Personality Disorders and Addiction Treatment in Texas

Living with a personality disorder and addiction at the same time can feel overwhelming and isolating. You may struggle with relationships, emotional regulation, self-worth, and impulsive behaviors, all while trying to manage the chaos of addiction. If this sounds like you or someone you love, you’re not alone in this journey.

At Origins Texas Recovery in South Padre Island, Texas, we specialize in helping men and women heal through compassionate, trauma-informed care that addresses the full scope of co-occurring conditions with expertise and heart.

personality disorders and addiction

What Is a Personality Disorder?

A personality disorder is a type of mental health condition that affects how a person thinks, feels, and behaves about others and the world around them. These long-standing patterns often begin in adolescence or early adulthood and can significantly interfere with daily functioning and personal fulfillment.

People with personality disorders may have intense emotional reactions, difficulty maintaining stable relationships, or rigid thought patterns that make change feel overwhelming or even impossible. When substance use is added to the picture, these symptoms can intensify, often creating a dangerous, self-perpetuating cycle that requires comprehensive and compassionate intervention.

Types of Personality Disorders

It is not uncommon for individuals to have both a personality disorder and a substance use disorder concurrently. Substance use disorder impairs an individual’s ability to manage their consumption of drugs or alcohol. Borderline Personality Disorder (BPD) and Antisocial Personality Disorder are among the most prevalent personality disorders that may accompany a substance use disorder.

According to the National Institute of Mental Health (NIMH), approximately 22.6% of individuals with any personality disorder also have a substance use disorder, while 38.2% of those with BPD are similarly affected. To be diagnosed with a type of personality disorder, they have to fall into one of the three main clusters:

personality disorders and addiction
  • Cluster A (Odd or Eccentric): Paranoid, Schizoid, and Schizotypal Personality Disorders
  • Cluster B (Dramatic, Emotional, or Erratic): Borderline, Narcissistic, Histrionic, and Antisocial Personality Disorders
  • Cluster C (Anxious or Fearful): Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders (not to be confused with OCD)

Each type presents its challenges, but all can significantly increase the risk of developing a substance use disorder as a means of self-soothing or escape.

What Is a Co-Occurring Disorder?

A dual diagnosis, also known as a co-occurring disorder, refers to the simultaneous presence of a mental health condition and a substance use disorder, which can complicate both diagnosis and treatment. It’s not uncommon for people to experience overlapping or confusing symptoms that mask one another, making it harder to identify the root causes.

For instance, someone with untreated borderline personality disorder (BPD) might be misdiagnosed with depression, especially if substance use is present and clouding the clinical picture. Each condition can worsen the symptoms of the other, which is why integrated care is essential. We treat a wide range of co-occurring disorders, including:

  • Process addictions (e.g., gambling, sex, internet use)
  • Dysthymia (persistent depressive disorder)
  • Panic disorder
  • Attention-Deficit/Hyperactivity Disorder (ADHD)
  • Depression
  • Anxiety disorders
  • Bipolar disorder
  • Personality disorders

We understand that each person’s experience is unique, and our programs are designed to meet people exactly where they are on their path to recovery. As these disorders often interact in complex and reinforcing ways, effective treatment must address both simultaneously through an integrated, dual diagnosis approach.

Specialized Dual Diagnosis Care in Texas

Origins Texas Recovery in South Texas believes that there’s no one-size-fits-all approach to addiction treatment. Our rehab center offers specialized care through our unique programs.

Our gender-specific program tailored for men integrates clinical therapy, medical support, and spiritual guidance in a residential setting.

Our treatment for women is in a safe environment that fosters emotional healing and personal growth.

Our Outpatient Program allows clients to receive consistent, personalized care while transitioning back into daily life. It offers flexibility without sacrificing meaningful support or accountability.

This comprehensive model allows Origins Texas to treat the whole person. Emotionally, physically, and spiritually, not just their symptoms. Whether you’re navigating a personality disorder and alcohol addiction, or coping with anxiety, trauma, and stimulant use, our multidisciplinary approach ensures that no part of your struggle is overlooked or left untreated.

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Why Choose Dual Diagnosis Treatment Centers in Texas?

Seeking help from a dual diagnosis treatment center offers many advantages. At Origins Texas Recovery, our clients can reap the following benefits of integrated care for co-occurring disorders:

  • Licensed clinicians and medical professionals trained in mental health and addiction treatment
  • Integrated care plans that treat mental health and substance use simultaneously
  • Peaceful, private settings that promote healing
  • Gender-specific care for increased safety and connection
  • Spiritual and holistic practices woven into evidence-based therapies

Many traditional rehab centers are not equipped to address co-occurring disorders. Origins Texas Recovery provides specialized care that recognizes the complexity of treating mental illness and addiction together, not in isolation.

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Comorbidity of Personality Disorders and Addiction

Research shows that people with personality disorders are significantly more likely to experience substance abuse issues during their lifetime. According to Psychiatric Times, comorbidity rates between certain personality disorders and addiction can exceed 70%, especially in disorders marked by impulsivity or emotional dysregulation. This high overlap makes early detection, accurate diagnosis, and dual-focused treatment critical for lasting, sustainable recovery and long-term wellness.
personality disorders and addiction

Personality Disorders and Substance Abuse: What’s the Connection?

There are several reasons why individuals with personality disorders may turn to drugs or alcohol:

  • Emotional dysregulation: Substances may be used to manage overwhelming feelings.
  • Impulsivity: Common in Cluster B disorders, impulsive behavior increases the risk of substance misuse.
  • Low self-esteem: Addiction may develop as a way to cope with internalized shame or inadequacy.
  • Interpersonal challenges: Difficulty forming or maintaining relationships can lead to isolation and substance use.
  • Unstable identity: Many with personality disorders struggle with self-concept, using substances to “feel normal.”

Without proper intervention, substance use may worsen personality disorder symptoms and delay meaningful healing.

Types of Co-Occurring Personality Disorders

Comorbidity refers to the presence of multiple health conditions occurring simultaneously. Research into the comorbidity of personality disorders indicates that individuals with specific disorders may also experience additional health issues.

It is frequently observed that personality disorders coexist with other mental health conditions, such as mood disorders, anxiety disorders, and substance use disorders. Furthermore, certain personality disorders are known to frequently co-occur with one another. Common types include:

Alcohol and Personality Disorders

Alcohol is a common coping mechanism for individuals with borderline personality disorder and antisocial personality disorder, due to its numbing effect on intense emotions or social anxiety. Unfortunately, chronic use can heighten aggression, deepen emotional instability, and increase self-harming behaviors.

Opioids and Personality Disorders

Those with avoidant or schizoid personality traits may gravitate toward opioids to escape feelings of disconnection, emotional flatness, or chronic numbness. Over time, this pattern can lead to physical dependence, emotional detachment, and deeper social withdrawal that significantly worsens isolation and self-esteem.

Each substance affects people differently depending on their unique mental health profile, trauma history, and coping mechanisms. This is why personalized, integrated dual diagnosis treatment is so essential for meaningful, lasting recovery.

personality disorders and addiction

Other Mental Health Disorders That Co-Occur With Substance Abuse

Personality disorders influence an individual’s thoughts, emotions, and interactions with others, and they can also impact behavior. There are various types of personality disorders, each presenting distinct symptoms, and an individual can be diagnosed with more than one.

Numerous studies have explored the concept of comorbidity within the realm of mental health, including the simultaneous presence of multiple personality disorders or their coexistence with other health conditions. Origins Texas Recovery in South Padre Island, TX, also treats co-occurring conditions such as:

  • Major depressive disorder
  • Generalized anxiety disorder
  • Bipolar disorder
  • Obsessive-compulsive disorder
  • PTSD
  • ADHD
  • Dysthymia
  • Panic disorder
  • Process addictions (e.g., gambling, internet, food)

We recognize that healing from addiction involves more than just removing substances — it requires addressing the emotional, psychological, and spiritual wounds that often underlie them.

Diagnosing Personality Disorders and Addiction

Diagnosing a dual diagnosis is not always straightforward. Symptoms of addiction can mimic mental health conditions, and vice versa. That’s why Origins uses a comprehensive, multi-phase assessment process that includes:

  • Psychiatric evaluations
  • Medical screening
  • Clinical interviews
  • Behavioral observation
  • Family and peer input (when appropriate)

Once a diagnosis is confirmed, we build a custom treatment plan that addresses each aspect of a person’s life, emotional, physical, relational, and spiritual.

Dual Diagnosis Treatment at Origins Texas Recovery

Treating co-occurring disorders requires more than detox or talk therapy alone. Dual diagnosis requires an integrated, whole-person approach. Our dual diagnosis programs include:

When appropriate, psychiatric medication is used to stabilize mood, reduce symptoms, and support mental clarity throughout recovery.

Licensed therapists help clients explore the root causes of both addiction and mental health symptoms using approaches such as:

  • Cognitive-behavioral therapy (CBT)
  • Dialectical behavior therapy (DBT)
  • Trauma-informed care
  • Motivational interviewing

Peer-based support helps individuals develop communication skills, self-awareness, and empathy – all vital for those navigating personality disorders.

Family education and counseling help heal fractured relationships and establish boundaries that support long-term sobriety and mental wellness.

We also offer holistic practices like yoga, meditation, fitness, art therapy, and adventure-based recovery to foster healing in all dimensions of the self.

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Receive Treatment for Personality Disorders and Addiction at Origins Texas Recovery

If you or someone you love is living with a personality disorder and substance use disorder, know that recovery is possible, and it starts with compassionate, evidence-based care.

Our team is here to help you take that first brave step. From detox and therapy to long-term recovery support, we walk alongside you every step of the way.

Contact us today to learn how our programs work and what a customized path to healing could look like for you or your loved one.

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