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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Southside Behavioral Health, located in South Boston, VA, provides outpatient substance abuse recovery services for individuals of all ages experiencing co-occurring severe mental health issues. Their regular outpatient care utilizes proven therapeutic methods, including anger management techniques, brief strategic interventions, and cognitive behavioral therapy. The center also features specialized tracks for adult men, adult women, and survivors of trauma. Accepting adults and seniors across the gender spectrum, Southside Behavioral Health delivers personalized assistance to address diverse requirements. Committed to excellence in care and holistic support, Southside Behavioral Health aims to empower individuals in their journey to recovery from addiction and enhanced mental wellness.
Southwest Arkansas Counseling and in Hope, AR, provides dedicated rehabilitation programs designed for both adults and young individuals facing challenges with substance dependence and concurrent severe mental health conditions. Their service offerings encompass intensive outpatient services, standard outpatient support, and medication-assisted treatment utilizing methadone, buprenorphine, or naltrexone. The center employs therapeutic strategies such as 12-step program guidance, anger management training, and brief intervention methods. Recognizing the unique requirements of different demographics, they offer specialized, gender-specific programs for adolescents, adult males, and adult females. Southwest Arkansas Counseling and is committed to offering thorough and effective rehabilitation solutions to aid individuals in their path toward lasting recovery.
Southern Sky Recovery in Bluffton, South Carolina, delivers outpatient detoxification, partial hospitalization, intensive outpatient, and regular outpatient care, with buprenorphine and naltrexone available. The program works with veterans, military families, criminal justice clients, and people with co-occurring pain or mental health disorders. TRICARE, private insurance, and self-payment are accepted.
Southwest Behav and Health Services provides regular outpatient substance use treatment in Phoenix, Arizona, for adolescents, young adults, and seniors, including co-occurring serious mental illness in adults and serious emotional disturbance in children. Buprenorphine and naltrexone are used. Payment options include Medicaid, SAMHSA block grants, and a sliding fee scale.
The Mesa Clinic of Southwest Behavioral Health Services offers regular outpatient substance use treatment in Mesa, Arizona, for adolescents, young adults, and seniors, including co-occurring serious mental illness. Buprenorphine and naltrexone are used for opioid use disorder. Medicaid, Medicare, SAMHSA block grants, and a sliding fee scale are accepted.
This Flagstaff, Arizona, clinic of Southwest Behavioral Health Services provides intensive and regular outpatient treatment with methadone, buprenorphine, and naltrexone for opioid use disorder. Programs serve adolescents, pregnant women, veterans, and forensic clients, among others. Medicare, Medicaid, tribal funds, SAMHSA block grants, and a sliding fee scale are accepted.
On Broadway in Phoenix, Arizona, this Southwest Behavioral Health Services clinic provides regular outpatient treatment for substance use and co-occurring mental disorders in adolescents, young adults, and seniors. Buprenorphine and naltrexone are used for opioid use disorder. Medicaid, Medicare, SAMHSA block grants, and a sliding fee scale are accepted.
Southwest Behavioral Health Services operates the Buckeye Clinic in Buckeye, Arizona, offering regular outpatient treatment for substance use and co-occurring mental health disorders in adults and children. Programs serve adolescents, forensic clients, and survivors of sexual abuse, domestic violence, and trauma. Buprenorphine and naltrexone are available. Medicaid, SAMHSA block grants, and a sliding fee scale apply, and Spanish is spoken.
The Bullhead City Outpatient Clinic of Southwest Behavioral Health Services provides regular and intensive outpatient treatment in Bullhead City, Arizona, with buprenorphine and naltrexone available. Programs serve adolescents, pregnant and postpartum women, forensic clients, and people with co-occurring disorders. Medicaid, SAMHSA block grants, and a sliding fee scale help cover costs, and Spanish is spoken.
Situated in De Queen, AR, Southwest Arkansas Counseling provides an extensive array of services for substance use treatment. This center focuses on addressing co-occurring substance use disorders and significant mental health conditions in adults, as well as severe emotional disturbances in children. With options for intensive outpatient treatment and standard outpatient care, the center delivers personalized support utilizing strategies like 12-step programs, anger management, and brief interventions. Specialized programs are tailored for adolescents, adult men, and adult women. Southwest Arkansas Counseling accommodates both adults and minors, featuring gender-specific programs designed for women and men. You can expect high-quality care and assistance at this facility.
Southwest Behavioral Health Center, situated in Beaver, UT, provides an extensive array of rehabilitation services. This center focuses on treating substance abuse and co-occurring mental health disorders in both adults and children. It offers various levels of care, including intensive outpatient programs, outpatient services, and day treatment. The facility employs methods such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, accommodating individuals of all genders, including seniors. With specialized programs designed for adolescents, adult men, and women, Southwest Behavioral Health Center emphasizes personalized care and support. Opt for this center for effective, evidence-driven treatment and empathetic rehabilitation services.
Southern Wellness Services located in Florence, AL, provides outpatient care for individuals dealing with substance abuse and concurrent severe mental health issues in adults, as well as emotional challenges in children. The center employs various therapeutic approaches, including anger management, cognitive behavioral therapy, and the Matrix Model, offering distinctive programs for adolescents, adult men, and adult women. With an emphasis on personalized treatment for both adults and youths of all genders, Southern Wellness Services prioritizes exceptional care within a nurturing setting. For those in search of effective and thorough addiction recovery options, this center’s evidence-based methods and customized programs are designed to help achieve sustainable recovery.
Southside Behavioral Health, situated in Lawrenceville, VA, focuses on providing individualized outpatient care for both substance use issues and co-occurring mental health disorders in both adults and children. The center employs techniques such as anger management, cognitive behavioral therapy, and brief intervention strategies, aimed at addressing the unique challenges faced by those with intricate needs. Southside Behavioral Health offers programs that meet the requirements of adult men and women, including those who have undergone traumatic experiences. Catering to adults and older individuals, this center adopts a holistic method to facilitate recovery. Discover effective and customized treatment options at this facility, committed to supporting individuals in their journey towards lasting health and well-being.
Located in Boydton, VA, Southside Behavioral Health offers top-tier outpatient substance use treatment and specialized care for co-occurring substance use and serious mental health conditions in adults and serious emotional disturbances in children. Utilizing approaches such as anger management, brief intervention, and cognitive behavioral therapy, this facility caters to adult men, women, and clients who have experienced trauma. Serving adults and young adults of all genders, Southside Behavioral Health provides comprehensive and individualized care to support recovery and overall well-being. With a focus on quality care and tailored programs, this facility stands out as a beacon of hope for those seeking effective rehabilitation services.
Situated in Phoenix, AZ, Southwest Behavioral and Health Servs specializes in outpatient treatment for substance use disorders and offers tailored services for those experiencing concurrent mental health challenges. This center employs various techniques including cognitive behavioral therapy, brief intervention, and anger management in its regular outpatient programs. It features distinct initiatives designed for teenagers, women, and individuals with dual diagnoses. Catering to adults and seniors of all genders, the center prioritizes the provision of personalized care aimed at enhancing recovery and promoting overall wellness. Southwest Behavioral and Health Servs stands as a reliable option for individuals in the Phoenix region looking for thorough and effective addiction rehabilitation services.
At Southwest Behavioral Health Center located in Panguitch, UT, individuals can access a wide range of services for substance abuse treatment, as well as support for adults facing serious mental health challenges and children with emotional issues. The center provides various programs including intensive outpatient care, outpatient therapy, and day treatment options, employing research-backed methods such as 12-step facilitation, brief intervention strategies, and cognitive behavioral therapies. Designed for different demographics, including adolescents and adults of all genders, the center focuses on meeting the unique requirements of its clients. Southwest Behavioral Health Center is dedicated to offering high-quality, personalized care, establishing itself as a premier destination for rehabilitation services in the area.
Southwest Behavioral and Health Servs, located in Bullhead City, AZ, provides a wide array of treatment options for individuals dealing with substance use issues, including both adults and young adults. The center has a strong emphasis on treating co-occurring disorders related to substance abuse and serious mental health challenges, as well as addressing emotional issues in children. It offers intensive outpatient and general outpatient programs. With services that focus on anger management, brief interventions, and cognitive behavioral strategies, the facility serves both men and women, including those who have faced domestic violence. Committed to personalized treatment, Southwest Behavioral and Health Servs aims to assist every client in their recovery journey with care and dedication.
Situated in Kanab, UT, the Southwest Behavioral Health Center provides a wide range of substance use disorder treatments and has a particular focus on addressing co-occurring conditions in both adults and children. The center offers various programs, including intensive outpatient services, outpatient day treatment, and partial hospitalization. With a commitment to utilizing methods such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, the center serves adolescents, as well as adult men and women. Catering to adults and seniors of all genders, Southwest Behavioral Health Center emphasizes high-quality care through personalized treatment strategies and evidence-based practices.
Southwest Behavioral Health Center, situated in Saint George, UT, is dedicated to offering tailored rehabilitation for individuals grappling with addiction and co-occurring mental health challenges, serving both young and adult populations. The facility features robust treatment modalities including intensive outpatient, general outpatient, and day treatment programs. Employing proven therapeutic strategies such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, the center accommodates adolescents, adult men, and women. Southwest Behavioral Health Center is committed to providing superior, personalized care for adults and seniors, establishing itself as a leading destination for comprehensive recovery services in the area.
Southwest Behavioral Health Center, situated in Milford, UT, provides extensive programs for individuals of all ages, from youth to seniors, addressing both substance abuse and mental health concerns. The center customizes care through diverse treatment modalities, including intensive outpatient and day treatment options. Employing proven methods like 12-step facilitation and cognitive behavioral therapy, Southwest Behavioral Health Center is committed to fostering healing and sustained recovery for every client.
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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