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 Chicago, IL, Loretto Hospital provides a wide range of rehabilitation services aimed at adults and young adults dealing with substance use disorders, alongside co-occurring mental health issues. This establishment focuses on hospital inpatient detoxification and offers treatment with round-the-clock supervision, employing methods like brief intervention, relapse prevention, and counseling for substance use disorders. With customized programs for adult men, women, and those who have faced intimate partner or domestic violence, Loretto Hospital is committed to delivering individualized support for every patient. Their specialized care for all genders among adults and young adults highlights their dedication to comprehensive healing and recovery.
Lotus Recovery Centers, situated in Comfort, WV, provides a thorough suite of addiction rehabilitation options. Their expertise lies in aiding individuals through the detox process and managing substance dependencies, offering extended stay residences, detox accommodations, and round-the-clock residential care. Employing strategies like 12-step support, emotional regulation techniques, and focused short-term counseling, the center serves adult men and women, including those in active military service. With treatment plans designed for both older adults and younger individuals, Lotus Recovery Centers guarantees individualized support for everyone. Whether you are looking for recovery for yourself or assisting someone else, you can anticipate top-tier, gender-focused services at this respected recovery establishment.
Lotus Recovery Centers located in Wilmington, DE provides an extensive array of treatments for substance use and tailored programs aimed at adults and young adults dealing with co-occurring mental health issues. This center features intensive outpatient care, outpatient services, and options for methadone, buprenorphine, or naltrexone treatments. Emphasizing 12-step assistance, anger management, and brief intervention strategies, the facility serves both men and women, including those with trauma histories. With a commitment to high-quality care, Lotus Recovery Centers is dedicated to personalized treatment plans that foster recovery and promote overall wellness.
Located in Canton, OH, Louis Stokes VA Medical delivers extensive treatment options for substance use disorders, catering to both adults and young adults grappling with significant mental health challenges or emotional issues. Their programs, which include both intensive and regular outpatient services, utilize proven methods such as 12-step guidance, anger management techniques, and short-term interventions. This center is dedicated to providing focused support to both men and women, as well as those who have suffered from domestic or intimate partner violence. Emphasizing gender-specific care, the facility personalizes its services to meet the unique needs of each patient. Individuals can also receive outpatient treatment options involving methadone, buprenorphine, or naltrexone. The center's dedication to high-quality care positions it as an essential option for individuals in need of effective rehabilitation.
Located in Shreveport, LA, Louisiana Behavioral Health Services provides a variety of evidence-supported treatment options for both adults and young adults facing challenges related to substance abuse and concurrent mental health disorders. The center features multiple levels of care, including intensive outpatient, outpatient, and standard outpatient treatment, employing methods like 12-step facilitation, anger management, and brief interventions. With dedicated programs for active duty military personnel, teenagers, and adult males, the facility addresses a wide range of needs. Clients of all genders receive customized support to assist in their recovery process. Louisiana Behavioral Health Services is committed to delivering high-quality, personalized care aimed at helping clients achieve long-term sobriety and improved mental health.
Louisiana Behavioral Health Services in Alexandria, LA, provides comprehensive care for individuals of all ages facing addiction and dual diagnoses. Their structured programs, including intensive and standard outpatient options, utilize evidence-based therapies like 12-step recovery, anger resolution, and short-term counseling. Targeted support is offered to military personnel, teens, and adult men. This center is committed to delivering high-quality, personalized treatment pathways to foster lasting healing.
Los Angeles IOP Center Inc in Burbank, California focuses on intensive outpatient and partial hospitalization care with buprenorphine and naltrexone, treating adults with co-occurring serious mental illness. Programs cover pregnant women, veterans, military families, and trauma survivors. Private insurance, self-pay, state-financed plans, and payment assistance are accepted.
Lotus Behavioral Health Teen Treatment Center in Winter Springs, Florida, treats children and adolescents with substance use and co-occurring mental disorders through partial hospitalization, intensive outpatient, regular outpatient, and short-term residential care. Buprenorphine and naltrexone are used. TRICARE, private insurance, and tribal funds are accepted.
Louisville Recovery Center provides outpatient detox, partial hospitalization, intensive outpatient, and regular outpatient treatment in Louisville, Kentucky, using buprenorphine and naltrexone. Programs cover veterans, pregnant women, criminal justice clients, and people with co-occurring disorders. Medicaid, TRICARE, tribal funds, and SAMHSA block grants are accepted.
This Fort Knox, Kentucky VA clinic provides outpatient substance use treatment with buprenorphine or naltrexone, primarily for veterans, active duty members, and military families. Programs also address pregnant women, older adults, and clients with co-occurring pain or trauma. Government funding, private insurance, state plans, and self-payment are accepted.
The Louisville VAMC Greenwood clinic in Louisville, Kentucky offers outpatient addiction treatment including buprenorphine and naltrexone services for veterans, military members, and their families. Care covers co-occurring mental health and pain disorders, HIV or AIDS, and trauma histories. Government funding, private insurance, state plans, and self-payment are accepted.
Outpatient substance use treatment with buprenorphine or naltrexone is provided at this Louisville, Kentucky VA clinic in Newburg, serving veterans, active duty members, and military families. Programs address co-occurring mental health and pain disorders, HIV or AIDS, and trauma. Government funding, private insurance, state plans, and self-payment are accepted.
The Stonybrook VA clinic in Louisville, Kentucky offers regular outpatient addiction care with buprenorphine and naltrexone for veterans and military families. Services reach young adults through seniors, including pregnant women, criminal justice clients, and people with trauma histories. Government funding, private insurance, and state insurance plans are accepted.
Lotus Recovery LLC, located in Saint Paul, MN, presents an extensive array of treatment solutions for those pursuing recovery from substance use issues and related mental health concerns. The center features intensive outpatient programs, day treatment options, and partial hospitalization, employing evidence-based methods such as 12-step support, anger management techniques, and brief intervention strategies. Tailored programs are available for both adult men and women, including those affected by intimate partner or domestic violence. With an emphasis on personalized care for adults and young adults of all genders, this center is committed to providing distinct support for each individual as they work towards recovery and improved mental health.
Louisiana Behavioral Health Services, located in Lafayette, LA, specializes in addressing substance use disorders and associated mental health challenges for both adults and children. The center offers a variety of programs, including intensive outpatient, outpatient, and standard outpatient options, employing methods such as 12-step programs, anger management techniques, and brief intervention strategies. With targeted services for active duty military personnel, adolescents, and adult males, the center supports a wide array of individuals. Catering to both men and women, the facility focuses on delivering personalized care that meets each client's specific requirements. If you're in search of effective and evidence-based treatment within a nurturing setting, this center is committed to guiding you toward sustainable recovery.
Situated in Sterling, VA, Loudoun County Mental Health Center specializes in outpatient services for both substance use disorders and concurrent mental health issues affecting adults and children. The center emphasizes a range of therapeutic approaches, including 12-step facilitation, cognitive behavioral therapy, and contingency management, all designed to provide personalized treatment solutions. It features distinct programs tailored for active duty military personnel, adolescents, and adult males to ensure thorough support. Catering to adults and seniors of all genders, the center is committed to offering high-quality, evidence-based treatment aimed at fostering enduring recovery and overall well-being. For those in search of effective addiction recovery services within a nurturing setting, Loudoun County Mental Health Center is focused on helping you reach your objectives.
In Leesburg, VA, the Loudoun County Mental Health Center provides extensive outpatient care for individuals of all ages dealing with substance use issues and co-occurring mental health conditions. Employing proven methods such as 12-step facilitation, cognitive behavioral therapy, and motivational incentives, the center serves a diverse clientele including military personnel, teenagers, adult men, and older adults. The center is dedicated to delivering high-quality treatment with specific programs designed for male and female patients. For those in need of addiction recovery or mental health assistance, the Loudoun County Mental Health Center offers personalized treatment strategies and a team of skilled professionals.
Louisiana Behavioral Health Services located in Baton Rouge, LA, provides a variety of thorough treatment options for both substance use disorders and concurrent mental health issues in both adults and youths. The center features programs such as intensive outpatient therapy, 12-step support, and anger management techniques, all designed to offer personalized care that addresses specific needs. There are dedicated programs for active military members, teenagers, and adult males, which focus on their distinct challenges. Catering to individuals of all genders, this rehabilitation center prioritizes high-quality care and employs evidence-based methodologies to assist people in their recovery process.
Louisiana Behavioral Health Services, located in Ferriday, LA, delivers an extensive range of treatment options for substance abuse and specialized assistance for those facing both substance use issues and severe mental health disorders. The center features intensive outpatient, outpatient, and standard outpatient treatment programs that incorporate methods such as 12-step facilitation, anger management, and brief interventions. It also provides targeted programs for active duty military personnel, teenagers, and adult males, accommodating adults and young adults of all genders. Louisiana Behavioral Health Services focuses on delivering high-quality care and personalized treatment plans to foster enduring recovery for individuals confronting addiction and mental health difficulties.
Louisiana Behavioral Health Services in Laplace, LA, provides comprehensive care for individuals facing addiction and mental health challenges. Their services encompass substance use disorder treatment and dual diagnosis care for adults with severe mental illnesses or children with serious emotional disturbances. Offering various levels of support, including intensive outpatient, outpatient, and standard outpatient programs, they utilize effective methods such as 12-step facilitation, anger management, and brief interventions. Specific programs are available for active military members, teenagers, and adult men. Catering to adults and young adults of all gender identities, Louisiana Behavioral Health Services prioritizes personalized treatment strategies grounded in proven therapeutic techniques.
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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