Eating Disorder Therapy

Co-Occurring Addictions

Co-occurring addictions that are often seen with eating disorders include substance abuse (drugs and alcohol) and process addictions, such as gambling, sex, or shopping addictions. Castlewood now offers support services for clients with co-occurring substance addictions. Process addictions are addressed on an individual basis for each client.

Drug and alcohol co-occurring disorder treatment at Castlewood includes a specialized track with the following components:

  • Chemical Dependency consults
  • Individual sessions for drug and alcohol addictions, in addiction to eating disorder sessions
  • Chemical Dependency group sessions
  • Formalized 12-step attendance and on-site 12-step meetings

Castlewood’s Co-occurring Chemical Dependency (CD) Track is meant to assist clients who have completed an Inpatient or Residential CD program in continuing their recovery process. It is also designed to assist clients in beginning the 12-step process, identifying co-occurring addictions, and identifying needs for further CD treatment upon discharge from Castlewood.

How Our Co-occurring Track Works at Castlewood

Upon admission, Castlewood’s staff psychiatrist will assess clients who identify past or current abuse of alcohol or substances and, when appropriate, a CD consultation session will be scheduled with our CD staff.  Based on the evaluation and consult, the treatment team will develop an individualized treatment plan including requirements for 12-step meetings, CD group and/or adjunctive services.

The CD therapy group meets at Castlewood I for both residential communities (Castlewood I and Castlewood II) one time per week. Stepdown clients may also attend as needed. Castlewood Treatment Center also provides an onsite 12-step recovery group. This group is designed to introduce clients to the 12-step program of recovery. It includes recovery speakers from the 12-step community as well as discussion of the 12-steps and recovery principles. This group also addresses concerns and misconceptions that clients may have about involvement in 12-step recovery programs.  This group is held at Castlewood II and is led by a member of the Alcoholics Anonymous (AA) community.

Castlewood clients may also attend two community AA meetings weekly. Direct care staff members transport and supervise clients to provide support and monitoring, ensuring that eating disorder behaviors are not pursued while off campus. These community AA groups meet in the evenings on Thursday and Sunday. Once clients are in a lower level of care, we encourage them to attend as many community meetings as their therapeutic schedule allows.

Clients may be required to obtain a temporary sponsor before transitioning to a lower level of care. This will be decided by the client’s treatment team, CD coordinator, and adjunctive therapist (if assigned one). Clients will work the steps with their designated sponsor, and may also do step work as part of CD adjunctive therapy sessions.

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