State of Mind with Debra Sloss
State of Mind with Debra Sloss
Dual Diagnoses: The Challenges of Recovery

Episode #6: In this STATE OF MIND episode Debra Sloss, LMFT is joined by guests Cynthia Nollenberger, LMFT & Rick to discuss the complicated intersection of substance use and metal health problems that currently afflicts nearly 8 million Americans. These co-occurring disorders are often referred to as “dual diagnosis” and recovery is complicated by the ways in which each condition affects the other. Up to this point, Rick says the defining feature of his life has been his experience with insanity. He then goes on to share his remarkable story of recovery, first from mental illness and then only years later from addiction, and the fortitude it takes for him to maintain his mental health. Psychotherapist Cynthia Nollenberger, LMFT has worked in the Santa Cruz County mental health system of care with youth and adults addressing substance abuse, mental health and dual diagnosis issues for years. Cynthia sheds light on some of the risk factors, common experiences of those who struggle with dual diagnosis, gives some advice to parents and shares information about local resources. The passing of the affordable care act in 2010 led to more comprehensive coverage for both mental health and substance use treatment and makes dual diagnosis treatment options more accessible than ever before.

Broadcast: 5/5/19

Special thanks to my co-producer Lauren Fein for lending her organizational & technical expertise along with her general wizardry to help bring this show to you. Also, thanks to acoustic guitarist Adrian Legg for composing, performing and donating the use of our theme music.

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12 Step Recovery Programs– Free Local Groups – abstinence based model
Alcoholics Anonymous (AA) alcoholics anonymous Santa Cruz

Narcotics Anonymous (NA)

Marijuana Anonymous (MA)

Smart Recovery-Cognitive Behavioral Therapy based self-help groups – harm reduction model. This was a group that Rick recommended and said really helped him.
SMART RecoverySanta Cruz Meetings:

SMART RecoveryNational website:

Refuge Recovery– Buddhist based model

Recovery Wave – Lists of Recovery Resources in Santa Cruz County

El Camino Hospital-IOP (Intensive Out Patient)/PHP (Partial Hospitalization) for substance abuse and dual diagnosis treatment-insurance or private pay   866-789-6089

Santa Cruz County Behavioral Health-assessments for residential and IOP (intensive outpatient program) levels of care-for substance abuse and assessments/treatment for mental health issues through Medi-Cal
Access line-800-952-2335

Psychology Today for private therapists

Residential Treatment through private insurance providers