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Which comes first . . . the chicken or the egg?
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<blockquote data-quote="toughlovin" data-source="post: 463562"><p>I don't know if it really matters which came first. Certainly there are people much more prone to addiction than others and it may be that normal every day feelings and issues for those people lead to addiction. Addicts deal with difficult feelings by using drugs or alcohol and we all at some time or another have difficult situations and feelings. </p><p></p><p>But I think many who have underlying mental health issues start using drugs or alcohol to in a sense self medicate and the substance use becomes a problem in and of itself and they may not recognize or deal with the mental health problem.</p><p></p><p>Ultimately I think both mental health and substance abuse need to be treated, hopefully in some kind of dual treatment.... although I do think a person needs to be sober to deal with the mental health issues... clearly you can't really do that while using.</p><p></p><p>We are in that situation right now with my son. He was recently hospitalized because he was suicidal. They started looking at his mental health issues and actually have a program that deals with some of his personality disorder issues which was helfpul. He wants help with this piece because he is realizing he has problems in his relationships and life due to these issues. He was discharged from inpatient and went and used drugs, and the program basically strongly suggested he get readmitted and he is still there. They also have told him he needs to be sober for 30 days and the strong recommendation is for residential substance abuse tx. I think he still thinks he can be sober on his own (which I think is a fallacy that would lead him to using) but is willing to go to residential tx if that is the way to get the mental health treatment.</p><p></p><p>So in his case his desire for the mental health treatment may help lead him to substance abuse treatment. That is my current hope and it is very clear to me he needs both. He needs substance abuse tx because he has to learn ways to deal with his issues and problems other than by using substances.... and he also needs mental health treatment (and medications) because he needs to get at the issues driving him so strongly to need something to help him cope.</p><p></p><p>I don't think either treatment alone will help him long term.</p><p></p><p>It is complicated.</p><p></p><p>I think you are taking the right stand about what happens after residential. I strongly support you in not having her come back to your home. That won't be good for her or for you.</p><p></p><p>TL</p></blockquote><p></p>
[QUOTE="toughlovin, post: 463562"] I don't know if it really matters which came first. Certainly there are people much more prone to addiction than others and it may be that normal every day feelings and issues for those people lead to addiction. Addicts deal with difficult feelings by using drugs or alcohol and we all at some time or another have difficult situations and feelings. But I think many who have underlying mental health issues start using drugs or alcohol to in a sense self medicate and the substance use becomes a problem in and of itself and they may not recognize or deal with the mental health problem. Ultimately I think both mental health and substance abuse need to be treated, hopefully in some kind of dual treatment.... although I do think a person needs to be sober to deal with the mental health issues... clearly you can't really do that while using. We are in that situation right now with my son. He was recently hospitalized because he was suicidal. They started looking at his mental health issues and actually have a program that deals with some of his personality disorder issues which was helfpul. He wants help with this piece because he is realizing he has problems in his relationships and life due to these issues. He was discharged from inpatient and went and used drugs, and the program basically strongly suggested he get readmitted and he is still there. They also have told him he needs to be sober for 30 days and the strong recommendation is for residential substance abuse tx. I think he still thinks he can be sober on his own (which I think is a fallacy that would lead him to using) but is willing to go to residential tx if that is the way to get the mental health treatment. So in his case his desire for the mental health treatment may help lead him to substance abuse treatment. That is my current hope and it is very clear to me he needs both. He needs substance abuse tx because he has to learn ways to deal with his issues and problems other than by using substances.... and he also needs mental health treatment (and medications) because he needs to get at the issues driving him so strongly to need something to help him cope. I don't think either treatment alone will help him long term. It is complicated. I think you are taking the right stand about what happens after residential. I strongly support you in not having her come back to your home. That won't be good for her or for you. TL [/QUOTE]
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Which comes first . . . the chicken or the egg?
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