Alcoholism and depression--dual diagnosis

Here are my ideas on dual diagnosis, also called comorbidity. 85 to 90 percent of alcoholics, depending on the population, do NOT have a coexisting (or pre-existing) mental health disorder such as depression. Often any depression or anxiety is due to the CNS depressant effects of chronic excessive alcohol use, which will dissipate with a substantial period of abstinence. If an individual has both depression and alcoholism, obviously, if the depression is severe enough to endanger the person through suicide or self-harm, then the depression will need to be stabilized immediately. However, talk therapy or even antidepressant medications for the depression will often NOT be very effective if the alcoholic continues to drink. So, generally, absent danger-to-life issues, the alcoholism should be treated first, that is, the drinking stopped and alcoholism treatment completed. Usually, if the depression is related to the alcoholism, it will not be a problem after 30 days of sobriety and treatment. Check out my website for more information and professional help.
Jan Edward Williams, MS, JD, LCADC
www.alcoholdrugsos.comjwilliams@alcoholdrugsos.com
443-610-3569

Why is spirituality important in recovery?

Addiction is so powerful that developing a relationship with a source of spiritual strength can help the recovering person to fully access all of his/her innate fortitude and will power to stay away from the first drink or drug. The source of spiritual strength can be the recovering individuals in the rooms of the 12 Step Programs such as AA or NA.

God, a Higher Power, nature, or whatever you call your spiritual power source, often can be experienced in the simple act of one alcoholic or addict helping another.