Depression and Substance Abuse Treatment Centers Near Me
Depression is a prevalent mental health disorder in the United States. Characterized by a low mood and loss of interest in pleasurable activities, depression can affect people for many reasons. In recent years, studies had shed light on the rates in which depression and substance use disorder, commonly known as substance abuse, appear as co-occurring disorders.1(2nd paragraph)
Luckily, help is available if you are struggling with depression and alcohol or drug use. Understanding how depression and substance abuse affect each other, and how to locate effective depression treatment facilities near you can help you find relief and recovery.
What is Depression?
There are many types of diagnosable depressions that subtly vary in symptoms and severity. The most common types include:2
- Major depressive disorder: low mood and loss of interest in pleasurable activities.
- Persistent depressive disorder: low mood that has lasted for 2 years but is less severe than major depression.
- Bipolar depression: episodes of low mood that are interrupted by episodes of mania.
- Seasonal affective disorder (SAD): low mood as a result of changes in weather and seasons. SAD occurs during specific seasons such as fall and winter.
- Perinatal depression: depression that occurs during pregnancy in women or within a year postpartum.
- Pre-menstrual dysphoric disorder (PMDD): symptoms occur in women shortly after ovulation and during their menstrual cycle.
Different types of depression share some common symptoms. For this piece, we are going to refer to major depressive disorder. More specific symptoms of major depressive disorder include:3
- Feelings of hopelessness.
- Thoughts of suicide.
- Suicidal and self-harming behaviors.
- Anhedonia (loss of interest in once pleasurable activities).
- Persistent feelings of sadness and emptiness.
- Low mood.
- Psychomotor retardation (talking and walking slower than normal).
- Decreased energy and motivation.
- Feelings of worthlessness and guilt.
- Changes in sleep, such as difficulty falling and staying asleep or sleeping too much.
- Trouble concentrating and making decisions.
- Physical aches and pains.
If symptoms persist for more than 2 weeks and nearly every day, you may be experiencing depression.3 It is important to note that you don’t need to experience every symptom listed above to be diagnosed with depression. Depression can impact your life on many levels. It can make the simplest tasks, such as taking a shower, going to work, or spending time with your family, feel difficult and overwhelming.
What is Substance Abuse?
Substance abuse is different from substance use disorder and addiction. Substance abuse refers to using substances in unintended ways. Substance abuse can look like:4
- Using prescription medication in unintended ways (i.e., snorting instead of orally ingesting medication).
- Using prescription medication that is not prescribed to you.
- Using more of the drug than prescribed.
- Using drugs and alcohol in excessive amounts.
- Using illegal drugs.
Substance abuse can spiral, possibly turning into a substance use disorder (SUD), commonly known as addiction. In this piece, we will use substance use disorders and addiction interchangeably. Substance use disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) as a problematic pattern of substance use leading to significant distress or impairment. It is manifested by at least 2 of the following criteria within a 12-month time frame:5
- The substance is taken in larger amounts over a longer period of time than intended.
- Chronic desire to cut down or unsuccessful efforts to reduce or stop use.
- A large amount of time is spent using or recovery from the effects of use.
- Craving (a strong desire or urge to use the substance).
- Continuing to use despite experiencing significant problems due to substance use.
- Recurrent use leading to significant problems at home, work, or school.
- Important work, social, or recreational activities are stopped because of use.
- Use of the substance in physically unsafe conditions.
- Continuing to use despite knowing that it has contributed to significant psychological and physical problems.
- Tolerance (a need to use more of the substance to achieve the desired effect, or experiencing a lessened effect when using the same amount).
- Withdrawal (the body experiences physical and psychological changes when the substance stops entering the system).
The DSM 5 also categorizes substance use disorder into 3 different levels of severity: mild, moderate, and severe. Mild represents 2-3 symptoms listed above, moderate 4-5, and severe 6 or more.5
Connection Between Substance Abuse And Depression
Depression is one of the most prevalent mental health disorders in the country, and it is believed to be caused by a variety of factors possibly including psychological, environmental, genetic, or biological.3 Substance use disorders are also common in the United States. The development of SUDs is believed to be caused by the same factors as those that can lead to the development of depression.6
Understanding the relationship between mental health disorders, like depression and substance use disorders, can be difficult. While there is a strong correlation between the two, a direct cause and effect is hard to discern. Researchers have concluded that the strong link between depression and substance use disorders exist because:7
- Symptoms of mental illness can contribute to substance use and addiction.
- Addiction and substance use can contribute to the development of certain mental health disorders.
- There are common risk factors for the development of substance use disorders and certain mental illnesses.
Certain factors can make certain populations more at risk for having co-occurring depression and substance use disorders. Researchers are uncovering that stress and trauma are major vulnerability factors for the development of both addiction and mental illness.7 For example, people who identify as LGBTQ experience social stigma, harassment, and violence, putting them at an increased risk of different behavioral health problems.8 Veterans can experience stressors and trauma related to combat, training, and reassimilating back into society. These factors are believed to contribute to a greater incidence of substance use disorders among veterans compared to non-veterans.9
Rehab Programs And Options For Dual Diagnosis Treatment
Fortunately, many depression treatment centers also treat substance use disorders and vice-versa. If you are struggling with addiction and depression, dual diagnosis treatment for co-occurring mental health and substance use disorders can help you achieve recovery. Treating both types of disorders at once addresses both the behaviors of addiction and its underlying psychological and environmental causes. In 2017, only 9.1% of the 42.1 million adult Americans with co-occurring mental health and substance use disorders received treatment for both at the same time.10
Residential and Inpatient Treatment for Depression and Substance Abuse
Inpatient depression treatment can occur at the same time as inpatient substance abuse treatment if you choose a dual diagnosis treatment center. If you are seeking treatment for both mental health and addiction, you can begin by talking to your doctor. They can help you determine your treatment needs and what your next steps may be.
The process of entering treatment usually begins with a comprehensive evaluation by a medical professional or addiction specialist. Depending on your history, current challenges, and diagnosis, you may begin the process with detoxification (detox). Detox is not considered treatment; rather, it is the first step in helping you safely eliminate drugs and alcohol from your body. 11(withdrawal)
There are several forms of treatment, each offering a variety of services and interventions. Treatment usually starts with the most intensive services and becomes less intensive and as you progress through the process. After detox, you may transition to inpatient or residential treatment, which usually consists of:11
- 24-hour structured care within the treatment facility.
- Individual and group therapy.
- Supportive services such as case management to help with housing, legal issues, employment, etc.
- Support groups.
The main difference between inpatient and residential depression and substance abuse treatment is the length. While both offer on-site medical supervision and housing, inpatient treatment tends to last for a few weeks, whereas residential treatment for depression and substance abuse can last for several months to a year. After completing inpatient or residential treatment for depression and substance abuse, outpatient treatment is the next step. Outpatient treatment is the least restrictive form of treatment, allowing the patient to remain at home while adhering to a regular schedule of individual and group therapy sessions.11
How to Find Depression Rehab Treatment Centers Near Me
If you are looking for a dual diagnosis treatment center, it is essential to find a facility that can develop and customize treatment plans specific to your unique needs. No two people are the same, so no two treatment plans should be the same. It’s important to coordinate with your medical professional to determine your needs, then to communicate with potential treatment facilities to determine if they can meet these treatment needs.
Location can be a key factor in choosing a treatment facility. Some people may wish to stay local and others prefer to go out of state. There are benefits to both options.
Finding a depression treatment facility near you can allow your loved ones visit on designated days, or even participate in family therapy sessions. And since you are familiar with the climate, you can pack accordingly. On the other hand, out-of-state treatment can give you a fresh start in a new area and reduce your environmental and family distractions. You can search for depression and substance abuse treatment near you and out-of-state by visiting the Rehabs.com treatment directory.
Does Insurance Cover Depression and Substance Abuse Treatment?
The Affordable Care Act (ACA) expanded substance use disorder treatment coverage through the expansion of treatment, mandating substance use disorder treatments to be offered as equals to medical treatments, and requiring substance use disorder treatment in existing insurance plans.12 If you don’t have insurance or are concerned about the cost of treatment, contact your insurance company or check your coverage online.
Articles Related to Depression Treatment
- National Institute on Drug Abuse. (2020). Health consequences of drug misuse.
- Harvard Health Publishing: Harvard Medical School. (2020). Six common depression types.
- National Institute of Mental Health. (2018). Depression.
- S. Department of Health and Human Services. (n.d.). Substance abuse.
- Kanwischer, R.W. (n.d.). DSM 5 substance use disorders.
- National Institute on Drug Abuse. (2018). Understanding drug use and addiction drug facts.
- National Institute on Drug Abuse. (2020). Common comorbidities with substance use disorders research report: Why is there comorbidity between substance use disorders and mental illness?
- National Institute on Drug Abuse. (n.d.). Substance use and SUD in LGBTQ+ populations.
- National Institute on Drug Abuse. (n.d.). Military life and substance abuse.
- National Institute on Drug Abuse. (n.d.). Comorbidity: Substance use and other mental disorders.
- National Institute on Drug Abuse. (2019). Treatment approaches for drug addiction: Drug facts.
- Abraham, A. J., Andrews, C. M., Grogan, C. M., D’Aunno, T., Humphreys, K., Pollack, H. A., & Friedmann, P. D. (2017). The Affordable Care Act transformation of substance use disorder treatment. American Journal of Public Health, 107(4), 31-32.