By working them both I don't necessarily exactly concurrently. I was about 45 days over when my psychiatrist saw me and resumed medical treatment. The Mood Disorder clinic had basically said that the first step in my treatment was detox and inpatient. Had they not dealt with the bipolar disorder at that time immediately after inpatient and had I not continued into dual diagnosis outpatient treatment I'm not sure I would have remained sober. Both needed treatment. I started drinking and drugging heavily in 2005 when I went off my psych meds. Yin and yang.
Definitely agree that psych meds have unpredictable effects when you throw uncontrolled alcohol and street drugs into the mix...often being used in an attempt to self-medicate. Bipolar disorder and substance abuse have a huge comorbidity.