A lot of programs will only work with the primary diagnosis of substance abuse. At Capstone, we’ve had many of our clients diagnosed with co-occurring disorders, including depression, ADD and ADHD, oppositional defiant disorder, conduct disorder, bipolar disorder and others. Diagnoses like these are made by matching a person’s symptoms to a set of criteria from the Diagnostic and Statistical Manual of Mental Disorders. From our approach, the Core-Systems Model, we see this as one battlefront, the Eruption-System. We characterize the symptoms of co-occurring disorders as being “reasonable” responses to the Core-System’s underlying issues, like Big T, Little T and Chronic T traumas, attachment issues, relinquishment issues, sexual abuse, or neglect. Both the Eruptions and the Core exist in the Context-System of the person’s family and inner circle. Working with the family and inner circle to strengthen the depth and quality of their relationships is vital to healing the core and helping the eruptions to stop.