Substance Use + Mental Health: Your Guide to Addressing Co-occurring Disorders

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It’s difficult enough if your teen or young adult is struggling with a substance use disorder, but what if they also are struggling with a mental health disorder, like depression or anxiety, at the same time?

Formerly referred to as “dual diagnosis,” someone struggling with a substance use disorder and a mental health disorder at the same time has a co-occurring disorder. 30% – 45% of adolescents and young adults with mental health disorders have a co-occurring substance use disorder, and 65% or more of youth with substance use disorders also have a mental health disorder. Often, it can be challenging to determine which one came first – a sort of ‘chicken or egg’ situation – and how to treat the symptoms and underlying causes of each.

It’s for parents and other caregivers in this situation that we collaborated with Child Mind Institute in this PDF guide, Substance Use + Mental Health in Teens & Young Adults: Your Guide to Recognizing & Addressing Co-occurring Disorders. What may be behind a young person’s change in behavior is often hard to pin down, particularly when substance use and mental health are both factors. But understanding how these challenges can manifest in a child’s life, and sometimes entwine to create new problems or complicate treatment, is essential to keeping kids healthy.

A mother recently shared a comment about seeking treatment for her daughter: “When I first realized my daughter was struggling with depression as well as vaping and drinking, I wasn’t sure what to tackle first. After a lot of false starts, I learned that integrated care addressing both her mental health and substance use was needed to help her. With this approach, we were finally on a path to wellness.”

This guide is intended to provide useful information, insights and resources that can help make this journey easier and help you get quality care for your child.

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DISCLAIMER: The resources listed on this site are not meant to replace medical advice or the consultation of your child’s physician or care team. Please consult a trusted medical professional before making any medical care decisions for yourself or your child.

The following trademarks used herein are owned by McDonald’s Corporation and its affiliates; McDonald’s, Ronald McDonald House Charities, Ronald McDonald House Charities Logo, Ronald McDonald House, Ronald McDonald Family Room, and Ronald McDonald Care Mobile.

Ronald McDonald House Charities® of Northeast Ohio, Inc. is recognized as a public charity under Internal Revenue Code section 509(a) and has 501(c)(3) status. Donations to Ronald McDonald House Charities® of Northeast Ohio, Inc. are deductible. Donors should consult their tax advisor for questions regarding deductibility. The Ronald McDonald House Charities® of Northeast Ohio, Inc. EIN is 34-1269123. A copy of the Ronald McDonald House Charities® of Northeast Ohio, Inc. determination letter is available upon request.

©2026 Ronald McDonald House of Northeast Ohio, Inc. All Rights Reserved.

Looking for More?

Search the full resource database.

DISCLAIMER: The resources listed on this site are not meant to replace medical advice or the consultation of your child’s physician or care team. Please consult a trusted medical professional before making any medical care decisions for yourself or your child.

The following trademarks used herein are owned by McDonald’s Corporation and its affiliates; McDonald’s, Ronald McDonald House Charities, Ronald McDonald House Charities Logo, Ronald McDonald House, Ronald McDonald Family Room, and Ronald McDonald Care Mobile.

Ronald McDonald House Charities® of Northeast Ohio, Inc. is recognized as a public charity under Internal Revenue Code section 509(a) and has 501(c)(3) status. Donations to Ronald McDonald House Charities® of Northeast Ohio, Inc. are deductible. Donors should consult their tax advisor for questions regarding deductibility. The Ronald McDonald House Charities® of Northeast Ohio, Inc. EIN is 34-1269123. A copy of the Ronald McDonald House Charities® of Northeast Ohio, Inc. determination letter is available upon request.

©2026 Ronald McDonald House of Northeast Ohio, Inc. All Rights Reserved.

Looking for More?

Search the full resource database.

DISCLAIMER: The resources listed on this site are not meant to replace medical advice or the consultation of your child’s physician or care team. Please consult a trusted medical professional before making any medical care decisions for yourself or your child.

The following trademarks used herein are owned by McDonald’s Corporation and its affiliates; McDonald’s, Ronald McDonald House Charities, Ronald McDonald House Charities Logo, Ronald McDonald House, Ronald McDonald Family Room, and Ronald McDonald Care Mobile.

Ronald McDonald House Charities® of Northeast Ohio, Inc. is recognized as a public charity under Internal Revenue Code section 509(a) and has 501(c)(3) status. Donations to Ronald McDonald House Charities® of Northeast Ohio, Inc. are deductible. Donors should consult their tax advisor for questions regarding deductibility. The Ronald McDonald House Charities® of Northeast Ohio, Inc. EIN is 34-1269123. A copy of the Ronald McDonald House Charities® of Northeast Ohio, Inc. determination letter is available upon request.

©2026 Ronald McDonald House of Northeast Ohio, Inc. All Rights Reserved.