Duální diagnóza: Co to je a jak se léčí v psychoterapii
When someone struggles with both a substance use disorder and a mental health condition like depression, anxiety, or PTSD, that’s called a duální diagnóza, současná přítomnost závislosti a psychické poruchy, které se navzájem posilují. Also known as komorbidita, it’s not just two problems stacked on top of each other — it’s a tangled system where one makes the other worse. Many people think quitting alcohol or drugs is enough, but if the underlying trauma, depression, or ADHD stays untreated, relapse is almost certain. The same goes the other way — if you treat anxiety without addressing the binge drinking that’s masking it, you’re only fixing half the puzzle.
That’s why léčba závislosti, kompletní přístup, který zahrnuje i psychologickou podporu, nejen detox must go hand in hand with therapy for the mental health condition. A person with bipolar disorder who uses cocaine to calm manic episodes needs different tools than someone using alcohol to numb PTSD flashbacks. Both have a duální diagnóza, but their triggers, coping mechanisms, and treatment paths are worlds apart. That’s why generic addiction programs often fail — they don’t see the person, just the substance.
Effective treatment for komplexní traumata, hluboké psychické zranění, které vzniká dlouhodobým stresem nebo násilím a často spojuje závislost s poruchami identity requires a trauma-informed approach. You can’t push someone into exposure therapy if they’re still using to survive their memories. First, you build safety. Then, you connect the dots: how the panic attacks started after the abuse, how the drinking began to silence the guilt, how the isolation grew from shame. This isn’t theory — it’s what works in real clinics across the Czech Republic, where therapists see this pattern every week.
You’ll find posts here that dig into exactly this: how therapy helps people break the cycle between anxiety and bingeing, how ADHD and substance use feed each other, and why treating just one part of the problem leaves the other side to rot. We don’t just talk about diagnoses — we show you how real people rebuild their lives when both sides of the duální diagnóza finally get the attention they need.
ADHD a deprese: Jak se léčí duální diagnóza a proč kombinovaná psychoterapie funguje
ADHD a deprese se často vyskytují společně, ale léčí se jinak než každá z nich zvlášť. Zjistěte, jak funguje kombinovaná psychoterapie, proč je důležitá a kde v Česku najít specializovanou péči.
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