Since 1989, clients with severe co-occurring addiction and mental health disorders have found experience, strength, and hope through the Twelve Step group Double Trouble in Recovery (DTR).Since 1989, clients with severe co-occurring addiction and mental health disorders have found experience, strength, and hope through the Twelve Step group Double Trouble in Recovery (DTR). This is the equivalent to the Alcoholics Anonymous Book for those dealing with severe mental illness and addiction. Priced economically for distribution to group members.