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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The Greenhouse Outpatient Center, located in Arlington, TX, provides an extensive variety of treatment options for individuals facing substance use disorders, concurrent mental health challenges, and trauma-related issues. The center is designed to cater to both adults and young adults, offering intensive outpatient programs, transitional housing, and day treatment services. Employing evidence-based methodologies such as 12-step facilitation and anger management, the center serves a diverse clientele, including both men and women. A distinctive aspect of this center is its emphasis on supporting those who have experienced sexual abuse or trauma, fostering a nurturing atmosphere for recovery. The Greenhouse Outpatient Center is committed to delivering exceptional care to aid individuals in their recovery journey.
Situated in Grand Prairie, Texas, the Greenhouse Treatment Center delivers an extensive array of services for both adults and young adults looking to overcome substance use issues alongside concurrent mental health challenges. This establishment features hospital-based detoxification and treatment options, with particular attention to active military members, those impacted by intimate partner violence, domestic abuse, and sexual trauma. Emphasizing 12-step methods, anger management strategies, and short-term intervention techniques, the center supports clients of all genders. Discover personalized care and assistance designed to meet your unique requirements at the Greenhouse Treatment Center.
Guardian Intensive Outpatient Program, located in Hoboken, NJ, provides comprehensive treatment for substance use disorders, utilizing strategies like 12-step facilitation, anger management, and brief intervention. This center offers targeted care for adult men, adult women, and individuals who have faced intimate partner or domestic violence. Serving adults and young adults of all genders, Guardian Intensive Outpatient Program delivers customized support for those pursuing successful addiction recovery. Dedicated to high-quality care and individual recovery paths, this facility is a vital resource for individuals on their journey to lasting sobriety.
Guardian Intensive Outpatient Program in New Brunswick, NJ, provides comprehensive care for adults of all genders battling substance use disorders. Their services include intensive outpatient, outpatient, and standard outpatient treatment options. The program excels in specialized therapies such as 12-step facilitation, anger management, and brief intervention strategies. Notably, they offer distinct programs designed for individuals who have endured intimate partner or domestic violence. Guardian Intensive Outpatient Program is committed to delivering high-quality, individualized support to guide clients toward lasting recovery.
Greenbriar Treatment Center, located in Waynesburg, PA, provides a wide range of substance abuse treatment services in a nurturing setting. The center offers various options, including long-term, short-term, and 24-hour residential care for adults and young adults. Employing methods such as 12-step support, anger management techniques, and cognitive-behavioral therapy, this facility specifically addresses the needs of individuals dealing with both mental health and substance use disorders. Committed to personalized treatment, Greenbriar Treatment Center strives to support clients in their journey toward sustainable recovery.
Greenpath International Inc, located in New Orleans, LA, provides a full spectrum of care for individuals struggling with substance use disorders. Their offerings include intensive outpatient, standard outpatient, and less intensive outpatient programs. Utilizing evidence-based approaches like 12-step facilitation, brief intervention, and cognitive behavioral therapy, Greenpath International Inc serves a diverse clientele encompassing adult men and women, active military members, and individuals across all adult age groups. The facility is committed to delivering personalized and effective addiction treatment within a nurturing setting, aiming to support every client's journey to lasting sobriety.
Grundy County Health Department, located in Morris, IL, specializes in outpatient services for individuals grappling with substance abuse and concurrent disorders, catering to both adults and children. The center employs proven methods such as anger management, cognitive behavioral therapy, and the Matrix Model to ensure effective treatment. It has distinct programs designed for those with coexisting mental health challenges as well as individuals who have interactions with the criminal justice system. With programs customized for both adult and youth clients, the facility is equipped to assist both men and women seeking focused treatment in a nurturing atmosphere. If you or someone you care about requires extensive rehabilitation support, this center offers a variety of therapeutic solutions to facilitate the journey to recovery.
Located in Akron, OH, Greenleaf Family Center provides outpatient services for substance use disorders, along with targeted support for individuals facing concurrent substance use and significant mental health challenges or emotional issues. Their offerings feature anger management, short-term interventions, and cognitive behavioral therapy. Emphasizing a trauma-informed approach, this center tailors its services for adult males, adult females, and those who have gone through traumatic experiences. Catering to adults and seniors of various genders, Greenleaf Family Center focuses on delivering exceptional personalized treatment in a nurturing setting aimed at facilitating enduring recovery and enhanced mental health.
Greenleaf Behavioral Health Hospital in Valdosta, Georgia, provides hospital inpatient detoxification and treatment along with partial hospitalization and intensive outpatient care for children, adolescents, and adults. Programs serve veterans, pregnant and postpartum women, and criminal justice clients. Medicare, Medicaid, TRICARE, and private insurance are accepted, with sign language services.
Intensive and regular outpatient addiction treatment in Lexington, Kentucky, Grin Grant Inc serves adult women, adult men, criminal justice clients, and people with co-occurring mental health disorders or trauma histories. Children and adolescents are also admitted. Medicaid, private insurance, SAMHSA block grants, and government funding are accepted.
Intensive outpatient and regular outpatient substance use treatment paired with sober home or halfway house living, located in Baton Rouge, Louisiana. Grove of LA uses buprenorphine and naltrexone and serves adult men and women, forensic clients, and people with co-occurring serious mental illness. Medicaid and TRICARE are accepted.
The Grove Recovery Center in Gonzales, Louisiana, combines intensive outpatient and regular outpatient substance use treatment with sober home or halfway house living. Buprenorphine and naltrexone are used, and care is available for adults with co-occurring serious mental illness. Medicaid, TRICARE, and state-financed insurance plans are accepted.
Residential detoxification and short-term residential treatment in Sorrento, Louisiana, with transitional housing available through the same organization. The Grove Recovery Center uses buprenorphine and naltrexone and treats adult men and women with co-occurring serious mental illness. Medicaid, TRICARE, and private insurance are accepted.
Hospital inpatient and short-term residential detoxification and treatment are provided by Grove Recovery Center in Leominster, Massachusetts, with methadone, buprenorphine, and naltrexone used in care. Programs serve veterans, pregnant women, forensic clients, and people with co-occurring disorders. Private insurance, self-payment, and state-financed plans are accepted.
Greenleaf Woods Med Assisted Recovery, located in Greenland, NH, specializes in outpatient treatment for substance use issues, focusing on adults with co-occurring serious mental health disorders and children with emotional challenges. The center offers outpatient options for methadone, buprenorphine, and naltrexone, employing techniques such as motivational interviewing, relapse prevention strategies, and counseling specifically for substance use disorders. With programs customized for adolescents, adult men, and women, the facility serves a diverse clientele of all genders, including seniors. Greenleaf Woods Med Assisted Recovery is dedicated to providing personalized, high-quality care to facilitate successful recovery pathways.
Greenwood Treatment Specialists in Greenwood, SC, delivers adaptable outpatient programs designed for those battling substance use disorders. Their offerings include medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside standard outpatient services. Employing proven methods such as cognitive behavioral therapy, motivational interviewing, and contingency management, the center is committed to holistic care. Specialized services are available for active military members, adult men, and adult women. Catering to adults and young adults across genders, Greenwood Treatment Specialists focuses on high-quality, personalized care to foster enduring recovery.
Greenwich House Inc, located in New York, NY, provides outpatient services focused on substance use disorders for adults facing co-occurring severe mental health conditions, as well as emotional challenges in children. The center is known for its outpatient treatment options including methadone, buprenorphine, and naltrexone, and applies therapeutic techniques such as anger management, brief interventions, and cognitive behavioral therapy. It offers specialized programs designed for adult men and women, as well as those who have experienced intimate partner and domestic violence. Serving a diverse population of adults and young adults, Greenwich House Inc commits to delivering personalized care that meets the specific needs of individuals, making it a top option for those in search of comprehensive and specialized addiction recovery services in the New York region.
Greenhope Services for Women Inc in New York, NY, is a dedicated facility providing extensive residential and round-the-clock care for adult women facing substance use challenges. The center delivers customized treatment plans, incorporating strategies like 12-step support, emotional regulation, and short-term counseling. It is equipped to assist women who have endured intimate partner abuse, domestic violence, and sexual trauma. Serving adult, senior, and younger adult women, the center fosters a secure and nurturing space for healing. Greenhope Services for Women Inc is recognized for its holistic approach and unwavering dedication to enabling women to achieve lasting sobriety.
Greenleaf Counseling Center, located in Valdosta, GA, specializes in inpatient detoxification and treatment services aimed at both adults and children/adolescents facing challenges related to substance use and concurrent mental health disorders. The center employs various therapeutic modalities, including 12-step facilitation, anger management, and cognitive behavioral therapy, to deliver personalized care. With dedicated programs for active military personnel, teenagers, and adult males, Greenleaf Counseling Center addresses a wide array of needs. It is committed to providing high-quality care for all clients, creating a nurturing atmosphere for individuals pursuing thorough addiction recovery and mental health assistance.
Guara Bi Inc in Caguas, Puerto Rico, offers residential and outpatient detox, short-term and long-term residential care, regular outpatient treatment, and transitional housing. Buprenorphine is used in treatment. Programs serve adult men, veterans, criminal justice clients, people with HIV or AIDS, and clients with co-occurring disorders. No payment is accepted, with services in Spanish.
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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