There are numerous depressive disorders, ranging from mild to moderate to severe, and symptoms of depression may also be indicative of another mental illness as well. For those who are living with a substance abuse disorder in Vermont, depression is very often an issue, if not a co-occurring diagnosis or characteristic of a co-occurring mental illness. The National Institutes of Health (NIH) report that more than 20 million Americans struggle with some form of depression.
Common signs of the disorder include:
Depression symptoms may be triggered by acute events (e.g., job loss or threat of job loss, end of a relationship, death of a loved one, etc.) and may be normal, but if symptoms persist for more than six months, treatment is recommended. Treatment may include medications like tricyclic antidepressants (e.g., Prozac, Zoloft) and cognitive and/or behavioral therapies. Holistic treatments that lower stress levels and increase an overall sense of positive wellbeing are recommended.
Various professionals are qualified to treat different aspects of co-occurring disorders across different medical, therapeutic, and support specialties. All professionals on the therapeutic team should be experts in the services they are providing as well as in the application according to clients' diagnoses. For example, nurses, doctors, psychiatrists, therapists, yoga teachers, sober coaches, life skills coaches, residential counselors, and staff members should not only be well-educated in their respective fields with years of experience but also experts in treating substance abuse as well as the specific mental health disorder.
For each person in recovery from two or more mental health disorders including substance abuse, a range of therapeutic interventions may be appropriate. Therapy may be applied in an one-on-one setting or in a group forum, and it is generally advised that each patient takes advantage of an unique mix of types and styles. Some therapies are brief and designed to be completed within a specified number of sessions. Others are goal-oriented, based on a specific area that needs improvement, and end when that goal is accomplished. Still others are open-ended and allow clients to attend once or more per week as needed. They are client-driven or group-driven and focus on the acute issues facing those involved. Some common therapies used to treat co-occurring disorders include:
Therapies that focus on the perspectives upon which the client bases ultimately self-harming decisions and the assumptions that drive those perspectives are often healing for people in recovery from mental health and substance abuse disorders. Similarly, addressing the behaviors that may be automatic for clients but not ultimately serving their abilities to remain sober or manage mental health issues can help them to make shifts and changes that will improve their quality of life and their ability to better manage their mental health disorder, and also avoid relapse.
A form of Cognitive Behavioral Therapy, DBT is designed to help patients who may experience suicidal thoughts and tendencies through learning how to accept the reality of what is, via mindfulness training rather than judging their experiences - or themselves - as good or bad.
If you are in Vermont and you are struggling with a co-occurring disorder, any of the numerous centers will be happy to offer a helping hand. Many of them have special finance packages to help persons whose finances are not in great shape.
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Vocational Rehabilitation Services
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, Other State Funds, County Or Local Government Funds, Sliding Fee Scale
Drug And Alcohol Treatment Services, Buprenorphine Used In Treatment, Naltrexone, Acamprosate, Buprenorphine Maintenance, Disulfiram, Substance Abuse Treatment Services, Prescribes Administer Buprenorphine And Or Naltrexone
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale
Services For The Hearing Impaired
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Vocational Rehabilitation Services
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, Community Mental Health Block Grants, Sliding Fee Scale
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Inpatient Treatment Center For Adults
Individual Psychotherapy, Group Therapy, Cognitive Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Activity Therapy, Vocational Rehabilitation Services
Cash Or Self Payment, Private Health Insurance
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Inpatient Treatment Center For Adults
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds, Community Mental Health Block Grants
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Other Residential Services, Outpatient Drug Rehab
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling, Vocational Rehabilitation Services
Medicaid, State Financed Health Insurance Plan Other Than Medicaid, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Education Funds, Other State Funds
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Multi Setting Mental Health Facility, Partial Hospitalization Or Day Treatment
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, Other State Funds, County Or Local Government Funds, Community Service Block Grants, Community Mental Health Block Grants, US Department Of Va Funds, Payment Assistance
Services For The Hearing Impaired
Mental Health Treatment
Partial Hospitalization, Outpatient Drug Rehab
Group Therapy, Cognitive Behavior Therapy, Activity Therapy, Vocational Rehabilitation Services
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds, Sliding Fee Scale, Payment Assistance
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Therapeutic Foster Care, Vocational Rehabilitation Services
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, Other State Funds, County Or Local Government Funds, Community Mental Health Block Grants, Sliding Fee Scale, Payment Assistance
Services For The Hearing Impaired, Spanish, Other Languages, French
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, Other State Funds, County Or Local Government Funds, Community Mental Health Block Grants, Sliding Fee Scale
Services For The Hearing Impaired, Spanish
Mental Health Treatment, Psychotropic Medication
Hospital Inpatient, Outpatient Drug Rehab, Outpatient Mental Health Facility
Individual Psychotherapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale, Payment Assistance
Spanish
Mental Health Treatment
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, Other State Funds, County Or Local Government Funds, Community Service Block Grants, Community Mental Health Block Grants, US Department Of Va Funds, Sliding Fee Scale, Payment Assistance
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Methadone Maintenance, Buprenorphine Used In Treatment, Naltrexone, Vivitrol, All Clients In Opioid Treatment Program, Samhsa Certified Opioid Treatment Program, Buprenorphine Maintenance, Disulfiram, Methadone, Substance Abuse Treatment Services
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Sliding Fee Scale
Services For The Hearing Impaired
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab, Community Mental Health Center
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Smoking Tobacco Cessation Counselling, Vocational Rehabilitation Services
Cash Or Self Payment, Medicaid, Medicare, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, State Mental Health Agency Funds, State Welfare Or Child And Family Services Funds, State Corrections Or Juvenile Justice Funds, State Education Funds, Other State Funds, County Or Local Government Funds, Community Service Block Grants, Community Mental Health Block Grants, US Department Of Va Funds, Sliding Fee Scale
Drug And Alcohol Treatment Services, Mix Of Mental Health And Substance Abuse
Outpatient Drug Rehab, Regular Outpatient Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Motivational Interviewing, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Military Insurance, Payment Assistance
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Private Health Insurance, US Department Of Va Funds
Services For The Hearing Impaired
Drug And Alcohol Treatment Services, Buprenorphine Used In Treatment, Buprenorphine Maintenance For Predetermined Time, Buprenorphine Maintenance, Mix Of Mental Health And Substance Abuse, Prescribes Administer Buprenorphine And Or Naltrexone
Outpatient Drug Rehab, Outpatient Methadone Buprenorphine Or Vivitrol, Intensive Outpatient Treatment, Regular Outpatient Treatment
Cognitive Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Relapse Prevention, Substance Abuse Counseling Approach, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Sliding Fee Scale
Services For The Hearing Impaired
Mental Health Treatment, Psychotropic Medication
Outpatient Drug Rehab
Individual Psychotherapy, Couple Family Therapy, Group Therapy, Cognitive Behavior Therapy, Dialectical Behavior Therapy, Behavior Modification, Dual Diagnosis Drug Rehab, Trauma Therapy, Activity Therapy, Telemedicine Therapy, Smoking Tobacco Cessation Counselling
Cash Or Self Payment, Private Health Insurance, US Department Of Va Funds
Services For The Hearing Impaired
Mental Health Treatment, Psychotropic Medication
Inpatient Drug Rehab, Inpatient Treatment Center For Adults
Individual Psychotherapy, Cognitive Behavior Therapy, Dual Diagnosis Drug Rehab, Activity Therapy
Cash Or Self Payment, State Mental Health Agency Funds
Drug And Alcohol Treatment Services, Detox, Methadone Maintenance, Methadone Detoxification, Buprenorphine Used In Treatment, Naltrexone, Vivitrol, Samhsa Certified Opioid Treatment Program, Acamprosate, Alcohol Detoxification, Benzodiazepines Detoxification, Buprenorphine Maintenance For Predetermined Time, Buprenorphine Maintenance, Cocaine Detoxification, Buprenorphine Detoxification, Disulfiram, Methamphetamines Detoxification, Methadone, Mix Of Mental Health And Substance Abuse, Methadone Maintenance For Predetermined Time, Medications For Psychiatric Disorders, Opioids Detoxification
Hospital Inpatient, Inpatient Drug Rehab, Short Term Drug Rehab, Long Term Drug Rehab, Inpatient Detoxification, Hospital Inpatient Detoxification, Hospital Inpatient Treatment, Computerized Treatment
Cognitive Behavior Therapy, Dialectical Behavior Therapy, Anger Management, Brief Intervention Approach, Contingency Management Motivational Incentive, Community Reinforcement Plus Vouchers, Motivational Interviewing, Matrix Model, Outreach To Persons In The Community, Rational Emotive Behavioral Therapy, Relapse Prevention, Substance Abuse Counseling Approach, Smoking Tobacco Cessation Counselling, Trauma Related Counseling, 12 Step Facilitation Approach
Cash Or Self Payment, Medicaid, State Financed Health Insurance Plan Other Than Medicaid, Private Health Insurance, Sliding Fee Scale
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