Understanding mental health

Medically reviewed by Dr. Sarah Martinez, MD

Mental health refers to a person’s emotional, psychological, and social well-being. It shapes how we think, feel, handle stress, relate to others, and make decisions. A mental health condition, also called a mental illness or mental health disorder, is a diagnosable condition that significantly affects thinking, mood, or behavior. Common examples include anxiety disorders, depression, bipolar disorder, post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD).

Mental health conditions are medical conditions, not personal weaknesses. They range from mild to severe, and even mild symptoms can interfere with work, relationships, and daily functioning when left unaddressed. Mental health and substance use are also closely connected. Many people turn to drugs or alcohol to manage symptoms of anxiety, depression, or trauma, and substance use can trigger or worsen mental health symptoms. When both conditions are present, treating them together produces better outcomes than treating either one alone.

Like other chronic health conditions, mental health disorders respond to treatment. With the right combination of therapy, medication when appropriate, and ongoing support, most people experience meaningful improvement in symptoms and quality of life.

What causes mental health conditions?

Mental health conditions develop through a combination of biological, psychological, and environmental factors.

  • Genetics and family history. Many mental health conditions run in families. Having a parent or sibling with a condition such as depression or bipolar disorder increases risk, though it does not guarantee someone will develop it.
  • Brain chemistry and structure. Imbalances in neurotransmitters and differences in how certain brain regions function are associated with conditions like depression, anxiety, and schizophrenia.
  • Trauma and adverse experiences. Abuse, neglect, loss, violence, and other traumatic events, especially in childhood, significantly increase the risk of developing a mental health condition later in life.
  • Substance use. Alcohol and drug use can trigger mental health symptoms, intensify existing conditions, and interfere with treatment. Roughly one in three adults with a mental illness also has a substance use disorder.
  • Chronic stress and life circumstances. Ongoing financial strain, relationship conflict, isolation, and major life changes can contribute to the onset or worsening of symptoms.
  • Medical conditions. Chronic illness, chronic pain, hormonal changes, and some medications can contribute to depression, anxiety, and other mental health symptoms.

No single factor causes a mental health condition on its own. These influences interact, which is why effective treatment addresses the whole person rather than a single symptom.

The connection between mental health and addiction

Mental health conditions and substance use disorders frequently occur together, a situation known as dual diagnosis or co-occurring disorders. In 2024, 21.2 million American adults had both a mental illness and a substance use disorder. The relationship runs in both directions. Untreated anxiety, depression, or trauma can drive self-medication with alcohol or drugs, while regular substance use changes brain chemistry in ways that produce or worsen mental health symptoms.

This is why an accurate assessment matters. Symptoms that look like a primary mental health condition may be driven by substance use, and substance use that looks like the main problem may be masking an underlying condition. Integrated treatment that addresses both conditions at the same time gives people the best chance at lasting stability.

Our track record of success

We are here to help individuals and families manage mental health conditions

50+
years of combined experience in mental health treatment
1000+
families have been treated by our care team for mental health
89%
of participants completed the program after starting
93%
of clients reported reduced symptoms after treatment
1:1
staff-to-client ratio for mental health treatment
24/7
availability for you and your loved one

Treatment Excellence

LegitScript certified addiction recovery program in Indiana.psychology today accreditation

Success stories

Real stories from individuals who have improved their mental health with our help

“Red Ribbon Recovery offers compassionate psychiatric care with professionalism and attention to detail, I recommend them for the care they provided to me during my lowest time.”

Michael M.

Completed virtual treatment, 2025

“For the first time in my 10 year long struggle with mental health I feel confident in myself and my ability to stay resilient through this process. I have Red Ribbon Recovery Indiana to thank for that. 10/10 would recommend.”

Cami W

Completed outpatient treatment, 2026

“Our daughter, Tanya, has been on a long mental health journey, working with different therapists at different facilities. I can honestly say the team at Red Ribbon made the biggest difference. They earned Tanya’s trust, and ours.”

Samantha N.

Completed outpatient treatment, 2025

“I would give Red Ribbon Recovery Indiana 10 stars if I could. My son is a vet who struggled with mental health and addiction for years, and nothing we tried ever worked. Then we found Red Ribbon Recovery, and their team changed everything for our family.”

Zack G.

Completed virtual treatment, 2026

Mental health by the numbers

Understanding the scope and impact of mental health conditions in the United States

61.5M
Adults with any mental illness in the past year in 2024

SAMHSA 2025

14.6M
Adults with serious mental illness in the past year in 2024

SAMHSA 2025

21.2M
Adults with co-occurring mental illness and a substance use disorder in 2024

SAMHSA 2025

21.4M
People who experienced a major depressive episode in 2024

SAMHSA 2025

47.9%
Adults with a mental illness who did not receive treatment in 2024

SAMHSA 2025

48.8K
Annual suicide deaths in the United States in 2024

CDC 2026

Warning signs & symptoms of mental health conditions

Content accuracy: This information was last reviewed and updated in July 2026 by our medical team to ensure clinical accuracy and current best practices.

Mental health conditions present differently from person to person, and symptoms often develop gradually. Recognizing changes early makes it easier to get effective help. Common signs include:

Physical signs

  • Changes in sleep, appetite, or energy levels
  • Unexplained aches, pains, or digestive problems
  • Noticeable weight loss or gain
  • Fatigue that does not improve with rest
  • Neglected hygiene or appearance
  • Restlessness or feeling slowed down

Behavioral signs

  • Withdrawing from work, school, or responsibilities
  • Increased use of alcohol or drugs
  • Difficulty concentrating or making decisions
  • Avoiding situations that trigger anxiety
  • Changes in performance at work or school
  • Risky or impulsive behavior

Emotional signs

  • Persistent sadness, emptiness, or hopelessness
  • Excessive worry, fear, or irritability
  • Mood swings or emotional numbness
  • Feelings of guilt, shame, or worthlessness
  • Loss of interest in activities once enjoyed
  • Thoughts of self-harm or suicide

Social signs

  • Pulling away from friends and family
  • Increased conflict in relationships
  • Avoiding social gatherings or events
  • Difficulty maintaining commitments

If you or someone you love is in crisis or having thoughts of suicide, call or text 988 to reach the Suicide & Crisis Lifeline, available 24/7.

Evidence-based treatment options

Medically reviewed by Dr. Sarah Martinez, MD
Effective mental health treatment addresses symptoms, underlying causes, and any co-occurring substance use. The right level of care depends on symptom severity, safety, and daily functioning.

Drug and alcohol detox

Drug and alcohol detox, also known as medical detox, is the first step in recovery. It provides medical supervision to manage withdrawal symptoms safely. This short-term process at an Indiana drug rehab center helps individuals stabilize physically and prepare for ongoing substance use disorder treatment.

Drug and alcohol detox

Inpatient treatment

An inpatient program, also known as residential addiction treatment, is a highly structured, 24/7 program that offers intensive therapy, medical support, and continuous supervision. This level of care is ideal for individuals who need a stable and supportive environment to begin their recovery at our addiction treatment centers Indiana.

Inpatient treatment

Partial hospitalization program

A partial hospitalization program treatment, also known as a day treatment program, is the highest level of outpatient care, with programming scheduled four to five days a week. Some people start rehab in our day treatment program while others transition after completing inpatient treatment.

Partial hospitalization program

Intensive outpatient program

Intensive outpatient treatment is available in person and virtually, meeting three to four days a week with a mix of group therapy and individual sessions. Specialized programs support diverse needs, including dedicated tracks for LGBTQ+ individuals, men, women, and more.

Intensive outpatient program

Standard outpatient treatment

Standard outpatient treatment is a flexible option for individuals with mild substance use disorders or those transitioning from higher levels of care. Treatment typically includes scheduled therapy sessions that address addiction triggers, coping strategies, and ongoing challenges in maintaining sobriety.

Standard outpatient treatment

Dual diagnosis treatment

Dual diagnosis treatment addresses both substance use and mental health disorders, recognizing that treating only one can worsen the other. This program begins with an assessment for an accurate diagnosis, followed by an integrated approach combining therapy, medication management, and supportive care.

Dual diagnosis treatment

Telehealth mental health/virtual addiction treatment

Telehealth provides access to therapy, counseling, and medication management through secure video or phone sessions. This approach makes care more accessible for people who cannot attend in person, offering flexibility while still maintaining professional support for mental health and substance use disorders.

Telehealth mental health/virtual addiction treatment

Addiction aftercare program

Long-term recovery often requires ongoing commitment and support. Continued engagement with counseling, support groups, healthy routines, and recovery-focused resources can help strengthen sobriety and promote lasting personal growth.

Addiction aftercare program

Outpatient detox program

Detox can be an important first step for individuals who are physically dependent on drugs or alcohol. When withdrawal symptoms are a concern, receiving appropriate medical support before beginning ongoing addiction treatment can help improve safety, comfort, and treatment outcomes.

Outpatient detox program

Behavioral and holistic therapies

Individual & group therapy

Individual and group therapy work together to support recovery by offering both personal reflection and shared accountability. One-on-one sessions provide a private space to address challenges and set goals, while group settings create opportunities to practice new skills, and gain feedback from peers.

Individual & group therapy

Medication-assisted treatment

Medication-Assisted Treatment (MAT) involves using FDA-approved medications in combination with counseling and behavioral therapies to treat substance use disorders. MAT helps individuals reduce or eliminate cravings and withdrawal symptoms, making it easier to focus on recovery. By addressing both the physiological and psychological aspects of addiction, MAT can significantly improve treatment outcomes and reduce the risk of relapse.

Medication-assisted treatment

Acceptance and commitment therapy

ACT therapy helps individuals develop psychological flexibility by learning to manage difficult thoughts and emotions rather than being controlled by them. Through mindfulness, values-based guidance, and practical coping strategies, ACT supports meaningful behavior change and long-term emotional well-being.

Acceptance and commitment therapy

Motivational interviewing

Motivational interviewing is a client-centered, evidence-based approach that helps individuals explore ambivalence and strengthen internal motivation for change. Through supportive, non-judgmental conversation, therapists guide clients toward building confidence, clarifying goals, and taking meaningful steps forward in recovery and personal growth.

Motivational interviewing

EMDR therapy

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a structured, trauma-focused treatment designed to help individuals process distressing memories and reduce emotional pain. By reprocessing past experiences in a safe therapeutic setting, EMDR can support healing, improve emotional regulation, and strengthen overall mental well-being.

EMDR therapy

12-Step treatment program

The 12-step program is a structured framework designed to promote long-term recovery through personal accountability and peer support. Participants engage in a series of guided steps that encourage self-reflection, behavioral change, and a sense of community.

12-Step treatment program

Cognitive behavioral therapy

Cognitive behavioral therapy is a structured approach that helps individuals identify and change negative thought patterns and behaviors. It focuses on practical strategies that support long-term improvement through active problem-solving and skill development.

Cognitive behavioral therapy

Dialectical behavior therapy

Dialectical behavior therapy is a structured approach that teaches people how to manage strong emotions and reduce harmful behaviors. It combines acceptance and change strategies through individual sessions, group skills training, and practical exercises.

Dialectical behavior therapy

Family therapy

Family therapy is a structured form of counseling that brings loved ones together to improve communication, resolve conflict, and strengthen relationships. Guided by a trained therapist, sessions help family members address challenges, rebuild trust, and develop healthier ways of supporting one another in recovery and daily life.

Family therapy

The path to recovery

Recovery from a mental health condition is a gradual process that looks different for everyone. For some, it means full remission of symptoms. For others, it means learning to manage a chronic condition so it no longer controls daily life. Progress is rarely linear, and setbacks are a normal part of the process rather than a sign of failure.

What supports mental health recovery

  • Working with a therapist or counselor on a consistent basis
  • Taking medications as prescribed and communicating with providers about side effects
  • Addressing substance use honestly, since drugs and alcohol undermine mental health treatment
  • Building daily structure around sleep, nutrition, movement, and time outdoors
  • Maintaining connection with supportive people rather than isolating
  • Learning to recognize early warning signs and acting on them quickly

Family support resources

Mental health conditions affect entire families. Loved ones often carry worry, confusion, and exhaustion while trying to help, and they frequently do not know what kind of support actually helps. Families do better, and their loved ones do better, when they have education and support of their own.

Family support options include:

  • NAMI family programs.The National Alliance on Mental Illness offers free education programs and support groups for family members of people living with mental health conditions, with chapters across Indiana.
  • Family therapy.Guided sessions with a trained therapist to improve communication, address conflict, and help family members support recovery without burning out.
  • Educational workshops.Programs that explain how mental health conditions work, what treatment looks like, and how families can offer the right kind of support.
  • Crisis support.The 988 Suicide & Crisis Lifeline provides free, confidential support by call or text, 24/7, for people in distress and for those worried about a loved one.
  • Community-based programs.Local resources that may offer peer mentoring, stress management classes, or skills training for caregivers.

When families understand the condition and have support of their own, they are better equipped to encourage treatment, set healthy boundaries, and take care of their own well-being.

Frequently asked questions

If you are seeking mental health treatment in Indiana, options are available across the state, including outpatient therapy, psychiatric care, dual diagnosis treatment, and virtual treatment. Many providers are located in major cities such as Indianapolis, Fort Wayne, Evansville, South Bend, Bloomington, Lafayette, Gary, Muncie, Terre Haute, Elkhart, Kokomo, Richmond, Noblesville, and Carmel.

Our facility treats adults with mental health and substance use disorders and is accessible for residents of Indiana and surrounding states. Conveniently located near Indiana University and major airports, our center is within driving distance of:

Our admissions coordinators can answer questions about programs and help determine the right level of care. For ongoing support, we also encourage participation in local and statewide community resources, including NAMI Indiana and other peer-led programs.

Mental health describes overall emotional and psychological well-being, something everyone has, whether good or poor at any given time. Mental illness refers to a diagnosable condition, such as major depressive disorder or generalized anxiety disorder, that significantly affects thinking, mood, or behavior. A person can have poor mental health without meeting criteria for a mental illness, and a person with a diagnosed mental illness can experience periods of strong mental health with effective treatment.

Consider a professional evaluation if symptoms persist for more than two weeks, interfere with work, school, or relationships, or lead you to rely on alcohol or drugs to cope. Other signs include changes in sleep or appetite, withdrawing from people you care about, difficulty getting through daily responsibilities, or thoughts of self-harm. You do not need to be in crisis to benefit from treatment. Earlier intervention typically means faster improvement.

Yes, and they should be. When a mental health condition and a substance use disorder occur together, treating only one typically causes the other to worsen and increases the risk of relapse. Dual diagnosis treatment begins with a comprehensive assessment to establish accurate diagnoses, then integrates therapy, medication management, and supportive care to address both conditions in a coordinated plan.

Evidence-based therapies include cognitive behavioral therapy, which targets unhelpful thought patterns, dialectical behavior therapy, which builds emotion regulation and distress tolerance skills, and EMDR therapy, which helps process traumatic memories. Individual & group therapy and family therapy are often combined based on individual needs. The most effective approach depends on the diagnosis, symptom severity, and personal goals.

Not everyone does. Many people improve with therapy alone, particularly for mild to moderate symptoms. For others, medication is an important part of treatment, especially for conditions like bipolar disorder, severe depression, or schizophrenia. Medication decisions are made with a prescriber based on diagnosis, symptom severity, medical history, and personal preference, and plans are adjusted over time based on response.

Yes. Federal parity laws require most insurance plans to cover mental health and substance use treatment at levels comparable to medical care. Coverage details vary by plan and level of care, so it is important to confirm benefits before starting treatment. Our admissions team can verify your insurance coverage and explain what services are included under your plan.

If you or someone else is in immediate danger, call 911. For urgent emotional distress or thoughts of suicide, call or text 988 to reach the Suicide & Crisis Lifeline, which is free, confidential, and available 24/7. After the immediate crisis passes, follow up with a mental health professional to build a longer-term plan, since crisis stabilization works best when it leads into ongoing care.

Sources

  1. Substance Abuse and Mental Health Services Administration. (2025). Results from the 2024 National Survey on Drug Use and Health
  2. Centers for Disease Control and Prevention. (2026). Suicide Data and Statistics
  3. National Institute of Mental Health. (n.d.). Mental Illness Statistics
  4. American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR)
  5. National Institute of Mental Health. (2024). Substance Use and Co-Occurring Mental Disorders

About the content

Last updated on: Apr 22, 2026
Jodi Tarantino (LICSW)

Written by: Carli Simmonds. Carli Simmonds holds a Master of Arts in Community Health Psychology from Northeastern University. From a young age, she witnessed the challenges her community faced with substance abuse, addiction, and mental health challenges, inspiring her dedication to the field.

Jodi Tarantino (LICSW)

Medically reviewed by: Jodi Tarantino, LICSW. Jodi Tarantino is an experienced, licensed Independent Clinical Social Worker (LICSW) and Program Director with over 20 years of experience in Behavioral Healthcare. Also reviewed by the RRR Editorial team.

Red Ribbon Recovery is committed to delivering transparent, up-to-date, and medically accurate information. All content is carefully written and reviewed by experienced professionals to ensure clarity and reliability. During the editorial and medical review process, our team fact-checks information using reputable sources. Our goal is to create content that is informative, easy to understand and helpful to our visitors.

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