Individuals with personality disorders and substance use disorders often experience what outcome related to treatment?

Individuals with personality disorders and substance use disorders frequently experience an increased risk of treatment dropout. This outcome is largely attributed to the complex interplay between personality disorders, which can include impulsivity, emotional instability, and difficulties in interpersonal relationships, and substance use disorders.

These features of personality disorders often lead to challenges in engaging with treatment, maintaining consistent attendance at therapy sessions, and following through with recommended interventions. The difficulties in managing emotions and relationships may exacerbate the individual's substance use or lead to resistance against treatment strategies, ultimately resulting in premature termination of care.

Additionally, the presence of both disorders complicates the therapeutic process, making it harder for the individual to establish trust with treatment providers, adhere to treatment protocols, or recognize the necessity of long-term support, further contributing to treatment dropout rates. The challenging behaviors often associated with personality disorders can create a cycle that discourages sustained participation in recovery programs, thus heightening the risk of dropping out.