Evidence-Based Therapies for Treating Dual Diagnosis in Children

Apr 7, 2025 | Lifestyle

Co-occurrence disorders present significant challenges to growing children. These conditions can result from various triggers, making their treatment more complex. However, various treatment plans have been implemented to help children recover from these disorders. Below are effective treatments to help children deal with dual diagnosis.

1. Cognitive Behavioral Therapy

This is one of the most widely used plans for various mental problems. It encourages examination of the child’s thought process and assists them in understanding and changing their behaviors. It is also based on the principle that psychological problems are partly rooted in thinking processes and learned patterns.

The treatment focuses on an internal investigation. This allows children to own their actions and understand why they should stop substance use. For those with mental issues, it teaches them practical skills to manage mood swings and recognize early warning signs of depressive episodes. It also equips them with strategies to reduce self-harm actions and manage risky situations.

Studies further support the therapy’s effectiveness in identifying and reducing distorted thinking. Its structured method also makes it suitable for children who are still developing self-awareness and decision-making skills. However, doctors must tailor their plans to be age-appropriate for successful outcomes. They should also adjust sessions based on the child’s ability to manage symptoms.

2. Dialectical Behavioral Therapy for Adolescents

The treatment was initially created for borderline personality disorder. However, it has been successfully adapted for people battling substance use disorder. The teen version, DBT-A, is particularly effective for children struggling with bipolar disorder and substance abuse.

This specific form of behavioral treatment combines individual approach and group skills training. It assists children in developing mindfulness, distress tolerance, and emotional regulation. The approach also emphasizes validation and acceptance, which promote personal change. As a result, troubled teens can feel less misjudged or ashamed of their behaviors.

When done correctly, the treatment can significantly reduce negative thoughts and addiction in adolescents with complex psychiatric profiles. Family involvement in the therapy session also supports long-term stability at home. However, therapists and families must use creative engagement strategies like games and multimedia tools to build rapport. Health professionals should also maintain consistency and reliability to gain the trust of children.

3. Motivational Interviewing

Children need motivation to change their actions and stop substance use. This counseling method encourages a shift in behavior. It is perfect for children with mixed feelings about stopping drug abuse or attending therapy sessions. This allows them to explore various reasons for changing their behaviors.

During the session, the psychiatric doctor guides the conversation using open-ended questions and reflective listening. This helps children understand the effects of substance use and set personal goals. Combining the sessions with other approaches like CBT and DBT-A also builds a well-rounded treatment plan for positive outcomes.

Court-ordered or school-mandated treatment can cause resistance or denial in children. However, motivational interviewing enhances the child’s internal desire to change without confrontation. Therapists should avoid using authoritarian methods or questions that can create drifts. Instead, they should establish collaborative and nonjudgmental relationships to allow children to explore their reasons for change.

Endnote

Children with mental health and substance use disorders need more than just medication. They need compassionate and structured treatment plans that address the leading cause of their struggles. However, doctors and families must understand that one strategy cannot fit all problems. Customizing the treatment to fit the child’s specific needs is essential for a lasting impact.

Parenting Toolkits

Learning offline is now possible! Download our new Parenting Toolkits today.