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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Westfall Associates Inc. in Rochester, NY, delivers a full spectrum of outpatient addiction recovery services designed for adults and adolescents. The center provides targeted support for adult men and women, as well as individuals with a history of trauma. Employing therapeutic methods such as 12-step integration, brief motivational counseling, and cognitive behavioral therapy, the facility guarantees personalized recovery plans. They offer medication-assisted treatment including methadone, buprenorphine, or naltrexone, alongside standard outpatient care, underlining their commitment to high-quality assistance for those overcoming substance dependence. Separate programs for men and women are available, fostering a safe and encouraging setting for healing.
Westwind Recovery, situated in Los Angeles, CA, provides an extensive selection of services for those in need of help with substance use and transitional living. The center specializes in programs designed for adults grappling with both substance use issues and significant mental health conditions. Treatment alternatives include intensive outpatient programs and day treatment sessions. Westwind Recovery employs methodologies such as 12-step facilitation and anger management to foster recovery. Additionally, it offers unique programs for active military personnel, as well as for adult men and women. Catering to adults and young adults across all genders, Westwind Recovery is committed to offering high-quality care within a nurturing atmosphere.
Western Psychological is a comprehensive substance use rehabilitation facility located in Gladstone, OR. It offers a range of treatment options, including intensive outpatient programs, outpatient services, and standard outpatient care. The center employs a variety of methodologies, such as 12-step facilitation, brief interventions, and cognitive behavioral therapy. Specialized programs are available for adolescents, individuals with dual diagnoses of mental health and substance use disorders, and those experiencing both chronic pain and substance use issues. The services provided are designed to accommodate adults, children and adolescents, as well as seniors of all genders. Western Psychological prioritizes high standards of care, emphasizing personalized treatment strategies and evidence-based approaches to foster effective recovery.
Situated in Newberry, SC, Westview Behavioral Health Services delivers extensive outpatient care for individuals of all ages struggling with addiction and co-occurring psychological challenges. The facility features tailored interventions for teenagers, those impacted by relationship abuse, domestic violence, and sexual trauma. Therapies offered encompass anger regulation, short-term counseling, and cognitive restructuring. Westview Behavioral Health Services serves both men and women, providing effective support through outpatient medication-assisted treatment (methadone/buprenorphine or naltrexone). Committed to personalized treatment plans and proven therapeutic methods, the center aims to guide patients toward lasting recovery.
Short-term residential substance use treatment is offered at the Horizon Renewal Center in Booneville, Arkansas, part of Western Arkansas Counseling and Guidance Center. Buprenorphine and naltrexone are used in treatment, and programs serve veterans, criminal justice clients, and adults with co-occurring disorders. Medicaid, SAMHSA block grants, and sliding fees apply.
Western Pacific Med Corp in Ventura, California provides outpatient methadone and buprenorphine treatment along with outpatient detoxification for adolescents through seniors, including pregnant women and veterans. Medicaid, Medicare, SAMHSA block grants, and sliding fee scales apply. Services are offered in Spanish, Chinese, Arabic, Farsi, Russian, Tagalog, Vietnamese, and other languages.
Western Pacific Med Corp in Van Nuys, California provides outpatient methadone and buprenorphine treatment plus outpatient detoxification for adolescents through seniors, including pregnant women and veterans. Medicaid, Medicare, SAMHSA block grants, and sliding fee scales apply. Spanish, Chinese, Arabic, Farsi, Russian, Tagalog, Vietnamese, and other languages are supported.
This Norwalk, CA outpatient clinic provides methadone and buprenorphine treatment plus outpatient detoxification for a broad population, including adolescents, pregnant women, and veterans. Western Pacific Med Corp accepts Medicare, Medicaid, SAMHSA block grants, and sliding fees, with services in Spanish, Chinese, Arabic, Farsi, Russian, and other languages.
Methadone and buprenorphine maintenance with outpatient detoxification is provided at Western Pacific Re Hab in Lancaster, California, serving adolescents through seniors including pregnant women and veterans. Medicaid, Medicare, SAMHSA block grants, and sliding fee scales apply. Services are offered in Spanish, Chinese, Arabic, Farsi, Russian, Tagalog, Vietnamese, and more.
Westpark Springs Hospital in Richmond, Texas offers hospital inpatient detoxification and inpatient treatment for substance use and co-occurring serious mental illness. Adolescents, adults, and seniors are admitted, and buprenorphine and naltrexone are used in treatment. Medicare, Medicaid, TRICARE, and private insurance are accepted.
Western Pacific Rehab, situated in Glendale, CA, delivers outpatient care focused on detox and addiction recovery. Their services include outpatient detox and medication-assisted treatment with methadone, buprenorphine, or naltrexone, available to adult and young adult individuals of any gender. The treatment methodology incorporates 12-step support, anger management techniques, and brief intervention strategies. The center is dedicated to high-quality treatment and offers distinct programs for active military personnel, teens, and adult males. Western Pacific Rehab is devoted to offering personalized assistance to those pursuing effective and thorough addiction treatment.
Situated in Harbor City, CA, Western Health Community Clinics provides a full spectrum of outpatient services for addiction recovery, including detox and treatment for substance abuse. The center focuses on outpatient detox options, as well as therapies involving methadone, buprenorphine, or naltrexone, along with counseling for substance use disorders. With personalized programs designed for active military members and both adult men and women, this facility meets the needs of a wide array of clients. Western Health Community Clinics serves adults and young adults of all genders, delivering effective care and assistance for those aiming to conquer substance use challenges.
Western Mental Health Center, situated in Marshall, MN, delivers a full spectrum of support for those pursuing recovery from addiction and mental health challenges. They provide intensive outpatient and standard outpatient services, with particular attention to dual diagnosis for both youth and adults. Utilizing proven methods like cognitive behavioral therapy and anger management, Western Mental Health Center serves a diverse clientele across all age groups and genders. Their distinct offerings include personalized plans for teenagers and individuals managing both mental health conditions and substance dependency. Committed to excellence, this center is a reliable partner for anyone beginning their journey toward well-being.
Western Montana Addiction Services, located in Missoula, MT, provides a wide range of outpatient treatment options for individuals struggling with substance use, including adults and children facing significant mental health challenges. The facility features tailored programs designed for active-duty military members as well as men and women. Treatment approaches include anger management techniques, cognitive behavioral therapy, and the use of motivational incentives. Emphasizing personalized care, this center serves both genders in their recovery journey. Whether through outpatient methadone/buprenorphine/naltrexone therapy or standard outpatient services, the focus remains on delivering high-quality support for both adults and youth requiring addiction recovery assistance.
Western Montana Mental Health Center, located in Hamilton, MT, provides outpatient treatment for adults dealing with substance use, including those facing significant mental health challenges. This center specializes in addressing co-occurring disorders and delivers consistent outpatient services through proven methodologies such as cognitive behavioral therapy and motivational interviewing. Emphasizing anger management, the facility serves adult men and women, along with individuals who have suffered from intimate partner violence. Catering to both adults and young adults, the programs are designed to meet the specific needs of each gender. Clients will find a nurturing atmosphere and receive thorough, effective care at Western Montana Mental Health Center.
Situated in Anaconda, MT, Western Montana Tri County delivers focused treatment for individuals grappling with substance use and concurrent mental health issues, catering to both adults and children. The center offers outpatient services that feature methadone and buprenorphine therapies while ensuring personalized support through programs like anger management, cognitive behavioral therapy, and motivational incentives. Custom-designed programs for active duty military personnel, as well as for adult men and women, provide thorough assistance. This facility serves adults and young adults across all genders and emphasizes the use of evidence-based methods to facilitate sustainable recovery. Western Montana Tri County is committed to offering superior care and guidance for those seeking assistance with addiction and mental health difficulties.
Western Psychological offers complete addiction recovery services in Beaverton, Oregon. Their offerings include intensive outpatient, outpatient, and standard outpatient programs. The center employs approaches such as 12-step facilitation, brief intervention, and cognitive behavioral therapy. They serve adults, youth, and older adults across all genders. Distinctive services for adolescents, individuals facing dual mental health and substance use challenges, and those with co-occurring pain and addiction issues highlight their specialized care. Western Psychological's individualized strategies and dedication to high-standard treatment make it an excellent option for those desiring impactful and customized addiction support.
Western Psychological and Counseling, situated in Vancouver, WA, delivers targeted programs for substance misuse, accommodating diverse age and gender demographics. They offer intensive outpatient, outpatient, and standard outpatient care, utilizing proven methods such as 12-step facilitation, brief intervention, and cognitive behavioral therapy. The center excels in providing specialized care for teenagers, individuals facing dual diagnoses of mental health and substance use issues, and those managing co-occurring pain and addiction. Western Psychological and Counseling is recognized for its personalized treatment plans and dedication to providing high-caliber support for those pursuing sobriety.
Situated in Thousand Oaks, California, Westlake Village Family Services provides a wide range of rehabilitation programs aimed at addressing substance abuse and simultaneous mental health disorders. This center supports intensive outpatient, standard outpatient, and regular outpatient services designed for adults facing significant emotional challenges as well as children struggling with mental health conditions. Emphasizing techniques such as anger management, brief interventions, and cognitive behavioral therapy, the facility serves active military members, teenagers, and adult men. Westlake Village Family Services welcomes clients of all genders and ages, dedicated to offering exceptional care and assistance for those pursuing recovery from addiction.
Westview Behavioral Health Services, located in Saluda, SC, delivers a wide range of outpatient rehabilitation programs catering to both substance use issues and co-existing mental health challenges in both adults and children. The center specializes in aiding individuals who have experienced intimate partner and domestic violence. Emphasizing techniques such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, Westview adapts its programs to address the distinct requirements of adolescents, adult men, and individuals of all gender identities. Its dedication to high-quality care and personalized treatment strategies establishes it as a reputable option for anyone in need of compassionate support and effective addiction recovery solutions.
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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