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Dual Diagnosis

Treating the Whole Self

What is Dual Diagnosis?

Dual Diagnosis is a comprehensive holistic mental health and substance use treatment method 

Chateau's Solution

Developing a healthy mindset impacts your ability to achieve and maintain positive results.

How to Get Help

Our treatment programs help heal long term from trauma, addiction and substance use disorders.

Chateau Recovery Solution


Chateau Recovery specializes in dual diagnosis and offers a range of treatment services at our Utah facility. We are here to help you or your loved ones overcome mental health, behavioral, and substance use challenges by transforming these issues into opportunities for personal growth.


Committing to Change
Acknowledging the Problem

Being willing to ask for and get help takes courage. Fully committing to the process is key to meaningful change.

We work with a mature population (26+) who actively dedicate themselves to living a healthier, more balanced life focused on hope & healing.

Sunset Yoga


Evidence Based
Therapy Modalities

Our Master's Level Clinicians & trauma trained staff are experts in diagnosing and treating depression, anxiety & other mood disorders.

We provide a range of modalities including Cognitive Behavioral Therapy, Accelerated Resolution Therapy & Neurofeedback.

Purpose and Meaning


Holistic Approach
Treating the Whole Self

We offer a holistic approach to treatment and healing with Dual Diagnosis to address co-existing mental illness & substance abuse.

We treat mental illness and co-occurring disorders through a multi-dimensional
approach to wellness.

Healing relationships
Chateau Recovery Facility.jpg

Chateau Mission

To empower & equip those who strive for hope, health, and a new mindset in recovery.

At Chateau Recovery, our treatment mission is to create a safe environment for healing and treatment. 

We treat the physical and emotional symptoms of trauma. We have a multifaceted approach, bringing together the methods proven effective by decades of science and research to improve the lives of our clients.

Chateau Approach

Chateau Recovery looks beyond just identifying and adjusting behaviors.

Our approach combines medical, psychological, and holistic elements to treat each person as a whole.  We explore the core reasons impacting your mindset, behaviors, and environment. We utilize comprehensive evidence based therapies like the Arbinger Outward Mindset and Dharma Recovery.



What is Dual Diagnosis?

Dual Diagnosis treatment is an approach where the person struggles with both substance use disorders and mental health issues.

Treatments Options

Integrated approaches coordinate substance abuse and mental health treatments rather than treating each separately.

Dual Diagnosis is a method of treatment in which a person is diagnosed with both a substance use and a mental health disorder.

Our Masters Level Clinicians are trained and prepared to treat individuals by addressing both mental health & substance abuse disorders.

Understanding Causes

Coexisting conditions affect an individual's mental health and substance use problem in addition to their day to day routines.

Articles & Resources

Learn more about dual diagnosis with our blog posts, infographics, and list of external articles about co-occurence in the modern world. 

The Power of Recovery
Mental illness and substance abuse disorders can affect anyone regardless of race, ethnicity, sexual orientation, gender identity, ability, religion/spirituality, nationality, and socioeconomic status.

People who manage and overcome the challenges of mental health and substance misuse are capable of accomplishing anything.

If we start being honest about our pain, our anger, and our shortcomings instead of pretending they don’t exist, then maybe we’ll leave the world a better place than we found it. Russell Wilson

Committing to Change
Watching the View


Committing to Change
Acknowledging the Problem

Chateau Treats a Mature Population

We believe it takes courage to ask for and willingly get help. Being committed to the process is key to successful change. 

Treating individuals 26+ ensures that you are going through treatment with peers & individuals in a similar phase of life.

Learn More - The Importance of Finding a Specialized Program >

Focused on Hope & Healing

Accepting help requires willingness to disregard the idea that one is a burden. 


Accepting help can bring out a caring response in others and lead to a deeper emotional closeness.

Learn More - Faith, Hope, and Resilience Are Key to Your Recovery >

Self reflection By the Lake


Holistic Approach
Healing the Whole Self

Understanding Dual Diagnosis

Dual diagnosis is the condition of suffering from a mental illness and a substance use disorder by addressing underlying issues. Many times a mental illness such as depression and/or anxiety co-occur with alcohol or substance abuse.

  • Comprehensive Assessments and Testing

  • Substance Abuse & Mental Health Education

  • Trauma & Development Focused Treatment

  • Neurofeedback - Brain Training

Addressing Dimensions of Wellness

At Chateau Recovery, we believe all dimensions of your wellbeing need to be examined in order to heal. We address Daily, Physical, and Spiritual Health, Mental & Emotional Health & Family Systems and Relationship Health.

  • Reconnecting with Family & Values

  • Comprehensive Aftercare Planning

Learn More - About '6 Dimensions of Wellness' >

Holistic Approach
Outdoor therapy


Evidence Based
Therapy Modalities

We provide a range of modalities to help address and process your concerns including:

  • Eye Movement Desensitization & Reprogramming (EMDR)

  • Mindfulness Based Stress Reduction (MBSR)

  • Acceptance & Commitment Therapy (ACT)

  • Accelerated Resolution Therapy (ART)

  • Cognitive Behavioral Therapy (CBT)

  • Brainspotting & Neurofeedback

  • Motivational Interviewing (MI)

  • Individual & Group Therapy

  • Rehabilitation Nutritional 

  • Family Systems Therapy

In addition, we utilize PGx Genetic Testing to better identify medication and treatment.

Pharmacogenetic (PGx) testing is a type of genetic test that assesses a patient's risk of an adverse response or likelihood to respond to a given drug, informing drug selection and dosing.

Evidence Based Therapy Modalities
Support Group Circle

Alumni Resources
Ongoing Support Network

Chateau Alumni Network

  • At Chateau Recovery our ultimate goal is to identify and address the underlying issues and to help you gain the skills and tools fulfilling and purpose-filled life.

  • Our commitment to your wellness goes well beyond residential treatment. Continued support is key to ongoing mental and physical health.

Aftercare and Family Support

  • Provides family support and resources

  • We believe that your home environment plays a huge role in your overall wellness

  • Individuals who enter our residential program can count on ongoing support from our alumni resources

Alumni Resources
Image by Cristina Gottardi

Taking The First Step
Healing at Chateau Recovery

Industry Leaders in Dual Diagnosis & Treatment Since 2012

  • 1:4 Clinician to Client Ratio

  • Multiple Therapeutic Models

Cutting Edge Superior Care

  • Trauma-Informed, Master's Level Clinicians

  • Trauma Trained, Culturally Competent Staff

Privacy in Utah's Wasatch Mountains

  • Intimate 16 Bed Residential Facility

  • Quiet and Serene Mountain Setting

  • Mature Population Ensures Results Based Treatment

About Chateau
What is Dual Diagnosis?

Defining and Understanding Dual Diagnosis


Dual Diagnosis treatment is an approach where the person struggles with both substance use disorders and mental health issues. Dual diagnose therapies are designed so individuals receive support specifically tailored towards treating co-occurring conditions simultaneously rather than having to cycle through treatments separately. 


If a person has both mental illness and addiction, it is more difficult for them to recover. Rehabilitation will be less effective if not treated properly because the two conditions interact in negative ways which makes rehabilitation complex and risky overall. 

A relatively innovative rehab center should consider this when offering their services so that patients don't face an adverse health effect due lack of understanding on how these things work together.


The belief previously held that mental health disorders and substance abuse could be treated separately was common until the 1990s. Hence, many people with these issues were given separate treatments for even though they often had overlapping symptoms. 

Why Do Substance Abuse Disorders and Mental Health Disorders Occur Together

Although these problems often occur together, this does not mean that one caused the other, even if one appeared first. In fact, it can be hard to figure out which came first. Researchers think that there are three possibilities as to why they occur together:

  1. Common risk factors may contribute to both mental disorders and substance use disorders. These factors include genetics, stress, and trauma.

  2. Mental disorders can contribute to drug use and substance use disorders. For example, people with mental disorders may use drugs or alcohol to try to feel better temporarily. This is known as self-medication. Also, mental disorders may change the brain to make it more likely you will become addicted.

  3. Substance use and addiction can contribute to the development of a mental disorder. Substance use may change the brain in ways that make you more likely to develop a mental disorder.

Dual Diagnosis Venn Diagram

Diagnosing Co-occuring Disorders


Co-occurring disorders include a combination of two or more substance use disorders and mental disorders  as identified in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).


There are no specific combinations of mental and substance use disorders that are defined uniquely as co-occurring.


Most Common Mental Disorders:

  • Anxiety and mood disorders

  • Schizophrenia

  • Bipolar disorder

  • Major depressive disorder

  • Conduct disorders

  • Post-traumatic stress disorder

  • Attention deficit hyperactivity disorder

Most Common Substances Abused:

  • Alcohol

  • Tobacco

  • Opioids

  • Stimulants

  • Marijuana

  • Hallucinogens

  • Prescription drugs

What is Dual Diagnosis?

Understanding Causes of Dual Diagnosis


The symptoms of co-occurring disorders can be overwhelming. Coexisting conditions affect an individual's mental health and substance use problem in addition to their day to day, including:


  • Symptomatic relapses

  • Hospitalizations

  • Financial challenges

  • Social isolation or avoidance

  • Physical and/or sexual victimization

  • Serious medical illness

Mental health conditions that commonly co-occur with substance use disorders include anxiety disorders, depressive disorders, ADHD, bipolar disorder, schizophrenia, and personality disorders, according to the National Institute of Mental Health.

How Common Are
Co-occuring Disorders

Mental health disorders are more likely to lead someone into substance abuse. The National Institute on Drug Abuse reports that half of all individuals who have either a mental illness or abuse a substance will go onto develop another problem at some point during their lives, usually as part of an overlapping cycle. 

Which Develops First: Mental Illness or Addiction?

Many times, and this may be the most common scenario with co-occurring disorders, someone with a mental illness will self-medicate with drugs and/or alcohol as a way to deal with their depressiontrauma, or anxiety disorder. 

Chronic substance use can lead to various other disorders such as depression, mood or eating problems. It’s important for that person's mental health and they need treatment in order not only prevent further illness but also achieve long-term sobriety. 


Regardless of the path a person takes to the co-occurring disorder, there’s there’s always a path forward to long-term sobriety and mental health.

Dual Diagnosis Brain

Important Notes

  1. It's Not Uncommon to Receive Dual Diagnosis
    Dual diagnosis is an unfortunate reality for many people. It can happen to anyone, regardless of their mental illness or addiction alone- the two are often paired together. 

  2. There Are Many Versions of Dual Diagnosis
    Dual diagnosis patients have one or more mental disorders (including anxiety disorder, depression, etc.) and addictions (alcohol, drugs, gambling, etc.). 

    Many diagnoses get initially made based on visible symptoms more commonly seen in addiction but dual diagnosis treats the symptoms and the underlying causes.


  3. Those with Mental Illnesses Are More
    Prone to Addiction
    According to the DSM-5, an increased risk of alcohol use disorder, for example, is associated with conditions including bipolar disorders, schizophrenia, and antisocial personality disorder. 

    Other substance-related disorders also commonly co-occur with distinct psychiatric conditions. As in the case of opioid use and depressive disorders, it is possible that a substance use problem leads to the development of other mental health challenges or a worsening of any preexisting disorders.

  • Roughly 50% of individuals with severe mental disorders are affected by some form of substance abuse or dependence.

  • 37% of people who are dependent upon or abuse alcohol and 53% of people who are dependent upon or abuse street drugs also have at least one serious mental illness.

According to a report in the Journal of the American Medical Association (JAMA)

Understanding Causes of Dual Diagnosis

Dual Diagnosis Treatment

Approach to Treatment

The Substance Abuse and Mental Health Services Administration (SAMHSA) stresses that integrated treatment is the best course of action for co-occurring disorders. Integrated approaches coordinate substance abuse and mental health treatments, rather than treating each separately.

A program that treats co-occurring disorders may include psychoeducational classes and relapse prevention education. These help individuals with mental illness, as well as those who abuse substances understand the symptoms of their condition better so they know when it is appropriate for them to seek medical attention

What is Integrated Treatment?

Mental illnesses and substance use disorders have been historically treated as two separate issues. However, there is now an increase in integrated treatment centers that address both problems from the beginning of one’s recovery process and/or immediately following detox/stabilization. Addiction specialists are trained how to screen for mental health conditions while therapists are knowledgeable about asking patients about substance use. 

Integrated treatment often involves Behavioral treatment often includes forms like cognitive-behavioral therapy and dialectical behavior modification that can help improve coping skills, reduce maladaptive behaviors and can be used in combination with medication.

Why is Integrated Treatment Important?

Integrated treatment is key because it treats all conditions  holistically rather than in isolation. For example, studies have found, for example, that depression quadruples the risk of relapse in alcoholics in the first year of recovery. Addressing mental health conditions and other underlying issues is key for long-term sobriety and health.

Screening Is Standard Now

Addiction treatment centers now screen for mental illness during the admission process as part of their standard operating procedures. To screen people for depression, for example, we use the PHQ-9 test protocol. For anxiety disorder, it’s the GAD-7 test. 

Tailored Treatment for Co-occurring Disorders

As for the treatment that then needs to happen, many addiction treatment centers have specialists whose training is in various mental illnesses and the entire staff often receives supplemental training in mental illness so they can recognize symptoms, tailor treatment programs, and handle integrated treatment requirements. 

Dual Diagnosis Treatment

Chateau Resources

We all have a part to play in reducing the stigma surrounding mental illness and and co-occurring substance use disorders.


This can be done by not perpetuating harmful stereotypes, being open-minded towards people who are recovering from such illnesses or conditions and taking small actions that could make life better for someone you love!

Chateau Recovery

Blog Posts & Articles

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