DUAL DIAGNOSIS

What is Dual Diagnosis?

If you’re reading this, chances are that you’re either looking for help with addiction, or you know someone who needs help and you want to understand what they’re going through. Either way, we’re here to help.

Dual diagnosis is a term used to describe people who suffer from both mental illness and substance use disorder (SUD). In the United States, it’s estimated that 25% of people who have mental illnesses also have substance use disorders—and vice versa. In other words, more than 1 in 4 Americans with mental illness also struggle with addiction at some point in their lives.

People who suffer from dual diagnoses often struggle with depression, anxiety disorders, or bipolar disorder. They may also experience post-traumatic stress disorder (PTSD), eating disorders, or other mood disorders like schizophrenia or bipolar disorder. Those with dual diagnoses frequently experience a sense of hopelessness because they struggle to find a starting point for addressing their substance abuse issues, not to mention their mental health concerns.

What are the most common conditions with a dual diagnosis?

  • Attention-Deficit Hyperactivity Disorder (ADHD) and Alcohol Abuse: Individuals with ADHD may turn to alcohol as a form of self-medication to cope with their symptoms, leading to alcohol abuse.
  • Post-traumatic Stress Disorder (PTSD) and Opioid Addiction: Trauma survivors with PTSD may use opioids to numb emotional pain, leading to addiction.
  • Bipolar Disorder and Alcohol: People with bipolar disorder may use alcohol to self-medicate during depressive or manic episodes.
  • Schizophrenia and Marijuana Addiction: Some individuals with schizophrenia may use marijuana to alleviate symptoms, but this can lead to addiction.
  • Eating Disorders and Appetite Suppressants: Those with eating disorders may misuse appetite suppressants or other substances to control their weight.

What are some of the challenges that are associated with having a dual diagnosis?

  • Acknowledging Addiction Is Often a Symptom: Often, individuals with dual diagnoses may not realize the extent of their substance abuse because it’s intertwined with their mental health symptoms.
  • Dual Diagnosis Treatment Requires Specialization: Effective treatment should address both the mental health and substance use components, and it often requires specialized care.
  • Increased Risk of Relapse or Developing Maladaptive Behaviors: Treating one aspect without addressing the other can lead to relapse or the development of maladaptive coping mechanisms.
  • The Struggle With Self-Medication: Many individuals with dual diagnoses use substances to self-medicate, which can exacerbate both their mental health and addiction issues.

How can I get help?

If you think you might be suffering from a dual diagnosis or want to talk about how to get help for someone who is, contact OC Revive. We’re here 24/7 to help you find treatment options that fit your lifestyle and needs.

FAQ

Dual diagnosis refers to the coexistence of a mental health disorder and a substance use disorder in the same individual. These conditions often interact and complicate each other’s management.

Common conditions include ADHD and alcohol abuse, PTSD and opioid addiction, bipolar disorder and alcohol, schizophrenia and marijuana addiction, and eating disorders with appetite suppressant misuse.

Some challenges include the difficulty of acknowledging addiction as a symptom, the need for specialized treatment, an increased risk of relapse or developing maladaptive behaviors, and the struggle with self-medication.

Look for signs such as significant changes in behavior, mood swings, substance abuse patterns, and unexplained physical or psychological symptoms. However, a professional assessment is necessary for a definitive diagnosis.

Yes, with the right treatment approach, dual diagnosis can be effectively managed. Treatment typically involves a combination of therapy, medication, support groups, and lifestyle adjustments.

We work with most insurance plans as an in-network or out-of-network provider.

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Angela Castellano

Case Manager

Leah Perle

Therapist

Max Howell

Case Manager

Rachel Dickinson

Therapist - AMFT

Helen Riccobono

Therapist - AMFT

Matthew Lawler

Therapist - AMFT

Madalyn Johnson

Case Manager

Kortnee Carralejo

Admissions

Ashley Becher

Admin Assistant

Allyson Lake

Case Manager

Mustafa Stanizai

Case Manager

Carl Kutter

Operations Manager

Kayli Sullivan

Director of HR & Compliance

Alejandro Alva, M.D.

Medical Director

Steven Simon

Admissions

Jamie Nelson

Case Manager

Patrick Fernandez-Her

AMFT Therapist

Tylor Ramsey

Therapist

Christina Gherman

Therapist

Tyler Michaelis

Founder & CEO

Tyler is dedicated to providing the highest quality of care to teens and their families. Once a teenager that struggled with addiction, mental health, and poor choices, Tyler is aware of the growing demand and need for early intervention in adolescents and young adults. Growing up in Orange County, he battled addiction and peer pressure all throughout high school and during his time at Saddleback College. During those troubled years, Tyler’s parents and family were emotionally drained and heavily impacted by his addiction. Unfortunately, they did not know where to turn for help nor did they have the courage to set boundaries with him.After 7 painful years, they finally forced Tyler out of the house and into treatment at the age of 23.

April 5th, 2010 is a date that Tyler and his family hold dear. On that date, Tyler enrolled in a 4-month treatment program which laid the foundation for his recovery. With the help of treatment professionals, supportive friends and family, Tyler was able to build a better version of himself. This started with slowly building his self-esteem, and growing a community of peers to support him throughout recovery.

In 2011,with the desire to help others struggling with addiction, he decided to start working in the addiction field. Tyler obtained his CADAC || Counselor certification and graduated from Cal Sate University of Long Beach with a degree in Health Care Administration. Since then, Tyler has worked all areas of treatment starting as a detox technician and working his way up to Program Director. Today, Tyler feels blessed and grateful for getting a second chanse at life. He has a great relationship with his family, is happily married and has a great group of friends. Once a lost teen, Tyler now has purpose and passion. He’s dedicated his life’s work to helping teens and their families. As the Founder, Tyler Michaelis is confident that OC Revive will renew the lives of struggling teens while bringing back hope to their families

Kelly Pearson

Therapist

Chandra Medina

Lead Therapist

Brian Welsh

Director of Admissions

Levi Sweet

Director of Operations

Anthony Fletcher

Director Of Business Development

Anthony is an Orange County local and has been a great addition to the Oc Revive team. Since 2015, Anthony has been working in the substance abuse field and has also pursued his drug and alcohol counseling license. Since being with Revive Anthony has established a relationship within the School Districts and serves as a voluntary speaker for substance abuse awareness in the community. By sharing his personal testimony, he has excelled in gaining trust and building rapport with others. He always seems to have a smile on his face and brings a positive vibe wherever he goes. With that being said, Anthony is very passionate about the work that he does and goes above and beyond to provide our struggling youth the care that they so desperately need.

Patrick R. Smith

Program Director

Patrick is a mental health and addiction professional who has a passion for recovery and helping others. He was inspired and encouraged by his mentors to work with individuals and families that have been affected by mental health issues, and alcohol and drug addiction. He has been working in the field of addiction recovery for 23+ years and is an Internationally Certified Alcohol and Drug Counselor and a Licensed Advanced Alcohol and Drug Counselor through the California Consortium of Addiction Programs and Professionals. Patrick is also certified in Adult and Adolescent Anger Management. His career in addiction treatment began in 2001 at the Betty Ford Center in Rancho Mirage CA. as an Addiction Specialist working on the inpatient campus and is the co-creator of Betty Ford Center’s “Young Adult Track” specializing in work with 18-25-year-old Patients. He also excelled in working with addicted and impaired professionals in the “Relapse and Recovery Program”.

Patrick transitioned to Orange County in 2011 where he accepted a position as the Program Director for Orange County Recovery Services. Patrick is a gifted lecturer, group facilitator, and counselor with a passion for recovery who has been an active recovery member for over 25 years.

Brittany Astrom

Clinical Supervisor

Brittany joins the OCR team with over 15 years of experience in the Mental Health adn Substance Abuse field. Brittany has been licensed for almost 8 years and has worked in various settings throughout her career, including inpatient psychiatric treatment, outpatient, residential treatment center, PHP and IOP settings. Brittany has been supervising Associate Marrige and Family Therapists and Associate Social Workers for almost 6 years and works in compiance and auditing to ensure that treatment centers are up to par with biling regulations. Brittany has worked with young adults and adolescents for most of her career.

Brittany earned her Master’s Degree in Marriage and Family Therapy at California Baptist International University. Brittany enjoys working with adolescents and young adults and believes that ever single person has the ability to set goals and meet them, even when they can’t see it themselves. Brittany loves spending time with her family, traveling, good coffee, and being outdoors.

Derek Walsh

Co-Founder & COO

As Co-Founder & COO of OC Revive, Derek has a wealth of personal and professional experience dealing with the issues faced by today’s troubled teen. Throughout High School and College, Derek struggled with peer pressure, learning challenges, and substance abuse. Working with the support of family and friends, Derek set out to conquer those obstacles and find a richer, more fulfilling life.

On 15 October 2012, Derek overcame his own substance abuse problem and dedicated himself to help others work through their own addiction. A year later, Derek began a new journey and started his career in the recovery industry. Throughout his career, Derek has worked his way through numerous roles at top-rated treatment centers. While working at those treatment centers, Derek began to see a pattern that those struggling individuals would’ve benefited immensely from receiving earlier in life.

Derek decided that he wanted to be a part of the solution, and find a way to address those issues at an earlier age. He concluded that there needed to be interventions before adulthood, and he didn’t want to see anyone going through the same cycle that he did. That was when he and Tyler Michaelis decided to start OC Revive, to make sure teens get the help they need to find a purpose that leads them to a life of happiness and success.

Derek attended college at Orange Coast College and Santa Barbara City College.

Stephen Carmel

Co-Founder & CFO

I began my journey to recovery back in 2011 when i moved to California from New York.Along with my recovery and beginning a new way of life, I began to develop a heart for others struggling with sobriety.My journey to California was filled with many trials and lessons learned, but most of all, personal growth. I truly believe I would not have found success if I didn’t come to California.

I first opened an adult treatment center, California Prime Recovery(CPR) as a way to work with those struggling on a daily basis. Over the last 3 years, CPR has evolved into someting much more impactful and beautiful than i could’ve ever imagined. I have come to realize that my own happiness and growth depends on being involved in the lives of others in recovery. Helping people through recovery is a cornerstone of many 12 step programs, and it has become the most important aspect of personal life. Giving back to those still suffering is the only way not to lose what you have gained.

Throughout this journey, and by mentoring many adolescents, I realized i wanted to offer more to teens who were struggling just as i was. This is when i decided to start OC Revive. I had built many wonderful relationships throughout my professional journey and found two others who shared the same vision, and passion that i had for the youth. It didn’t take long for myself, Tyler Michaelis, and Derek Walsh to turn our dream into a reality. We are committed to providing the best possible treatment for adolescents and truly believe “their future is our collective responsibility”.

Tyler Michaelis

Founder & CEO

Tyler is dedicated to providing the highest quality of care to teens and their families. Once a teenager that struggled with addiction, mental health, and poor choices, Tyler is aware of the growing demand and need for early intervention in adolescents and young adults. Growing up in Orange County, he battled addiction and peer pressure all throughout high school and during his time at Saddleback College. During those troubled years, Tyler’s parents and family were emotionally drained and heavily impacted by his addiction. Unfortunately, they did not know where to turn for help nor did they have the courage to set boundaries with him.After 7 painful years, they finally forced Tyler out of the house and into treatment at the age of 23.

April 5th, 2010 is a date that Tyler and his family hold dear. On that date, Tyler enrolled in a 4-month treatment program which laid the foundation for his recovery. With the help of treatment professionals, supportive friends and family, Tyler was able to build a better version of himself. This started with slowly building his self-esteem, and growing a community of peers to support him throughout recovery.

In 2011,with the desire to help others struggling with addiction, he decided to start working in the addiction field. Tyler obtained his CADAC || Counselor certification and graduated from Cal Sate University of Long Beach with a degree in Health Care Administration. Since then, Tyler has worked all areas of treatment starting as a detox technician and working his way up to Program Director. Today, Tyler feels blessed and grateful for getting a second chanse at life. He has a great relationship with his family, is happily married and has a great group of friends. Once a lost teen, Tyler now has purpose and passion. He’s dedicated his life’s work to helping teens and their families. As the Founder, Tyler Michaelis is confident that OC Revive will renew the lives of struggling teens while bringing back hope to their families