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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Nexstep Medical Detox, situated in Orem, UT, delivers thorough substance withdrawal and addiction treatment within a hospital inpatient environment. This facility specializes in care that includes 12-step support, addiction counseling, and remote therapy options. Nexstep offers customized treatment for active military personnel, adult men, and adult women, accommodating both adult and young adult individuals. Their programs are designed with gender-specific approaches for men and women. Clients can anticipate excellent care and assistance throughout their path to healing at Nexstep.
Next Door Inc, located in Nashville, TN, is dedicated to providing specialized recovery programs for adult women facing addiction. They offer comprehensive treatment pathways, including intensive outpatient care, day treatment programs, and partial hospitalization. Employing proven therapeutic methods like 12-step support, anger management techniques, and brief intervention strategies, Next Door Inc effectively addresses the complex needs of individuals with dual diagnoses of mental health and substance use disorders. The center emphasizes a trauma-informed approach, fostering a secure and encouraging atmosphere for adults, seniors, and young adults committed to their sobriety journey. Next Door Inc distinguishes itself through personalized treatment plans and a steadfast dedication to high-quality support for those seeking lasting recovery.
Situated in Midvale, UT, Next Level Recovery provides an extensive array of rehabilitation services. This center focuses on detoxification, addiction treatment, and tailored support for individuals dealing with both substance use issues and significant mental health disorders. The treatment options available include intensive outpatient programs, outpatient services, and partial hospitalization. Next Level Recovery employs proven methods such as 12-step programs, anger management strategies, and brief counseling sessions. The facility also offers specialized programs designed for active duty military members, adolescents, and adult males, accommodating a wide spectrum of clients. Catering to both adults and youth, Next Level Recovery prioritizes personalized care for all clients, offering high-quality support for those aiming to conquer addiction and mental health difficulties.
Next Step Foundation Inc., located in Terre Haute, IN, provides tailored programs for adults and children facing substance use challenges and co-occurring mental health conditions. Their approach encompasses intensive outpatient, long-term residential, and standard outpatient services, all designed with individual needs in mind. Therapeutic interventions include 12-step facilitation, cognitive behavioral therapy, and motivational interviewing. The center features distinct programs for adult men, adult women, and individuals affected by domestic abuse. Next Step Foundation Inc. is committed to offering inclusive, high-quality care for adults and young adults, promoting a holistic journey to recovery and sustained well-being.
Next Wind LLC, located in Englewood, NJ, provides thorough substance abuse therapies and temporary living accommodations for adults and young adults. Their day treatment and intensive outpatient services utilize 12-step guidance, emotional regulation skills, and short-term intervention methods. This establishment offers tailored support for adult men and women, including those affected by domestic abuse. Emphasizing personalized treatment plans, Next Wind LLC serves both male and female individuals within a nurturing setting. For those looking for a recovery center committed to excellent service and complete well-being, Next Wind LLC is a strong choice.
Nexus Recovery Center Inc, located in Dallas, TX, delivers a wide array of addiction treatment options focused on adult women. The facility offers services including detox, intensive outpatient care, and extended residential programs. With techniques such as 12-step support, anger management, and focused interventions, Nexus Recovery Center Inc is adept at helping individuals who have faced trauma, as well as those dealing with simultaneous mental health and substance abuse issues. The center's programs are designed for various age groups, including adults, seniors, and younger adults, ensuring personalized treatment and attention for every client. If you or someone you know is in need of quality rehabilitation services in a supportive, gender-specific setting, Nexus Recovery Center Inc is a reliable option.
Nooksack Tribes Genesis II, situated in Everson, WA, delivers a full spectrum of substance abuse recovery services for both young people and adults. Their program offerings include intensive outpatient, outpatient, and standard outpatient care, catering to the distinct requirements of adult men, adult women, and adolescents. Employing proven therapeutic strategies like 12-step facilitation, brief intervention, and the Matrix Model, the center crafts personalized treatment journeys. Nooksack Tribes Genesis II provides gender-specific care for all clients, fostering a supportive environment for individuals pursuing freedom from addiction.
Newton Medical Center, located in Newton, NJ, provides extensive outpatient care for individuals dealing with substance use disorders, concurrent mental health conditions, and emotional challenges. The center features targeted programs designed for adult men, women, and clients facing dual diagnoses. Treatment options encompass 12-step support, brief interventions, and cognitive behavioral therapy, customized for both adult and adolescent clients of any gender. With options for outpatient day programs and methadone/buprenorphine treatments, the facility prioritizes tailored care meeting the distinct requirements of each individual. Newton Medical Center is distinguished by its commitment to evidence-based practices and high standards of personalized rehabilitation services.
Nimiipuu Behavioral Health, located in Lapwai, ID, provides outpatient care for adults dealing with substance use issues alongside significant mental health challenges. The center employs a variety of treatment modalities including 12-step support, anger management, and brief interventions. They also have tailored programs for active military members, teenagers, and adult males. Services are inclusive for both adults and older adults, offering treatment for individuals of all genders. Committed to delivering high-quality care, this center focuses on specialized programs designed to assist different populations in their recovery journey.
North Central Behav Health Systems, located in La Salle, IL, delivers extensive care for individuals of all ages struggling with addiction and co-occurring mental health conditions. Their treatment modalities include intensive outpatient, standard outpatient, and ongoing outpatient services. Utilizing techniques such as anger management, cognitive behavioral therapy, and motivational reinforcement, the center customizes recovery plans for each person. Specialized programs are available for teenagers, young adults, and those experiencing dual diagnoses. Accommodating adult men, women, and older adults, North Central Behav Health Systems is committed to providing effective rehabilitation through a team-based, holistic approach.
Newport News Behavioral Health Center in Newport News, Virginia, is a long-term residential program for children, adolescents, and young adults with substance use disorders and serious emotional disturbance. Programs address co-occurring conditions and trauma, and military family members are served. Medicaid, TRICARE, and state-financed insurance are accepted.
Regular outpatient substance use treatment is the focus of this Newport, Oregon clinic, which serves adults and seniors including veterans, pregnant and postpartum women, and clients with HIV or AIDS. Newport Outreach Clinic accepts Medicaid, Medicare, TRICARE, and SAMHSA block grants, with services available in Spanish, Korean, and sign language.
Nicasa NFP, situated in Waukegan, IL, provides a full spectrum of services for individuals struggling with substance use disorders. The facility offers intensive outpatient, outpatient, and standard outpatient treatment options. Employing scientifically proven methods like brief intervention, cognitive behavioral therapy, and community reinforcement with voucher incentives, Nicasa NFP aims for successful recovery outcomes. A key feature of Nicasa NFP is its dedicated programs for young people and those facing dual diagnoses of mental health and substance use conditions. Serving individuals of all ages and genders, Nicasa NFP fosters a welcoming and adaptable environment for anyone on their journey to sobriety.
Nirvana Recovery Center provides short-term residential treatment in Phoenix, Arizona for adults with substance use and co-occurring mental health disorders, including serious mental illness. Programs serve veterans, military families, forensic clients, and people with HIV or AIDS. Buprenorphine and naltrexone are used. Private insurance and self-payment are the listed payment options.
Outpatient day treatment, intensive outpatient, and medication-based care with buprenorphine and naltrexone are offered at this Phoenix, Arizona facility. Programs serve veterans, military families, criminal justice clients, and people with HIV or AIDS or trauma histories. Private insurance and self-pay only.
A VA clinic in North Bend, Oregon, offering veterans outpatient detoxification, regular outpatient care, and buprenorphine or naltrexone treatment for opioid and alcohol use disorders. The program also treats co-occurring substance use and serious mental illness, including trauma-related conditions. Federal funding, TRICARE, and private insurance are accepted.
Nimiipuu Health Clinic, located in Kamiah, ID, delivers outpatient services for adults dealing with substance use issues alongside significant mental health disorders or emotional challenges in children. The clinic employs a structured outpatient program that includes 12-step support, anger management strategies, and brief therapeutic interventions. There are specialized offerings for active military members, teenagers, and adult males. The facility serves adults and seniors across all genders, emphasizing personalized treatment plans and proven methodologies to guarantee effective care for individuals pursuing recovery from addiction and related conditions.
Next Step Treatment Center, situated in Baltimore, Maryland, focuses on providing tailored substance use treatment for adult clients who also grapple with significant mental health disorders. This center features both intensive outpatient and outpatient services, incorporating treatment options such as methadone and buprenorphine. Emphasizing approaches like 12-step facilitation, anger management, and brief intervention, it serves both men and women, including senior adult clients. Additionally, specialized programs are designed for adolescents, adult males, and adult females. Committed to offering exceptional care, Next Step Treatment Center aims to support individuals in advancing towards their recovery journey.
Next Step Women and Childrens Program offers long-term residential substance use treatment in Albany, New York, for adult women, including pregnant and postpartum women. The program serves clients with co-occurring mental and substance use disorders, serious mental illness, and trauma histories. Medicare, Medicaid, private insurance, and self-payment are accepted.
Situated in College Park, MD, Nimel Mental Health delivers focused substance abuse treatment for adults dealing with significant mental health issues alongside their addiction, as well as for children experiencing severe emotional problems. The facility offers various outpatient services, such as intensive outpatient programs and day treatment, ensuring personalized support through methods like 12-step facilitation and anger management. Nimel Mental Health serves active military members, teenagers, and adult males, providing services for both men and women. What distinguishes Nimel Mental Health is its wide-ranging programs designed for specific demographics, guaranteeing exceptional care for anyone looking to overcome substance use and mental health difficulties.
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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