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Home > Learning > Behavioral & Mental Health > Anxiety and Addiction: Coping with Comorbidity

March 31, 2023 By Meghan

Anxiety and Addiction: Coping with Comorbidity

Coping with Anxiety and Addiction

When someone dealing with an anxiety disorder feels overwhelmed by it, they often turn to the substance that has either been prescribed or shown recreationally to them as a way to cope with their illness. This often times leads to comorbidity. If someone is diagnosed with a mental disorder, they can develop a substance addiction and vice-versa. Because this is such a common occurrence, it is important to understand the signs and symptoms of recognizing you or someone you know may be affected by this.

Types of Anxiety Disorders

Anxiety is an emotion that refers to the anticipation of future concern of an event that has not taken place yet. There are many things in our lives that can cause us to experience anxiety. At low levels, anxiety is a normal condition to experience on a week-to-week basis. It becomes a problem though when a person cannot lead a normal life because of how severe their anxiety has become.

According to recent research, anxiety disorders affect almost 31% of adults at some point in their lives, and these disorders can take shape in many forms. Some of the more commonly known disorders are:

    • Specific Phobia: fear of a specific object, situation or activity that is generally not harmful and most often times is recognized by the patient as being irrational
    • Social Anxiety Disorder: this disorder causes a person to have anxiety and discomfort in social situations and interactions with others and causes fear of being rejected, humiliated or looked down upon like when meeting new people or having to perform at a public speaking event
    • Panic Disorder: physical and psychological distress that brings recurring panic attacks that cause a person’s body to sweat, feel numb and nauseous
    • Agoraphobia: fear of being in situations where escape may be difficult or embarrassing like using public transportation, being in enclosed spaces or standing in a crowded area
    • Generalized Anxiety Disorder: excessive and persistent worry that interferes with everyday activities that can cause fatigue, difficulty concentrating, insomnia and even muscle tension
    • Separation Anxiety Disorder: worry and fear of being separated from those whom he or she loves and is attached to, symptoms of distress often develop in childhood and carry over into adulthood  

Anxiety and Addiction: How the Two Relate

Because anxiety disorders cause such extreme reactions to certain situations, day-to-day living for someone suffering from one of these disorders can become almost unbearable. Medication that calms down the neurotransmitters in the brain, such as Xanax and Buspar, are often prescribed to those facing an anxiety disorder. Both of these medications, when used correctly, can help an individual cope with their disorder in a healthy way. Often times, though, the individual using these medications becomes dependent on them and associates them with the only way to live a “normal” life.

Addiction and anxiety disorders coincide because more often than not, one follows the other. When someone develops an anxiety disorder, they can start to abuse the use of their medication in order to cope with their condition. The same goes for when someone starts abusing medication, they often develop a mental illness like an anxiety disorder. The cycle continues to be never-ending because of this.

Recognizing Symptoms of Anxiety Disorders

There are many symptoms of anxiety disorders that you should make yourself aware of in order to decide whether or not it is serious enough for you to seek professional help. Excessive worrying is the main symptom and probably the most prevalent when diagnosing an anxiety disorder. The excessive worrying can also lead to agitation and make an individual’s body and mind feel as though it’s in danger.

Worrying so much at night makes it very hard to fall asleep, which is why another typical symptom of anxiety disorders is insomnia. This then leads to other symptoms like fatigue and difficulty concentrating during daily activities.

In severe cases, symptoms such as panic attacks arise when dealing with an anxiety disorder. This is when the body feels as though it is having a heart attack because of the quickened heart rate and lack of breath. These can be caused by constant stress and unwanted social interaction.  

How Dual-Diagnosis Can Help

When an individual has a dual-diagnosis, it means they have both a mental illness and a substance abuse disorder at the same time. It does not matter which disorder develops first, but it is important for both disorders to be equally recognized in order to start the treatment process. By acknowledging that both disorders are present, it gives professionals a better sense of how to treat both at once.

Dual-diagnosis treatment is based on integrated intervention, which is when both the mental illness and substance abuse disorder are treated at the same time. Treatment starts with getting patients the help they need with their substance abuse. In order to work on their mental illness, they must first become sober. After the initial detoxification, the individual must remain in supportive housing to slowly regain a normal lifestyle and to be surrounded by like-minded people who are struggling with similar situations as they are. This helps them realize they are not alone in their journey.

Complications of Other Disorder

Anxiety and addiction may not be the only issues people are dealing with. Several other mental, emotional and mood disorders frequently go along with both conditions. These conditions can cause as much distress as the anxiety itself, and their presence may make it harder to properly diagnose and treat the anxiety and addiction disorders they’re comorbid with.

Major Depressive Disorder (MDD)

MDD has several symptoms that can easily be mistaken for anxiety. Symptoms of MDD include feelings of sadness, explosive anger, loss of interest in formerly enjoyable activities, insomnia or sleeping too much, eating disorders and trouble thinking or performing normal activities. Unexplained physical problems, such as back pain, can also be symptoms of MDD.

Bipolar Disorder

Bipolar disorder is characterized by unpredictable mood swings and emotional states that aren’t appropriate to the situation. People with this condition may show an abnormally upbeat or high-energy aspect, an exaggerated sense of self-confidence and euphoria, diminished need for sleep, racing thoughts, distractibility and irrational decision-making.

Obsessive-Compulsive Disorder (OCD)

OCD frequently turns up as a comorbidity with many other mental health issues and emotional disorders. There are a lot of ways OCD can show itself, including an irrational or exaggerated fear of dirt or germs, difficulty tolerating uncertainty and ambiguous situations, a need for order and visually symmetrical surroundings and difficult thoughts about losing control or visualizing aggression or sexual matters.

Treating anxiety and depression is hard enough when the conditions are operating alone. Even getting the right diagnosis gets exponentially harder when other conditions are acting to degrade a person’s ability to seek help. A person’s depression, for instance, can make it much more difficult to seek detox and sobriety services. The unstable behavior that goes with bipolar disorder can likewise make it hard to stay on a path to sobriety when it disturbs the support group setting.

Tips for Dealing With Comorbid Conditions

People with more than one mental health condition aren’t beyond help. Even though treatment for multiple conditions is more complicated for people with anxiety, addiction and depression together, it can still be done. Here are some strategies for managing anxiety, addiction and at least one other condition:

  • Talk to your doctor. Anxiety, addiction and other mental health disorders are medical conditions that can only properly be diagnosed by a licensed and practicing physician. While most of the treatment for behavioral health issues takes place outside a doctor’s office, it’s crucial to get an accurate diagnosis at the beginning to make sure you receive proper care.
  • Attend group sessions. Group therapy sessions are available for many mental health issues, including addiction to alcohol and drugs, anxiety, codependency and several chronic health problems. If you have a regular 12-step program you attend, members of the group can be an extremely helpful resource for managing comorbid conditions.
  • Work with your sponsor. Your sponsor is a personal support you can count on to work through very personal issues. Sponsors are especially helpful during crisis moments, when immediate support is needed in person or by phone.
  • Enlist family and friends. Successful treatment usually includes building as large a support network as possible. When family members and personal friends are aware of complex mental health issues, they may be in a better position to help manage lifestyle issues that can trigger or worsen symptoms.
  • Know when to seek help. No matter how good a support network is, sometimes people need professional help with addiction, anxiety and other conditions.

Treatment for Anxiety Disorders

Anxiety is present in our everyday lives, but sometimes it can be too much to bear. If you believe you or a loved one is suffering from an anxiety disorder and/or a substance addiction, our team here at Florida House is here to help in whatever treatment we find is the best fit.

Some treatment options for those who are ready to overcome their disorders include psychotherapies, medication management, holistic therapies, and others. Our programs use state-of-the-art brain imaging and genetic testing to provide patients with a full comprehension of their condition as well as more of an understanding of why they face the anxiety that they do.

Filed Under: Behavioral & Mental Health, Drug Addiction

About Meghan

Meghan Blackford is a Social Media Consultant with over ten years of advertising and digital marketing experience, who helps curate... read more

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