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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Evoke Wellness LLC, located in Hollywood, FL, specializes in extensive addiction recovery services for both adults and young adults. The facility emphasizes detoxification, treatment for substance use, and targeted support for individuals dealing with dual diagnosis mental health issues. They offer both short-term and 24-hour residential detox programs. The center employs various therapeutic techniques, including cognitive behavioral therapy and anger management, to customize treatment plans. Unique programs are designed for adult men, adult women, and those with co-occurring conditions, ensuring tailored support. Evoke Wellness LLC is dedicated to delivering high-quality, evidence-based care in a nurturing atmosphere for those on their path to recovery.
Evolve Indy LLC, located in Indianapolis, IN, delivers a wide range of rehabilitation services designed for both adults and young adults facing challenges related to substance use disorders and concurrent mental health issues. The center offers varied treatment options including intensive outpatient programs, long-term residential care, and standard outpatient services, utilizing effective methods like cognitive behavioral therapy and 12-step support. Additionally, clients have access to specialized programs aimed at adult men, adult women, and individuals who have undergone trauma. Emphasizing high-quality care and personalized treatment plans, Evolve Indy LLC is committed to assisting clients in their recovery journey and promoting overall well-being.
Evolve Life Centers, located in Pasadena, MD, provides expert rehabilitation services for both adults and adolescents facing challenges related to substance use and accompanying serious mental health concerns. The facility offers a range of programs including intensive outpatient treatment, outpatient day treatment, and partial hospitalization. Emphasizing techniques such as anger management, brief intervention, and cognitive behavioral therapy, the center personalizes its strategies to fit each client's specific needs. Specialized programs are available for adult men and women, along with those who have faced intimate partner or domestic violence. Evolve Life Centers is committed to delivering high-quality care and a supportive atmosphere for individuals in search of thorough addiction recovery solutions.
Exodus Transitional Community Inc, located in New York, NY, provides outpatient treatment for substance abuse, emphasizing effective methods like anger management, cognitive behavioral therapy, and brief interventions. This center features targeted programs designed for both adults and young adults coping with concurrent mental health and substance use challenges. With treatment approaches customized for men and women, the facility adopts a holistic strategy towards recovery. Exodus Transitional Community Inc is particularly dedicated to supporting young adults, distinguishing itself with a strong commitment to personalized care and support in tackling addiction.
Exodus Recovery Inc, located in Los Angeles, CA, focuses on outpatient services that assist adults dealing with substance use and co-existing severe mental health challenges, as well as children facing emotional issues. Their program incorporates methods such as 12-step support, anger management, and brief interventions. The center is dedicated to providing specialized assistance for those who have undergone experiences related to intimate partner violence, sexual trauma, or other psychological distress. Catering to adults and young adults of all genders, Exodus Recovery Inc prioritizes delivering high-quality, personalized care. If you or someone you care about is looking for thorough and empathetic treatment for addiction that emphasizes mental well-being, this center presents various options to aid in the recovery process.
Evoke at Entrada LLC, located in Santa Clara, Utah, provides in-depth long-term residential treatment for substance use disorders, alongside specialized services for adults facing dual challenges of substance use and severe mental health conditions, as well as for children dealing with significant emotional disturbances. This center offers around-the-clock residential assistance, leveraging research-backed methods including 12-step facilitation, cognitive behavioral therapy, and motivational interviewing. The facility designs its programs to meet the needs of adolescents, individuals who have been victims of sexual abuse, and those who have experienced trauma, accommodating both adult and youth populations regardless of gender. Evoke at Entrada LLC is dedicated to offering high-quality care and customized treatment plans aimed at fostering sustainable recovery.
Evolution Counseling, situated in Devils Lake, ND, provides targeted substance abuse recovery for adults dealing with concurrent mental health challenges. The facility offers intensive outpatient, outpatient, and partial hospitalization programs, employing proven techniques such as cognitive behavioral therapy and community reinforcement with incentive systems. Evolution Counseling serves adolescents, adult males, and females, delivering customized plans for each demographic. Concentrating on adults and seniors of all genders, this establishment delivers thorough support within a nurturing setting. Discover excellent recovery programs designed for personal requirements at Evolution Counseling.
Situated in Albuquerque, NM, Evolution Group Inc provides outpatient treatment for substance use, catering to both adults and children dealing with concurrent mental health challenges. The center employs various therapeutic strategies, including anger management, cognitive behavioral therapy, and the Matrix Model, to deliver focused care for active duty military personnel, adolescents, and adult males. Customized programs are designed for each gender, concentrating on the needs of adults and the elderly. Evolution Group Inc prioritizes high-quality care, emphasizing personalized treatment plans aimed at fostering recovery and enhancing overall wellness. For those searching for thorough rehabilitation services within a nurturing setting, this center is committed to guiding you toward enduring recovery.
Evolutions Treatment Center in Fort Lauderdale, Florida offers outpatient day treatment, partial hospitalization, and intensive outpatient care. Buprenorphine and naltrexone are used in treatment, and programs serve criminal justice clients and people with co-occurring mental and substance use disorders. Medicare, TRICARE, and private insurance are accepted, and Spanish-language services are available.
Evolutions Treatment Center in Miami, Florida provides residential detoxification and long-term and short-term residential substance use treatment. Buprenorphine and naltrexone are used in treatment, and programs serve criminal justice clients and people with co-occurring mental and substance use disorders. Medicare, TRICARE, and private insurance are accepted, and Spanish-language services are available.
Evolve Teen Outpatient Treatment Center in Del Mar, CA treats children and adolescents only, through outpatient day treatment and intensive outpatient programs for substance use and co-occurring mental health disorders. Buprenorphine and naltrexone are used in treatment. TRICARE, private insurance, and self-payment are accepted.
Located in Spokane, WA, Excelsior Wellness Center delivers a wide array of services aimed at treating substance use disorders along with various specialized programs. The center features transitional living arrangements, such as halfway houses and sober living homes, designed for both adults and seniors. Emphasizing the treatment of dual-diagnosis patients, it employs research-backed methods like cognitive behavioral therapy and contingency management. Excelsior Wellness Center is particularly notable for its dedicated programs for teenagers, individuals with a history of trauma, and those facing both mental health and substance use challenges. Its intensive outpatient and outpatient services provide adaptable and effective options for men and women on their journey to recovery.
Exclusive Recovery Center Inc in Mission Hills, California offers partial hospitalization and intensive outpatient addiction treatment with buprenorphine and naltrexone for adolescents, adults, and seniors, including veterans and military families. TRICARE, ITU funds, private insurance, and self-pay are accepted, with services in Spanish, Farsi, Russian, and Tagalog.
Also known as Merediths Place, Extra Mile Region IV in Scott, Louisiana, runs a long-term residential program for adult women, including pregnant and postpartum women. Treatment covers co-occurring mental and substance use disorders, trauma, and chronic pain. Funding options include Medicaid, federal funding, and SAMHSA block grants.
Eyerly Ball CMHS in Ames, Iowa provides outpatient substance use treatment with buprenorphine and naltrexone for adolescents, adults, and seniors, including co-occurring disorders. Programs cover veterans, military families, pregnant and postpartum women, criminal justice clients, and trauma survivors. Medicaid, SAMHSA block grants, and a sliding fee scale are accepted, with sign language services.
Experience Strength and Hope LLC in Indianapolis, IN, provides outpatient addiction recovery services utilizing proven methods such as anger management, brief intervention, and cognitive behavioral therapy. This establishment supports active duty military members, adult men, and adult women. The center assists both adult and young adult individuals, offering tailored support for male and female clients. Emphasizing high-quality care and personalized recovery plans, Experience Strength and Hope LLC is committed to leading individuals toward healing with empathy and scientifically-backed techniques.
Exponents Inc, located in New York, NY, provides a full spectrum of substance abuse recovery services through various levels of care, such as intensive outpatient programs, standard outpatient services, and medication-assisted treatment options including methadone, buprenorphine, and naltrexone. Their treatment approach incorporates specialized therapies like anger management, brief interventions, and cognitive behavioral therapy to meet each person's unique requirements. The center is equipped to serve specific groups, including active military members, adult men, and adult women, demonstrating a commitment to diverse client needs. Exponents Inc delivers high-quality care to adults and young adults across all genders, emphasizing customized treatment strategies and proven therapeutic methods. This facility could be an excellent choice for individuals looking for individualized addiction treatment within a nurturing setting.
Extracare Counseling Centers located in Matawan, NJ, provides an extensive array of treatment services for substance abuse as well as concurrent mental health issues for both adults and children. The center features various treatment plans, including intensive outpatient, outpatient, and standard outpatient programs, ensuring personalized care through methods like 12-step programs, anger management, and focused interventions. With specialized initiatives for teenagers and distinct programs for adult men and women, it addresses a wide range of needs. Serving individuals of all genders, including seniors, Extracare Counseling Centers is committed to delivering high-quality care to assist individuals on their path to recovery.
Extracare Counseling Centers, located in Rahway, NJ, provides extensive treatment for individuals struggling with substance abuse and co-occurring mental health conditions, serving both young people and adults. Their offerings include intensive, standard, and regular outpatient services, incorporating individualized support methods such as 12-step encouragement, anger control techniques, and short-term counseling. The center also features distinct programs designed for teenagers, adult men, and adult women. Catering to a broad demographic including seniors and adults of all gender identities, Extracare Counseling Centers is dedicated to delivering high-quality, personalized assistance to foster lasting recovery.
FCC Behavioral Health, situated in Doniphan, MO, provides extensive outpatient services for adults and children dealing with substance misuse and concurrent disorders. The center features targeted programs for active military personnel, teenagers, and adult males, offering personalized support for each client. Emphasizing evidence-driven techniques such as cognitive behavioral therapy and anger management, FCC Behavioral Health prioritizes high-quality treatment for both women and men. Whether clients are pursuing standard outpatient assistance or methadone/buprenorphine treatments, the center creates a nurturing atmosphere for those striving to conquer addiction and enhance their mental 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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