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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A and M Recovery LLC located in Springfield, MO, provides an extensive array of substance abuse treatment options designed to address the distinct requirements of adult men and women. The center offers various treatment levels including intensive outpatient and outpatient programs. Emphasizing cognitive behavioral therapy, anger management, and brief intervention methods, the facility guarantees personalized support for clients in need of assistance. Additionally, specialized programs are available for those who have faced intimate partner or domestic violence. Catering to both adults and young adults from all genders, A and M Recovery LLC is committed to delivering exceptional rehabilitation services to foster enduring recovery.
Situated in Littleton, CO, A New Outlook Recovery Services provides extensive treatment for substance use disorders aimed at both adults and young adults. The facility focuses on addressing co-occurring substance use and significant mental health issues in adults, along with serious emotional challenges in children. Offering various outpatient treatment alternatives like intensive outpatient and day treatment, the center delivers personalized care through methods such as 12-step facilitation, anger management, and brief intervention. Specialized programs exist for active duty service members, adult men, and adult women. A New Outlook Recovery Services is dedicated to delivering high-quality care for those pursuing a renewed journey towards recovery.
"A Safe Haven" in Chicago, IL, delivers a wide array of services for addiction recovery. The center specializes in substance use treatment through various programs, including intensive outpatient, outpatient, and standard outpatient options. Employing methodologies like 12-step support, brief interventions, and cognitive behavioral therapy, the facility serves both adults and young adults regardless of gender. With particular attention to active duty military personnel, adult men, and women, A Safe Haven customizes its programs to address the specific requirements of each client. Additionally, clients have access to options such as transitional housing, halfway houses, and sober living environments. The center's dedication to high-quality care makes it an essential resource for individuals pursuing recovery and healing.
"A Safe Haven" in Chicago, IL, delivers extensive support for substance use recovery. They offer various outpatient options, such as methadone, buprenorphine, or naltrexone treatment, alongside general outpatient services designed for adult women dealing with addiction and co-occurring mental health challenges. Their approach incorporates 12-step facilitation, anger management techniques, and brief interventions, serving a diverse age range from young adults to seniors. Notably, they provide specialized programming for individuals who have endured intimate partner violence, domestic violence, and sexual abuse. "A Safe Haven" is committed to delivering excellent care to guide people toward lasting recovery.
Situated in Baton Rouge, Louisiana, A Turning Point Family provides extensive addiction rehabilitation services for both adults and young adults. This center is dedicated to detoxification, treatment for substance use disorders, and managing co-occurring mental health issues. It offers a variety of treatment formats, including intensive outpatient programs, outpatient care, and day treatment. The facility employs strategies such as 12-step facilitation, anger management, and brief interventions. Specialized programs are designed for active-duty military personnel as well as for adult men and women. With a commitment to delivering exceptional care for all individuals, A Turning Point Family emphasizes the importance of addressing substance use alongside mental health challenges, aiming to support clients in achieving long-term recovery and enhanced well-being.
A and D Counseling LLC in Aurora, CO, delivers targeted outpatient services for individuals of all ages struggling with substance use. Employing methods like anger management, motivational interviewing, and cognitive behavioral therapy, they provide personalized care for active military members, adult males, and teenagers. The center emphasizes creating customized recovery strategies for both male and female patients. A and D Counseling LLC is distinguished by its thorough programs, developed to meet the specific requirements of different age demographics and genders. Patients can anticipate superior support and guidance on their path to wellness at this establishment.
"A New Way Counseling" in Pocatello, ID, delivers thorough support for adults struggling with substance use and co-occurring mental health challenges. They offer structured programs including intensive outpatient, standard outpatient, and day treatment, all grounded in proven therapeutic methods such as anger management, cognitive behavioral therapy, and motivational interviewing. The center also features distinct programs for teenagers, adult men, and women, alongside inclusive services for older adults and individuals of any gender. Their commitment is to providing excellent care to guide clients toward lasting recovery.
Intensive outpatient and regular outpatient care in Gastonia, North Carolina, treating substance use disorders alongside serious mental illness in adults and serious emotional disturbance in children. ASPEN serves adolescents, veterans, trauma survivors, and clients with HIV/AIDS, offers buprenorphine and naltrexone, accepts Medicaid and Medicare, and provides a sliding fee scale and sign language services.
A Time to Rise Csl and Wellness LLC in Brewer, ME, specializes in extensive substance abuse recovery services for adults and adolescents, including those facing dual diagnoses. Their flexible treatment options range from intensive outpatient to standard outpatient, all personalized for each individual's journey. Employing proven methods like anger management, brief intervention, and cognitive behavioral therapy, they deliver exceptional care to all genders. Their distinctiveness lies in dedicated programs for co-occurring conditions, empowering clients toward sustained sobriety and enhanced wellness.
Outpatient substance use treatment for adolescents through seniors is available at A Walk to Freedom Counseling LLC in Auburn, Washington, with intensive and regular outpatient options. Programs address pregnant and postpartum women, older adults, criminal justice clients, and people with co-occurring pain or mental health disorders. Medicaid, private insurance, and self-payment are accepted.
A/D Psychotherapy and Clinical in Sandy, Utah offers outpatient day treatment, intensive outpatient, and regular outpatient addiction care with buprenorphine and naltrexone, serving veterans, military families, and clients with co-occurring disorders or trauma histories. Medicare, Medicaid, TRICARE, private insurance, and self-payment accepted.
Enlight Treatment Center in Moorpark, California offers short-term residential care with residential detoxification, including treatment for adults with co-occurring serious mental illness. Programs serve pregnant and postpartum women, veterans, forensic clients, and people with HIV or AIDS. Buprenorphine and naltrexone are used, services are offered in French and Russian, and IHS/Tribal/Urban funds and TRICARE are accepted.
A New Hope Counseling LLC, situated in Colorado Springs, CO, delivers complete addiction recovery services for adults and older adults. Their core offerings include intensive outpatient, standard outpatient, and regular outpatient care. The facility employs specific therapeutic interventions such as anger management, brief intervention, and cognitive behavioral therapy. They also feature distinct programs designed for active duty military members, teenagers, and adult men. A New Hope Counseling LLC serves both male and female individuals, fostering a welcoming atmosphere. Known for its personalized treatment strategies and dedication to excellent care, this center is a premier option for individuals pursuing successful substance use recovery.
A New Awakening Rio Rancho, situated in Albuquerque, NM, provides targeted treatment for adults dealing with substance use and concurrent mental health challenges, as well as for children experiencing significant emotional issues. The center features intensive outpatient, outpatient, and standard outpatient programs. Emphasizing techniques such as anger management, cognitive behavioral therapy, and motivational incentives, the facility serves active duty military members, youth, and adult males. Catering to individuals of all genders, the center focuses on delivering personalized care and support. A New Awakening Rio Rancho is committed to offering top-notch rehabilitation services aimed at facilitating enduring recovery for its clients.
A Plus Counseling Center, located in Fort Washington, MD, delivers extensive recovery support for adults and older adults facing addiction and coinciding mental health challenges. Their services include intensive outpatient care, outpatient detox, and outpatient counseling, all grounded in proven methods like 12-step encouragement, emotional regulation, and concise intervention strategies. The center features targeted programs for active military personnel, young people, and adult men, accommodating a wide range of individuals. Both male and female clients benefit from personalized attention from skilled practitioners. A Plus Counseling Center distinguishes itself through its high standard of care and customized treatment approaches designed for each person's specific requirements.
In Chicago, Illinois, "A Safe Haven" provides extensive services for substance use disorders, including transitional accommodations and supportive sober living. The center offers a spectrum of care, from intensive outpatient to regular outpatient programs, all individualized for each client. Their therapeutic framework incorporates proven methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy. "A Safe Haven" is dedicated to assisting adult males, active service members, survivors of domestic abuse, and adults across the age spectrum. Committed to high-quality treatment and tailored guidance, the facility supports individuals of any gender embarking on their path to recovery in a secure and encouraging setting.
"A Second Chance," situated in Meridian, MS, provides outpatient addiction treatment for adults. This center is particularly adept at assisting individuals impacted by domestic or intimate partner violence. Employing proven therapeutic methods such as 12-step facilitation, cognitive behavioral therapy, and the Matrix Model, the program is designed for adults and young adults pursuing effective recovery. "A Second Chance" is committed to offering personalized support and a secure, encouraging setting for those starting their path to sobriety.
Wildwood Recovery in Thousand Oaks, CA, provides extensive addiction rehabilitation for adults and young adults. This center delivers hospital-based inpatient detox and care for substance abuse issues and accompanying mental health challenges. Emphasizing 12-step guidance, emotional regulation, and concise therapeutic strategies, Wildwood Recovery features distinct tracks for adult men, adult women, and individuals with dual diagnoses. Customizing treatment to address individual requirements, the program guarantees high-quality support and care for all clients embarking on their path to sobriety.
Wildwood Recovery IOP, located in Thousand Oaks, California, provides intensive outpatient and outpatient care for individuals dealing with substance use issues and co-occurring mental health conditions. The center emphasizes approaches such as 12-step facilitation, anger management, and brief intervention strategies. It offers tailored programs designed for adult men, women, and those with dual diagnoses. Serving both adults and young adults, this facility ensures that care is personalized to meet specific needs. What sets Wildwood Recovery IOP apart is its extensive range of treatment options and dedication to tackling the intricate nature of addiction and mental health concerns.
AA and Associates of Kentucky, situated in Carrollton, KY, delivers a full spectrum of substance use recovery services for adults and adolescents. They offer intensive outpatient, outpatient, and standard outpatient treatment modalities. Employing methods such as 12-step integration, brief intervention strategies, and cognitive behavioral therapy, this establishment serves active military personnel, adult males, and adult females. Their tailored programs for different genders and age demographics guarantee customized assistance and care for those pursuing recovery. Discover excellent treatment and personal recovery journeys at this respected addiction treatment facility.
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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