The Midrash on Shir HaShirim (5:2) says: “The Holy One, blessed be He, said to Israel, “My sons, open for Me an opening of t’shuvah like the eye of a needle, and I will open for you openings big enough for wagons and carriages to pass through [or like the gates of the sanctuary].”

Alcohol and drug use can occur on their own, but they’re often associated with other addictions or mental health issues. People with a mental disorder are more likely to have issues with substance abuse compared to those without a mental health disorder. Most rehab programs also include mental health treatment, so co-occurring conditions are dealt with at the same time as the substance use disorder. Understanding the difference between dual diagnosis vs. co-occurring disorders can help you anticipate the kind of treatment you can expect in a substance abuse program.