Bipolar Addiction and Addiction

In my 20 years experience as an addiction specialist, I have seen that many of my clients who have bipolar disorder also struggle with substance use disorders (SUDs). They use alcohol, cannabis, cocaine, gaming or porn to escape the intense mood swings when living with bipolar. Unfortunately, they use them as self-medication instead of compliance in taking their prescribed medication. There is a great risk to relying on external means to regulate a serious mental illness.

Bipolar Disorder and Substance Use Disorders (SUDs)

Bipolar disorder and SUDs often go hand in hand, with individuals facing a significantly higher risk of developing substance abuse issues compared to the general population. According to research studies, approximately 60% of those with bipolar disorder also escape and medicate with alcohol and drugs.

The allure of substances as a form of self-medication to alleviate the extreme mood swings and depressive episodes characteristic of bipolar disorder is undeniable. However, the temporary relief provided by substances ultimately exacerbates the symptoms of bipolar disorder, impact efficacy of medications and leads to a vicious cycle of dependence and addiction.

Addiction and its Impact

Addiction is a complex brain disorder characterized by compulsive substance use despite harmful consequences. When coupled with bipolar disorder, addiction further complicates the management of symptoms and poses a significant barrier to recovery. Individuals with co-occurring bipolar disorder and addiction often experience more severe mood swings, increased impulsivity, and greater difficulty adhering to treatment regimens.

The Role of Trauma

Trauma, whether experienced in childhood or adulthood, is a common underlying factor in the development of both bipolar disorder and SUDs. Traumatic events can trigger the onset of bipolar symptoms and contribute to the adoption of substance use as a coping mechanism. Moreover, individuals with a history of trauma may be more susceptible to addiction and less responsive to traditional treatment approaches.

Integrated Treatment Approaches

Addressing the complex interplay between bipolar disorder, SUDs, and trauma requires a holistic and integrated treatment approach. This approach involves simultaneous treatment of all co-occurring disorders, with an emphasis on psychotherapy, medication management, and support services. Interpersonal and Social Rhythm Therapy (IPSRT), Cognitive Processing Therapy (CPT), trauma-informed care and inpatient addiction treatment are particularly effective in helping individuals manage their symptoms and maintain sobriety.

Recovery and Beyond

While the road to recovery may be challenging, it is not insurmountable. With the right support system and comprehensive treatment plan in place, individuals with co-occurring bipolar disorder, SUDs, and trauma can achieve long-term stability and improve their overall quality of life. It is essential to prioritize self-care, establish healthy coping mechanisms, and cultivate resilience in the face of adversity.

Treating co-occurring bipolar disorder, substance use disorders, addiction, and trauma requires a multifaceted approach that addresses the unique needs of each individual. By understanding the interconnected nature of these conditions and providing tailored treatment interventions, we can empower individuals to reclaim control of their lives and embark on a journey of recovery and healing.