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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California Behavioral Health LLC, located in Cathedral City, CA, delivers extensive addiction treatment options for both adults and young adults. The center features long-term residential care, detoxification services, and around-the-clock support for those facing dual challenges of substance use and severe mental health issues. Treatment modalities include anger management, short-term interventions, and cognitive behavioral therapy. This facility is dedicated to helping adult men and women, including those who have suffered from intimate partner or domestic violence. Emphasizing personalized healthcare, California Behavioral Health LLC creates individualized treatment plans to cater to the distinct requirements of each person on their path to recovery.
CPF Breakthrough LLC, located in Spokane, WA, provides extensive care for substance use disorders, utilizing several program structures, including intensive outpatient, standard outpatient, and day treatment (partial hospitalization). Their approach emphasizes 12-step facilitation, anger management techniques, and brief intervention strategies. CPF Breakthrough LLC is equipped to support active military members, as well as adult men and women. They extend their services to both young adults and adults of any gender, offering customized treatment plans. This facility is devoted to delivering high-quality, varied therapeutic options to support individuals on their journey to sustained sobriety.
CPC Integrated Health, situated in Red Bank, New Jersey, provides targeted recovery programs for adults and young adults managing addiction and related mental health conditions. Their services include comprehensive outpatient treatment, standard outpatient care, and medication-assisted treatment utilizing methadone, buprenorphine, or naltrexone. The center emphasizes therapeutic approaches such as anger management, brief intervention, and cognitive behavioral therapy, creating individualized plans for adult men and women, particularly those affected by intimate partner or domestic violence. CPC Integrated Health fosters a secure environment for all clients, committed to high-quality support and healing for those on their journey to wellness.
Outpatient buprenorphine and naltrexone treatment in Centreville, Alabama, serving adolescents through seniors with programs for pregnant and postpartum women, veterans, military families, and criminal justice clients. Medicaid, Medicare, TRICARE, private insurance, and a sliding fee scale are all accepted.
Calais Comprehensive Treatment Center in Calais, Maine, dispenses methadone and also uses buprenorphine and naltrexone in outpatient opioid treatment. Programs address veterans, pregnant and postpartum women, forensic clients, and people with HIV or AIDS. Medicare, Medicaid, and SAMHSA block grants are accepted.
Summit Pointe, the Calhoun County community mental health authority in Battle Creek, Michigan, treats substance use and co-occurring disorders in adults and children through outpatient care with buprenorphine and naltrexone. Programs serve veterans and forensic clients. Medicaid, Medicare, and SAMHSA block grants are accepted.
This Summit Pointe site in Battle Creek, Michigan, adds intensive outpatient treatment to regular outpatient and medication-assisted care with buprenorphine and naltrexone. Adults and children with substance use and co-occurring disorders are served. Federal funding, Medicaid, TRICARE, and SAMHSA block grants are among the payment options.
CREATE Health and Wellness in Concord, Massachusetts, combines outpatient day treatment with medication-based care using buprenorphine and naltrexone for substance use, detoxification, and co-occurring disorders. Programs address veterans, pregnant and postpartum women, and clients with HIV or AIDS. Medicare, Medicaid, private insurance, and a sliding fee scale are accepted.
Situated in Caldwell, ID, Caldwell Recovery Center LLC provides comprehensive substance abuse care, encompassing intensive and standard outpatient programs, alongside transitional living accommodations. Their expertise lies in addressing anger management, offering brief interventions, and employing cognitive behavioral therapy. The center serves adult men and women, as well as those affected by intimate partner violence. Programs are available for both adult and young adult populations, fostering a nurturing setting for healing. Clients can anticipate personalized, high-quality, and empathetic services, whether they require outpatient support or transitional housing, at Caldwell Recovery Center LLC.
CT Valley Addiction Recovery Inc, located in White River Junction, VT, delivers a full spectrum of outpatient addiction treatment. Their services encompass medically supervised detoxification, evidence-based substance use disorder therapy, and dedicated support for dual diagnoses involving mental health issues. Focusing on therapeutic approaches like 12-step facilitation, motivational interviewing, and CBT, the center is equipped to assist active service members, men, and women. Catering to adults and young adults across all gender identities, CT Valley Addiction Recovery Inc provides personalized, high-quality care in a nurturing outpatient environment.
CRASH Inc, situated in San Diego, CA, stands as a leading facility dedicated to providing advanced care for individuals battling substance use disorders and co-occurring mental health conditions in adults, as well as addressing serious emotional disturbances in children. The center offers diverse care modalities, including inpatient hospital stays, extended residential programs, and round-the-clock residential services, ensuring robust support for adults, older adults, and young adults across all genders. CRASH Inc distinguishes itself with specialized services catering to adult men, adult women, and those who have endured intimate partner or domestic violence. Employing evidence-based strategies such as 12-step facilitation, anger management techniques, and brief intervention methods, this institution guarantees excellent, personalized treatment plans.
CREOKS Health Services, located in Stilwell, OK, specializes in outpatient care for adults dealing with substance use and accompanying mental health challenges, as well as addressing emotional issues in children. The center offers a variety of programs, including 12-step support, anger management courses, and quick intervention strategies. There are specialized services available for active-duty military, teenagers, and adult men. This facility is committed to serving individuals of all genders across age groups, including seniors. By emphasizing evidence-based practices and individualized treatment plans, this center aims to deliver exceptional care to foster the recovery process. If you are in need of tailored rehabilitation options that meet your specific circumstances, this center is committed to offering thorough assistance and support.
Situated in North Hollywood, CA, CRI Help Inc delivers an extensive variety of rehabilitation options for both adults and young adults facing substance use challenges. The center features long-term residential accommodations, detoxification services, and round-the-clock residential programs. Emphasizing methods such as 12-step facilitation, anger management, and brief interventions, CRI Help Inc customizes treatment plans to address the unique requirements of each individual. It also provides specialized programs for adult men, adult women, and those who have faced intimate partner or domestic violence. With a commitment to offering gender-specific care for both sexes, this facility guarantees compassionate and effective support for individuals striving to conquer addiction.
Situated in New York, NY, CTI Harlem delivers a wide spectrum of services aimed at treating addiction for both adults and young adults. The center features intensive outpatient care, various outpatient programs, and outpatient detox services. CTI Harlem is particularly adept at addressing co-occurring substance use issues alongside severe mental health conditions in adults, as well as significant emotional challenges in children. The facility adopts a 12-step approach, integrating anger management and brief intervention strategies, customizing treatment plans to accommodate the distinct requirements of each client. Additionally, specialized programs are available for active military personnel, as well as for adult men and women. CTI Harlem is committed to providing high-quality care and assistance for those on the path to recovery.
CURA Inc, situated in Secaucus, NJ, specializes in treating substance use disorders through its long-term and 24-hour residential programs. The facility employs customized treatment strategies, including 12-step support, anger management therapy, and brief intervention techniques. Aiming to assist adult men and women, as well as individuals who have faced intimate partner or domestic violence, CURA Inc addresses a broad spectrum of needs. This center serves both adults and young adults of all genders, ensuring personalized care for each individual. Renowned for its high-quality treatment and comprehensive services, CURA Inc is recognized as an excellent option for those in search of effective and empathetic support for addiction recovery.
CPF Colonial in Spokane, WA, provides comprehensive outpatient and intensive outpatient programs for individuals of all ages struggling with substance use and co-occurring mental health conditions. Their therapeutic approach incorporates brief intervention, cognitive behavioral therapy, and motivational interviewing, ensuring personalized treatment plans for adult men and women, as well as adolescents. The center excels in supporting clients with dual diagnoses, serving both male and female populations. CPF Colonial stands out as a leading facility for those in the Spokane region requiring in-depth recovery services.
Situated in Tahlequah, OK, CREOKS Health Services delivers extensive outpatient rehabilitation options for individuals grappling with substance use and concurrent mental health issues, serving both adults and children. The center employs a structured outpatient model that incorporates evidence-supported methods, including 12-step facilitation, anger management techniques, and brief intervention strategies. Tailored programs are available for active military members, teenagers, adult males, and individuals of all ages and genders. With a strong emphasis on personalized care and tailored treatment strategies, this center is dedicated to supporting clients in reaching sustainable recovery and mental health improvement.
Situated in Sallisaw, OK, CREOKS Health Services delivers extensive outpatient care for individuals facing substance use issues and co-occurring mental health conditions, catering to both adults and children. The center employs targeted strategies such as 12-step facilitation, anger management, and brief interventions to enhance recovery. It features specific programs designed for various demographics, including active duty military personnel, teenagers, and adult males. CREOKS Health Services is committed to providing high-quality support to adults and seniors of all backgrounds who are on their journey toward rehabilitation.
CRHPC Comprehensive Behav Health Ctr, located in Du Quoin, IL, offers a variety of outpatient services designed for adults and seniors facing challenges with substance use disorders and concurrent mental health conditions. The center specializes in detoxification and treatment for substance use, as well as addressing severe emotional disturbances through therapeutic interventions. It provides outpatient detox options alongside methadone and buprenorphine treatment. The focus includes substance use disorder counseling and telehealth therapy, accommodating active duty military members, adolescents, and adult males. With customized programs for both genders, CRHPC Comprehensive Behav Health Ctr is dedicated to providing exceptional care to those in need.
CT Renaissance Waterbury Outpatient, located in Waterbury, CT, provides a variety of outpatient services including intensive outpatient treatment and medication-assisted therapies such as methadone, buprenorphine, and naltrexone for addressing substance use disorders. The center employs techniques such as cognitive behavioral therapy, brief interventions, and anger management. It caters to adolescents, adult men, and women, offering tailored programs for individuals of all ages and genders. CT Renaissance Waterbury Outpatient is dedicated to delivering personalized care that meets the unique needs of each client, supporting their recovery journey through diverse treatment options.
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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