Dual diagnosis, or co-occurring disorders, is when a person experiences more than one mental health issue simultaneously. Counseling interventions change according to the specific disorders.
Available Treatment Options
Most often, therapists can treat multiple mental health issues simultaneously using therapeutic techniques. Some interventions, such as developing healthy coping mechanisms and exploring past trauma, can help various mental health issues at once.
Therapists Who Specialize in Helping Those Who Struggle With Dual Diagnosis
I have experience working with clients from age 19-99. I work with the client as they move towards achieving the best quality of life possible. Each decade of life brings different challenges and rewards. I love working with people as they uncover their strengths and work towards their goals. I draw from a broad range of treatment approaches. Each person moves towards their goals in their own...
Who are you really? This is a question I ask my clients. I have been a psychotherapist and consultant for over 30 years. I draw on my innate intuitive abilities as well as my traditional clinical training to bring healing and transformation to my clients. My family systems background allows me to see the individual as a multifaceted system. What we perceive as a “problem” often reflects how we...
I work with people who have struggled with domestic violence, trauma, abuse, relationship issues, PTSD, addiction, problematic drug or alcohol use, depression, shame, men's issues, and working with systems. I help people achieve the freedom and success that they desire. I use CBT, which looks at how one's thinking affects one's life. I use Motivational Interviewing, which helps me look at your...
We can often feel overwhelmed, confused and drained by life challenges and are seeking some direction to lighten the day-to-day load. Children tend come to counseling because they are frequently getting in trouble at home / school. Among the emotional distress, I help individuals get in touch with their strengths and potentials. I have found that people tend to do better when they feel good abo...
After over 19 years working in the emergency medical service field, as an emergency medical technician and paramedic, I realized how a healthy state of mind can have a significant impact on an individual's physical health. Throughout my career, I helped thousands of individuals in their most vulnerable state, primarily by helping them feel safe and secure as well as empathizing and showing sinc...
Hi. I am Diane Appal, MS, LPC and I work with patients age 14 and over for individual, couples and family therapy. I enjoy helping clients navigate through difficult circumstances including, but not limited to, loss of interest, boundary setting, lack of motivation, guilt, shame, anxiety, depression, grief, worry, low self-esteem and poor self-care. Accomplishing this requires establishing a...
I have been lucky enough to work in community settings with diverse populations for 13 years. Kentuckians are amazingly resilient people. There are many who struggle with burn-out, anxiety, depression, trauma, relational issues and substance use. It is my experience that along with our choices and genetics our political, geographical and social environments impact our overall wellbeing. Many...
***Teletherapy available and support for stress related to Covid-19.*** I believe making active focused choices about how to cope with problems and reach your goals pays dividends. Some clients come to therapy to better make peace with their past so as not to continue old patterns. Others are seeking relief from stress and anxiety that the modern world seems to breed. Yet others are working on...
Maintaining a balanced relationship to substance use can be challenging. Whether we are managing addictive patterns, past traumas, or life stresses that feel overwhelming, we all need to cope in ways that are healthy and self-nurturing. I am here to support you! I work with clients in all stages of recovery by helping them reduce the harm of substance use while optimizing meaning in their lives...
Welcome! I work with individuals, couples, and families. If you are looking for greater understanding and meaning going forward, then please feel free to reach out to me. Whether your concerns are with Covid-19 ,anxiety and depression, relationships, career, health or trauma, you may take comfort in sharing your sensitive issues. Life offers challenges from time to time. I am here to help you w...
The average person who isn’t a first responder never sees anything close to what you’ve seen. You experience more death, tragedy, and violence in a year than most people experience in a lifetime. The demands of your job impact your relationships, your attitudes, and your health. You have a hard time sleeping. You can’t remember the last time you felt truly at ease and happy. And the intense str...
It would be hard to argue that our lives haven't been a lot more complicated over the last few years. Whether you are a child or teen dealing with peer pressure or the stressors at school, a stay at home parent trying to manage everyones busy schedules, a working professional balancing family life and the stress a job can bring, a single or divorced parent struggling to get through each day, a...
Are you feeling overwhelmed? Worthless, stress, tired, or angry? Are you or your loved ones repeating behaviors, relationships, or situations, and wishing you could break the cycle? Maybe little things feel more frustrating or overwhelming than usual. Sometimes, we aren't sure what causes our distress, but we can sense we're not reaching our potential for health, happiness, or success. And even...
Most of my clients need help managing their day to day stressors that bring on anxiety and depression. Most want practical, real- world strategies that are solution focused. They want to be heard and they want reassurance that life can be better. Some people want to “rebrand” themselves to become who they truly want to be and I help them do just that. People want help with self development and...
When parts of our life, personality, relationships, or behaviors seem stuck, “out of control”, or in-congruent with who we feel we are, it is often a result of unexpressed feelings. We will take focused time together to understand the meaning that has been made out of the pain you've experienced. During our time, we will work to pay attention to family dynamics, personal ways of meaning-making,...
