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Bipolar Disorder and Substance Use: Understanding the Connection and Finding Treatment

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Bipolar disorder and substance use often go hand in hand, creating a cycle that can be difficult to break without the right support. Many people with bipolar disorder turn to drugs or alcohol to cope with mood swings, while substance use can make symptoms worse.

This combination complicates treatment, but recovery is possible with an integrated approach. Understanding the connection between bipolar disorder and substance use is the first step toward healing.

At Inner Voyage Recovery Center, we provide specialized care to help individuals manage both conditions and regain control of their lives.

The Link Between Bipolar Disorder and Substance Use

Bipolar disorder affects mood regulation, leading to extreme highs (mania) and lows (depression). These mood shifts can make daily life unpredictable and overwhelming.

In an attempt to stabilize their emotions, many people turn to substances like alcohol, stimulants, or opioids. Unfortunately, while these substances may provide temporary relief, they ultimately worsen mood instability.

Substance use can intensify manic episodes, making impulsive behaviors more extreme. During depressive episodes, it can lead to deeper feelings of hopelessness, increasing the risk of self-harm or suicidal thoughts.

The combination of bipolar disorder and substance use often creates a destructive cycle that requires professional intervention to break.

Without treatment, the co-occurring disorders feed into each other, making recovery more challenging. At Inner Voyage Recovery Center, we offer evidence-based therapies that help individuals understand their triggers, develop healthier coping mechanisms, and build a stable foundation for long-term recovery.

Common Substances Used by Individuals with Bipolar Disorder

People with bipolar disorder may be more prone to experimenting with different substances depending on their emotional state. Each type of substance presents its own set of risks, especially when combined with bipolar disorder.

Alcohol

Alcohol is one of the most commonly used substances among individuals with bipolar disorder. Some drink to manage anxiety or depressive symptoms, while others use it to enhance the euphoria of manic episodes.

However, alcohol is a depressant and has many effects on the user and family. These can lead to increased emotional instability. It disrupts sleep patterns, impairs judgment, and often makes bipolar symptoms more severe.

Stimulants (Cocaine, Methamphetamine)

Stimulants like cocaine and methamphetamine can heighten energy levels and provide a temporary escape from depressive episodes.

However, they can also trigger extreme manic states, leading to risky behaviors, paranoia, and even psychosis. Over time, stimulants deplete the brain’s ability to regulate mood naturally, making bipolar disorder even harder to manage.

Opioids and Benzodiazepines

Some individuals with bipolar disorder turn to opioids or benzodiazepines to numb emotional pain or manage anxiety.

While these drugs may provide short-term relief, they come with a high risk of dependency. Long-term use can lead to increased depressive episodes, withdrawal symptoms, and a greater risk of overdose.

The Challenges of Treating Co-Occurring Bipolar Disorder and Substance Use

Treating bipolar disorder and substance use together is complex. Many people are misdiagnosed or receive treatment for only one condition, leaving the other unaddressed.

Without an integrated approach, individuals may relapse or struggle to maintain stability. Substance use can interfere with bipolar medications, making it even harder to manage mood swings effectively.

At Inner Voyage Recovery Center, we specialize in dual diagnosis treatment, ensuring that both conditions are treated simultaneously. By addressing the root causes of substance use while stabilizing bipolar symptoms, we help individuals break free from the cycle of addiction and regain control of their mental health.

How Inner Voyage Recovery Center Helps Treat Bipolar Disorder and Substance Use

A one-size-fits-all approach doesn’t work when treating dual diagnosis conditions. That’s why we focus on personalized treatment plans tailored to each individual’s needs.

Individualized Treatment Plans

Our team conducts comprehensive assessments to understand the unique challenges each client faces. From there, we develop a customized plan that incorporates therapy, medication management, and holistic approaches to recovery.

Therapy Options: CBT, DBT, and Trauma Therapy

Cognitive-behavioral therapy (CBT) helps individuals identify and change negative thought patterns, while dialectical behavior therapy (DBT) teaches emotional regulation and distress tolerance.

For those with past trauma, trauma-focused therapy provides a safe space to process and heal from painful experiences that may contribute to substance use.

Medication Management

Managing bipolar disorder often requires medication, but substance use can complicate this process. Our medical team carefully monitors clients to ensure they receive safe and effective treatment while minimizing the risk of dependency.

The Role of Therapy in Recovery

Therapy plays a crucial role in treating both bipolar disorder and substance use. It helps individuals develop coping skills, address underlying trauma, and rebuild a sense of control.

CBT and DBT are especially effective in helping clients manage their emotions and reactions. These therapies teach individuals how to identify triggers, handle stress, and make healthier choices.

Holistic and adventure therapy also provide alternative ways to heal. Engaging in activities like outdoor therapy, meditation, and creative expression can help clients reconnect with themselves and develop a sense of purpose beyond addiction.

Building a Support System for Long-Term Recovery

Long-term recovery for bipolar disorder and substance use requires a strong support system. Isolation can make both bipolar disorder and substance use worse, which is why connection is so important.

Group Therapy and Peer Support

Sharing experiences with others facing similar struggles can provide validation and encouragement. Group therapy helps individuals build healthy relationships and develop accountability.

Family Programming

Addiction and mental health conditions impact families, not just individuals. Our family programming helps rebuild trust, improve communication, and educate loved ones on how to support recovery.

Aftercare and Ongoing Support

Recovery doesn’t end after treatment. Ongoing support through alumni programs, continued therapy, and relapse prevention strategies helps clients stay on track and maintain stability.

The Next Steps in Seeking Help

Taking the first step toward treatment can feel overwhelming, but it’s the most important step toward a healthier future.

At Inner Voyage Recovery Center, we provide compassionate, evidence-based care for those struggling with bipolar disorder and substance use. Our team is here to guide you every step of the way, from assessment to aftercare.

If you or a loved one is ready to start the journey to recovery, contact us today. Healing is possible, and we’re here to help.

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About the Author
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Emily Rowe

Emily grew up in a variety of places across the United States and moved to Georgia in 2021. She earned a Bachelor of Social Work and a Bachelor of Sociology from Belmont University and earned her Master of Social Work from the University of Louisville. Emily believes in providing Evidence Based Interventions through a strengths-based perspective and is excited to bring her passion and Empathy to Inner Voyage Recovery Center.