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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Erlanger Behavioral Health Hospital, situated in Chattanooga, TN, delivers extensive addiction treatment services catering to both adults and children. This center specializes in hospital-based inpatient detoxification and management of substance use disorders, including those accompanied by mental health issues. The facility employs various methodologies, including anger management, cognitive behavioral therapy, and short-term interventions, to customize treatment strategies that address individual requirements. It also features specialized programs designed for adolescents as well as adult men and women. Committed to providing high-quality care, Erlanger Behavioral Health Hospital strives to support individuals in attaining sustainable recovery and enhanced mental health.
Located in Los Angeles, California, Escuela Latina provides thorough addiction recovery services delivered in multiple tiers of care: intensive outpatient, standard outpatient, and regular outpatient programs. The center features distinct treatment tracks for active duty military personnel, adult males, and adult females. Escuela Latina embraces a comprehensive methodology for recovery, serving adults and young adults of all genders. Its dedication to superior treatment standards and customized care plans distinguishes it as a leading option for those pursuing impactful and individualized addiction treatment within the Los Angeles region.
Outpatient treatment at intensive and regular levels is offered by this Indianapolis, Indiana organization for substance use and co-occurring disorders affecting adults and children. Programs serve clients with co-occurring pain conditions and survivors of sexual abuse and trauma, with all age groups accepted. Medicare, Medicaid, TRICARE, and state-financed insurance are accepted.
Residential detoxification and both short-term and long-term residential treatment are offered at Enterhealth Life Recovery Center in Van Alstyne, Texas. Buprenorphine and naltrexone are used in treatment, with programs for pregnant and postpartum women, military families, and clients with co-occurring disorders. Private insurance and self-pay are accepted.
Outpatient day treatment, intensive outpatient care, and medication-assisted treatment with buprenorphine and naltrexone are available at this Dallas, Texas facility. Enterhealth Outpatient serves adults including pregnant and postpartum women, military families, and clients with co-occurring disorders. Payment is by private health insurance or self-pay.
Envision Counseling Services in Shreveport, Louisiana, runs partial hospitalization, intensive outpatient, and regular outpatient programs for substance use and co-occurring serious mental illness in adults and serious emotional disturbance in children. Clients range from adolescents to seniors. Medicaid is accepted, and sign language services are available.
Long-term residential substance use treatment for adult women is the focus of Eos Serenity Lodge in Ogden, Utah, with programs for pregnant and postpartum women, clients with HIV or AIDS, and survivors of trauma or domestic violence. Naltrexone is used in treatment. Medicaid, private insurance, and self-payment are accepted.
Outpatient substance use treatment in Danville, Virginia, with regular, intensive, and partial hospitalization day programs plus buprenorphine and naltrexone for opioid use disorder. Epic Health Partners serves adults and seniors, with programs for pregnant and postpartum women, veterans, active duty military, and clients with co-occurring mental illness or trauma. Medicare, Medicaid, and TRICARE are accepted.
Partial hospitalization, intensive outpatient, and regular outpatient care are combined at Epiphany Wellness Massachusetts in Southborough for substance use and co-occurring disorders, including serious emotional disturbance in children. Buprenorphine and naltrexone are used in treatment. Programs serve veterans, military families, pregnant women, and forensic clients. TRICARE, private insurance, and self-payment are accepted.
Outpatient detox, partial hospitalization, and intensive outpatient treatment are available at this El Paso, Texas facility, which uses buprenorphine and naltrexone for opioid and alcohol use disorders. It treats co-occurring conditions in adults and children and serves veterans and pregnant women. Medicare, Medicaid, and Spanish-language services are offered.
Eos Outpatient Services in Ogden, Utah, delivers intensive and regular outpatient substance use treatment with naltrexone available. Programs serve adult women, pregnant and postpartum women, clients with HIV or AIDS, and those with co-occurring mental health disorders or trauma histories. Medicaid, private insurance, and self-payment are accepted forms of payment.
Espanola Health Services, situated in Espanola, New Mexico, is a leading provider of extensive outpatient rehabilitation services. Their core expertise lies in detoxification and addressing substance use disorders, offering specialized outpatient detox along with medication-assisted treatments such as methadone, buprenorphine, or naltrexone. The therapeutic framework at Espanola Health Services incorporates cognitive behavioral therapy and individualized counseling for substance use disorders. They welcome active duty military members, adult men, and women, as well as young adults of all genders, ensuring personalized care plans. Committed to high standards of treatment and scientifically validated methods, Espanola Health Services is devoted to guiding individuals toward a successful recovery.
Equinox Inc, located in Albany, NY, provides extensive care for substance use disorders via its outpatient services. These include medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside standard outpatient care. The center employs proven therapeutic methods like anger management, brief intervention, and cognitive behavioral therapy to aid individuals on their path to recovery. Equinox Inc accommodates a wide range of needs with tailored programs for adolescents, adult men, and adult women. The facility is dedicated to offering personalized support in a supportive setting for adults and young people of any gender. Individuals looking for excellent addiction treatment will discover caring and successful programs at this institution.
Situated in Erie, PA, the Esper Treatment Center specializes in outpatient programs for individuals recovering from substance use disorders. The facility offers various treatment options, such as outpatient services for methadone/buprenorphine or naltrexone, traditional outpatient care, and methods like 12-step facilitation, brief interventions, and cognitive behavioral therapy. The center is equipped to serve both adult men and women, including those who have faced intimate partner violence or domestic abuse, thereby addressing a wide array of needs. Committed to delivering high-quality care, the Esper Treatment Center focuses on tailored support for all adults and young adults seeking to achieve sobriety.
Situated in Oklahoma City, OK, the Enrichment Center delivers a wide array of rehabilitation services designed for adults and seniors confronting issues related to substance use. This facility features various treatment programs, including intensive outpatient, outpatient, and standard outpatient options, all customized to meet the unique requirements of each client. Emphasizing 12-step facilitation, anger management, and brief intervention strategies, the center supports a well-rounded path to recovery. It excels in addressing cases of co-occurring substance use and significant mental health disorders in adults, as well as serious emotional challenges in children. The Enrichment Center is equipped to serve both male and female clients, offering specialized programming for adolescents, men, and women, which distinguishes it as a provider of high-quality addiction support.
Epiphany Family Services MD LLC, situated in Baltimore, MD, specializes in holistic treatment for adults facing challenges with substance use alongside mental health disorders. The center offers both intensive outpatient and outpatient options, featuring treatments such as methadone/buprenorphine and naltrexone. Emphasizing approaches like 12-step facilitation, anger management, and focused interventions, this facility addresses the needs of teenagers, adult men, and women. Committed to delivering exceptional care and personalized support, Epiphany Family Services MD LLC aims to assist individuals of all ages in their recovery journey.
Erie County Medical Center Corporation, located in Buffalo, NY, provides outpatient services for adults dealing with substance use issues, particularly those who also struggle with significant mental health challenges or emotional problems. The center focuses on therapies such as cognitive behavioral therapy, motivational interviewing, and methods for preventing relapse. It features distinct programs designed for adult men, women, and individuals who have faced sexual trauma. Catering to both adult men and women, this facility is committed to delivering personalized care that meets the diverse needs of its clients. Through its emphasis on evidence-based practices and specialized initiatives, Erie County Medical Center Corporation strives to assist clients in their recovery journey.
Nestled in Moncks Corner, SC, the Ernest E Kennedy Center provides extensive care for substance use disorders, featuring intensive outpatient, outpatient, and medication-assisted treatment options like methadone, buprenorphine, or naltrexone. Their expertise lies in areas such as anger management, cognitive behavioral therapy, and motivational interviewing techniques. The center accommodates diverse needs with specialized programs for adult men, women, and survivors of intimate partner violence, serving adults and young adults regardless of gender. Emphasizing individualized attention and proven therapeutic methods, this institution delivers superior treatment for those on a journey of healing and overcoming addiction.
Esper Treatment Center, situated in Corry, PA, delivers focused outpatient services for individuals grappling with substance use disorders. The program encompasses various modalities such as medication-assisted treatment (methadone, buprenorphine, naltrexone), standard outpatient care, and evidence-based therapies like 12-step facilitation, brief intervention, and cognitive behavioral therapy. This center is equipped to assist adult men and women, including those who have experienced intimate partner or domestic violence. Esper Treatment Center is dedicated to providing personalized and effective recovery support for all individuals.
Essential Touchstones, situated in Ridgeland, MS, delivers extensive outpatient services for addiction recovery, designed to address individual client requirements. The center provides varying levels of care, including intensive outpatient, standard outpatient, and general outpatient programs for adults, younger individuals, and older adults facing addiction and mental health challenges. Employing proven methods like cognitive behavioral therapy and anger management, the facility also features unique programs for those dealing with chronic pain and addiction simultaneously. Essential Touchstones is dedicated to providing high-quality support, with customized treatment plans for men, women, and teens on their path to healing.
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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