An individual who suffers from both mental illness and alcoholism will need to undergo different treatment. Because alcohol withdrawal symptoms cause a person to experience some psychiatric stress, an alcoholic with mental health issues will find it much more difficult to resist turning to drink. The NIAAA believes the some self-help groups, such as Alcoholics Anonymous, are not effective when it comes to treating people with a dual-diagnosis of both alcoholism and mental illness. This is because these groups tend to specifically focus on the actual addiction itself, rather than any underlying psychological problems. Anti-depressants are improving all the time and it is believed that while a self-help group may not be useful for a dual-diagnosis individual by itself, if the individual is on the appropriate medication and receiving the appropriate psychological therapy it can prove to be just as effective as with other alcoholic individuals. Addiction Recovery: 12 Steps and Beyond (TTA Podcast 321)
Addiction is a chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences. The initial decision to take drugs is voluntary for most people, but repeated drug use can lead to brain changes that challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. These brain changes can be persistent, which is why drug addiction is considered a "relapsing" disease—people in recovery from drug use disorders are at increased risk for returning to drug use even after years of not taking the drug.

6. Finally, supportive social services – During this final step of alcohol rehabilitation, rehab staff help empower a patient by connecting her/him with services outside the treatment facility in order to maintain abstinence from alcohol and begin to create a network of supportive people to influence in the patients life. These services can include housing, health care, social service, child care, or financial and vocational counseling.
The first step in treatment is brief intervention. The physician states unequivocally that the patient has a problem with alcohol and emphasizes that this determination stems from the consequences of alcohol in that patient's life, not from the quantity of alcohol consumed. Emphasizing the effects on family, friends, and occupation, as well as any physical manifestations, is important. Pointing out that loss of control and compulsive use indicate alcohol dependence also is important.
Binge drinking has become the most widespread form of alcohol abuse in the United States, according to the Centers for Disease Control and Prevention (CDC). Over 30 million adults in the U.S. (approximately 15 percent) admit to binge drinking within the past month. Most of these drinkers are white males between the ages of 18 and 34. Forty percent of college students report episodes of binge drinking.
Cognitive–Behavioral Therapy can take place one-on-one with a therapist or in small groups. This form of therapy is focused on identifying the feelings and situations (called “cues”) that lead to heavy drinking and managing stress that can lead to relapse. The goal is to change the thought processes that lead to excessive drinking and to develop the skills necessary to cope with everyday situations that might trigger problem drinking.
Before entering a rehab facility, patients may have to undergo detox treatment. Detox is the process in which a patient rids his or her body of the addictive substance. From start to finish, this process varies in length, but often takes about a week. As part of a medical detox program, recovering patients will be monitored by doctors and nurses and given medications to manage withdrawal, when appropriate. Once a patient completes detox, he or she is ready for rehab.
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This subtype represents only 9 percent of U.S. alcoholics, yet more members of this group seek treatment (almost two-thirds) than any other category. Chronic, severe alcoholics have fought a long battle with this disease, and most are now middle-aged. The majority of people in this group have a co-occurring psychiatric disorder, such as major depression, bipolar disorder, or anxiety disorders. Many also abuse other drugs, like cocaine or opiates.

Outpatient treatment is the next step down in a continuum of care. It is also a rehabilitation option for individuals whose addiction is less severe and doesn’t require inpatient treatment. Clients in this phase of rehab drug treatment visit the facility regularly, but do not stay overnight. This approach allows the individual to receive drug treatment while maintaining family and job responsibilities. Drug Addict Is Terrified When He Sees the Rehab Car | The Jeremy Kyle Show
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