Today, we address a question that deeply concerns many families: what comes first, addiction or mental illness? This dilemma, similar to the chicken and the egg, leads us to reflect on the relationship between these two conditions and their impact on our adolescent children
Dual pathology refers to the coexistence of a substance use disorder and another mental disorder in the same person. This combination is not uncommon and, in fact, can increase the clinical and social severity of the affected individual.
It is crucial to understand that, regardless of which condition came first, the simultaneous presence of both requires a comprehensive and coordinated intervention. The first step in treatment is usually the reduction or elimination of substance use, as neither condition will improve if consumption persists. Even when medication is prescribed to treat the mental illness, its effectiveness may be compromised if the patient continues using substances.
In this context, the active involvement of the family becomes an essential pillar of the therapeutic process.
Family not only shapes you; it holds you up when everything else crumbles.
Their involvement can facilitate early detection of problems, provide emotional support, and foster an environment conducive to recovery. Furthermore, family collaboration in treatment has been shown to improve patient retention and reduce substance use.
For adolescents, the situation can be even more complex. If a young person attends a consultation under obligation (which is often the case), they are likely to provide little information, limiting themselves to brief responses. In these cases, parents express their concerns and fears, but only a partial perspective of the problem is obtained. Therefore, it is crucial to learn to listen to adolescents and negotiate with them regarding the involvement of their loved ones in the rehabilitation process.
It is important to recognise that the road to recovery will not be easy, short, or free from pain. However, when the patient, family, and healthcare professionals work together in a coordinated manner, effective rehabilitation is possible, allowing the individual to lead a fully normal life.
In summary, when faced with the dilemma of what comes first—addiction or mental illness—what truly matters is addressing both conditions in a joint and coordinated manner. Family involvement in this process is vital, as their support can make a significant difference in the adolescent’s recovery. Let us remember that, with understanding, patience, and collaboration, it is possible to overcome these challenges and provide our children with the future they deserve.
You can also find this article on the Valle de Elda blog. My next article will be titled: