Co-occurring disorders, also known as dual diagnoses, refer to the presence of both a substance use disorder (SUD) and a mental health condition in the same person. This combination is much more common than most people realize. More than half of those with a substance use disorder will also experience a mental illness at some point in their lives, and vice versa.

Trauma is not merely an event that fades with time; it etches itself into the very fabric of our being, demanding acknowledgment and resolution. Though my experience happened in 2017, it took me four years to give the pain the acceptance and acknowledgment it needed. I got a text from someone wishing me "Happy Mother's Day," and it broke me four years later. It was at that point that I realized that our body keeps the score of every experience we go through.

The connection between mental health, substance abuse, and homelessness in America is undeniably complex. People dealing with mental health problems may turn to substances as a form of self-medication, increasing their risk of addiction. As substance use rises, it can lead to financial hardship, job loss, and broken relationships — all of which raise the chances of ending up unhoused. Conversely, the harsh and often traumatic conditions of homelessness can worsen existing men

It sounds radical, but what if substance use isn’t a disorder but a survival strategy for coping with trauma, poverty, or pain? The real issue isn’t in the brain or body but what’s happened to and around them. Recovery doesn’t require another diagnosis, but rather understanding, support, and meeting people where they are. Are we ready to have that conversation?

Kirsten Rabuck collaborates with me as a co-author for this issue. She is a substance abuse counselor and an adult child of an alcoholic father, just like me. Together, we draw on our experiences as adult children to help others facing similar challenges.

Pain is inevitable; suffering is optional. Pain is a natural part of life, but it does not have to rule it. Our thoughts and perceptions about pain cause suffering. People needlessly suffer for many years with substance abuse addiction. Unfortunate events, problems, and disappointments are the first arrows that cause pain. The second arrow may be self-deprecating thoughts, self-blame, or getting down on yourself. The key is not to grab a substance, alcohol, or drugs to heal t

Did my Depression isolate me, or did my unrealized Autism isolate me and lead to worsening Depression?

War zones might be closer than you realize, with 25% of children growing up with a father, mother, or both who have a substance use disorder

Childhood trauma plays a significant role in the onset of adult-child syndrome. Such chronic trauma often leads to PTSD.

Regrettably, substance abuse in older adults is becoming an increasing public health issue. The overdose crisis has spared no one.

According to the American Addiction Centers, 20.3 million adults diagnosed with SUDs, and more than a 1/3 also suffer from mental illness...

By Tom O’Connor and Lauren Grawert, MD, FASAM, Co-Authors Is there a recovery from Adult-Child Syndrome? Is there partial recovery?