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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Wells House, situated in Hagerstown, MD, is a prominent rehabilitation center dedicated to long-term residential treatment specifically for adult men struggling with substance use issues. This center offers transitional housing and sober living arrangements, alongside round-the-clock care. Wells House utilizes proven methods, including 12-step programs, anger management, and brief intervention techniques, to aid clients in their recovery journey. Specialized programs address the needs of adult men who have experienced intimate partner violence, domestic violence, and sexual abuse. Catering to adult, senior, and young adult males, Wells House is committed to providing excellent care within a nurturing and secure environment.
Wells House, situated in Hagerstown, MD, provides comprehensive substance use disorder care and extended residential housing for adult males. Their specialized approach integrates 12-step principles, anger management techniques, and cognitive-behavioral therapy, guiding individuals toward lasting sobriety. The center uniquely addresses the needs of men affected by intimate partner violence, domestic abuse, or sexual trauma. Catering to men of all adult ages, Wells House fosters a nurturing space for recovery and personal development. Discover effective, empathetic treatment at this respected recovery facility.
Situated in Ramsey, NJ, Wellness Solutions Counseling Services delivers extensive outpatient care for individuals battling substance use issues alongside accompanying mental health conditions, catering to both adults and children. Utilizing strategies such as anger management, short-term interventions, and cognitive behavioral therapy, this center focuses on personalized treatment aimed at promoting successful recovery. With dedicated programs for active military personnel, teenagers, and adult males, Wellness Solutions addresses the needs of various groups. Welcoming adults, youth, and seniors of all genders, the center emphasizes high-quality care and individualized attention, making it an excellent option for those in need of specialized support for addiction in a nurturing setting.
Situated in Garden City, MN, Wellcome Manor Family Services stands out as an exceptional rehabilitation facility dedicated to the treatment of substance abuse issues for women ages 18 and above. The center features a variety of program options, including both long-term and short-term residential stays, ensuring 24/7 care for its residents. Wellcome Manor Family Services creates a nurturing atmosphere for individuals who have faced trauma or struggle with simultaneous mental health and substance abuse challenges. Emphasizing a 12-step approach alongside anger management and brief intervention strategies, this center serves adults, seniors, and young adults in a gender-sensitive environment. Discover personalized and empathetic care at this esteemed rehabilitation center.
Wellmore Inc in Waterbury, Connecticut, provides regular and intensive outpatient substance use treatment, including buprenorphine and naltrexone. Programs serve adult women, adult men, and clients with co-occurring mental health disorders or trauma histories. Medicare, Medicaid, SAMHSA block grants, and a sliding fee scale are accepted, and services are available in Spanish.
Outpatient care in Boca Raton, Florida includes day treatment, partial hospitalization, and intensive outpatient treatment at Wellness Resource Center. Programs serve young adults, adult women and men, and clients with co-occurring mental and substance use disorders. Buprenorphine and naltrexone are used, with private insurance and state-financed plans accepted.
Wellspring Family Services, part of Crittenton Services, provides regular outpatient substance use treatment in New Martinsville, West Virginia for children, adolescents, and adults. Programs serve pregnant and postpartum women, veterans, forensic clients, and people with co-occurring disorders, HIV or AIDS, and trauma histories. Medicaid, private insurance, and self-payment are accepted. No opioid treatment medications are listed.
Part of Crittenton Services, Wellspring Family Services in Weirton, West Virginia offers regular outpatient substance use treatment for children, adolescents, and adults. Programs serve pregnant and postpartum women, veterans, forensic clients, and people with co-occurring disorders or trauma histories. Medicaid, private insurance, and self-payment are accepted. No opioid treatment medications are listed.
Outpatient substance use treatment in Decatur, Georgia, for adults with co-occurring serious mental illness, including pregnant and postpartum women and criminal justice clients. This facility accepts Medicaid and cash or self-payment and serves young adults, adults, and seniors.
Wellfully Wellspring Inc, situated in Rapid City, SD, specializes in extensive substance use rehabilitation for both adults and youth facing co-occurring mental health challenges. The facility offers various programs, including hospital inpatient care, 24-hour inpatient services, and intensive outpatient options. Emphasizing methods like 12-step facilitation, anger management, and brief interventions, the center customizes its services to meet the distinct requirements of each client. Additionally, it features specialized programs for adolescents, as well as for victims of intimate partner violence, domestic abuse, and sexual trauma. Wellfully Wellspring Inc accommodates clients of all genders, fostering an inclusive and nurturing atmosphere. Discover exceptional care and tailored treatment at this prominent rehabilitation facility.
Wellness In Inwood LLC provides intensive and regular outpatient treatment in New York, New York, with buprenorphine and naltrexone for opioid use disorder. Programs serve pregnant and postpartum women, veterans, military families, criminal justice clients, and people with HIV or AIDS. Medicare, Medicaid, and a sliding fee scale are accepted, and Spanish is spoken.
Welwynn Outpatient Center, situated in Raleigh, NC, provides targeted care for individuals grappling with substance use disorders and co-occurring mental health conditions, serving both adults and younger populations. Their therapeutic offerings include intensive outpatient, standard outpatient, and regular outpatient services, utilizing modalities like 12-step facilitation, anger management strategies, and brief interventions to personalize each client's journey. Specialized tracks are designed for adult men, adult women, and those affected by intimate partner or domestic violence. Welwynn Outpatient Center extends its comprehensive recovery-focused support to clients of all genders and ages, prioritizing overall well-being.
Situated in the Bronx, NY, the Wellness Center specializes in rehabilitation services for individuals struggling with substance use disorders alongside mental health challenges, applicable to both adults and children. It offers diverse treatment options such as intensive outpatient programs and outpatient therapies involving methadone or buprenorphine. Emphasizing methods like anger management, cognitive behavioral techniques, and short-term interventions, this center serves men and women facing dual diagnosis issues. Catering to a broad demographic of adults and young adults, the Wellness Center is committed to providing high-quality, personalized care to meet the unique needs of each patient.
Wellness Health Services LLC, situated in Washington, DC, provides comprehensive outpatient addiction treatment and detox services designed for adults and young adults. Their specialties include 12-step support, anger management techniques, and brief intervention strategies to foster recovery. They also offer distinct programs for active military members, adult males, and adult females. Committed to high-quality care, Wellness Health Services LLC delivers targeted treatment for both male and female individuals, aiming to help them achieve sobriety and overall well-being, establishing itself as a key provider of individualized addiction care.
Wells House, situated in Frederick, MD, provides extended residential treatment for adult males facing substance use challenges in a nurturing setting. The center offers transitional and sober living facilities, focusing particularly on individuals who have encountered intimate partner violence, domestic abuse, and sexual trauma. Emphasizing 12-step programs, anger management, and cognitive behavioral therapy, Wells House serves adults of all ages, including seniors and young adults, who are in search of effective support in their fight against addiction. The center's programs are specifically designed for men, ensuring a personalized recovery process. Discover a holistic approach to rehabilitation at Wells House, paving the way for enduring sobriety and well-being.
Wells House, situated in Frederick, MD, serves as a rehabilitation center dedicated to helping women overcome substance use issues and providing transitional housing. The center features long-term residential programs that include round-the-clock care and customized treatment plans, incorporating methods like 12-step programs, anger management techniques, and brief intervention strategies. It specifically supports clients who have faced intimate partner violence, domestic violence, and sexual abuse. Aiming to assist adult, senior, and young adult women, Wells House emphasizes individualized care and creates a safe, supportive setting for individuals on their recovery journey.
Wells House, situated in Frederick, MD, delivers a full spectrum of substance use disorder services, adapting its offerings to suit unique client requirements. Their program array includes intensive outpatient, general outpatient, and outpatient medication-assisted treatment options utilizing methadone, buprenorphine, or naltrexone. Emphasizing 12-step principles, anger management techniques, and brief intervention strategies, Wells House extends its specialized support to adult men and women, including those impacted by intimate partner or domestic abuse. This facility is dedicated to providing excellent care and encouragement for individuals of all genders, both adults and young adults, on their path to sobriety.
Wellspring Inc, situated in Bangor, ME, specializes in long-term residential services aimed at adult males and seniors facing challenges related to substance abuse and mental health disorders. The center offers comprehensive treatment options designed specifically for individuals with significant emotional issues and those involved with the criminal justice system. Incorporating proven methods, including cognitive behavioral therapy and anger management techniques, Wellspring Inc prioritizes personalized care to foster recovery and facilitate a smooth return to everyday life. With a focus on high standards and customized assistance, this center is dedicated to enabling clients to attain enduring sobriety and improved mental health.
Wellspring Inc, situated in Bangor, ME, specializes in substance use rehabilitation specifically for adult women. The center offers both long-term and 24-hour residential treatment programs designed for individuals who have faced intimate partner violence and domestic abuse. Emphasizing methods such as 12-step facilitation, anger management, and brief intervention, Wellspring Inc delivers exceptional care for clients on their recovery journey. It also features distinct programs aimed at active duty military members, which distinguishes this facility from others. Catering to women across various age groups—adults, seniors, and young adults—Wellspring Inc creates a nurturing atmosphere for those seeking extensive addiction support.
The West Alabama Mental Health Center, situated in Eutaw, AL, delivers extensive treatment for substance use through its outpatient services. This center utilizes a diverse array of techniques, including anger management, brief intervention, and cognitive behavioral therapy, to provide consistent outpatient support. It features tailored programs for adult males, adult females, and individuals facing both mental health and substance use issues, accommodating a broad spectrum of clients. By serving both adults and young adults of all genders, this facility is dedicated to providing high-quality care and assistance to those in need of addiction recovery in a professional and organized setting.
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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