What Is Dual Diagnosis?
Dual diagnosis, also called co-occurring disorders, refers to experiencing both a mental health condition and a substance use disorder at the same time. This occurs more often than many realize. Research shows that nearly half of individuals with a substance use disorder also face a mental health condition.
When these challenges overlap, each can intensify the other. For example, untreated depression or PTSD may increase reliance on substances, while ongoing use can heighten symptoms of anxiety or mood instability.
At Flatirons Recovery, we address both conditions together rather than separately. Our integrated approach blends evidence-based therapies with mindfulness practices, community connection, and, when appropriate, medication management. Each treatment plan is customized to reflect personal strengths and needs.
Recovery from dual diagnosis is possible. With compassionate support, individuals can move beyond cycles of struggle and work toward a healthier, more balanced life.
Understanding the Common Mental Health Disorders
When beginning mental health treatment in Boulder, Colorado, it helps to understand the signs of common conditions. Challenges such as depression, anxiety, bipolar disorder, and PTSD affect millions nationwide and frequently occur alongside substance use. Early recognition can improve treatment outcomes and support lasting recovery. Below are several of the most frequent mental health disorders we treat, along with the ways Flatirons Recovery approaches care.
Major Depressive Disorder
Major Depressive Disorder (MDD) is one of the most common mental health disorders. According to the National Institute for Mental Health (NIMH), among U.S. adults aged 18 or older in 2021, an estimated 21.0 million adults in the United States reported at least one major depressive episode. This number equates to almost 10% of all adults.
Further, the prevalence of major depressive episodes is highest among adult females (8.7%) compared to males (5.3%), and the majority of adults with a major depressive episode was highest among individuals aged 18-25 (13.1%).
Typical symptoms of depression include:
- Persistent feelings of sadness or emptiness
- Loss of interest or pleasure in activities
- Changes in weight or appetite
- Sleep disturbance, including insomnia or oversleeping
- Fatigue or low energy
- Feelings of worthlessness or excessive guilt
- Recurrent thoughts of death or suicide
Treatment
Treatment for depression often includes psychotherapy and, when appropriate, medication. Cognitive-Behavioral Therapy (CBT) and other therapies help individuals challenge negative thought patterns and build healthier coping skills, while antidepressants may support mood regulation. At Flatirons Recovery, our depression treatment is personalized, combining evidence-based therapy with nutrition, movement, and mindfulness. This approach makes Boulder mental health treatment effective and supportive for those seeking lasting relief.
Anxiety Disorder
Anxiety disorders are the most common mental health conditions in the United States. According to the Anxiety and Depression Association of America, they affect more than 40 million adults each year. Anxiety disorders include several conditions, such as Generalized Anxiety Disorder (GAD), Panic Disorder, and Social Anxiety.
The typical symptoms of anxiety disorders include:
- Excessive worry
- Restlessness or tension
- Fatigue or low energy
- Difficulty concentrating
- Irritability
- Muscle tension
- Sleep disturbance, including insomnia
- Oversleeping or hypersomnia
Treatment
Anxiety is treatable through therapy, lifestyle changes, and, when needed, medication. Cognitive Behavioral Therapy (CBT) and exposure therapy are especially effective, while mindfulness and stress management provide added support. At Flatirons Recovery, we tailor care to each individual, helping clients restore calm and control. Our approach reflects Colorado mental health priorities and whole-person wellness.
Bipolar Disorder
Bipolar disorder is a serious mental health condition that causes dramatic shifts in mood, energy, and the ability to think clearly. These shifts include alternating periods of mania and depression, which differ significantly from the typical ups and downs most people experience. The disorder can interfere with relationships, work, and daily life if left untreated.
According to the National Institute of Mental Health, about 2.8 percent of U.S. adults experience bipolar disorder annually, and approximately 4.4 percent will experience it at some point in their lives. The average age of onset is around 25, though it may occur earlier in adolescence, and in rare cases during childhood. The condition affects men and women equally, and about 83 percent of cases are considered severe.
Typical symptoms of bipolar mania include:
- Reduced need for sleep that can last for days
- Inflated self-esteem or grandiose thinking
- Impulsive or risky behaviors such as overspending or unsafe sexual activity
- Racing thoughts or rapid speech
Typical symptoms of bipolar depression include:
- Persistent sadness or depressed mood
- Loss of interest or pleasure in activities
- Significant changes in weight or appetite
- Insomnia or oversleeping
- Fatigue or lack of energy
- Feelings of worthlessness or guilt
- Thoughts of death or suicide
Treatment
Managing bipolar disorder typically involves a combination of mood-stabilizing medications and psychotherapy. Common medications include lithium, antipsychotics, or anticonvulsants. Psychotherapy, such as dialectical behavior therapy (DBT), can help individuals better manage emotional regulation and life routines. At Flatirons Recovery, we provide integrated, long-term support for those living with bipolar disorder in Boulder, Colorado, helping them stabilize mood fluctuations and improve overall functioning.
Post-Traumatic Stress Disorder
Post-traumatic stress disorder (PTSD) develops after exposure to a traumatic event that is more significant than typical daily stress. Such events may include violent personal assaults, serious accidents, combat, natural or human-caused disasters, or other forms of physical, emotional, or relational violence.
The National Institute of Mental Health (NIMH) estimates that about half of adults in the United States will experience at least one traumatic event during their lifetime, though most will not develop PTSD. NIMH also reports that 3.6 percent of U.S. adults met diagnostic criteria for PTSD in the past year, with prevalence higher among women (5.2 percent) than men (1.8 percent).
Typical symptoms of PTSD include:
- Persistent, distressing thoughts or memories of the trauma
- Insomnia or difficulty falling and staying asleep
- Sleeping too much or using sleep to avoid distress
- Feeling detached, numb, or emotionally disconnected
- Being easily startled by loud noises or unexpected encounters
When severe, PTSD and Complex PTSD can impair an individual’s ability to function in daily life. This may include challenges at home, in relationships, or at work.
Treatment
PTSD is treatable through trauma-informed therapies that help individuals process and integrate their experiences. Common approaches for PTSD treatment in Boulder and Complex PTSD treatment include Eye Movement Desensitization and Reprocessing (EMDR), and supportive therapies such as mindfulness and group therapy can also enhance healing. In our Colorado mental health practice, we specialize in helping clients safely navigate trauma treatment and recovery, regain a sense of control, and rebuild their lives.
Integrated Care for Co-Occurring Disorders
Mental health and substance use disorders often go hand in hand. According to the National Alliance on Mental Illness (NAMI), approximately one-third of individuals with a mental illness and nearly half of those with a severe mental illness also struggle with substance use. Likewise, many individuals with alcohol or drug use disorders report co-occurring mental health conditions.
At Flatirons Recovery, we specialize in co-occurring disorders treatment in Boulder, Colorado, offering comprehensive care for individuals facing both substance use disorder and a mental health diagnosis. Our integrated approach ensures that both conditions are addressed simultaneously, recognizing that effective recovery depends on treating the whole person.
After a sustained period of sobriety, clients complete a clinical assessment to evaluate underlying or co-occurring mental health symptoms. Our medical and counseling teams then create a personalized plan customized to each individual’s needs. By integrating evidence-based therapies with compassionate, whole-person care, Flatirons Recovery supports lasting healing and long-term recovery.
Frequently Asked Questions (FAQs)
Seeking mental health treatment often comes with many questions, and it is normal to want clarity before beginning care. Below are answers to some of the most common questions we receive about our mental health treatment in Boulder, Colorado.
What mental health disorders do you treat?
We treat a wide range of conditions, including anxiety, depression, PTSD, bipolar disorder, and more. Our programs are developed to support individuals seeking Boulder mental health treatment that addresses both emotional challenges and long-term recovery.
Do I need a formal diagnosis to receive treatment?
No formal diagnosis is required to begin treatment. Our licensed clinical team will conduct a thorough assessment and help develop a treatment plan that best fits your needs.
What types of therapy do you offer for mental health treatment?
We offer a variety of therapies, including CBT, DBT, EMDR for trauma, and mindfulness-based approaches. Experiential therapies like yoga, art, and nature-based practices are also integrated into care.
Can I attend your programs if I’m not struggling with addiction?
Yes. While we are known for addiction recovery, we also offer mental health treatment for individuals who are not experiencing substance use problems. Our programs are flexible and customized to meet your specific mental health needs.
Is medication management part of your mental health services?
Yes. We provide psychiatric evaluations and medication management when appropriate, coordinated by our licensed medical team as part of your overall care.
How do I know which level of care is right for me?
Our clinical team will guide you through an assessment process to determine whether PHP, IOP, or outpatient services are the best fit based on your current symptoms, lifestyle, and recovery goals.
If you have additional questions about our programs or services, our team is here to provide guidance and support. Reach out today to learn how Flatirons Recovery can help you take the next step toward healing and stability.
