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 Covina, California, Aurora Charter Oak Hospital delivers extensive addiction recovery services for both adults and youth. This center specializes in inpatient detoxification and treatment solutions for substance abuse issues alongside co-occurring mental health challenges. With tailored programs aimed at teenagers and those dealing with dual diagnoses, Aurora Charter Oak Hospital serves a wide array of individuals. By employing proven methods such as 12-step engagement and anger management techniques, the facility guarantees top-notch care for all patients, regardless of gender. Whether individuals are pursuing detoxification, addiction treatment, or mental health assistance, this center is committed to guiding them towards sustainable recovery.
Avenues Recovery Center, located in Cambridge, MD, provides extensive rehabilitation services for both adults and younger individuals grappling with addiction. This facility specializes in detoxification, support for substance use disorders, and targeted treatment for those facing dual challenges of substance abuse and significant mental health issues or emotional difficulties. The center offers a range of treatment modalities, including intensive outpatient, residential long-term care, and standard outpatient services to meet diverse needs. Their treatment philosophy incorporates 12-step support, anger management strategies, and brief therapeutic interventions. Additionally, the center features distinct programs designed for men, women, and those who have undergone trauma, ensuring personalized treatment plans. Avenues Recovery Center in Cambridge, MD, emphasizes delivering high-quality care to every individual on their path to recovery.
Avenues Recovery Center at, situated in Norristown, PA, specializes in thorough detoxification and treatment for substance use disorders. This center offers inpatient detox services alongside 24-hour medical supervision for those on their journey to recovery. Emphasizing methodologies such as 12-step programs, anger management, and motivational interviewing, it serves military personnel, as well as adult men and women. Avenues Recovery Center at is committed to providing exceptional care designed to meet the unique needs of adults and young adults of all genders. If you're in search of a nurturing and effective rehabilitation experience, this center is focused on supporting your recovery journey.
Nestled in Jamison, PA, Avenues Recovery Center at Bucks provides extensive addiction rehabilitation for adults and young adults. This facility is particularly adept at addressing dual diagnoses, where substance abuse coexists with significant mental health challenges or emotional distress. Avenues Recovery Center at Bucks offers various outpatient programs, such as intensive outpatient and partial hospitalization, delivering personalized treatment through methods like 12-step facilitation, anger management, and brief intervention strategies. Additionally, the center features distinct programs designed for adult men, adult women, and individuals with trauma histories, guaranteeing customized assistance for everyone.
Avenues Recovery Center at Covington, located in Covington, LA, delivers a wide array of treatment options designed for individuals working towards recovery from substance abuse and associated mental health challenges. This center offers hospital-level inpatient detox services, comprehensive treatment solutions, and round-the-clock support, employing methods like 12-step programs, anger management, and short-term interventions. It features specialized tracks for adult men, adult women, and those who have suffered trauma, ensuring services are customized for both adults and young adults. The center emphasizes gender-specific care, fostering a nurturing atmosphere for its male and female patients. With a dedication to high standards of care and personalized treatment plans, Avenues Recovery Center serves as a vital resource for those striving for healing and recovery.
Avenues Recovery Center at Dublin, situated in Dublin, NH, delivers a wide array of services for addiction recovery aimed at both adults and young adults. The center specializes in detoxification, treatment for substance use disorders, and offers targeted support for those facing concurrent mental health issues. Clients benefit from various treatment options, including intensive outpatient, long-term residential, and outpatient programs, all designed to meet individual needs. The center incorporates methods such as 12-step support, anger management counseling, and brief intervention strategies. Avenues Recovery Center at Dublin serves both men and women, along with individuals dealing with simultaneous mental health and substance use challenges, ensuring a comprehensive and effective approach to rehabilitation for everyone.
Avenues Recovery Center at Fort Wayne, located in Fort Wayne, IN, delivers thorough addiction rehabilitation. Their services include detox, drug and alcohol treatment, and focused support for adults with dual diagnoses of substance abuse and severe mental health issues, or children with significant emotional disturbances. Avenues Recovery Center offers various treatment intensities, from intensive outpatient and long-term residential stays to standard outpatient options, serving adults and young adults across the gender spectrum. Their therapeutic strategies incorporate 12-step principles, anger management training, and brief intervention methods. The center also provides distinct programs for adult men, adult women, and individuals with a history of trauma. Avenues Recovery Center at Fort Wayne is committed to providing excellent, personalized care to guide individuals toward lasting recovery.
Avenues Recovery Center, situated in Lake Ariel, PA, specializes in a wide range of addiction treatment services suited for both adults and young adults. The center offers detox programs, treatment for substance use, and focused support for co-occurring mental health disorders alongside addiction, customizing each program to fit individual requirements. With various treatment options including intensive outpatient, long-term residential, and standard outpatient care, Avenues Recovery Center incorporates strategies such as 12-step facilitation, anger management, and brief intervention techniques. The facility provides tailored programs for men, women, and those dealing with trauma, cultivating a nurturing atmosphere for all participants. Committed to delivering exceptional care, this center prioritizes the distinct needs of each client, fostering an environment of understanding and professional support for recovery.
Aurora Las Encinas Hospital in Pasadena, CA, provides thorough recovery programs for adults and young adults dealing with addiction and co-occurring mental health challenges. The center delivers hospital-based inpatient detox and treatment, including targeted support for active-duty service members, adult men, and women. Employing research-backed methods such as 12-step facilitation and anger management, the facility also utilizes brief interventions to aid patients in their healing process. Aurora Las Encinas Hospital customizes its services to address the distinct requirements of each person, guaranteeing high-quality assistance for both male and female clients pursuing sobriety and better mental health.
Set in Paige, Texas, Austin Pines Ranch offers hospital inpatient detoxification, residential detox, and both short-term and long-term residential treatment for substance use disorders. Buprenorphine and naltrexone are used in treatment, with programs for veterans, military families, and clients with co-occurring disorders. Spanish-language services are available.
Outpatient detoxification, partial hospitalization, and intensive outpatient care are offered by Ava Health in Grand Junction, Colorado. Buprenorphine and naltrexone are used in treatment, with programs for criminal justice clients and people with co-occurring mental health disorders or trauma. Medicaid, private insurance, and self-payment are accepted.
Avalon Counseling Services, located in Lewiston, ME, provides various targeted treatment programs for both adults and children/adolescents facing challenges related to substance misuse and concurrent mental health conditions. The center features intensive outpatient, outpatient, and day treatment options, focusing on customized care through methods such as 12-step support, anger management, and short interventions. Specifically designed programs for active duty military personnel, teenagers, and adult men offer additional personalized assistance. Catering to both males and females, Avalon Counseling Services prioritizes high-quality care and utilizes evidence-based techniques to aid individuals in their recovery journey.
Avalon Wellness and Recovery in Lawrence, Kansas provides detox, residential care, partial hospitalization, intensive outpatient, and regular outpatient treatment for substance use and co-occurring mental health disorders. Buprenorphine and naltrexone are available. Programs serve pregnant and postpartum women, veterans, and trauma survivors. Medicaid, TRICARE, and a sliding fee scale are accepted.
Avenues Recovery Center in Fort Collins, Colorado, offers detoxification, short- and long-term residential care, partial hospitalization, and intensive outpatient treatment. Buprenorphine and naltrexone are used for opioid and alcohol use disorders, and the center treats co-occurring mental health conditions. Medicaid, TRICARE, and a sliding fee scale are accepted.
Levels of care at this Indianapolis, Indiana recovery center run from residential detoxification and short- or long-term residential treatment to partial hospitalization, intensive outpatient, and regular outpatient care. Buprenorphine and naltrexone are used, with programs for clients with co-occurring disorders, pain conditions, and trauma. Medicaid, TRICARE, private insurance, and a sliding fee scale are accepted.
Care at this Mishawaka, Indiana recovery center near South Bend ranges from residential detoxification and short- or long-term residential treatment to partial hospitalization, intensive outpatient, and regular outpatient care. Buprenorphine and naltrexone are used, with programs for clients with co-occurring disorders, pain conditions, and trauma. Medicaid, TRICARE, private insurance, and a sliding fee scale are accepted.
Detoxification, long- and short-term residential care, partial hospitalization, and intensive outpatient treatment are all offered at Avenues Recovery Center at Baton Rouge in Louisiana. Buprenorphine and naltrexone are used, and programs address co-occurring mental disorders and chronic pain. Medicaid, TRICARE, and a sliding fee scale are available.
Avenues Recovery Center at Denver in Aurora, Colorado covers a full continuum from residential detoxification and short-term or long-term residential care to day treatment, intensive outpatient, and outpatient buprenorphine or naltrexone services. Programs serve clients with co-occurring mental disorders and trauma survivors. Medicaid, TRICARE, and a sliding fee scale are accepted.
Aurora Therapy Center in Aurora, CO provides customized outpatient services for individuals aiming for sobriety, including substance use treatment and detoxification. They focus on medication-assisted treatment with methadone, buprenorphine, or naltrexone, employing proven methods like motivational interviewing, relapse prevention strategies, and specialized counseling for substance use disorders. The center features distinct programs for active military personnel, teens, and adult men, while welcoming all adults, seniors, and young adults across genders. Prioritizing excellent care and individualized recovery paths, Aurora Therapy Center stands out as a premier option for those committed to long-term recovery.
Avanzando Gandara Center, located in Ludlow, MA, provides extensive residential treatment programs targeting substance abuse and co-occurring mental health disorders in adults, in addition to addressing significant emotional challenges in children. The facility emphasizes 12-step support, anger management techniques, and short-term intervention strategies. It particularly focuses on women who have faced intimate partner violence, domestic abuse, or sexual trauma, ensuring specialized assistance. Serving a diverse age range, including adults, seniors, and young adults, the center's programs are designed to create a secure and nurturing space for women pursuing recovery. Avanzando Gandara Center is committed to offering exceptional and thorough care, guiding individuals on their path towards healing and empowerment.
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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