Substance abuse isn’t the only issue.
You may be experiencing anxiety, depression, chronic pain, trauma, bipolar, insomnia or any of the other mental health issues that are commonly related to addiction. We are here to help you address those concerns. Your CeDAR care team will work with you to develop an individualized care plan that includes mental health care. Licensed and credentialed UCHealth clinicians will integrate your mental health care into your addiction treatment to help you develop a solid foundation for long-term recovery.
Use the links below for details about Mental Health Care and Addiction at CeDAR.
People who suffer from addiction and unresolved trauma have struggled to maintain lasting recovery from either. Many who come to CeDAR seeking sobriety have survived one or more significant traumatic events. The sources and types of traumatic events vary from large T (shock trauma) events such as automobile accidents, sexual assault, and life-threatening illness, to small t (developmental trauma) events such as childhood neglect. Our goal is to assist you in effectively resolving the day-to-day trauma symptoms that can distract you from working on your primary addiction.
The significance of the co-occurrence of addiction and trauma cannot be overstated.
Years of clinical research tell us that individuals who have a diagnosis of PTSD are four to five times more likely to also have a substance use disorder. Those struggling with both addiction and trauma often begin using chemicals earlier in life and have a more advanced progression of the disease when they arrive in treatment. PTSD sufferers tend to have less successful treatment outcomes than individuals without any trauma history.
We are here to change that.
At CeDAR, we recognize that active trauma symptoms expressed throughout the addiction treatment process can interfere with your ability to hear and implement the recovery message. The CeDAR Trauma Integrated Model integrates recent advancements in what we know about the brain and how traumatic memories are stored. Your care team will use Containment and Autonomic Regulation (CAR) Therapy and Dialectical Behavior Therapy (DBT) to assist you in effectively resolving issues with emotional regulation.
You CeDAR care team is designed to help you begin a lifelong journey in recovery from both addiction and trauma.
The relationship between substance abuse and other psychiatric disorders is common. Psychiatric disorders increase the likelihood of a substance use disorder and many psychiatric symptoms can be caused by the use of addictive substances themselves.
50% of people with bipolar disorder also suffer from addiction (40% of bipolar II patients and 60% of bipolar I patients.) Proper treatment of related psychiatric disorders significantly improves the rate of recovery from addiction.
However, most psychiatric symptoms in persons with active substance use are caused by the substance use itself. Depression, anxiety, insomnia, and attentional problems are the most common symptoms caused by addictive substances. Other forms of cognitive impairment and manic and psychotic states can also be seen.
Rapid improvement of symptoms with detoxification is an important clue that the symptoms are substance induced. These substance-induced psychiatric symptoms (referred to as post-acute withdrawal) often persist beyond the detoxification period well into the first year of sobriety.
Your CeDAR treatment team consists of medical doctors, addiction-certified nurses, addiction psychiatrists and board-certified clinicians. They may recommend medications for the primary treatment of withdrawal syndromes for alcohol withdrawal and opiate withdrawal. In some cases, we use buprenorphine for ongoing treatment of opiate dependence beyond the detoxification.
A personality disorder can be very pervasive and affect many areas of life, including career, friendships, and marriages. Examples of personality disorders include Borderline Personality, Narcissistic Personality, and Antisocial Personality. These illnesses often involve relational drama, strong swings in emotions, and an unstable sense of self. Many times, childhood abuse can lead to these psychological patterns.
If you or a family member has received many different diagnoses from psychiatrists over the years and it is tough to know what to believe, often times a personality disorder is at the heart of the problem.
While depression, bipolar disorder, and schizophrenia are often treated with medications, a personality disorder is best treated with the use of psychotherapy. At CeDAR, we provide specific therapy tracks that help those with personality disorders lead better lives. Dialectical Behavioral Therapy (DBT) and is very helpful for a person with Borderline Personality Disorder.
By getting this kind of care, you’ll stand a better chance of staying clean and sober, and live a fulfilling life in recovery from addiction.
Dialectical Behavior Therapy (DBT) was initially developed for severe and chronic multi-diagnosed clients. Since its inception, there has been extensive research using DBT with a variety of populations, such as those with personality disorders, post-traumatic stress disorder, self-harm behaviors and suicidal thoughts, anxiety, eating disorders and substance use disorders
Repeated success using DBT in substance abuse treatment has led many renowned treatment centers to incorporate it into their programs. Addiction literature has also clearly demonstrated the value of Twelve Step programming in supporting long-term recovery. DBT and Twelve Step philosophy have many conceptual similarities. Both are empirically supported treatments. Because they both work well, it makes sense to integrate these two approaches simultaneously.
At CeDAR we facilitate coping skills development using the curriculum Integrating Dialectical Behavior Therapy with the Twelve Steps developed by CeDAR’s own Bari K. Platter and Osvaldo Cabral. This curriculum was recently published by Hazelden and is used in many substance treatment programs throughout the United States.
You’ll learn and practice skills to utilize when you experience unwanted emotions or distress. The goal of the DBT Coping Skills Group is to provide you with the tools necessary to live a sustained, successful life in recovery. In addition to learning and practicing skills in group, all you’ll receive a Participant Workbook that includes over eighty Coping Skills Worksheets. These worksheets assist you in learning more about how to use the skills learned in group and to reflect upon how you can successfully use those skills after discharge.
Bari also offers individual DBT coaching sessions. You’ll learn to utilize the skills learned and practice them in the group setting.
People with chronic pain report fearing others think the pain is exaggerated, not real, or “all in their heads”. Experiencing both pain and addiction together can magnify those fears. Chronic pain sufferers often struggle with the idea that “I’m a person with chronic pain that is out of control … I’m not an addict”.
Using prescribed opiates for pain such as Vicodin or Percocet may be involved in your path to addiction.
One person recounted, “It felt like a blanket had put on my emotional pain when I took my pain medicine for my knee injury.”
This individual’s chronic unhappiness and a history of childhood neglect felt “better” when he took his pain medication. He described not only less knee pain but less life-pain.
Even in recovery from addiction, an opiate may be prescribed following a surgery or serious painful injury. If you are unprepared or uninformed, the neural pathways in your brain’s reward system can reawaken the addictive process. Things can get quickly out of control and what you believed would be a short-term use of post-op medications turns into frequent refills, reports of “lost prescriptions”, or having a few cocktails with the prescription to enhance the effect of the prescription effect.
At CeDAR, you’ll learn safeguards to prevent the catastrophic spiral into addiction accompanying an acute painful illness. CeDAR’s addiction and pain management professionals support your chronic pain treatment needs using an interdisciplinary approach that includes safe detoxification from problematic and addictive substances, prescribing evidenced-based effective medications and utilizing a variety of non-pharmacologic methods of pain control and coping skills.
You’ll learn to manage your pain effectively, and begin a new life.
The evidence for our decision is clear and irrefutable. Tobacco use accounts for the premature deaths of 443,000 persons annually in the United States, with an additional 8.6 million disabled from tobacco-related diseases. Exposure to second-hand smoke results in an estimated 3,000 deaths due to lung cancer in nonsmokers, 46,000 deaths due to heart disease in nonsmokers, 150,000 – 300,000 lower respiratory infections in infants and toddlers.
Our transition to being a tobacco-free treatment center reduces your exposure to the deadly effects of tobacco, as well as reduced exposure to secondhand smoke for non-smoking people, visitors, and staff.
Nicotine is one of the most highly addictive substances.
Our goal is to promote positive health behaviors and help reduce nicotine addiction. Allowing you to continue to use the maladaptive and unhealthy coping skill of tobacco during treatment robs you of the opportunity to learn and incorporate healthy coping skills. Also, exposure to people using increases the rate of relapse to tobacco use in already-recovered people. Our transition to being a tobacco-free treatment center provides you with increased confidence in your ability to lead a tobacco-free life following discharge from our treatment center. This change is also preventing the initiation of tobacco use or relapse to tobacco use as a maladaptive coping skill during treatment.
Since CeDAR has transitioned to being a tobacco-free facility, our rates of people relapsing back into tobacco use have plummeted and the rates of people and staff in recovery from tobacco who are triggered by tobacco use have also plummeted.
Studies show most smokers want to quit and they can quit.
Nearly 80% of persons with a substance use or addiction-related mental health disorder intend to quit — the majority within the next month. Although many people want to stop using tobacco, they are not confident they can. CeDAR can help you gain that confidence while you’re here for addiction treatment. We know nicotine dependence is a chronic, relapsing disorder often requiring multiple attempts before people quit for good. We also offer proven treatments that significantly enhance quitting tobacco use do exist.
If you smoke or use other tobacco products, CeDAR will first assess your stage of change. If you are not interested in quitting tobacco, you’ll be offered nicotine replacement products to prevent symptoms of nicotine withdrawal. If you express a desire to cut-down or stop tobacco use, you’ll be offered a combination of individual and group counseling sessions as part of our regular treatment program, along with Food and Drug Administration (FDA) approved smoking cessation medications and nicotine replacement products. People are consistently surprised at their strength and ability to be tobacco-free.
Since CeDAR has transitioned to being a tobacco-free facility, the tobacco quit rate for people at discharge is 9 times higher than it was prior to our transition.
Quitting tobacco use during addiction treatment enhances rather than compromises long-term sobriety.
Traditionally, people have been concerned that trying to give everything up at once would be too hard, distract attention from the primary addiction, or result in relapse. However, research indicates quitting smoking and other tobacco use during addiction treatment is associated with a 25% increased likelihood of long-term abstinence from alcohol and illicit drugs. The absence of tobacco use increases the opportunity to practice recovery behaviors in a real-time setting. This further strengthens the treatment of the primary substance use disorder, rather than distracting from it.
Our tobacco-free transition more effectively aligns our daily treatment program and gives you the greatest chance at success in recovery.