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 Seaside, OR, Awakenings by the Sea specializes in providing rehabilitation services for adult women facing challenges related to substance use and co-occurring mental health issues. This center offers long-term residential programs, detoxification services, and around-the-clock support. Its approach emphasizes 12-step programs, anger management, and short-term intervention strategies. Awakenings by the Sea also features distinctive programs designed for those who have endured intimate partner violence, domestic abuse, and sexual assault. Catering to adults, seniors, and young adults, the facility is recognized for its customized care aimed at female clients seeking a thorough recovery in a nurturing atmosphere.
Located in Overland Park, KS, Awakenings KC provides a wide array of addiction recovery services tailored for both adults and young adults. The center features distinct programs designed specifically for adult men, adult women, and active military members. Various treatment options are available, such as intensive outpatient care, outpatient services, and outpatient detox. Their methodologies include anger management techniques, cognitive behavioral therapy, and contingency management with motivational incentives. Awakenings KC excels in addressing co-occurring substance use issues alongside significant mental health challenges in adults, as well as severe emotional disturbances in children. Committed to personalized care and implementing evidence-based strategies, this facility strives to support individuals on their journey to recovery.
Axiom Care, situated in Apache Junction, AZ, offers a wide range of rehabilitation programs designed for adults and young adults dealing with substance abuse and mental health issues. The center provides inpatient detox services and treatment options, including specialized tracks for men, women, and individuals with dual diagnoses. Emphasizing approaches like 12-step support, anger management, and brief interventions, Axiom Care is dedicated to delivering personalized treatment for all clients. By catering to both male and female participants, the facility has established a reputation for excellent care and customized solutions, making it an ideal option for those in need of compassionate addiction rehabilitation.
Axiom Care, situated in Phoenix, AZ, delivers targeted rehabilitation programs for adult men aiming to overcome addiction. Their offerings include structured outpatient care, extended residential stays, and flexible outpatient options. Treatment methodologies employed at Axiom Care encompass 12-step support, emotional regulation skills, and short-term counseling. The center serves adult men, older adults, and young adults facing dual diagnoses of mental health and substance use disorders, alongside individuals affected by domestic abuse. Axiom Care prioritizes high-standard treatment and personalized recovery paths, dedicated to guiding clients toward lasting sobriety and enhanced wellness.
Situated in North Kingstown, RI, Aware Recovery Care delivers focused outpatient detox and substance use treatment services for both adults and young adults. This center features intensive outpatient and outpatient programs that are customized to meet the unique needs of each individual. Utilizing evidence-based methodologies like 12-step support, cognitive behavioral therapy, and contingency management, clients benefit from tailored care. The facility serves adult men and women, including individuals facing dual diagnosis of mental health and substance use disorders. Committed to high-quality, personalized treatment, Aware Recovery Care is dedicated to guiding clients on their journey to recovery.
Situated in Indianapolis, IN, Aware Recovery Care of Indiana LLC provides extensive treatment options for individuals struggling with addiction, including both adults and young adults. The center focuses on detoxification and substance use recovery through various programs such as intensive outpatient and outpatient detox services. Employing proven methods like 12-step guidance, cognitive behavioral therapy, and contingency management, the facility tailors its approach to meet the needs of clients dealing with both mental health and substance use issues. With distinct programs designed for men and women, as well as specialized services catering to different age demographics, Aware Recovery Care of Indiana LLC aims to deliver a customized and effective recovery journey. Clients can anticipate exceptional care and a supportive atmosphere within the center.
Awareness and Discovery Group LLC, situated in Florence, KY, provides outpatient services for individuals struggling with addiction and co-occurring mental health conditions. Their programs cater to adults and children, employing techniques such as cognitive behavioral therapy, motivational interviewing, and anger management. They offer specific support for those who have endured trauma, domestic violence, intimate partner violence, and sexual abuse. Serving a diverse population including adults and seniors of all genders, Awareness and Discovery Group LLC prioritizes individualized, high-quality care. For those in search of detailed and custom addiction recovery options, exploring what Awareness and Discovery Group LLC offers is a valuable step.
Operating as Wayspring in Des Moines, Iowa, this clinic provides outpatient substance use treatment with buprenorphine and naltrexone for young adults, adults, and seniors. Care includes treatment for co-occurring serious mental illness, with a program for clients with co-occurring mental and substance use disorders. Medicaid is the accepted form of payment, with sign language services.
Axis Health System in Gunnison, Colorado provides regular outpatient substance use treatment with buprenorphine and naltrexone, with programs for adolescents, young adults, adult women, and criminal justice or forensic clients. Medicare, Medicaid, TRICARE, SAMHSA block grants, and a sliding fee scale are accepted, and sign language services are available.
Axis Health System in Montrose, Colorado, provides outpatient and intensive outpatient substance use treatment with buprenorphine and naltrexone available. Programs serve adolescents, adult women, criminal justice clients, and people with co-occurring mental health disorders or trauma histories. Medicare, Medicaid, SAMHSA block grants, and a sliding fee scale help cover costs.
The Delta, Colorado office of Axis Health System offers regular outpatient substance use treatment with buprenorphine and naltrexone. Adolescents, adult women, forensic clients, and people with co-occurring disorders, sexual abuse histories, or trauma are among the groups served. Medicare, Medicaid, SAMHSA block grants, and a sliding fee scale are accepted.
Located in Telluride, Colorado, this Axis Health System outpatient clinic treats substance use disorders with buprenorphine and naltrexone. Clients range from children and adolescents to seniors, with programs for young adults, adult women, and criminal justice clients. Payment options include Medicare, Medicaid, TRICARE, SAMHSA block grants, and a sliding fee scale.
Axis Health System's Pagosa Springs Integrated Healthcare site in Colorado provides regular outpatient substance use treatment, including buprenorphine and naltrexone for opioid and alcohol use disorders. Programs cover adolescents, adult women, forensic clients, and people with co-occurring mental health conditions. Medicare, Medicaid, SAMHSA block grants, and a sliding fee scale are accepted.
Axis Health System's Durango Integrated Healthcare clinic in Colorado delivers regular and intensive outpatient substance use treatment with buprenorphine and naltrexone. Programs serve adolescents, adult women, criminal justice clients, and people with co-occurring disorders or trauma. Medicare, Medicaid, SAMHSA block grants, and a sliding fee scale are accepted, and services are offered in Spanish.
Cortez Integrated Healthcare, an Axis Health System clinic in Cortez, Colorado, offers regular and intensive outpatient treatment for substance use disorders, including buprenorphine and naltrexone. Adolescents, adult women, forensic clients, and people with co-occurring mental health conditions are served. Medicare, Medicaid, SAMHSA block grants, and a sliding fee scale are accepted.
Outpatient detoxification and medication treatment with buprenorphine and naltrexone are offered in Durham, North Carolina. The clinic serves adolescents and clients with co-occurring mental and substance use disorders, including children with serious emotional disturbance. Medicaid, TRICARE, SAMHSA block grants, and a sliding fee scale are accepted. Sign language services are available.
The Wake Forest, North Carolina, clinic of B and D Integrated Health Services provides outpatient detoxification, intensive outpatient treatment, and buprenorphine and naltrexone services. Adolescents and clients with co-occurring disorders, including children with serious emotional disturbance, are served. Medicaid, SAMHSA block grants, and a sliding fee scale are accepted. Sign language services are available.
Awakenings Inc, located in Longview, WA, delivers a variety of treatment options for adults and young adults dealing with substance use and concurrent mental health issues. The center features intensive outpatient, outpatient, and standard outpatient programs, employing techniques such as 12-step support, brief interventions, and cognitive behavioral therapy. Awakenings Inc also has dedicated programs for adult men, women, and individuals who have encountered trauma, addressing a wide range of needs. Their emphasis on personalized care for both genders distinguishes them, ensuring that each client receives a customized treatment plan. This facility is dedicated to offering exceptional, all-encompassing care to assist clients in their recovery journey.
Situated in Barnwell, SC, the Axis I Center of Barnwell specializes in rehabilitation services for both adults and youths dealing with substance abuse and concurrent severe mental health disorders. The center offers various treatment options including intensive outpatient programs, general outpatient services, and outpatient treatments for methadone, buprenorphine, or naltrexone. Employing customized methods such as 12-step programs, anger management sessions, and brief interventions, it provides thorough support. Additionally, there are specialized programs designed for active military members, teenagers, and adult males. The Axis I Center of Barnwell serves both male and female clients, dedicated to delivering effective care that supports individuals in their recovery journey.
BAART Behavioral Health Services located in Newport, VT, provides targeted outpatient programs for substance use disorders. The center features treatment options including methadone, buprenorphine, and naltrexone, integrating techniques such as anger management, brief interventions, and cognitive behavioral therapy. With specific programs designed for active duty military members as well as adult men and women, BAART Behavioral Health Services addresses a wide range of patient needs. Offering services to both adults and young adults of all genders, the facility prioritizes high-quality care through personalized treatment plans. Experience extensive addiction treatment services aimed at fostering recovery and enhancing long-term wellness at this center.
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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