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Many people with personality disorders also battle addiction. Personality disorders drive people to substances to cope. The problem is that the double whammy–personality disorder and substance abuse–creates a vicious downward spiral.
There is hope. Our dual diagnosis program tackles personality disorder and addiction together so you can find freedom.
We treat personality disorders and substance use disorder (SUD) at the same time through evidence-based, compassionate care. Our team of experts is here to empower you on your journey to sobriety and a happier, healthier life.
If you’re struggling to overcome addiction, our drug and alcohol rehab center will welcome you with open arms.
I was there for 46 days in residential treatment and went through their detox as well. They saved my life! They went out of their way on a weekend and even gave me their cell number so I could reach them easily when I was ready to check in… From admission to my clinical therapy and even the outpatient program, my treatment was done with true care and concern for my well-being and I was treated like a person who matters. I recommend you go to ARDU if you or someone you know is struggling with addiction. You won’t find a better program…
Personality disorders (PDs) are a class of mental health conditions characterized by inflexible patterns of thinking and behaving that differ significantly from cultural expectations. These often distressing patterns may lead to impairment in function. They typically occur in adolescence or early adulthood and impact different areas of life (work, relationships, etc.).
The exact causes of personality disorders are unknown, but seem to involve a complex interaction of genetics and life experiences. Risk factors for developing a personality disorder include:
There are over ten types of personality disorders which are grouped into three clusters based on common characteristics:
Common disorders include borderline, narcissistic, histrionic, avoidant, dependent, and obsessive-compulsive.
Effective treatment requires an individualized, integrative approach combining psychotherapy and sometimes medication to reduce symptoms, develop coping strategies, and improve quality of life. With appropriate treatment, many people can achieve remission and recovery.
Many people diagnosed with PD resort to picking up a drink or drug to numb their feelings and cope on their own. Over time, those substances pave the way for co-occurring disorders: the presence of two or more mental health conditions occurring simultaneously.
At Ardu, we have assembled a compassionate, multidisciplinary team of experts who specialize in treating co-occurring disorders. Our integrated approach coordinates care for your personality disorder and substance abuse issues through evidence-based therapies tailored to your unique needs.
Contact us today and take the first step toward hope and healing.
Comorbid personality disorders refer to the co-occurrence of two or more personality disorders in one person. Self-medication with certain substances or alcohol may exacerbate the symptoms, which can further complicate diagnosis and treatment.
Common symptoms of comorbid personality disorders can include:
Diagnosis and customized treatment planning are crucial when comorbid PD and SUD are at play.
Research indicates a strong link between personality disorders and substance use. According to Turnbridge News, about 23% of people with a personality disorder also battle a substance use disorder. Specifically, 38% of individuals with borderline personality disorder (BPD) suffer from substance abuse.
Indian researchers found that the prevalence of PDs among people with SUDs ranges from 34.8% to 73%, which is substantially higher than the 10% to 14.8% prevalence in the general population. Those with borderline and antisocial personality disorders are more vulnerable to substance use issues.
It’s no surprise personality disorder and addiction co-occur so often. Both share common risk factors such as genetics and childhood trauma. Substance use may intensify PD mood swings and impulsive behaviors. In turn, those PD symptoms drive self-medication, fueling the addiction cycle.
These factors influence the treatment outcomes. People with both PDs and SUDs also tend to have a poorer prognosis and poorer treatment responses. A personality disorder can complicate the course of a substance use disorder, making it more challenging to treat.
That’s why a comprehensive treatment approach that addresses both disorders equally and simultaneously offers the best chance for sustainable healing.
Our dual diagnosis treatment program is designed to concurrently treat both substance abuse and underlying personality disorders for lasting recovery. The first step is detox to get your body accustomed to functioning without the substances you’ve been taking.
Our detox services incorporate comprehensive medical and holistic therapies to safely manage substance withdrawal symptoms. With compassionate care from our experienced team, you can find comfort and strength to take the first step towards recovery.
When detox is completed, you move on to rehab. Our integrated rehab services treat addiction and personality disorders concurrently, with equal attention and care for both conditions. Our inpatient program provides intensive therapy and coping skills development tailored to your symptoms. For those needing flexibility, our outpatient treatment options allow you to continue working or going to school as you take control of your recovery.
In rehab, we offer the following evidence-based therapies tailored to your needs:
Cognitive-behavioral therapy (CBT) helps identify negative thought and behavior patterns. It teaches skills to manage emotions, improve self-worth, and develop healthy coping strategies. We use techniques like activity scheduling, trigger mapping, and role-playing to empower you to control addiction-related thoughts and behaviors.
Dialectical behavior therapy (DBT) improves emotional and interpersonal skills. Emotion regulation builds skills to identify and modulate intense feelings. Interpersonal effectiveness develops assertive, respectful communication abilities. Mindfulness teaches balanced, thoughtful responses instead of impulsivity.
Motivational interviewing employs empathetic listening sessions where clients can discuss their own hopes and reasons for change. Counselors avoid confrontation, instead allowing space for clients’ motivations and incentives to surface. Our non-judgmental style addresses the ambivalence and low motivation common with dual diagnoses.
Addiction stresses families, but family therapy can repair relationships and create support networks that reinforce long-term wellness. We teach families more constructive ways to support their loved ones in recovery while setting healthy boundaries and expectations. The involvement of family members creates accountability and a circle of support, which facilitates ongoing motivation to manage co-occurring disorders.
Relapse is often a part of recovery. With personality disorders, intense emotions can overwhelm coping tactics without warning. That’s why our relapse prevention planning is so important.
We equip our clients with concrete skills to catch those warning signs, manage triggers, and handle crises gently. You learn self-compassion and how to bounce back from stumbles which fosters success in the long run.
You don’t have to face these complex conditions alone—Ardu is here for you every step of the way.
Recovery from co-occurring disorders is a lifelong journey filled with all kinds of bumps along the road. A comprehensive aftercare plan provides a map to navigate the winding path that comes after rehab and supports continued success as you transition back into everyday life.
Here’s how:
Aftercare plans continue the integrated approach of dual diagnosis treatment, ensuring that both aspects of the dual diagnosis are managed effectively. With individualized care guided by compassion, we empower those with dual diagnoses toward lasting wellness. With patience and the right amount of support, a rewarding life in recovery is possible.
Contact us today to learn more.
Anyone struggling with drug or alcohol abuse or addiction can be eligible to enroll in our dual diagnosis facility. To enroll in an Ardu program, contact us online or via phone (801-872-8480). We will work with you to find a recovery path that works for you during the detox process and beyond.
You can pay for treatment with your insurance at Ardu if your health insurance providers cover our treatment services (we accept most insurance companies). If you want to verify your insurance coverage and gather more payment information, visit our insurance verification page.
Co-occurring or comorbid personality disorders are possible. Some common examples include borderline personality disorder (BPD) combined with narcissistic, histrionic, paranoid, or antisocial personality disorders. This dual diagnosis or double PD can sometimes mask issues making proper diagnosis more complex.
Three overlooked signs of a personality disorder can be emotional dysregulation or reactivity, impulsivity involving risky behaviors or self-harm, and intense fears of abandonment. People with borderline and some other cluster B personality disorders often share and struggle with regulating these difficult emotions and outbursts that disrupt functioning. Evidence-based treatments such as cognitive behavioral therapy can help.
Borderline personality disorders frequently co-occur or form a dual diagnosis with mood disorders like bipolar. The unstable emotions, irritability, and self-destructive behavior as part of BPD can closely resemble and disguise the shifts between bipolar depressive and manic episodes. Careful screening and assessment tools that identify the subtle differences between these co-occurring conditions are crucial for proper diagnosis and effective treatment planning by cross-trained medical teams.
A dual diagnosis refers to having a co-occurring substance use disorder alongside a mental health issue like alcohol addiction combined with borderline or narcissistic personality disorder. For example, someone with bipolar disorder may develop issues with prescription drug abuse.
This complex combination requires an integrated treatment approach that addresses both disorders concurrently through medication management as well as individual and group therapy sessions focusing on the underlying conditions.
Both borderline and narcissistic personality disorders are considered to be among the most challenging co-occurring conditions to treat in mental health. They share certain traits such as:
All these make establishing trust and rapport difficult.
Long-term recovery is possible, especially for the borderline through the consistent and personalized application of treatments like psychotherapy and medications.
Mixed personality disorder (MDP), also termed co-occurring mental illnesses, is serious. It involves unstable symptoms from at least three personality disorder types as categorized in the DSM-5, causing emotional dysregulation, impulsivity with self-harm risks, and strained interpersonal relationships.
Those struggling feel inner confusion and anxiety over their fragmented sense of self. MPD patients often have a poorer prognosis and higher rates of suicidal behaviors than singular disorders. With accurate diagnosis and evaluations from mental health professionals, followed by an integrated treatment plan, positive recovery and stability are attainable.
Borderline personality disorder faces frequent misunderstanding. Symptoms like intense but unstable emotions, angry reactions, fear of abandonment, and self-sabotaging impulses lead to assumptions that sufferers are manipulative or attention-seekers. Complex biopsychosocial factors such as genetics, brain chemistry, and childhood trauma are mainly responsible for BPD, not personal flaws. Evidence-based psychotherapy approaches prove effective for regulating distress, nurturing self-worth, and achieving interpersonal functioning.
All personality disorders demonstrate increased substance use disorder comorbidity stemming from shared risk factors like genetics and learned coping mechanisms of self-medication. Cluster B personality disorders including borderline, histrionic, narcissistic, and anti-social have exceptionally high rates of co-occurring alcohol use disorder or prescription/street drug addiction, which can worsen symptoms.
For example, borderline patients use substances to temporarily numb emotional agony but achieve little lasting relief. Integrated treatment incorporating both personality disorder and addiction issues is vital to interrupting this destructive cycle through treatment modalities such as talk therapy, 12-step programs, and medications.
(2021, January 26). Personality Disorders and Addiction | Turnbridge. Turnbridge. https://www.turnbridge.com/news-events/latest-articles/personality-disorder-and-addiction/
Parmar, A., & Kaloiya, G. (2018). Comorbidity of Personality Disorder among Substance Use Disorder Patients: A Narrative Review. Indian Journal of Psychological Medicine, 40(6), 517-527. https://doi.org/10.4103/IJPSYM.IJPSYM_164_18
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