Anxiety & Addiction Treatment Centers Near You
Anxiety disorders and substance use disorders often occur together, each exacerbating the other. Discover treatment centers specializing in co-occurring disorder care with integrated mental health and addiction treatment.
Found 9,213 rehab centers specializing in anxiety disorders across the United States.
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Find Dual Diagnosis Treatment Centers for Anxiety and Addiction
Browse dual diagnosis treatment centers for anxiety and addiction below. Filter by therapy type, insurance, and level of care.
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Situated in Las Vegas, NV, HELP of Southern Nevada provides an extensive range of services for substance use treatment and transitional housing. This center is particularly focused on addressing both substance use and mental health issues in adults, as well as emotional challenges in children. Offering both outpatient and intensive outpatient treatment options, it employs evidence-supported methodologies like cognitive behavioral therapy, anger management, and the Matrix Model. HELP of Southern Nevada also features targeted programs designed for adolescents, trauma victims, and those experiencing co-occurring disorders. Committed to delivering excellent care, the facility supports adults, children, adolescents, and young adults of any gender who are on their recovery journey.
HELP of Southern Nevada in Las Vegas, NV, provides integrated care for individuals battling addiction and those facing co-occurring mental health or emotional challenges. This center employs evidence-based practices, including anger management, cognitive behavioral therapy, and the Matrix Model, within its outpatient and regular outpatient programs. They offer distinct programs for adult men, adult women, and trauma survivors, serving both adults and young people of all genders. HELP of Southern Nevada is dedicated to delivering personalized, high-quality rehabilitation services.
HOPE Community Services Inc, located in Oklahoma City, OK, is dedicated to providing thorough care for individuals struggling with substance abuse, particularly those also managing serious mental health concerns or supporting children with emotional challenges. They offer diverse outpatient options, including intensive programs and targeted support for active military personnel, young people, and adult men. Utilizing methods such as 12-step guidance, anger control techniques, and brief support strategies, the center serves a broad demographic of adults and seniors. HOPE Community Services Inc is committed to delivering personalized, high-quality treatment in a nurturing setting, establishing itself as a key provider of effective recovery services.
HMR Counseling and Behavioral Services in Okemos, MI, provides comprehensive outpatient programs addressing substance use and co-occurring mental health challenges for adults, as well as emotional disturbances in children. Their therapeutic approach integrates 12-step facilitation, anger management techniques, and brief intervention strategies. They offer specialized support for active duty military members, adolescents, adult men, and seniors of all genders, creating a supportive and respectful atmosphere for everyone. HMR Counseling and Behavioral Services is committed to guiding individuals toward lasting recovery through personalized care.
Nestled in Brookline, MA, HRI Hospital stands as a premier institution dedicated to providing extensive addiction recovery solutions for adults and young adults. This facility offers inpatient hospital detoxification and therapeutic interventions for individuals grappling with substance use disorders and co-occurring mental health conditions. Recognizing diverse needs, HRI Hospital has developed tailored programs for adult men, adult women, and survivors of intimate partner violence, guaranteeing that each client receives personalized attention. Employing proven methodologies such as cognitive behavioral therapy and anger management, the center is committed to delivering superior, individualized care aimed at fostering sustained sobriety. For those in search of expert addiction treatment within a hospital environment, HRI Hospital is a reliable and esteemed option.
HOPE Recovery Clinic in Shreveport, LA, delivers outpatient services for individuals grappling with substance use issues. Their program focuses on medication-assisted treatment, incorporating methadone, buprenorphine, or naltrexone. The clinic also offers crucial support through 12-step integration, relapse prevention strategies, and individual counseling. They serve adult men and women, including those affected by intimate partner or domestic violence. HOPE Recovery Clinic is committed to providing personalized care for all clients, fostering a nurturing atmosphere to support enduring recovery and overall wellness.
The HCC Network site in Concordia, Missouri, offers outpatient treatment with buprenorphine and naltrexone for opioid use disorder. Programs cover pregnant and postpartum women, veterans, military families, criminal justice clients, and people with HIV or AIDS. Medicaid, Medicare, TRICARE, SAMHSA block grants, and a sliding fee scale are accepted.
Located in Waverly, Missouri, this HCC Network site provides outpatient care using buprenorphine and naltrexone. Programs serve pregnant and postpartum women, veterans, active duty military, criminal justice clients, and clients with trauma or co-occurring pain. Medicaid, Medicare, SAMHSA block grants, and a sliding fee scale are accepted.
Outpatient medication-based treatment with buprenorphine and naltrexone is available at the HCC Network location in Carrollton, Missouri. Programs address pregnant and postpartum women, military families, people with HIV or AIDS, and clients with trauma histories. Medicaid, Medicare, TRICARE, SAMHSA block grants, and a sliding fee scale are accepted.
The HCC Network office in Lexington, Missouri, delivers outpatient substance use treatment with buprenorphine and naltrexone for children, adolescents, and adults. Programs serve veterans, pregnant and postpartum women, criminal justice clients, and people with co-occurring disorders. Medicaid, Medicare, SAMHSA block grants, and a sliding fee scale are accepted.
The HCC Network clinic in Buckner, Missouri, offers outpatient treatment using buprenorphine and naltrexone. Clients served include pregnant and postpartum women, veterans, military families, criminal justice clients, and people with co-occurring pain or trauma. Medicaid, Medicare, TRICARE, SAMHSA block grants, and a sliding fee scale are accepted.
HEAL Behavioral Health in West Palm Beach, Florida combines outpatient day treatment, partial hospitalization, and intensive outpatient care with transitional housing and sober home services. Programs serve veterans, military families, criminal justice clients, and trauma survivors. Buprenorphine and naltrexone are used in treatment, with private insurance and self-payment accepted.
Bellevue Hospital's CDOP Clinic in New York City combines outpatient detoxification, intensive outpatient treatment, and regular outpatient care for adults with substance use and co-occurring mental health disorders, using buprenorphine and naltrexone. Medicaid, SAMHSA block grants, and a sliding fee scale are accepted. Spanish and sign language services are available.
HINTON in Jamestown, North Carolina, provides outpatient day treatment, partial hospitalization, and intensive outpatient care for substance use and co-occurring mental health disorders. Buprenorphine is used in treatment. The program serves adults and seniors, including veterans, pregnant and postpartum women, and trauma survivors. Medicaid and self-payment are accepted.
HMHI Park City Behavioral Hlth Clinic in Park City, UT, delivers thorough care for adults managing substance use disorders alongside significant mental health conditions. The clinic features robust outpatient services, such as medication-assisted treatment with methadone, buprenorphine, or naltrexone. Employing proven therapeutic methods like cognitive behavioral therapy and motivational interviewing, the facility supports adult men and women, older adults, and survivors of intimate partner violence. Through individualized treatment plans, HMHI Park City Behavioral Hlth Clinic is dedicated to providing exceptional support for individuals pursuing recovery from addiction and mental health struggles.
Situated in Chicago, IL, HRDI stands out as a leading rehabilitation facility dedicated to detoxification, treatment for substance use disorders, and addressing co-occurring mental health issues in both adults and children. The center offers various programs, including long-term residential care, detoxification services, and around-the-clock residential assistance. HRDI employs evidence-based methods such as 12-step facilitation, brief intervention techniques, and cognitive behavioral therapy. The center serves a range of demographics, including male adults, senior citizens, and young adults, and features specialized programs for active military personnel, adult men, and those who have faced intimate partner violence. HRDI prioritizes high-quality care and personalized treatment plans, fostering a nurturing atmosphere conducive to recovery and wellness.
Habilitative Systems Inc in Chicago, IL, delivers a full spectrum of recovery support, encompassing addiction treatment, supportive living accommodations, and dual diagnosis care for adults struggling with substance use and severe mental health conditions, or children experiencing serious emotional distress. The organization features intensive outpatient programs, extended residential stays, and traditional outpatient services. Their therapeutic methods include 12-step encouragement, emotional regulation techniques, and short-term counseling. Special services are available for active military personnel, teenagers, and adult males, and they welcome individuals of all genders across adult and youth age groups. Habilitative Systems Inc is recognized for its personalized approach to recovery, adapted for varied populations, and its dedication to well-rounded healing.
HBH Counseling Inc, located in Brick, NJ, provides outpatient services for those dealing with substance use issues. The center also addresses the specific needs of adults facing co-existing mental health disorders or emotional difficulties in children. Their extensive array of programs features brief interventions, cognitive behavioral therapy, and motivational interviewing techniques. The facility is designed to cater to both men and women, including older adults, particularly those grappling with simultaneous mental health and substance use disorders. With a commitment to individualized care, HBH Counseling Inc prioritizes customized treatment approaches and dedicated support for all patients on their journey to recovery.
HRDI/Harriet Tubman Womens, situated in Chicago, IL, is a dedicated facility providing extended residential care for adult women struggling with addiction and co-occurring mental health issues. This center offers onsite detoxification and continuous support within a secure and nurturing setting. Utilizing therapeutic modalities like 12-step integration and cognitive behavioral therapy, HRDI/Harriet Tubman Womens addresses the specific challenges faced by clients who have endured domestic abuse. Catering to a diverse age range including adults, seniors, and young adults, the center is committed to delivering tailored recovery services for women seeking to overcome substance dependence and past trauma.
HUGS Recovery Center, located in Atlanta, GA, delivers tailored substance abuse treatment programs designed for individual requirements. They offer intensive outpatient, outpatient, and day treatment services, employing proven methods like 12-step facilitation, anger management, and cognitive behavioral therapy. The center serves adult men, adult women, and survivors of intimate partner violence, addressing a wide range of individuals. HUGS Recovery Center provides specialized care for adults and young adults, fostering a supportive atmosphere for those pursuing recovery from addiction.
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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