Co-occurring mental health disorders are almost always present with addictive disorders. Because of this, it is imperative to appropriately treat mental health issues concurrent with the addiction. To treat one without the other creates a vulnerability for relapse, and results in the painful cycle of repeated stints in rehab and treatment failures. Hawaii Island Recovery offers intensive individual and group therapy and applies principles of Cognitive Behavioral Therapy, EMDR, Health Realization, Gestalt and Experiential Therapy to help our clients gain insight into their behavior, feelings and thought patterns. For real and lasting change to occur in mood and behavior, underlying feelings, traumas and beliefs must be identified and resolved. By working from the "inside out,", clients replace negative patterns with positive ones, paving the way for more joy, peace and contentment, a natural deterrent to addictive behavior. Most frequently occurring co-morbid mental health conditions include:
|Dysthymia||Post-Traumatic Stress Disorder (PTSD)|
|Depression||Borderline Personality Disorder|
|Bipolar Disorders||Eating Disorders|
Hawaii Island Recovery provides an array of coordinated therapies to address the individual’s specific needs, issues, and problems that occur together with and contribute to his/her addiction. These include anxiety, depression, mood swings, issues of self-esteem and self-confidence, fears, excessive guilt, indecisiveness, lack of goals, low motivation, relationship issues, etc.
One of the evidence-based therapies utilized is EMDR (Eye Movement Desensitization and Reprocessing). EMDR utilizes the brain’s own healing power to resolve traumatic memories that contribute, without the person’s awareness, to present symptoms and problems. Trauma is easily recognized in the events such as natural disasters, accidents, acts of violence, rapes, deaths, etc. that are diagnostic criteria for PTSD. But trauma may also be evidenced by any event in the past that has a persistent negative effect in the present.
|Many of these “little t” traumas occur during childhood when we are not able to provide for our own needs and safety and have little choice, control, or power. When the brain’s natural information processing system becomes overwhelmed by the trauma, the memory is stored in it’s original, non-processed mode, retaining the disturbing emotions, uncomfortable body sensations, and negative cognitions about the self associated with the trauma. The memory is “stuck”, isolated from connecting with conscious and adaptive information processing networks, and although unconscious, the memory triggers present symptoms, attitudes, and behaviors including addiction. EMDR is highly effective in identifying and resolving the memories that contribute to present dysfunction, unhappiness, and addiction.|
John Hibscher, Ph.D. | Clinical Director & Psychologist
Dual diagnosis therapy, in the case of the addict or alcoholic, involves treatment of both the addiction and the co-occurring psychological or emotional condition. The psychological conditions often present symptomatically as:
|Depression||and a variety of disorders involving|
|And other impulse control problems.|
Often accompanying these conditions are poor self-esteem, lack of confidence, interpersonal conflicts, unsatisfactory relationships, and a pervasive dissatisfaction with many aspects of life. For successful treatment and relapse prevention, it is essential to address both simultaneously. To achieve a positive outcome, accurate assessment and evidence-based treatment needs to be provided by licensed therapists credentialed in their respective specialties.
Cognitive behavioral therapy (CBT) is a psychotherapeutic approach that addresses the individual‘s dysfunctional emotions, maladaptive behaviors, and cognitive processes and contents that underlie his/her disorder and negative symptoms. By employing a number of goal-oriented, explicit, and systematic procedures, the therapist assists the client in exploring patterns of thinking that lead to self-destructive actions and the beliefs which direct these thoughts. CBT helps individuals challenge their patterns and beliefs and replace errors in thinking (cognitive distortions) such as overgeneralization, magnifying negatives, minimization of positives, and catastrophizing with more realistic and effective thoughts which results in a decrease or elimination of emotional distress and self-defeating behaviors.
CBT is an evidence-based therapy which means that it has been proven, in controlled scientific studies, to be effective and superior to many other therapeutic approaches. HIR utilizes CBT and other evidence-based therapies for the effective treatment of:
Substance Abuse Disorders, Mood Disorders
(Major Depression, Bipolar, Dysthymic, Cyclothymic, Substance-Induced Depression)
(Panic Attack, Agoraphobia, Panic Disorders with and without Agoraphobia, Specific Phobia, Social Phobia, Obsessive-Compulsive, Posttraumatic Stress, Acute Stress, Generalized Anxiety, Substance-Induced Anxiety)
(Somatization, Conversion, Pain, Hypochondriasis, Body Dysmorphic)
(Anorexia Nervosa, Bulimia Nervosa, Compulsive Overeating)
Sleep Disorders, and Impulse-Control Disorders
(Intermittent Explosive, Kleptomania, Pathological Gambling)
Treatment for anxiety, depression, or chronic pain (e.g. sciatica nerve, fibromyalgia, etc.), often powerful contributing causes to addiction, must occur together with the treatment for addiction for success and relapse prevention.
Experiential TherapyExperiential therapy is a broad category of therapies that share in common their "Gestalt" approach in which the client, through their own experience, gains insight into their feelings, thoughts, and behaviors. Experiential therapy encourages clients to identify and address hidden or subconscious issues through experiences such as role-playing, guided imagery, the use of props, animals, and a range of other activities. Specific examples of experiential therapy include recreation therapy, equine therapy, expressive arts therapy and sand tray therapy.
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