Institutional Affiliation
Co-occurring Diagnoses

  1. Therapeutic alliance

One of the ways to be accountable and support a client with co-occurring diagnoses (COD) during the recovery process is by developing and utilizing a therapeutic alliance to involve the client in treatment. In psychotherapy, therapeutic alliance is one of the most reliable tools when it comes to determining the results of treatment (Straussner, 2013). Typically, the strategy requires the therapists to be friendlier and be less judgmental towards their patients. For instance, since most of the COD patients often have lower morale, it is important for the patient for a counselor to inspire hope in order for the client to achieve the desired treatment outcomes.

  1. Uphold a recovery perspective

Recovery is a broad term which is understood differently. For instance, physicians who deal with drug abuse treatment may view recover in terms of changing substance behavior. On the other hand, mental health therapists may consider a recovery process as one where an individual tries to achieve a set behavior by undergoing a series of steps. When dealing with a client who has COD, recovery does not mean changing a drug abuse habit but also a transformation in the way of life (Straussner, 2013). For instance, self-care, better health, and improved independence are some of the markers that signify there is progress in the recovery process.

  1. Managing countertransference

Typically, transference involves the clients projecting their past feelings and attitudes towards the clinician. On the other hand, therapists, especially those dealing with substance abuse-related disorders may respond by being angry or unwilling to treat their clients (Straussner, 2013). As such, a therapist should know how to manage countertransference issues so that they do not interfere with the recovery process of COD patients.
Straussner, S. L. A. (Ed.). (2013). Clinical work with substance-abusing clients. Guilford Publications.