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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Fort Wayne Recovery, located in Fort Wayne, IN, provides an extensive selection of treatment methods for those aiming to address substance use disorders alongside mental health issues. The facility offers various programs, including intensive outpatient treatment, outpatient day therapy, and partial hospitalization. These programs incorporate strategies such as 12-step facilitation, anger management, and brief interventions. Additionally, there are specialized programs designed for adult men and women, including support for those who have faced intimate partner or domestic violence. With an emphasis on both adults and young adults, the center prioritizes personalized care catering to the unique needs of each client. Fort Wayne Recovery is dedicated to delivering high-quality, evidence-based care, establishing itself as a reliable option for individuals in need of recovery and rehabilitation support.
The Foundation for Living, situated in Mansfield, OH, provides dedicated long-term residential care for adults dealing with substance abuse and concurrent severe mental health issues, alongside offering support for children with significant emotional challenges. This center is staffed around the clock and emphasizes techniques such as 12-step support, anger management, and brief intervention strategies. Distinctive programs are available for young individuals, survivors of sexual abuse, and those with traumatic experiences. The center is committed to delivering personalized services for children and adolescents of all genders, fostering an encouraging atmosphere for individuals in need of extensive rehabilitation solutions.
Foundations Wellness Center located in Port Saint Lucie, FL, provides extensive treatment options for individuals struggling with substance use issues, targeting both adults and young adults. The center offers multiple programs such as intensive outpatient care, daytime outpatient treatment, and various outpatient services to meet diverse needs. It emphasizes specialized approaches including 12-step facilitation, anger management, and brief intervention strategies for personalized support. The facility features unique programs designed specifically for active duty military personnel, as well as tailored services for adult men and women. With a commitment to fostering a nurturing atmosphere, Foundations Wellness Center caters to both male and female clients, ensuring access to high-quality care and effective treatment solutions.
Forge Health of Manchester, located in Manchester, NH, delivers a complete spectrum of substance abuse care, including intensive outpatient, outpatient, and standard outpatient services. Employing techniques such as cognitive behavioral therapy, motivational interviewing, and relapse prevention strategies, the center serves active duty military members, as well as adult men and women. They offer specialized support for adult and young adult clients of all genders, creating personalized treatment paths for everyone. Forge Health of Manchester is committed to providing high-standard treatment and proven methods, aiding individuals in their recovery from addiction.
Forward Wellness Family Therapy Inc, located in Placentia, CA, delivers a wide array of rehabilitation services designed for those facing challenges related to substance abuse and concurrent mental health issues. The center features various treatment options, including intensive outpatient services, outpatient day programs, and partial hospitalization. By implementing techniques such as 12-step support, anger management, and focused interventions, the facility serves both adults and youth. With dedicated programs for active military personnel, teenagers, and men, Forward Wellness Family Therapy Inc offers personalized care to meet individual needs. The center invites clients of all genders, fostering a secure and encouraging space for the healing process.
Forge Health of Langhorne, located in Langhorne, PA, provides thorough addiction care with flexible options like intensive outpatient, outpatient, and day treatment programs. They employ proven methods, including cognitive behavioral therapy, motivational interviewing, and relapse prevention strategies, to assist individuals in their recovery. The facility is equipped to address the specific requirements of adult men, adult women, and those facing both mental health and substance use challenges. Forge Health of Langhorne offers effective treatment for adults and young adults, fostering a supportive atmosphere conducive to sustained recovery.
Forge Health of West Deptford, located in Deptford, NJ, provides comprehensive outpatient services and intensive treatment programs for adults and children struggling with substance abuse and associated mental health issues. The center features specialized programs designed for active service members as well as adult men and women. Their therapeutic methods incorporate anger management, brief intervention techniques, and cognitive behavioral therapy. With an emphasis on meeting the distinct requirements of both adults and young adults, the facility ensures personalized care for male and female individuals alike. Forge Health of West Deptford is committed to delivering effective support and high-quality treatment for those in need of thorough addiction recovery solutions.
Foundations San Francisco, located in San Francisco, CA, provides targeted substance use treatment for adults and young adults who are also dealing with significant mental health challenges or emotional issues. The center offers both intensive outpatient and outpatient services, utilizing treatments such as methadone, buprenorphine, and naltrexone. With an emphasis on anger management, cognitive behavioral therapy, and the use of motivational incentives, the facility serves both male and female clients. They specialize in treating individuals with co-occurring mental health and substance use disorders, delivering thorough care for those seeking help. Foundations San Francisco is distinguished by its individualized approach and dedication to high-quality treatment for those on their path to recovery.
Forge Health of Greensburg, located in Greensburg, PA, delivers targeted substance use treatment services designed for both adults and young adults. The center features a variety of options, including intensive outpatient care, traditional outpatient programs, and daytime outpatient treatment or partial hospitalization. By employing evidence-based methods like cognitive behavioral therapy, motivational interviewing, and relapse prevention strategies, this facility guarantees a personalized approach to treatment. With specific programs available for active military members, as well as separate services for adult men and women, Forge Health addresses the unique needs of its clientele. Clients of all genders receive high-quality support aimed at fostering long-term recovery and overall wellness.
Outpatient and residential substance use treatment is available at the Forrester Center for Behavioral Health in Spartanburg, South Carolina, with buprenorphine and naltrexone offered on an outpatient basis. Programs serve adolescents, pregnant and postpartum women, and criminal justice clients. Medicaid, SAMHSA block grants, and federal funding are accepted, with Spanish-language services.
Regular outpatient substance use treatment in Fort Defiance, Arizona, run under the Division of Behavioral and Mental Health. Programs cover adolescents, pregnant and postpartum women, veterans, people with HIV or AIDS, and trauma survivors. No payment is accepted and payment assistance is available, with services offered in American Indian and Alaska Native languages.
Found Recovery in Agoura Hills, California offers outpatient detoxification, partial hospitalization, intensive outpatient, and buprenorphine or naltrexone treatment for adolescents through seniors, including pregnant women, veterans, and trauma survivors with co-occurring conditions. Private health insurance and cash or self-payment are accepted.
Short-term residential treatment is the focus of Foundations Inpatient LLC in Windsor Mill, Maryland. The program serves adult men, criminal justice clients, and people with co-occurring mental and substance use disorders or trauma histories, and uses buprenorphine and naltrexone. Medicare, Medicaid, private insurance, and self-payment are accepted.
Outpatient-only care in Encino, California is the model at Foundations Recovery Center, which runs day treatment or partial hospitalization, intensive outpatient, and outpatient buprenorphine or naltrexone treatment for substance use and co-occurring serious mental illness in adults. Programs serve clients with co-occurring mental disorders and trauma survivors, and a sliding fee scale is available.
Forrest Behavioral Health in Bedford, Massachusetts, runs partial hospitalization, intensive outpatient, and regular outpatient substance use treatment with buprenorphine for adults. Programs serve veterans, active duty military, and clients with co-occurring mental health conditions. TRICARE, private insurance, and self-payment are accepted.
Fort Belknap Chemical Dependency Prog, situated in Harlem, MT, delivers a wide array of treatment options for substance abuse aimed at adults and the elderly. The center specializes in intensive outpatient, outpatient, and standard outpatient services that utilize proven methodologies such as 12-step facilitation, Brief interventions, and the Matrix Model. It also features tailored programs for various demographics, including active duty service members, teenagers, and adult males, thus supporting a broad spectrum of patients. With programs designed specifically for both men and women, Fort Belknap Chemical Dependency Prog focuses on offering personalized care that meets the unique needs of each individual. For those in search of effective addiction treatment, this center is dedicated to providing outstanding support and care.
Fort Belknap Chemical Dependency Prog, located in Hays, MT, provides varied approaches to addiction recovery, including intensive outpatient, outpatient, and standard outpatient services. Their treatment philosophy incorporates 12-step facilitation, brief intervention techniques, and the Matrix Model. The program is equipped to support active duty military members, young people, and adult men. Serving both male and female adults and seniors, the center ensures care is customized to the unique requirements of each client. By offering high-quality care and a wide array of treatment modalities, Fort Belknap Chemical Dependency Prog stands as a significant provider of tailored and successful substance abuse recovery solutions within the Hays community.
Foundation Recovery Center LLC, situated in Shreveport, LA, delivers an extensive array of services for those dealing with substance use disorders. This center features options such as transitional housing, a halfway house, and sober living environments, specifically for adults facing co-occurring substance use and significant mental health challenges. Treatment options encompass intensive outpatient, outpatient, and standard outpatient programs. The facility is known for its expertise in methods like 12-step facilitation, anger management, and brief intervention strategies. Additionally, it offers specialized programs designed for adult men, women, and survivors of intimate partner violence. Foundation Recovery Center LLC provides support to both adult and young adult clients, ensuring they receive comprehensive care as they navigate their recovery journey.
Foundations Medical Services in Butler, PA, provides outpatient substance abuse recovery services designed for adults and young adults. This center delivers targeted assistance to adult men and women, as well as individuals affected by domestic or intimate partner abuse. Employing therapeutic methods such as 12-step program integration, anger management techniques, and brief intervention strategies, the facility ensures a personalized path to healing. Furthermore, they offer outpatient treatment utilizing methadone, buprenorphine, or naltrexone. Foundations Medical Services is dedicated to offering superior treatment and encouragement to those pursuing freedom from addiction, serving as a crucial support system for individuals on their journey to sobriety.
Fort Belknap Chemical, situated in Dodson, MT, specializes in offering substance use treatment primarily for adults and seniors. The center provides a variety of programs, including intensive outpatient services, outpatient care, and traditional outpatient options to meet various needs. Employing methodologies such as 12-step facilitation, brief interventions, and the Matrix Model, it delivers thorough and effective care. Additionally, the center features distinctive programs designed specifically for active duty military personnel, adolescents, and adult males. With an emphasis on providing gender-sensitive care, both male and female patientsreceive personalized treatment plans. Fort Belknap Chemical is committed to delivering exceptional support as individuals navigate their recovery journey.
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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