In my article for the Huffington Post in 2015, I addressed something I called the Triple Threat. Here is an excerpt from that article

Until the ‘80s, it used to be that clients coming in for treatment were typically corralled into two discrete camps: the mentally ill or the substance abuser. Each had parallel treatment and discrete funding streams. As that decade drew to a close, so appeared the term dual diagnosis, a clinical moniker which appropriately — finally! — acknowledges the reality that those who experience substance abuse disorders were almost always in the throes of one or more concurrent mental health disorders that needed treatment.

Read the full article here.

However, I began to rethink that terminology. While formerly I stated three may be a crowd today I know, we are at peril if we ignore the needs of this cacophonous Threesome, Foursome, FiveSome, etc with its unique storylines, pains & pathologies. So I had this infographic created to help illustrate and facilitate this discussion. Feel free to use this infographic on your own site or newsletter.

Infographic Interventions

I have continued this discussion on Here is an excerpt from that article.

As a seasoned interventionist, I’ve seen clients from both sides of the mental illness/substance abuse spectrum as well as clients with an avalanche of additional problems that I describe as the TRIPLE THREAT, those who experience a tertiary issue either as a result of a prior condition (i.e. disorder or illness) or that one that is exacerbated by additional factors (i.e. physical, legal, traumatic, etc.). These folks and their families present a diagnostic quandary with their kaleidoscope of competing and equally important issues.

Read the full article here.