Understanding Co-Occurring Disorders

Co-occurring disorders—also known as dual diagnosis—refer to the presence of both a mental health condition and a substance or alcohol use disorder. This combination is more common than many realize. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), approximately 9.2 million adults in the U.S. experienced both mental illness and a substance use disorder in 2021.

These individuals often face more complex challenges in accessing care, maintaining treatment, and achieving long-term recovery. But one of the greatest barriers to healing isn’t medical—it’s stigma.

What Is Stigma, and Why Does It Matter?

Stigma involves negative attitudes, beliefs, or discrimination against individuals based on a particular characteristic—in this case, mental illness or substance use. Stigma can take many forms:

• Public stigma: Society’s negative perception of individuals with mental illness or addiction.

• Self-stigma: When individuals internalize these negative beliefs and feel shame or guilt.

• Institutional stigma: Discrimination in healthcare, housing, or employment systems.

Stigma prevents people from seeking help. It can lead to delayed diagnosis, inadequate care, and isolation. For those with co-occurring disorders, the impact can be devastating—resulting in higher rates of homelessness, incarceration, and overdose.

The Power of Compassionate Language

Reducing stigma begins with how we talk about mental health and substance use. Instead of labeling someone as an “addict” or “alcoholic,” using person-first language—such as “a person living with a substance use disorder”—emphasizes humanity and dignity.

Other helpful shifts include:

• “Substance use disorder” instead of “drug abuse”

• “In recovery” instead of “clean”

• “Mental health challenge” instead of “crazy” or “unstable”

Words matter. They shape perceptions and, ultimately, behavior.

Breaking the Stigma Starts with Community

We all have a role in creating an environment where people feel safe seeking help. Here’s how communities can take action:

• Education: Provide accurate information about mental health and addiction to dispel myths.

• Visibility: Share stories of recovery that highlight hope and resilience.

• Training: Equip professionals in healthcare, law enforcement, and education with tools to recognize and support co-occurring conditions without bias.

• Advocacy: Support policies that expand access to integrated treatment and protect the rights of individuals in recovery.

Integrated Treatment: A Key to Recovery

Co-occurring disorders require integrated treatment—where both mental health and substance use issues are addressed simultaneously by trained professionals. When care is fragmented or siloed, individuals often fall through the cracks.

At Break the Cycle, we specialize in comprehensive, compassionate, and evidence-based treatment for co-occurring disorders. Our approach honors the full person—mind, body, and spirit—and supports lasting recovery.

Let’s End the Shame. Let’s Break the Cycle.

Stigma doesn’t just hurt feelings—it can cost lives. By shifting how we think, speak, and act, we can reduce shame and open doors to healing for millions.

If you or someone you love is struggling with a mental health condition and substance use disorder, help is available.
Break the Cycle offers in-person and virtual outpatient programs across Florida, including Volusia and Flagler Counties. Our team is here to help, without judgment.

Call us today or visit our website to learn more.