Co-occurring Disorders

Eating disorders and substance abuse share common causal and maintaining factors that influence treatment and recovery. At Monte Nido, we believe people can become fully recovered from their eating disorder while remaining or being in recovery from their substance use or abuse.

At many of our program locations, we offer specialized integrated treatment of these co-occurring disorders that focuses on stabilizing eating disorder and substance abuse symptoms, reducing urges, enhancing motivation, and developing alternative coping capacities. We use the concept of “healthy self” and “disordered self” dialogues as a model for building symptom control, self-awareness, and perspective. Specific challenges and assignments address both eating disorder and substance abuse factors building personal accountability, distress tolerance, emotional regulation, and interpersonal effectiveness.

Core interventions for clients presenting with an eating disorder and substance abuse can include:

  • Full assessment and screening that guide development of the treatment plan
  • Medical and psychiatric assessment and monitoring
  • Motivational enhancement therapy to address ambivalence and support behavior change
  • Skills development through evidence-based treatments such as Dialectical Behavioral Therapy (DBT)
    and Cognitive Behavioral Therapy (CBT)
  • Group therapies that focus on trans-diagnostic etiological and maintaining factors, as well as common treatment goals, such as safety, assertiveness, relationships, motivation and self-directedness
  • Family involved as active partners: multi-family group, family education, and family therapy as needed
  • Therapeutic opportunities, assignments, journaling, challenges, self-monitoring, and treatment exposures
  • Treatment contracts, with personalized goals and objectives, developed in collaboration with the treatment team
  • Specialized mindfulness training
  • Exploration of spirituality, personal values and personal meaning to support building and sustaining motivation
  • Comprehensive discharge planning, including appropriate referrals to other providers, support system assessment, 12-step meetings, and sober living options