Co-Occurring Substance Abuse

What substance use disorders are

  • Taking the substance in larger amounts and for longer than intended
  • Wanting to cut down or quit but not being able to do it
  • Spending a lot of time obtaining the substance
  • Craving or a strong desire to use substance
  • Repeatedly unable to carry out major obligations at work, school, or home due to substance use
  • Continued use despite persistent or recurring social or interpersonal problems caused or made worse by substance use
  • Stopping or reducing important social, occupational, or recreational activities due to substance use
  • Recurrent use of substances in physically hazardous situations
  • Consistent use of substances despite acknowledgment of persistent or recurrent physical or psychological difficulties from using substances
  • *Tolerance as defined by either a need for markedly increased amounts to achieve intoxication or desired effect or markedly diminished effect with continued use of the same amount. (Does not apply for diminished effect when used appropriately under medical supervision)
  • *Withdrawal manifesting as either characteristic syndrome or the substance is used to avoid withdrawal (Does not apply when used appropriately under medical supervision

(adapted from the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition)

What we treat

  • We treat individuals with a co-occurring substance use disorder that is secondary to their eating disorder. We do not provide detoxification, so that we ask that the individual is detoxed prior to admission.

Our program philosophy

  • Comprehensive and strengths-based
  • Incorporates principles of 12-Step recovery and individuals are required to attend at least three 12-Step meetings per week
  • Includes (up to) three individual sessions a week, approximately four psychoeducational groups each day, weekly meetings with the staff psychiatrist, psychologist, dietitian, and clinical director
  • Incorporates elements of spirituality, mindfulness, nutrition, art, movement/exercise, and psychotherapy
  • Interventions may include pharmacology, when appropriate

Goals for therapy

  • Establish abstinence and begin maintaining recovery
  • Remove access to illegal and dangerous drugs
  • Connect with support networks to encourage ongoing sobriety
  • Reduce risk of relapse by identifying triggers and developing coping skills to manage urges and triggers
  • Identify dysregulation and gain skills to emotionally regulate
  • Address underlying mental health issues that fuel substance use
  • Learn and regularly implement practices of mindfulness (largely adapted from Diane Gehart)
  • Attend to and develop relationships (based on work of Marsha Linehan)
  • Recognize anxiety-inducing cognitive distortions
  • Learn distraction or self-soothing skills
  • Practice assertiveness and appropriate communication skills
  • Balance “wants” vs. “needs” (based on work of Marsha Linehan)
  • Reduce unhealthy defense mechanisms/reactions and impulsivity

Clinical modalities

  • Cognitive Behavioral Therapy, Motivational Interviewing, Dialectical Behavioral Therapy, experiential therapy

Recommended reading

  • Big Book of Alcoholics Anonymous
  • Narcotics Anonymous Basic Text
  • Refuge Recovery: A Buddhist Path to Recovering from Addiction by Noah Levine
  • A Woman’s Way through the Twelve Steps by Stephanie S. Covington
  • A Gentle Path through the Twelve Steps by Patrick Carnes, Ph.D.
  • Staying Sober by Terence T. Gorski and Merlene Miller
  • The Spirituality of Imperfection: Storytelling and the Search for Meaning by Ernest Kurtz and Katherine Ketcham

If you are struggle with a co-occurring substance use disorder, Magnolia Creek can help you. For more information, please call 205-678-4373.