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Substance Abuse Treatment Programs

Substance Abuse Treatment ProgramsPeople struggling with mental health and addiction issues are particularly vulnerable. This combination, known as a dual diagnosis, puts people at risk. With so many people managing a dual diagnosis, it’s paramount that rehabilitation facilities effectively treat concerns appropriately. Historically, clients with dual diagnoses received treatment for one condition before the other. Often, these therapies did not occur at the same treatment center and were not related to one another. In 2021 we now know that integrated treatment that simultaneously treats mental health and substance use disorder is the most effective means of treatment.

At Rise Above, psychiatrists and clinical staff trained in mental health and substance use disorder provide integrated treatment. Some of the substance addictions we help treat include:

Integrated Addiction Treatment at Rise Above

Being addicted causes people to believe that their survival and mental well-being are dependent on dangerous drugs. To an outsider looking in, it is obvious that consuming dangerous amounts of powerful drugs is detrimental; however, a person whose mind is clouded by substance use and lacks the coping skills to manage sober living will have a hard time getting clean. Once people are admitted, clients undergo detox. Managing withdrawal symptoms and giving the brain a break from substance abuse does not cure addiction; it allows people to begin building the skills they will need in order to see their addiction for what it is. In our inpatient Murrieta detox, our medical staff will monitor clients 24 hours a day and provide support, empathy, and encouragement. Depending upon the severity of a person’s addiction, they may administer medications to help wean the client off the substance and reduce the effects of withdrawal. We do not use this technique with every client, but sometimes it is necessary. Clients will begin attending group sessions during detox. While people often don’t look forward to starting this part of treatment, it ends up providing a vast amount of emotional support and encouragement. Cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT) begin after a client is finished in detox. CBT helps dual diagnosis clients learn to better cope with hardships and change unhealthy patterns and ways of thinking. Dialectical behavior therapy is more centered on the client-therapist relationship and improving communication and emotion regulation. Eventually, as clients reconnect with all of the joy, fear, regret, and hope that they avoided during their drug use, they will begin attending off-campus AA and NA style meetings.

Integrated Outpatient Treatment

Instead of living onsite at our rehab center, outpatient clients receive addiction treatment while living at home, with supportive family members, or in a Murrieta sober living home. During this time, clients attend individual therapy and process group therapy alongside other recovery-centered specialty programming. Therapeutic activities help build independence, encourage connections in the group, and help people overcome fears. While outpatient treatment can be as effective as inpatient treatment, it is not recommended for people who are actively using drugs or alcohol. We do not offer outpatient detox because we find that people are too tempted to use drugs during their off time.

Challenges Faced By Dual Diagnosis Clients


The first and maybe the most difficult challenge by dual diagnosis clients is denial. It simply isn’t easy for people to admit that they’re addicted to drugs and alcohol. It’s a hard realization to come to, especially for innovative thinkers who are used to doing things their own way. It’s also difficult for people to come to terms with mental health issues. Instead of seeking assistance, many people with a dual diagnosis ignore their problems and hope they will eventually go away. Over an extended period, this makes both addiction and mental health concerns more difficult to treat. We find that many of our clients carry a tremendous amount of shame that keeps them tied to their addiction. Letting go of that shame takes time.

High Risk of Suicide

Living with addiction and a mental health concern simultaneously can lead to an increased risk of self-harm. A 2009 study that analyzed 3,433 women and men aged 18-65 years for two years revealed that people who have a dual diagnosis are more likely to commit suicide than people who do not have a dual diagnosis.

Treatment Takes Longer to Complete

Rehabilitation for drug and alcohol use disorder takes a considerable amount of time. In fact, rehab for severe substance use disorder (SUD) can take years to complete. But when combined with a mental health concern, the length of treatment often increases substantially. In fact, in some cases, the time needed for rehabilitation can even double.

Difficulty Pinpointing Symptoms

For a client with a dual diagnosis, identifying the root causes of symptoms can be painful and time-consuming. This is because it’s difficult to know where exactly the symptoms are coming from. Are they related to a client’s mental wellness or are they connected to a client’s substance use disorder? For example, a client who is experiencing erratic behavior and severe mood swings could be experiencing the effects of being intoxicated or signs of a mental health condition such as schizophrenia, bipolar disorder, schizoaffective disorder, or panic attacks. Having a team of psychologists, psychiatrists, and other mental health professionals can make a real difference in helping to stabilize a crisis.

Other dual diagnosis challenges include:

Rise Above Is a Murrieta Drug Rehab and Detox Center

Although a dual diagnosis comes with many challenges, healing is possible in the right environment. Contact Rise Above at (877) 641-0717 to learn more.