What is Substance Use Disorder?

The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) characterizes substance use disorders in 10 classes that include alcohol; caffeine; cannabis; hallucinogens; inhalants; opioids; sedatives, hypnotics, or anxiolytics; stimulants; tobacco; and other or unknown substances. Substance use disorders are a pattern of symptoms that result from continued use of a substance despite the issues it may cause. It is not uncommon for women with eating disorders to also have a substance use disorder.

Substance abuse treatment may be necessary if someone meets the following criteria:

  • 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 the 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)

A woman eats a pea as part of her pica eating disorder treatment

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What We Treat

According to the DSM-5, the severity of a substance use disorder is determined by the number of symptoms, or criteria, identified. Two to three indicates a mild substance use disorder, four to five is moderate, and six or more indicates a severe substance use disorder. At Magnolia Creek, we treat women with a co-occurring substance use disorder that is secondary to their eating disorder. We do not provide detoxification, so we ask that the individual is detoxed prior to admission.

How We Treat

Our substance abuse treatment is comprehensive and strengths-based. It incorporates principles of 12-Step recovery, and individuals are required to attend at least three 12-Step meetings per week. This philosophy also 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. We also strive to incorporate elements of spirituality, mindfulness, nutrition, art, movement/exercise, and psychotherapy. Interventions may include pharmacology, when appropriate.

The goals for our substance abuse treatment include:

  • Establish abstinence and begin maintaining recovery
  • Remove access to illegal and dangerous drugs
  • Connect with support networks to encourage ongoing sobriety
  • Reduce the 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 the 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

Our substance use disorder treatment utilizes a variety of clinical modalities, including the following:

  • Cognitive Behavioral Therapy
  • Dialectical Behavioral Therapy
  • Motivational Interviewing
  • Experiential Therapy

Substance Abuse Treatment at Magnolia Creek

If you are struggling with a co-occurring substance use disorder, Magnolia Creek can help you. For more information about us or our substance abuse treatment plan, please call 205-409-4220.

We are here to help you. Contact Us @ 205-409-4220 or send us an email.

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