Webinar: Substance Use Disorders and Co-Occurring Disorders

This webinar, presented on February 12, 2021, is a part of an ongoing FSU series on substance use disorders funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and focuses on identifying the major disorders that co-occur synergistically with substance use disorders. Using a developmental perspective, eight major disorders are described along with treatment suggestions.
The webinar presenters include Robert Walker, a retired assistant professor at the University of Kentucky College of Medicine and Jane Dwyer Lee, a teaching professor at the FSU College of Social Work. The webinar is presented by the Center for the Study and Promotion for Communities, Families, and Childre and the FSU College of Social Work. Find related resources at csw.fsu.edu/cfc

[@tishie42]

At 53:13 that enrire list was me in addiction and early recovery. I am now almost 5 years clean and the BPD is now managed extremely well using the same processes that keep me clean. It has gotten so much better and I think radical acceptance of myself and knowing exactly what is in my control has made my codependent and angry at rejection tendencies very much thought only. I still think all the crazy things but no longer entertain them as behavior options. 🤣I dont know how to describe it other than the longer im clean the easier it gets to spot real feelings from knee jerk fear reactions. Like I'm outgrowing it almost?

[@petererb9463]

Regarding what to treat first, 3:30, in 35 years of treatment I have only been required to be abstinent on the day of treatment (group or individual talk therapy). I would stop treatment quite frankly before quitting use. Can a person do DBT whilst intoxicated?

[@tishie42]

I did DBT while on suboxone. I was however, 6 months stable on my dose and in a sober living environment. I don't think it would be effective if I was intoxicated however because it requires critical thinking which is the first thing to go. For me, that was the perfect time to introduce this type of treatment. I have an OUD and what was then called Borderline, it's changed. But still the same thing, and DBT helped a lot with the emotional dysfunction which is what I was self medicating for. It was all cyclical and this is obviously the short version but I don't think it would be effective.

[@petererb9463]

I think you are correct. Thanks for saying.