Bipolar Disorder and Addiction Treatment in Westlake Village, California

Bipolar disorder and addiction often appear together, creating unique challenges for individuals and families. Education about bipolar disorder, support, and connection are powerful tools in the journey to lasting recovery. When you notice mood swings or changes in behavior linked to substance use, understanding both conditions becomes essential for finding effective care.

At Westlake Village Recovery Center, we use an integrated treatment approach to address both mental health and substance abuse simultaneously. Bipolar disorder is often misunderstood because symptoms can look like other mental health conditions. Its interactions with addictive substances can make things even more complicated. But there is hope for recovery from addiction, including for people with bipolar disorder. People with this mental health condition can live happy and fulfilled lives with the right treatment.

Bipolar Disorder

Bipolar disorder is a brain condition that causes unusual shifts in mood, energy, and activity levels. The condition affects about 2.8% of adults in the United States.

There are three main types of bipolar disorder:

  • Bipolar I: Includes manic episodes lasting at least seven days or that are severe enough to require hospitalization.
  • Bipolar II: Features depressive episodes and hypomanic episodes, but may not include full manic episodes.
  • Cyclothymia: Involves periods of hypomanic and depressive symptoms lasting at least two years, usually at a lower intensity than the other two types of bipolar disorder.

These changes in mood and energy go beyond the normal ups and downs in mood that every person experiences. Manic episodes can feature extremely elevated mood, increased energy, and risky behaviors. During these periods, people might sleep very little, talk rapidly, or make impulsive decisions. Depressive episodes have the opposite effects, including low mood, little energy, and loss of interest in daily activities.

Woman leaning down to read computer monitor while man types on attached keyboard.

Why Bipolar and Substance Abuse Occur Together

Research shows a strong connection between bipolar disorder and substance use disorders. Studies indicate that people with bipolar I disorder have a 5.8 times higher risk of developing a substance use disorder compared to the general population.

Several factors help to explain this connection:

  • Self-medication: People may use drugs or alcohol to manage or self-medicate intense mood swings.
  • Shared brain pathways: Both conditions can affect areas controlling mood, reward, and impulse control.
  • Worsening symptoms: Substance use can trigger or intensify both manic and depressive episodes.

The most commonly misused substances among people with bipolar disorder include alcohol, cannabis, and stimulants like cocaine. Alcohol is particularly common, with studies showing high rates of alcohol use disorders in this population. But alcohol can reduce the effectiveness of medication and increase the risk of dangerous side effects, making alcohol addiction treatment in California an important part of recovery for many individuals.

Woman with notebook describes a PHP in a group of people

Signs of Co-Occurring Bipolar and Drug Addiction

Recognizing when both addiction and bipolar disorder are present can be challenging, because symptoms overlap. Warning signs may include:

  • Rapid mood changes that don’t match external events
  • Periods of high energy, followed by deep depression
  • Using substances to alter moods or cope with mood shifts
  • Neglecting work, school, or home responsibilities
  • Withdrawing from friends and family
  • Legal or financial problems related to substance use
  • Increased risk-taking or impulsive behavior

The overlap between bipolar symptoms and the effects of substance use can make diagnosis complex. For example, excess cocaine use can mimic manic episodes. Symptoms of alcohol withdrawal may look like clinical depression. This is why professional evaluation is important for an accurate diagnosis of bipolar disorder.

Substance-Induced Bipolar Symptoms

Drugs or alcohol can create mood symptoms that may look like bipolar disorder. Research suggests that long-term substance use may permanently change brain chemistry, potentially agitating the symptoms of mood disorders even after stopping substance use. However, this is highly dependent on the individual and their history of substance use.

Use of addictive substances may accelerate symptom onset in predisposed individuals. They may also agitate or aggravate the symptoms of people with bipolar disorder. Many times, mental health professionals require a period of abstinence from addictive substances before conducting tests for diagnosing bipolar disorder (even if the person doesn’t have a substance use disorder).

Treatment Approaches for Bipolar Disorder and Substance Use Disorder

Dual diagnosis treatment is the gold standard for addressing addiction alongside mental health conditions, including bipolar disorder. This approach uses the same treatment team to coordinate care, rather than treating each condition separately. By understanding how each condition affects the other, the person in treatment is equipped with better self-knowledge and is empowered to live a healthier life of effective coping mechanisms.

Treating both addiction and bipolar disorder often involves psychiatric medications. This may include mood stabilizers like lithium, antipsychotics, and sometimes antidepressants. For addiction, medication-assisted treatment (MAT) might include the use of medications like naltrexone or buprenorphine to manage withdrawal and cravings.

Healthcare providers carefully consider medication interactions and addiction potential. Some medications used for bipolar disorder can be habit-forming and require careful monitoring.

Integrated cognitive behavioral therapy (CBT) can help address mood fluctuations and substance use triggers in the same sessions. This therapy is designed to help people:

  • Identify triggers: Recognize situations that lead to mood episodes or substance cravings
  • Develop coping skills: Learn healthy ways to manage stress and emotions
  • Change thought patterns: Challenge negative thinking that contributes to both conditions

This is just one example of a therapy modality that can address both addiction and bipolar disorder. Dialectical behavior therapy (DBT) can help improve distress tolerance and help individuals cope with complicated feelings. Holistic treatments (such as yoga and physical therapy) help the person reconnect with their body after the physical effects of managing both conditions. Family therapy involves loved ones in the recovery process, helping them to understand both conditions and learn how to support the person in recovery.

Connecting with others who have similar experiences reduces isolation and provides practical insights. Treatment programs may include group therapy sessions based around education or accountability. Support groups like Dual Recovery Anonymous focus specifically on people with both mental health and substance use challenges.

Patient shaking hands with counselor after starting benzodiazepine addiction treatment

How to Get Help for Addiction and Bipolar Disorder

Getting help starts with comprehensive assessment. Healthcare providers use interviews, questionnaires, and sometimes medical tests to understand symptoms and history. In some cases, detoxification from addictive substances occurs first to provide an accurate picture of underlying mental health symptoms.

Finding the right treatment program for bipolar disorder and addiction involves looking for providers experienced in dual diagnosis treatment. Building a helpful support system for post-treatment life involves educating family members about both conditions and developing relapse prevention strategies. Continuing care through regular appointments and ongoing support group participation helps to maintain progress.

Man on white couch talking to therapist about bipolar disorder and addiction.

Treatment Options for Bipolar Disorder and Addiction

Westlake Village Recovery offers comprehensive options for treating bipolar disorder and addiction together. California’s mental health parity laws require insurance plans to cover mental health and substance use treatment equally.

Partial Hospitalization Programs (PHP) provide structured daily treatment while allowing people to return home at night. These programs typically include individual therapy, medication management, and sometimes more intensive medical support. Intensive Outpatient Programs (IOP) offer more flexibility, with treatment sessions taking place several times per week. Both of these programs address bipolar symptoms and substance use simultaneously rather than separately.

Technology has expanded access to dual diagnosis treatment. Telehealth services may include medication management appointments, therapy sessions, and virtual support groups. Digital tools can help with medication reminders and mood tracking.

At Westlake Village Recovery Center, we incorporate telehealth treatment options to make treatment more accessible for people with transportation challenges or mobility issues.

Find Hope and Healing at Westlake Village Recovery

If you or someone you love is struggling with bipolar disorder and addiction, Westlake Village Recovery Center is here to help. Our experienced team provides compassionate, evidence-based treatment for individuals with a dual diagnosis.

Recovery from bipolar disorder and addiction is possible with integrated treatment that addresses both conditions together. Many people have found stability and rebuilt their lives through comprehensive care that treats the needs of the whole person.

At Westlake Village Recovery Center, we create personalized care plans that address each person’s unique needs. Our team includes professionals experienced in both mental health and addiction treatment, working together to support lasting recovery. Contact us today to learn more.

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Bipolar Disorder and Addiction Treatment in California

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