Dual Diagnosis

Doubt is thought's despair; despair is personality's doubt. . .;
Doubt and despair . . . belong to completely different spheres; different sides of the soul are set in motion. . .
Despair is an expression of the total personality, doubt only of thought. -
Søren Kierkegaard

Doubt and Other Disorders Logo

1 of grammatical number : denoting reference to two
2 a : consisting of two parts or elements or having two like parts : DOUBLE
b : having a double character or nature

1 a : to recognize (as a disease) by signs and symptoms
b : to diagnose a disease or condition in (diagnosed the patient)
2 : to analyze the cause or nature of (diagnose the problem) intransitive senses : to make a diagnosis

Definitions from
Merriam-Webster Dictionary

I'm not a psychiatrist,
or a therapist or even a social worker.
I'm just another recovering person who is striving to stay clean and sober today while managing a mental illness.
In that daily journey, I seek to protect and expand what serenity I have been able to achieve. . .

defined as, "the ability to accept life on life's terms" has been found by
me in the practice of
balance. . . . . . . . . . . . . . .
between and within the 12-step program I work for recovery from addictions and the psychiatric program I work in managing my mental illness. Which does frequently require the use of medications.

Fortunately, for me, the medications used with any effectiveness for what I deal with are not addictive as such. Even so, I need to be careful. I needed to find and need to maintain a fully integrated approach to my recovery, balancing the needs of my recovery with the needs of managing the mental illness.

It requires honesty with my support structure in recovery and honesty about my addictions with the doctors and working with both groups to come up with an approach that works for me. This has not been easy to do.

I am very fortunate that the mental illness leaves me quite capable of making informed reasoned choices. The program I use for recovery is not designed to treat mental illness nor should it be used for such. It does what it is supposed to do very well. So I use it for just that, staying clean and sober. It is not going to do a thing specifically for my OCD (Obessive-Compulsive Disorder). The doctors and the behavior therapist are not going to keep me sober. If I do not use both, I will neither stay sober nor will I be able to continue managing my disorder.

I do not know how this page will develop or how my story will. There are many things I could talk about on Dual Diagnosis. There are many us out there and not many places to be with fellow travelers. I have been fortunate for the last few years to be a SYSOP in the CompuServe Recovery Forum, for the Dual Diagnosis section. I have learned a great deal from the others that frequent that corner of SoberSpace. Not the least of which is that there is a tremendous need for awareness and education both in the recovering communities and in the psychiatric communities.

There is hope for us Dual's. At the time of this writing, I have a little over 11 years of continuous sobriety. If I had achieved that by myself, I could take a great deal of pride in that. Being human, I do take some pride in that. But I did not and could not have come this far without a great deal of support and help. It's been a true adventure and will continue to be so.

I am not a doctor, therapist or professional in the treatment of CD. This site reflects my experience and my opinions only, unless otherwise stated. I am not responsible for the content of links I may point to or any content or advertising in other then my own.

Always consult a trained mental health professional before making any decision regarding treatment choice or changes in your treatment. Never discontinue treatment or medication without first consulting your physician, clinician or therapist.

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APA Reference
Gluck, S. (2009, January 12). Dual Diagnosis, HealthyPlace. Retrieved on 2024, June 21 from

Last Updated: May 26, 2013

Medically reviewed by Harry Croft, MD

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