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 Gilbert, AZ, River Source Treatment Center provides a wide range of services for individuals dealing with substance use disorders, as well as those facing co-occurring mental health challenges in adults and emotional disturbances in children. The center offers various treatment modalities, including intensive outpatient programs, outpatient services, and day treatment plans. Emphasizing methods such as 12-step support, anger management, and brief intervention strategies, River Source Treatment Center serves active duty military members, adult men, and women. Committed to delivering personalized and high-quality care, the center aims to assist a diverse clientele, including adults and young adults of all genders, in achieving sustainable recovery.
Situated in Arizona City, AZ, River Source Treatment Center provides extensive rehabilitation programs for both adults and young adults facing challenges with substance abuse and concurrent mental health issues. The center features inpatient detoxification and treatment services that employ methods like 12-step support, anger management therapy, and brief interventions. With tailored programs designed for active military personnel, men, and women, River Source Treatment Center addresses the distinct needs of every client. Its commitment to outstanding care and gender-specific treatment options makes it a preferred destination for individuals looking for personalized and effective addiction recovery solutions.
River Source Trt Ctr Casa Grande LLC in Phoenix, AZ provides comprehensive outpatient and intensive outpatient services for individuals struggling with substance use, catering to both adults and young adults. This center excels in addressing dual diagnoses, specifically co-occurring substance use disorders alongside significant mental health challenges in adults, and serious emotional disturbances in children. Their therapeutic interventions encompass 12-step facilitation, anger management techniques, and brief intervention strategies. The facility also offers specialized tracks for active duty military personnel, adult men, and adult women, ensuring personalized care for various groups. River Source Trt Ctr Casa Grande LLC is dedicated to delivering high-quality, individualized treatment plans to guide clients toward lasting recovery.
Rivers Bend PC, situated in Troy, MI, delivers a wide variety of services aimed at treating addiction. The center specializes in detoxification and offers various substance use treatment options, including intensive outpatient, outpatient, and outpatient detox programs. Employing methods like cognitive behavioral therapy, anger management, and motivational interviewing, the facility supports adult men and women, as well as those who have been victims of sexual abuse. With dedicated programs tailored for both adults and younger clients, Rivers Bend PC is focused on providing personalized care that accommodates all gender identities. Its dedication to high-quality treatment positions it as a reliable option for individuals in need of effective rehabilitation.
RiverVista Behavioral Health Hospital, located in Columbus, OH, delivers extensive recovery support for adults and young adults facing addiction and co-occurring severe mental health conditions. The center features inpatient detoxification and treatment programs, with dedicated services for active military members. Through personalized strategies such as 12-step facilitation and anger management techniques, RiverVista guarantees a custom recovery plan. Its gender-specific programs for adult men and women address varied requirements, and brief intervention methods aid in successful rehabilitation. Clients will receive exceptional, round-the-clock inpatient care within a nurturing setting designed to foster wellness and personal development.
Regular outpatient substance use treatment in Milledgeville, Georgia is provided by River Edge Behavioral Health, with buprenorphine used in treatment. Adolescents, young adults, seniors, and clients with co-occurring mental or pain disorders are served. Medicaid, Medicare, SAMHSA block grants, a sliding fee scale, and payment assistance are accepted.
River Edge Behavioral Health's LifeSPRING Residential Program in Macon, Georgia, combines long-term residential care with partial hospitalization, intensive outpatient treatment, and transitional housing. Programs focus on adult women, pregnant and postpartum women, and clients with co-occurring disorders or trauma. Medicare, Medicaid, TRICARE, and SAMHSA block grants are accepted.
Children, adolescents, adults, and seniors can receive intensive or regular outpatient substance use treatment at this Jerome, Idaho center. Programs serve pregnant and postpartum women, veterans, military families, criminal justice clients, and trauma survivors. Medicaid, private insurance, federal funding, payment assistance, and a sliding fee scale are accepted, and Spanish-language services are available.
Hospital inpatient detoxification and treatment in Laplace, Louisiana, serving adolescents, young adults, and seniors. River Place Behavioral Health runs programs for pregnant and postpartum women, veterans, active duty military, and clients with co-occurring disorders or trauma. Medicare, Medicaid, and TRICARE are accepted, with sign language services available.
River Valley Medical Wellness, situated in Russellville, AR, provides a full spectrum of addiction recovery support. Their expertise includes detox, substance abuse rehabilitation, and care for dual diagnoses in individuals of all ages. Emphasizing intensive outpatient, general outpatient, and outpatient detox programs, they integrate methods like 12-step support, anger management training, and brief therapeutic interventions. River Valley Medical Wellness supports teens, adult men and women, and older adults, welcoming individuals of any gender. Renowned for its high standards and tailored treatment plans, this center is a leading option for those pursuing effective, individualized recovery.
River Parishes Treatment Center in La Place, LA, provides comprehensive outpatient services for adults battling substance use disorders, particularly those experiencing co-occurring mental health challenges. They also support children with significant emotional difficulties. Their treatment options include medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside standard outpatient care. Therapeutic interventions such as anger management, brief intervention strategies, and cognitive behavioral therapy are integrated into treatment plans. The center has developed specialized programs tailored for adolescents, adult men, and adult women, emphasizing a personalized approach to recovery. Catering to adults and seniors across genders, River Parishes Treatment Center is dedicated to delivering high-quality, individualized support for long-term healing.
Rivers Edge Behavioral Health, situated in Springfield, ME, delivers targeted addiction recovery services for adults and adolescents. This center is equipped to manage individuals facing dual diagnoses of mental health and substance use issues. Their treatment approach encompasses both long-term and temporary residential stays, adapted to each person's unique requirements. Employing strategies such as cognitive behavioral therapy, anger resolution, and brief intervention, Rivers Edge Behavioral Health guarantees customized, scientifically supported treatment. Dedicated tracks exist for adult men, adult women, and individuals with co-occurring mental health and addiction challenges. The facility welcomes both male and female participants, fostering a nurturing atmosphere for healing and lasting sobriety.
RiverValley Behavioral Health, located in Providence, KY, specializes in outpatient treatment for substance use and offers focused care for those facing both substance use issues and serious mental health challenges. Emphasizing methods such as 12-step programs, anger management, and concise intervention strategies, the center creates customized treatment plans for active military members, youths, and adult males. Catering to adults and seniors of all genders, this facility ensures top-notch care within a nurturing setting. Individuals looking for help with substance use or concurrent disorders can anticipate extensive services aimed at fostering long-term recovery and enhanced psychological health.
RiverValley Behavioral Health located in Beaver Dam, KY, provides outpatient treatment for substance use issues along with specialized support for adults facing both substance use disorders and significant mental health challenges, as well as for children dealing with serious emotional disturbances. The treatment program incorporates 12-step facilitation, anger management techniques, and short-term interventions. It also offers targeted programs for active military personnel, adolescents, and adult males, accommodating individuals of all genders, including seniors. RiverValley Behavioral Health is dedicated to delivering personalized care, establishing itself as an essential option for those pursuing thorough and effective rehabilitation solutions in the Beaver Dam community.
RiverValley Behavioral Health, located in Lewisport, KY, delivers effective outpatient substance use recovery services for adults experiencing significant mental health challenges, as well as emotional issues in children. The facility offers focused support for active duty military personnel, teenagers, and adult males. Their treatment methods incorporate 12-step programs, techniques for managing anger, and brief interventions. RiverValley Behavioral Health creates customized programs for both men and women, accommodating adults and older individuals in need of thorough and personalized rehabilitation options. Clients can expect compassionate support and treatments grounded in evidence-based practices at this center.
RiverValley Behavioral Health in Owensboro, KY provides specialized outpatient care for substance use disorders. Their treatment plans integrate methods such as anger management, cognitive behavioral therapy, and brief intervention. The center offers dedicated support for active duty military, adult men, and adult women. Catering to adults and young adults of all genders, RiverValley Behavioral Health is committed to a comprehensive and inclusive approach to addiction recovery, offering excellent care and support throughout the process.
RiverValley Behavioral Health in Owensboro, KY, provides extensive programs for addiction and dual diagnosis care, addressing co-occurring substance use disorders alongside significant mental health or emotional challenges. The center offers several levels of care including intensive outpatient, outpatient, and day treatment/partial hospitalization. Their approach incorporates 12-step facilitation, anger management, and brief intervention strategies. RiverValley Behavioral Health is equipped to serve active duty military, adolescents, adult men, and people of any gender. They also extend their personalized recovery support to adults and seniors, ensuring tailored treatment for each client.
River Oaks Treatment Center in Riverview, Florida covers detoxification, short-term residential care, day treatment, intensive outpatient, and regular outpatient levels, plus transitional housing. Programs serve veterans and clients with co-occurring disorders. Buprenorphine and naltrexone are used in treatment, with TRICARE, private insurance, and self-payment accepted.
RiverValley Behavioral Health, located in Henderson, KY, delivers an extensive range of outpatient services designed for individuals dealing with substance use issues and concurrent mental health disorders, serving both adults and children. The center features tailored programs aimed at active duty military personnel, teenagers, and adult males. Employing strategies like 12-step facilitation, anger management, and brief interventions, this facility supports both male and female adults as well as older adults. Committed to providing high-quality care through evidence-based methodologies, RiverValley Behavioral Health strives to assist clients in attaining sustainable recovery and enhanced mental health.
RiverValley Behavioral Health, located in Morganfield, KY, specializes in outpatient treatment for adults struggling with substance use issues, while also addressing accompanying serious mental health conditions. The center has programs tailored to address emotional challenges in children. With therapies that include 12-step support, anger management techniques, and brief intervention strategies, it offers targeted services for active military members, adolescents, and adult men. Catering to adults and seniors of all genders, this rehabilitation center provides high-quality care within a nurturing setting. For those in need of thorough addiction treatment that considers co-occurring disorders, RiverValley Behavioral Health could be an excellent choice.
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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