Anxiety & Addiction Treatment Centers Near You
Anxiety disorders and substance use disorders often occur together, each exacerbating the other. Discover treatment centers specializing in co-occurring disorder care with integrated mental health and addiction treatment.
Found 9,213 rehab centers specializing in anxiety disorders across the United States.
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Find Dual Diagnosis Treatment Centers for Anxiety and Addiction
Browse dual diagnosis treatment centers for anxiety and addiction below. Filter by therapy type, insurance, and level of care.
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Situated in Cranberry Township, PA, the Cranberry Township Comp Trt Center delivers extensive substance use rehabilitation services for both adults and young adults. The facility offers outpatient treatments including methadone/buprenorphine and naltrexone, along with regular outpatient options and 12-step facilitation, anger management, and brief intervention strategies. Tailored programs are available specifically for active duty military personnel, as well as separate services for adult men and women to meet various needs. By providing gender-specific care, the center fosters a personalized approach to treatment. The focus on high-quality care and individualized assistance is aimed at supporting clients throughout their recovery journey.
In Louisville, KY, Creative Spirits Behav Service Network provides extensive treatment for substance use disorders, catering to both adults and children facing concurrent mental health issues. The center features various outpatient options, including intensive care, and utilizes methods such as 12-step facilitation, anger management, and cognitive behavioral therapy to enhance recovery. They offer specialized programs designed specifically for active military members, as well as distinct services for adult men and women. By addressing the unique needs of each client, the center delivers personalized care for all ages and genders. Discover effective and research-supported treatment at Creative Spirits Behav Service Network.
In Roseburg, OR, Cow Creek Health and Wellness provides extensive outpatient care for individuals struggling with substance use disorders. Their expertise lies in techniques such as 12-step facilitation, anger management, and brief intervention strategies. They feature specialized programming for young people, adult males, and adult females. The center delivers tailored services to both adults and younger individuals, with treatment plans adjusted based on gender. Cow Creek Health and Wellness is dedicated to offering exceptional, customized support to guide people toward healing. For those looking for impactful addiction therapy in a supportive setting, this center is a notable option.
Cow Creek Health and Wellness Center in Canyonville, OR, provides extensive outpatient care for individuals pursuing sobriety. They offer distinct programs for teenagers, adult men, and adult women, fostering a welcoming atmosphere for everyone. Employing proven methods like 12-step support, emotional regulation, and concise counseling, the center emphasizes total well-being and sustained abstinence. Options for medication-assisted treatment, including methadone, buprenorphine, or naltrexone, are available. Cow Creek Health and Wellness Center is committed to delivering excellent services and individualized assistance to guide clients toward enduring recovery.
Situated in Minneapolis, MN, Create Inc specializes in extensive treatment options for individuals dealing with substance use issues, catering to both adults and young adults. The facility features various treatment modalities, including intensive outpatient services and standard outpatient care. By incorporating evidence-based techniques such as brief interventions, cognitive behavioral therapy, and motivational interviewing, Create Inc customizes its programs to fit the specific requirements of each person. Additionally, the center offers tailored programs for men, women, and those who have faced trauma. Committed to delivering high-quality care, this center fosters a nurturing atmosphere for those on their path to recovery, with programs designed to meet the distinct needs of both genders.
Creative Spirits, situated in Shelbyville, KY, is a well-regarded rehabilitation center that presents an extensive array of treatment options. With a focus on addressing substance abuse and concurrent mental health disorders, the facility offers intensive outpatient, outpatient, and standard outpatient programs. Emphasizing approaches such as 12-step support, anger management, and short-term interventions, Creative Spirits serves a diverse population of adults and seniors across all genders. The center also features specialized services for teenagers, adult men, and adult women, ensuring personalized support for every individual. Renowned for its high-quality care and evidence-driven methods, Creative Spirits remains a reliable choice for those in need of effective rehabilitation assistance.
Adult men, criminal justice clients, and people with co-occurring disorders are the focus at Covenant Recovery Inc in Hot Springs National Park, Arkansas. Levels of care include long-term and short-term residential, partial hospitalization, and intensive outpatient, with naltrexone available. The center also operates transitional housing or sober homes.
Covington Behavioral Health in Covington, Louisiana, offers hospital inpatient detoxification and treatment, intensive outpatient care, and outpatient buprenorphine and naltrexone services. All ages from children to seniors are admitted, with programs for adolescents, veterans, pregnant women, and forensic clients. Medicare, Medicaid, and TRICARE are accepted.
Cowlitz Tribal Treatment in Longview, Washington, provides intensive and regular outpatient substance use treatment for adolescents through seniors, with buprenorphine and naltrexone used in treatment. Adolescents and clients with co-occurring mental health disorders have dedicated programming. IHS/Tribal/Urban funds, Medicare, Medicaid, TRICARE, and SAMHSA block grants are accepted.
Creative Counseling Services located in Greeley, CO provides outpatient treatment for substance use affecting both adults and children/adolescents. The center specializes in anger management, brief interventions, and cognitive behavioral therapy, offering targeted support for adult men, women, and individuals who have encountered trauma. With a commitment to personalized treatment, it serves clients of all genders, ensuring that each plan is customized to meet their specific needs. The center's distinctive methodology and focused services highlight a commitment to delivering high-quality care for those grappling with addiction. For those seeking thorough and impactful rehabilitation options in Greeley, Creative Counseling Services could be an excellent choice.
Outpatient and intensive outpatient substance use treatment in Savannah, Georgia, for veterans, criminal justice clients, and clients with co-occurring disorders or trauma. Creative Counseling Solutions accepts Medicaid, TRICARE, and private insurance, with a sliding fee scale and Spanish-language services.
Creative Health Services Inc operates a drug and alcohol outpatient program in Pottstown, Pennsylvania, serving children, adolescents, adults, and seniors with regular and intensive outpatient care plus buprenorphine and naltrexone. Medicaid, Medicare, and federal funding are accepted, and services are available in Spanish and sign language.
Located in Washington, DC, Creative Pathways Inc runs outpatient, intensive outpatient, and partial hospitalization programs for substance use and co-occurring serious mental illness. Special programs cover pregnant and postpartum women, veterans, military families, trauma survivors, and forensic clients. Medicaid is accepted, and services are available in Spanish.
Covert Action LLC, situated in Des Moines, IA, provides outpatient treatment programs for substance use, targeting both adult men and women, along with young adults. This facility emphasizes specialized therapies such as cognitive behavioral therapy, motivational interviewing, and contingency management with motivational incentives. It also offers tailored programs for individuals who have undergone sexual abuse. Clients can access methadone/buprenorphine or naltrexone treatments on an outpatient basis, in addition to standard outpatient services. With a commitment to high-quality care and personalized treatment plans, Covert Action LLC stands out as a reliable option for effective and compassionate addiction recovery support in the Des Moines region.
Crawford County Drug and Alcohol, positioned in Meadville, PA, provides an extensive range of treatment options for adults and seniors dealing with substance use issues. The center features a variety of programs, including intensive outpatient treatment, outpatient care, and standard outpatient services, all designed to meet the specific needs of each individual. Employing scientifically supported methods like 12-step facilitation, brief intervention techniques, and cognitive behavioral therapy, the facility promotes a comprehensive approach to recovery. Specialized programs are available for teens, men, and women, creating an inclusive atmosphere for all clients. With a commitment to high-quality care and custom treatment strategies, Crawford County Drug and Alcohol aims to support individuals on their path to enduring sobriety.
Situated in Trenton, NJ, Creative Change Counseling delivers a holistic approach to substance use recovery for those in need. The facility presents a variety of treatment options, including intensive outpatient care, general outpatient services, and a partial hospitalization program during the day. Emphasizing methods such as 12-step support, anger management, and short-term interventions, this center addresses the needs of active military personnel, young individuals, and adult males. With a commitment to providing specialized care for children and adolescents across all gender identities, Creative Change Counseling prioritizes personalized support for every person's path towards sobriety.
"Create Inc," situated in Saint Paul, MN, provides extensive recovery care for adults and young adults struggling with substance use disorders. Their program offerings include intensive outpatient, outpatient, and standard outpatient services. Utilizing evidence-based approaches such as brief intervention, cognitive behavioral therapy, and motivational interviewing, "Create Inc" ensures personalized treatment plans. The center also features specialized care for adult men, adult women, and individuals with a history of trauma. "Create Inc" is dedicated to delivering excellent, gender-informed care to all clients, fostering a nurturing and expert environment for those pursuing successful, individualized addiction recovery.
Creative Counseling Services, situated in Loveland, CO, provides outpatient care for adults and young people struggling with substance use. Their expertise includes anger management, cognitive behavioral therapy, and motivational interviewing. They also have specialized offerings for adult women, individuals who have experienced trauma, and those dealing with both mental health and substance use issues simultaneously. The center emphasizes tailored treatment plans and accepts all genders. Creative Counseling Services fosters a nurturing atmosphere for individuals pursuing thorough and customized recovery to overcome substance use difficulties.
Creative Counseling Services in Fort Collins, CO, provides outpatient care for adults of all genders dealing with substance use disorders and trauma. Their treatment plans incorporate evidence-based methods like anger management, brief intervention, and cognitive behavioral therapy. The center focuses on creating personalized programs for adult and adolescent clients. Creative Counseling Services is committed to offering high-quality, supportive addiction treatment in a nurturing setting.
Creative Treatment Options, situated in Commerce City, CO, provides targeted rehabilitation services for both substance use and related mental health challenges in both adults and children. The center emphasizes intensive outpatient care and offers programs involving methadone, buprenorphine, or naltrexone. Employing proven methods such as cognitive behavioral therapy, anger management, and motivational incentives, the facility is designed to meet diverse needs. It features specialized programs aimed at adult men and women, including support for those who have been affected by domestic or intimate partner violence. Catering to individuals of all genders, this center focuses on delivering personalized care to promote recovery and overall well-being.
Anxiety Disorders and Substance Use: Key Facts
Classification
Anxiety Disorders + Substance Use Disorder (Dual Diagnosis)
Co-occurrence
~20% of people with anxiety disorders also have SUD
Prevalence
40 million adults with anxiety disorders in the US (ADAA)
Common types
GAD, Social Anxiety, Panic Disorder, Phobias, OCD
Self-medication risk
Alcohol and benzodiazepines most commonly used
Benzo danger
Benzodiazepine withdrawal can be life-threatening
Safe medications
SSRIs, SNRIs, buspirone, hydroxyzine (non-addictive)
Key therapies
CBT, DBT, exposure therapy, mindfulness
Anxiety and Addiction: Why They Co-Occur
Self-medication with alcohol and benzodiazepines
Anxiety disorders cause persistent, overwhelming fear and worry that can make daily life feel unmanageable. Many people discover that alcohol or sedatives like Xanax provide fast, temporary relief from anxious thoughts and physical symptoms. This relief is real — but short-lived. Over time, the brain adapts and requires more of the substance to achieve the same calming effect, leading to tolerance, dependence, and addiction.
Substance-induced anxiety
The relationship also works in reverse. Stimulants like cocaine and methamphetamine directly trigger anxiety by flooding the brain with stress hormones. Chronic alcohol use disrupts GABA and glutamate systems, leaving the brain in a state of hyperexcitability. Even cannabis, often perceived as calming, can produce severe anxiety and panic attacks in many users — especially with today's high-THC products.
Withdrawal anxiety
When someone who has been using alcohol or benzodiazepines to manage anxiety tries to stop, rebound anxiety occurs — often worse than the original symptoms. This happens because the brain has downregulated its own calming mechanisms in response to the substance. The intense anxiety during withdrawal drives many people back to using, creating a cycle that is extremely difficult to break without professional help.
The vicious cycle
Anxiety leads to substance use for relief. Substance use worsens anxiety over time. Worsening anxiety drives more substance use. Each cycle deepens both the anxiety disorder and the addiction, making each condition harder to treat in isolation. This is why dual diagnosis treatment — addressing both conditions simultaneously — is the most effective approach for lasting recovery.
Types of Anxiety Disorders Treated in Rehab
Generalized Anxiety Disorder (GAD)
GAD involves persistent, excessive worry about everyday matters — health, finances, work, relationships — that is difficult to control and lasts six months or more. People with GAD often turn to alcohol to quiet the constant stream of worry. Over time, alcohol becomes the only way they know how to relax, and quitting means facing the full force of unmanaged anxiety.
Social Anxiety Disorder
Social anxiety causes intense fear of judgment, embarrassment, or rejection in social situations. Alcohol is the most common substance used to cope — many people with social anxiety cannot imagine attending a party, giving a presentation, or even making a phone call without drinking first. This pattern of "liquid courage" can quickly escalate into alcohol dependence.
Panic Disorder
Panic disorder causes sudden, intense episodes of overwhelming fear accompanied by physical symptoms — racing heart, chest tightness, difficulty breathing, dizziness. These attacks feel like medical emergencies. Benzodiazepines like Xanax provide rapid relief from panic attacks, making them feel like a lifeline. But benzodiazepine dependence develops quickly, and withdrawal can actually trigger more panic attacks.
Specific Phobias
Phobias are intense, irrational fears of specific situations or objects — flying, heights, medical procedures, enclosed spaces. People may use alcohol or sedatives to get through unavoidable situations that trigger their phobia. While less commonly associated with full addiction, phobia-driven substance use can develop into a pattern of avoidance that prevents people from ever addressing the underlying fear.
Obsessive-Compulsive Disorder (OCD)
OCD involves intrusive, unwanted thoughts (obsessions) and repetitive behaviors performed to reduce anxiety (compulsions). The relentless nature of OCD can drive people toward alcohol, marijuana, or other substances to temporarily quiet obsessive thoughts. Studies show that approximately 25% of people with OCD also meet criteria for a substance use disorder.
The Benzodiazepine Trap
How benzodiazepine dependence starts
Benzodiazepines — Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), and Klonopin (clonazepam) — are among the most commonly prescribed medications for anxiety. They work fast and effectively, providing near-instant relief from acute anxiety and panic. This rapid effectiveness is exactly what makes them so dangerous: the brain quickly associates the drug with relief, and tolerance develops within weeks of daily use.
Rapid tolerance and dose escalation
Within 2–4 weeks of regular use, most people need higher doses of benzodiazepines to achieve the same anxiety relief. Some increase their prescribed dose without telling their doctor. Others seek prescriptions from multiple providers or buy pills on the street. Tolerance develops even when the medication is taken exactly as prescribed, which is why most clinical guidelines now recommend benzodiazepines only for short-term use (2–4 weeks).
Dangerous withdrawal
Benzodiazepine withdrawal is one of the few substance withdrawals that can be fatal. Abruptly stopping benzodiazepines after prolonged use can cause seizures, psychosis, delirium, and death. Even with medical supervision, withdrawal must be managed through a slow, carefully monitored taper that can take weeks or months. This is why you should never stop taking benzodiazepines suddenly without medical guidance. Learn more about prescription drug abuse treatment.
Why medical taper is essential
A medical taper involves gradually reducing the benzodiazepine dose over weeks or months under professional supervision. The rate of reduction is adjusted based on how the patient responds. Longer-acting benzodiazepines like diazepam are sometimes substituted for shorter-acting ones like alprazolam to create a smoother taper. Throughout the process, non-addictive anxiety medications and therapy are introduced to provide alternative relief.
Safe Anxiety Medications During Recovery
SSRIs (Selective Serotonin Reuptake Inhibitors)
SSRIs like sertraline (Zoloft), escitalopram (Lexapro), and paroxetine (Paxil) are first-line medications for anxiety disorders. They have no abuse potential, do not produce euphoria, and are safe for people in recovery. SSRIs take 2–6 weeks to reach full effectiveness, which requires patience — but they provide sustained anxiety relief without the risks of benzodiazepines.
SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors)
SNRIs like venlafaxine (Effexor) and duloxetine (Cymbalta) are effective for GAD, social anxiety, and panic disorder. They work on both serotonin and norepinephrine systems and are non-addictive. SNRIs are particularly useful for people who also experience chronic pain alongside anxiety, as they address both conditions.
Buspirone
Buspirone is an anti-anxiety medication specifically designed to treat GAD without addiction risk. Unlike benzodiazepines, buspirone does not cause sedation, cognitive impairment, or physical dependence. It takes 1–2 weeks to become effective and works best with consistent daily use. Buspirone is often a good choice for patients transitioning off benzodiazepines.
Hydroxyzine
Hydroxyzine (Vistaril) is an antihistamine with anti-anxiety properties. It provides fast-acting relief for acute anxiety without addiction risk, making it useful as a "rescue" medication during recovery when patients would otherwise reach for a benzodiazepine. It can cause drowsiness, which also makes it helpful for anxiety-related insomnia.
Addressing patient concerns
Many patients worry that non-benzodiazepine medications will not be strong enough. This concern is understandable — benzos work faster and feel more powerful. However, SSRIs and SNRIs provide more consistent, sustained anxiety relief without the rebound anxiety and cognitive fog that benzodiazepines cause with long-term use. Working closely with a psychiatrist experienced in addiction medicine ensures the right medication and dose are found for each individual.
Therapy Approaches for Anxiety and Addiction
Cognitive Behavioral Therapy (CBT)
CBT is the gold standard treatment for anxiety disorders and is equally effective for addiction. CBT teaches patients to identify the catastrophic thought patterns that fuel anxiety ("What if something terrible happens?"), challenge their accuracy, and replace them with realistic, balanced thinking. For addiction, CBT identifies triggers and builds concrete coping strategies that do not involve substances.
Dialectical Behavior Therapy (DBT)
DBT was originally developed for emotional dysregulation and is particularly effective for anxiety combined with addiction. DBT teaches four core skills: mindfulness (staying present instead of worrying), distress tolerance (surviving crises without substances), emotion regulation (managing intense feelings), and interpersonal effectiveness (communicating needs assertively).
Exposure therapy
Exposure therapy is the most effective treatment for specific phobias, social anxiety, and panic disorder. Under professional guidance, patients gradually face feared situations in a controlled, safe manner. Over time, the brain learns that the feared outcome does not occur, and anxiety diminishes naturally. For people in recovery, exposure therapy provides a permanent alternative to using substances to avoid feared situations.
Mindfulness-based approaches
Mindfulness meditation and mindfulness-based stress reduction (MBSR) train patients to observe anxious thoughts without reacting to them. Rather than trying to eliminate anxiety, mindfulness changes the relationship with it — allowing worry to pass through without triggering panic or substance use. Research shows mindfulness reduces both anxiety symptoms and relapse rates in recovery.
What to Expect in Dual Diagnosis Treatment
Comprehensive assessment
Treatment begins with a thorough evaluation of both the anxiety disorder and the substance use disorder. Clinicians determine which anxiety disorder is present, how severe it is, what substances are involved, and whether the anxiety is primary (existed before substance use) or substance-induced. This assessment guides every aspect of the treatment plan.
Medication stabilization
If benzodiazepines are involved, a medically supervised taper begins. At the same time, non-addictive anxiety medications (SSRIs, SNRIs, buspirone) are introduced. Because these medications take weeks to become fully effective, this overlap period requires close medical monitoring and strong therapeutic support.
Therapy phases
Early therapy focuses on stabilization, psychoeducation, and building basic coping skills. As patients stabilize, therapy deepens into CBT, DBT, or exposure work targeting the specific anxiety disorder. Individual therapy addresses personal history and trauma, while group therapy provides peer support from others managing the same dual challenge.
Gradual anxiety exposure
Once patients are stable and have basic coping tools, therapists gradually introduce exposure to anxiety-provoking situations. This might mean social interactions for social anxiety, uncertainty tolerance exercises for GAD, or interoceptive exposure for panic disorder. Each step builds confidence that anxiety can be tolerated without substances.
Aftercare with ongoing anxiety management
Discharge planning includes ongoing psychiatric care, continued therapy, medication management, and relapse prevention strategies specific to anxiety triggers. Support groups, alumni programs, and step-down care (from residential to outpatient, or from IOP to standard outpatient) ensure the transition back to daily life is gradual and supported.
Important: Anxiety may temporarily worsen during early recovery as brain chemistry rebalances. This is normal and manageable with professional support. The increase in anxiety does not mean treatment is failing — it means the brain is healing and learning to regulate itself without substances.
Frequently Asked Questions About Anxiety and Addiction
How are anxiety and addiction connected?
Anxiety disorders and substance use disorders frequently co-occur. Some people develop substance dependence after self-medicating anxiety symptoms with alcohol or drugs. Others develop anxiety as a consequence of substance use or during withdrawal. Both conditions interact, with each worsening the other, which is why integrated dual diagnosis treatment addressing both simultaneously is most effective.
Can I take anxiety medication during addiction treatment?
Yes, but medication must be carefully managed. Benzodiazepines like Xanax and Ativan are avoided due to their high addiction potential. Non-addictive alternatives exist and are highly effective: SSRIs, SNRIs, buspirone, and hydroxyzine all treat anxiety without abuse risk. Dual diagnosis programs work with psychiatrists experienced in addiction medicine to find safe, effective anxiety management.
What types of anxiety disorders can be treated alongside addiction?
Dual diagnosis programs treat all anxiety disorders including Generalized Anxiety Disorder (GAD), Social Anxiety Disorder, Panic Disorder, specific phobias, and Obsessive-Compulsive Disorder (OCD) alongside substance use disorders. Treatment is individualized based on the specific anxiety diagnosis, the substance involved, and personal circumstances. Each anxiety type requires a tailored therapeutic approach.
What therapies help with anxiety and addiction together?
Evidence-based therapies include Cognitive Behavioral Therapy (CBT) to challenge anxious thoughts and addictive behaviors, Dialectical Behavior Therapy (DBT) for emotional regulation and distress tolerance, exposure therapy for specific fears, and mindfulness practices to manage both anxiety and cravings. These approaches address both conditions simultaneously.
Will my anxiety get worse when I stop using substances?
Anxiety may temporarily increase during early withdrawal and recovery as your brain chemistry rebalances. This is normal and expected. Quality dual diagnosis treatment provides support through this period with therapy, appropriate non-addictive medication, coping skills training, and medical monitoring. Long-term, treating both conditions properly leads to significant improvement in anxiety symptoms beyond what substances ever provided.
How do I find a treatment center for anxiety and addiction?
Look for centers explicitly offering dual diagnosis or co-occurring disorder treatment. Verify they have licensed mental health professionals, psychiatric services, medication management capabilities, and experience treating both conditions together. Use our directory to filter for dual diagnosis programs, read facility details, and verify accreditation. Contact admissions teams to discuss your specific needs.
Does insurance cover anxiety and addiction treatment?
Most health insurance plans cover dual diagnosis treatment under mental health and substance use benefits, thanks to the Mental Health Parity and Addiction Equity Act. Coverage varies by plan and may include inpatient, outpatient, detox, therapy, and psychiatric services. Contact your insurance provider or the treatment center's admissions team to verify your specific coverage and out-of-pocket costs.
Is it safe to stop taking Xanax cold turkey?
No, never stop taking Xanax (alprazolam) or any benzodiazepine abruptly. Benzodiazepine withdrawal can cause life-threatening seizures, psychosis, delirium, and death. A medically supervised taper — gradually reducing the dose over weeks or months — is the only safe way to discontinue benzodiazepines. If you are taking Xanax and want to stop, talk to a medical professional about a safe tapering plan. Learn more about prescription drug treatment.
How long does anxiety last after getting sober?
Rebound anxiety is typically most intense during the first 1–4 weeks of sobriety as the brain adjusts to functioning without substances. Most people see gradual improvement over 2–6 months as brain chemistry normalizes. Some experience post-acute withdrawal symptoms (PAWS) including anxiety for up to a year. With proper medication, therapy, and ongoing support, anxiety becomes increasingly manageable over time. The vast majority of people in recovery report significantly less anxiety after 6–12 months of sobriety than they experienced while actively using.
Medical Review and Sources
Trusted Resources
Substance Abuse and Mental Health Services Administration
Federal agency providing information, resources, and treatment locator for substance abuse and mental health.
Helpline: 1-800-662-4357
National Institute on Drug Abuse
NIH institute advancing science on drug use and addiction causes, consequences, and treatment.
National Institute on Alcohol Abuse and Alcoholism
NIH institute supporting research on alcohol's impact on health and providing treatment resources.
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