Separation anxiety disorder (SAD) is most often an issue suffered by small children. It’s a normal stage of development characterized by symptoms of anxiety and upset when physically separated from a primary caregiver. They may:
This is a normal stage of development that usually passes by age two. However, in some cases, separation anxiety disorder can remain an issue or pop up again throughout life. Some children never completely feel safe and at ease in certain situations and carry this issue into adulthood. Others become overwhelmed by separation anxiety in certain situations, and still others find that after experiencing a trauma (e.g., attack, natural disaster, abuse, etc.) or loss of a loved one, separation anxiety becomes an overwhelming issue.
Often, especially when the disorder strikes in the adult years, a common response is substance abuse. Turning to alcohol or other drugs for relief from the symptoms can seem like a natural solution to quell anxiety. Unfortunately, it often not only exacerbates the issue in the short-term but also creates a host of long-term problems that are just as difficult to overcome as the separation anxiety symptoms.
A review published in the journal Clinical Psychology Review found that because separation anxiety disorder was long thought to be a disorder relegated to infancy, it has been heavily underdiagnosed in adults. Additionally, most anxiety disorders begin to appear and are recognized medically during childhood, adolescence or the teen years, so when symptoms aren’t apparent until after the age of 18, it is rare for a patient to be diagnosed with separation anxiety disorder.
The review, however, demonstrated that not only is separation anxiety disorder a problem for adults, it is also:
In both substance abuse and separation anxiety, codependency is often an issue. Once believed to be a problem only among those who were enabling addicted loved ones, it has been found that addicts and alcoholics in recovery often struggle with the same inability to define positive boundaries within their relationships. In the same way, those who are living with adult separation anxiety disorder find it difficult to function in the world independently without defining their choices based on the actions or needs of another.
Some signs of codependency include:
When these issues exist, it is something that should be addressed in treatment. Often, these symptoms can be triggers for anxiety related to the separation anxiety disorder and/or the urge to drink or get high. Thus, learning how to create healthy boundaries in relationships and find one’s own independence is often a part of the healing process.
Rarely does separation anxiety disorder require treatment in small children; it is a normal stage of development. However, when it lasts and becomes disruptive to the person’s ability to function, it is time to seek help.
Some directed treatments that can help the patient to move forward are personal treatment services, but many include the person upon whom they are dependent. For example, patients living with SAD may benefit from anti-anxiety medications and individual therapy that helps them to work through underlying issues and address personal triggers. However, it may be just as important for the person to undergo counseling with the person they are anxious about being separated from; family therapy and educational workshops for all involved may also be beneficial.
Though there is some debate about whether or not the issue of separation anxiety disorder in childhood may indicate or trigger an issue with generalized or specific anxiety disorder in adulthood, many studies say this is unlikely.
One study published in the Journal of the American Academy of Child and Adolescent Psychiatry found that childhood SAD is not a risk factor for the development of agoraphobia or panic disorder in adults.
There is an indication, however, as seen in a study published in another issue of the Journal of the American Academy of Child and Adolescent Psychiatry, that the existence of parental panic disorder might increase the chance of development or severity of a child’s separation anxiety issues and other atopic disorders. Therefore, it may be indicated that a parent’s untreated adult separation anxiety disorder may be part of the development of similar issues in their child.
There are a number of studies that support the notion that adult separation anxiety disorder is often a diagnosis that co-occurs with other mental health issues.
For example, a study published in the Journal of Affective Disorders found that complicated grief was diagnosed among more than half of their participants diagnosed with adult separation anxiety disorder. Another study published in the Journal of Traumatic Stress found that adult separation anxiety disorder was associated with post-traumatic stress disorder (PTSD) as well.
Substance abuse, too, is very often a problem for those who struggle with separation anxiety. In order to calm their fears or go to sleep, they may take pills, drink alcohol, smoke marijuana or use drugs like heroin. Unfortunately, this can cause a number of problems including:
Co-occurring disorders should always be addressed at a Dual Diagnosis rehab facility so the patient can make progress in recovery from both issues at the same time. Especially in the case of a disorder like separation anxiety disorder, where co-occurring disorders are deeply enmeshed in the symptoms and expression of SAD, Dual Diagnosis rehab is highly recommended.
Dual Diagnosis treatment will provide a multilevel approach to address all disorders and symptoms that are stopping the patient from living a life of balance. This is done through a combination of services, applicable as necessary:
The Centers for Disease Control (CDC) reports that anxiety disorders like separation anxiety disorder are the most commonly diagnosed mental health issues in the United States.
Lifetime prevalence of these kinds of disorders is more than 15 percent; past-year prevalence is as high as 10 percent. For the patients struggling as well as their friends and loved ones, this can create difficulties at home and hurt everyone’s ability to live healthfully, thriving at work and in the community.
If someone you love needs treatment for adult separation anxiety disorder alone or in connection with a co-occurring instance of substance abuse or addiction, don’t hesitate to call. We can match your loved one to a treatment program that can help them learn how to move forward safely and effectively and offer you support and assistance along the way. We’re here to help. Contact us at the phone number listed above now.
Integrated Treatment of Substance Abuse & Mental Illness