When A Patient Suffers From More Than One Disorder
There are times when a patient’s illness may be rooted in more than one disorder. These “co-occurring disorders” require a special understanding and corresponding treatment. Co-occurrence may be a combination of a variety of disorders. Often—though not always—there may be a combination of addiction and psychiatric disorders present. Whether this happens to be the diagnosis or not in any given patient, it is the appreciation of what that patient’s unique co-occurring disorders are and how they interact that will help drive the best treatment program.
At Silver Hill Hospital we are proud of our special expertise in the treatment of co-occurring disorders. We have 80 years of experience in diagnosing and treating psychiatric disorders and are one of the nation's best-known addiction treatment centers as well. We have become extremely proficient at identifying the co-occurrence of multiple diagnoses and skilled in treating them simultaneously.
For patients with a diagnosis of a co-occurring disorder that includes a psychiatric disorder and addiction, the treatment approach is a combination of medical and psychotherapeutic interventions. The objective is for the patient to develop an understanding of the dual nature of their illness and to develop the strategies necessary to manage both. In addition, the programs for patients with addictive and co-occurrence disorders include 12-Step meetings to increase the likelihood of continued abstinence.
Patients who have been diagnosed with co-occurring disorders are initially admitted to the Patricia Regnemer Main House. If the diagnosis includes addiction the patient will participate in programs both for the treatment of their addiction (which may include medically managed detoxification) and a program for the treatment of their psychiatric disorder. One of Silver Hill’s strengths is the fact that our psychiatrists are all additionally trained in the treatment of substance use disorders and many of our psychiatrists have addiction specialty boards. Patients with co-occurring disorders that do not include addiction are provided with programs to address their unique co-occurrence requirements.
After initial treatment in Main House, which is a short-stay unit, patients may be offered extended treatment in our residential Transitional Living Program, or our Intensive Outpatient Program or may be discharged home for continued treatment by their referring clinician, often in conjunction with an aftercare Outpatient Program in the community.
Family members are encouraged to participate in our Family Forum.
Every patient with an eating disorder who comes to Silver Hill for treatment is individually evaluated. Depending on the patient’s needs their treatment may be administered either within our DBT Program or our Co-Occurring Disorders Program.
The Eating Disorder Program gives patients autonomous control over abnormal eating behaviors. Treatment includes comprehensive evaluation and a program that emphasizes individual control of problem behaviors. The treatment program uses a combination of cognitive, behavioral and psychological techniques. Supervised meals, which emphasize the development of new eating patterns, are a key part of the program. If patients have substance use disorders or another psychiatric disorder in addition to an eating disorder, the patient’s treatment plan will be modified to include all such disorders. Adult patients can participate in the Eating Disorders Program as part of the residential Transitional Living Program.