Living with bipolar disorder can be extremely difficult, and having a co-occurring substance use disorder or mental health condition (known as a dual diagnosis) further complicates treatment and recovery. However, with the right treatment plan and support system, it is possible to manage bipolar disorder and dual diagnosis challenges. This article provides tips on navigating treatment, choosing the right rehab, building a support system, and practicing self-care.
Getting an Accurate Diagnosis
The first step in treatment is getting an accurate diagnosis from a mental health professional. Bipolar disorder symptoms often overlap with other conditions, so it is important to undergo a thorough evaluation. Be open with your doctor about all of your symptoms, even uncomfortable thoughts or behaviors. Getting the right diagnosis leads to more effective treatment.
Finding an Integrated Treatment Plan
With a dual diagnosis, an integrated treatment plan that addresses both conditions is essential. Many rehab centers and mental health clinics now use an integrated approach. Treatment usually includes medication to stabilize moods, cognitive behavioral therapy to change thoughts and behaviors, and group therapy or support groups. Dual diagnosis treatment takes time, so be patient and keep trying different medications or therapy approaches until you find what works.
Choosing the Right Rehab Center
If you need drug or alcohol rehab, look for a dual diagnosis program that has expertise in treating co-occurring bipolar disorder. Call centers in advance to ask about their treatment model, success rates, staff expertise, counseling approaches, family services, payment options, and discharge planning. Prioritize centers that collaborate with mental health providers and offer continuity of care after discharge.
Building a Support System
A strong support system makes all the difference when managing a dual diagnosis. Surround yourself with understanding friends and family who encourage you to stick to your treatment plan. Join bipolar or dual diagnosis support groups to connect with others facing similar challenges. Lean on your therapists, case workers, or sponsors when you feel depressed, manic, or tempted to use substances. Building this social safety net helps keep you grounded.
Making Lifestyle Changes
There are many lifestyle changes you can make to better manage bipolar disorder symptoms:
- Stick to a regular sleep schedule of 7-9 hours per night. Lack of sleep can trigger manic episodes.
- Exercise regularly to alleviate depression and anxiety. Start small with daily walks.
- Eat a nutritious diet low in sugars and processed foods. Avoid caffeine, nicotine, and recreational drugs.
- Use a mood tracking app to monitor your emotional patterns and identify triggers.
- Reduce stress through yoga, meditation, nature walks, or other relaxing activities.
- Avoid social isolation and maintain relationships despite mood swings.
Practicing Self-Compassion
Living with bipolar and a co-occurring disorder is extremely tough, and you will likely face setbacks. Counter feelings of shame or failure with self-compassion. Be patient and accepting of yourself, celebrate small victories, lean on your loved ones for support, and don’t give up. With time, treatment, and personal care, you can overcome the challenges of dual diagnosis.
Accurate diagnosis, integrated treatment, the right rehab center, a strong support network, lifestyle changes, and self-compassion are key to navigating life with bipolar disorder and a dual diagnosis. Take things step by step, and don’t lose hope during difficult periods. With the right treatment plan and support system, you can manage your symptoms and live a fulfilling life.
