use can mask symptoms they may also at the same time exacerbate signs in both the brief and long terms.
  • Drug-Induced Brain Modifications: Substance use can cause changes in areas of the brain disrupted by psychological health disorders, which can increase somebody’s likelihood of establishing symptoms of a mental disorder that affects that brain. The locations of the brain impacted by compound use appear to be correlated with areas also associated with impulse-control, mood, and anxiety conditions, in addition to schizophrenia.



WA Scientists have actually studied rates of co-occurring conditions for decades. They have recognized that particular psychological health disorders have actually been linked to substance use disorders more frequently than others. Mental health conditions that are most likely to take place along with SUDs consist of, however are not restricted to:

  • Anxiety conditions. Approximately 18% of the basic population likewise have a co-occurring anxiety disorder of some type. Social stress and anxiety disorders have a particularly strong link to cannabis usage problems.
  • Generalized anxiety disorder, social anxiety disorder,, and panic attack are all connected with an increased danger of co-occurring disorders.
  • Mood disorders. About 20% of the general population with a SUD also have one or more mood disorders, such as bipolar disorder or depression.
  • Character conditions. In the typical population around 10-15% have a personality disorder, compared to an occurrence rate of about 35-73% in clients dealt with for dependency. The personality conditions most frequently discovered in those with SUD include antisocial, borderline, avoidant, and paranoid.
  • Post-traumatic stress disorder (PTSD). According to one nationwide survey, people with PTSD were, relative to those without PTSD, as much as 4 times more likely to likewise meet criteria for a compound usage disorder.
  • Attention Deficit/Hyperactivity Disorder. ADHD is related to an earlier age at onset of substance usage and a higher possibility of use of a variety of compounds. Brook et al20 reported that the diagnosis of ADHD postures an increased risk of SUD into their adult years; meeting criteria for a diagnosis of ADHD in teenage years is associated with establishing SUDs in a topic’s 20s and 30s. Amongst individuals with ADHD, the number of inattention and hyperactivity and impulsivity signs displayed is positively correlated with risk of compound usage.postures an increased risk of SUD into the adult years; meeting criteria for a medical diagnosis of ADHD in adolescence is connected with establishing SUDs in a topic’s 20s and 30s. Amongst people with ADHD, the variety of negligence and hyperactivity and impulsivity symptoms showed is positively correlated with threat of compound usage.
  • Increased severity of mental illness is associated with an increased threat of co-occurring disorders, with about 25% of individuals with serious mental illness developing co-occurring conditions.



Signs of Co-Occurring Disorders and Signs That Someone Requires Dual Diagnosis Treatment in Port Orchard

It can be hard to tell the difference in between addiction and mental illness, thinking about there can be considerable overlap in between the symptoms of each. To prevent confusion, a psychological health diagnosis is preferably made while an individual is abstinent and there are no drugs in their system.

While each mental health disorder has various signs, there are some basic indications that point to the possibility of mental illness. These consist of:

  • Changes in eating and sleeping routines.
  • Dropping hobbies or activities that were as soon as crucial.
  • Experiencing severe emotional highs and/or lows.
  • Often feeling scared without cause.
  • Having difficulty focusing or thinking clearly.
  • Inability to see these changes in one’s habits or character.
  • Increased irritability.
  • Increased or reduced libido..
  • Separating from friends and family.
  • Lack of attention to personal health.
  • Loss of touch with reality, such as hallucinations, fear, or delusions.
  • Participating in dangerous habits such as substance usage or promiscuousness.
  • Experiencing physical problems without any cause.
  • Thoughts of suicide or suicide attempts.

The signs of SUDs can also vary depending upon the substance utilized, however basic signs can indicate that an individual might have a concern with substances. These warning signs include:

  • Problem or inability to stop using drugs even when they wish to.
  • Experiencing withdrawal when compound use is stopped.
  • Having trouble working or coping with tension without alcohol or drugs.
  • Having trouble completing tasks in your home, school, or work since of substance usage.
  • Failure to stop utilizing even after it has actually triggered or worsened physical or mental health conditions or social relationships.
  • Isolating from friends and family or hanging out with various friends.
  • Regularly tardy or absent from school or work.
  • Not appearing intoxicated after ingesting large quantities of a substance (increased tolerance).
  • Taking part in risky habits such as driving under the impact.
  • Investing a great deal of time getting, utilizing, or recuperating from the impacts of a substance.

aving a SUD and a co-occurring disorder can lead to extra problems or substance problems developing from one or both disorders. Problem maintaining work and real estate, relationship issues, health issues, and increased risk of arrest and suicide can be found in individuals with co-occurring disorders, especially as the conditions increase in seriousness. Additionally, each disorder can make the other worse, making it harder to recover.




Evaluation of Co-Occurring Mental Disorders in Port Orchard

Evaluating co-occurring mental disorders and SUDs is complicated since of the resemblances of danger aspects in addition to overlapping symptoms, such as those that might occur from withdrawal of a drug and those of a possible mental illness. As an outcome, individuals who seek treatment for a mental health disorder need to be evaluated for SUDs and vice versa. Additional evaluation may take place after a period of abstaining to properly distinguish between signs of intoxication or withdrawal of a substance and signs of a mental health disorder.


Furthermore, genetic and ecological factors that may affect a person’s mental health and/or substance usage must be assessed in those thought of have co-occurring disorders. Thus, an assessment might include:

  • The facility of a medical diagnosis of SUDs and mental illness. This includes a comprehensive collection of the effects of each on the person’s life, relationships, work, other activities, and health.
  • An inspiration to alter. Treatment is effective if the individual is committed to stopping or reducing their compound usage during treatment so that the psychosocial interventions improve the person’s psychological health.
  • Tests to confirm the presence of substances and identify the level of damage.



What is Integrated Treatment for Co-Occurring Disorders? Is It Available In Port Orchard?

Integrated treatment programs screen, assess, and treat patients with both SUDs as well as other mental disorders.


Integrated treatment programs, like lots of drug rehab centers, might also supply additional support services to attend to other locations of need, including housing, work, and socialization.


In an integrated treatment program, Individuals get both medical and healing intervention and look after both disorders concurrently. This allows the group of doctors, therapists, psychologists, therapists, and other clinicians to better evaluate and manage the signs of a mental health disorder without the influence of drugs and alcohol potentially intensifying those signs. Comprehensive incorporated care that begins during detox and continues through aftercare treatment and support can cause positive outcomes for clients aiming to construct a new life recovering from substance abuse as well as other mental illness.

Benefits of Integrated Treatment in Port Orchard

The incorporated care treatment design is thought about the standard of care by the Substance Abuse and Mental Health Providers Administration when dealing with people with co-occurring compound misuse and psychological health disorders. This treatment approach has been linked to lots of positive outcomes. Clients are most likely to stay engaged and participate in treatment when care is incorporated and detailed.


Integrated treatment plans are customized to meet the specific needs of each patient. The treatment approach has been connected to lots of positive outcomes. Research has revealed that people who participate in integrated treatment are more likely to remain sober, see a substantial decrease of their signs, go to the health center less typically, live independently, preserve constant work, and report feeling happier with their lives.

What Does a WA Integrated Treatment Strategy Look Like?

The objective of integrated treatment is to assist individuals with co-occurring disorders discover how to maintain sobriety or considerably lower their compound use along with manage the signs of their mental illness. This is accomplished through making use of reliable therapy and behavioral therapy interventions and, often, with medications. Integrated treatment might make use of numerous restorative methods proven reliable in using mental health disorders in addition to substance use disorders, such as:

  • Cognitive behavioral therapy, or CBT, which checks out a person’s ideas and beliefs to alter their behaviors.
  • Dialectical behavioral therapy, or DBT, which is used to treat borderline personality disorder by lowering unfavorable actions such as self-harm, substance usage, and self-destructive habits.
  • Contingency management provides small rewards for clients who display preferable and favorable habits such as passing a drug test or preventing self-harm.
  • Motivational enhancement, which can help individuals increase their motivation to make positive changes in the treatment procedure.
  • Mutual-support groups tailored to people with co-occurring conditions, such as Dual Diagnosis Confidential or Narcotics Anonymous, which provide meetings for people with co-occurring conditions.

Integrated treatment can occur along the continuum of look after SUDs, including:

  • Detox, or Withdrawal Management: A medically managed detox usually consists of 24/7 healthcare. Personnel are on-site 24/7, and doctors may recommend medications as needed to ensure security as one clears the body of drugs and alcohol.
  • Inpatient Care or Residential Treatment: Inpatient or residential care has individuals living at a rehabilitation center 24/7 for the duration of treatment. Medical and psychological health staff are constantly present or on call to provide support, medication, and more while individuals discover to handle their compound usage and symptoms of any co-occurring disorders.
  • Outpatient Care: Outpatient treatment provides clients the chance to get similar (if not identical) services as they performed in inpatient care, but patients are afforded the flexibility to live in the house while still getting care for co-occurring conditions.

Do All Port Orchard Rehab Facilities Supply Integrated Treatment for Mental Illness?

No, but according to a 2019 survey of 15,961 treatment centers in the United States, 53% of them provided treatment programs for individuals with co-occurring disorders. American Addiction Centers’ integrated treatment starts from the extremely starting comprehensive psychiatric screening and evaluation that includes comprehending the level of substance use as well as the presence of additional psychological health disorders.


This gives you the opportunity to go over any mental health symptoms you’re experiencing and anything you have actually been diagnosed with and you’ll deal with a psychiatrist to develop an individual treatment strategy that may include medications, if needed.


How to Discover Treatment for Co-Occurring Disorders in Port Orchard

Integrated treatment is the standard of look after treating co-occurring conditions. A provider or treatment facility that provides treatment for co-occurring disorders is equipped to examine for both and to treat them simultaneously or in stages, whichever is most proper for the individual. An integrated approach to treatment– as opposed to fragmented and uncoordinated care– guarantees that services and treatments fulfill the requirements and conditions of the individual. This normally indicates that treatment happens in the very same location without department between mental health and substance misuse. There is, however, no one-size-fits-all technique to treatment for co-occurring disorders.

Things to search for when choosing a treatment center to deal with co-occurring conditions consist of:

  • PParticular services for co-occurring mental health disorders and SUDs. Does the facility utilize physicians, therapists, counselors, psychologists, and other clinicians experienced in assessing, examining, and treating different mental health conditions as well as SUD?
  • A variety of treatment techniques. Research suggests that therapy, behavioral therapies, inspirational interventions, and ongoing support can be efficient in dealing with specific mental disorders and SUDs all at once.
  • Different options for inpatient and outpatient treatment. Though rehabilitation length differs for each individual, you wish to know that there are various programs, such as 30-, 60-, and 90-day programs, and the one that’s best for you depends on several aspects, including the seriousness of the condition, symptoms of withdrawal, and more.
  • Aftercare assistance. Does the facility offer continuous services and social support to assist manage both disorders beyond treatment? Connecting people with social support after they leave a structured treatment program is important to long-term success. Remaining participated in treatment and developing positive relationships are necessary consider continual recovery.
  • Multicultural or population-specific programming (if wanted). Does the treatment center have specialized programs for a particular population you come from, such as women, veterans, initially responders, or members of the LGBTQ neighborhood, for instance?
  • Insurance protection. Talk to your insurance coverage provider to find out the specifics on protection for treatment of co-occurring conditions. You can likewise validate your insurance coverage listed below.

Co-Occurring Disorder & Dual Diagnosis Treatment Centers Near Me
in Port Orchard

We are among the nation’s top company of addiction treatment and a number of our facilities provide treatment for co-occurring conditions. Each person’s treatment strategy is distinctively tailored to the person.

For help in finding a center that provides integrated treatment for co-occurring disorders, the Substance Abuse and Mental Health Services Administration uses a behavioral health treatment service locator that can be discovered here. You can search by place and filter the search according to factors like the type of treatment setting, unique programs provided, and payment types that are accepted.

Does Insurance Coverage Pay for Dual Diagnosis Treatment?

The Affordable Care Act and the Mental Health Parity and Dependency Equity Act altered how insurance plans cover treatment for SUDs and other mental health disorders. The Affordable Care Act (ACA) guarantees that treatment for SUDs and mental health disorders is considered a vital health advantage, requiring protection by the majority of medical insurance strategies. The majority of medical insurance plans are needed to use comparable protection for mental health and SUDs as they do for physical health disorders. This federal law likewise guarantees that constraints for mental and behavioral health conditions aren’t more restrictive than they would be for physical health conditions.


It can be difficult and discouraging to deal with co-occurring conditions, however it is possible to learn to handle your mental health conditions and accomplish your goals to decrease your compound use. AAC’s integrated treatment method for co-occurring conditions can assist you to learn how to successfully manage these possibly incapacitating and deadly conditions to live a pleased, healthy, and productive life.

Expert Doctors.
Professional Care.

We provide specialised drug rehab in Seattle WA to men and women aged 18 and above who are in need of addiction therapy. Greenfields provides different levels of therapy to individuals who have either a main chemical dependency issue or a dual diagnosis.

Call Us Today!

Contact us

Call Us

(360) 637-6242

Email Us


Our Location

2000 NW Market St, Seattle, Washington 98107