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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Capeside Psychiatry, located in Wilmington, NC, specializes in outpatient treatment programs for substance use, particularly for individuals facing both mental health and substance use challenges. The center offers various services, such as counseling for substance use disorders and telehealth therapy options. It serves both adults and young adults, regardless of gender, and provides outpatient options for medications like methadone, buprenorphine, or naltrexone, along with standard outpatient treatment. With a commitment to high-quality, individualized care, Capeside Psychiatry is an exceptional option for those in need of thorough and customized addiction treatment in the Wilmington region.
Captain James A Lovell FHCC, situated in North Chicago, IL, delivers a complete spectrum of addiction recovery support. Their services encompass detox, comprehensive substance use therapy, and supportive housing, including both transitional and sober living environments. Patients can engage in various treatment structures, such as intensive outpatient, extended residential stays, and standard outpatient care. The center employs methodologies like 12-step facilitation, anger management strategies, and brief intervention techniques. They primarily serve active duty military, adult men, and women, along with adult and young adult individuals of any gender, emphasizing personalized, top-tier care.
Capstone Counseling Centers LLC, located in Salt Lake City, UT, provides targeted treatment programs for substance use disorders. Their extensive offerings encompass intensive outpatient programs, standard outpatient services, and options for outpatient treatment with methadone, buprenorphine, or naltrexone. The center employs evidence-based methodologies such as cognitive behavioral therapy, anger management, and motivational interviewing, designed to assist adult men and women, including those affected by intimate partner or domestic violence. Capstone Counseling Centers LLC focuses on delivering personalized care for both adults and young adults, fostering a nurturing atmosphere conducive to healing and recovery.
Capital Area Human Services, located in Baton Rouge, LA, specializes in rehabilitation programs tailored for adults and young adults facing challenges with substance use disorders as well as concurrent mental health conditions. The center offers a variety of services including intensive outpatient treatment and outpatient medication-assisted therapies utilizing medications such as methadone, buprenorphine, or naltrexone. Emphasizing 12-step programs, anger management, and brief interventions, this facility serves a diverse clientele, encompassing both men and women, including adult females and individuals within the criminal justice system. At Capital Area Human Services, the commitment to delivering high-quality care and support is paramount, ensuring individuals can attain sustainable recovery and enhanced mental health.
Capitol Region Mental Health Center in Hartford, Connecticut, provides outpatient substance use treatment with buprenorphine and naltrexone, including care for co-occurring mental health disorders. Medicare and Medicaid are accepted, and payment assistance is available. Services are offered in Spanish, Creole, Farsi, Polish, Russian, and other languages, plus sign language.
Capo by the Sea in Capistrano Beach, California spans outpatient, day treatment, intensive outpatient, and residential care with residential detoxification. Programs serve veterans, active duty military, criminal justice clients, people with co-occurring pain or mental disorders, and trauma survivors. Buprenorphine and naltrexone are used, and a sliding fee scale and TRICARE are among payment options.
This San Juan Capistrano, California location of Capo by the Sea combines residential detoxification, short-term and long-term residential care, day treatment or partial hospitalization, and intensive outpatient services. It serves veterans, military families, clients with HIV or AIDS, and trauma survivors, using buprenorphine and naltrexone. Private insurance, TRICARE, and a sliding fee scale are accepted.
Capstone Behavioral Healthcare Inc in Newton, Iowa, combines regular and intensive outpatient addiction treatment with naltrexone services and care for co-occurring serious mental illness and serious emotional disturbance in children. Programs cover adolescents, veterans, pregnant and postpartum women, and trauma survivors. Medicare, Medicaid, SAMHSA block grants, and a sliding fee scale apply. Spanish is spoken.
Carbon Medical Service Association in Sunnyside, Utah provides intensive and regular outpatient addiction treatment with buprenorphine and naltrexone, treating co-occurring disorders in adolescents and adults, including veterans. Medicaid, Medicare, TRICARE, and SAMHSA block grants accepted, with a sliding fee scale and sign language services.
Cardinal Recovery in South Bend, Indiana offers residential detoxification, long- and short-term residential treatment, partial hospitalization, and outpatient care, using buprenorphine and naltrexone. Programs cover pregnant and postpartum women, veterans, military families, criminal justice clients, and people with HIV or AIDS, co-occurring disorders, or trauma. Medicaid, TRICARE, and private insurance are accepted.
Outpatient detox and buprenorphine or naltrexone treatment are provided at Care Clinic in Las Vegas, Nevada, alongside care for co-occurring substance use and serious mental illness in adults. Programs serve veterans, military families, pregnant women, and trauma survivors. TRICARE, private insurance, and self-pay are accepted.
Detoxification on an outpatient basis and regular outpatient care are the focus at this Clarksburg, West Virginia clinic, which treats substance use disorders and co-occurring serious mental illness using buprenorphine and naltrexone. Programs serve adults of all ages, including veterans, pregnant and postpartum women, and clients with HIV or AIDS or trauma histories. Medicare, private insurance, and self-payment are accepted. Spanish is spoken.
Outpatient detoxification and regular outpatient substance use treatment are offered at Care Clinic in Martinsburg, West Virginia, with buprenorphine and naltrexone used for opioid use disorder and care for co-occurring serious mental illness in adults. Programs serve veterans, pregnant and postpartum women, and people with co-occurring pain conditions or trauma histories. Medicare, private insurance, and self-payment are accepted. Spanish is spoken.
Capstone Behavioral Health PC in Omaha, NE, provides comprehensive outpatient services for individuals struggling with substance use and co-occurring mental health conditions. Their approach integrates proven therapeutic modalities such as cognitive behavioral therapy and motivational interviewing to foster recovery. The center is dedicated to offering specialized programs for active duty military personnel, adolescents, and adult men, demonstrating a commitment to diverse populations. Capstone Behavioral Health PC welcomes adults and seniors of all gender identities, prioritizing personalized care and a holistic path to wellness. They are devoted to supporting individuals in their journey towards enduring sobriety and improved mental well-being.
The Kenosha CBOC of Captain James A Lovell FHCC offers outpatient detox and substance use treatment for veterans and active duty military in Kenosha, WI, with buprenorphine and naltrexone. Programs also address trauma, sexual abuse, and co-occurring disorders. TRICARE, private insurance, and federal funding are accepted, with Polish and sign language services.
Capital Area Counseling Services, located in Pierre, SD, provides expert treatment for adults facing substance use challenges alongside mental health disorders, as well as support for children dealing with significant emotional issues. Their wide-ranging programs feature intensive outpatient services and options for outpatient treatment using methadone, buprenorphine, or naltrexone. Employing proven methodologies such as brief interventions, cognitive behavioral therapy, and the Matrix Model, this center addresses the needs of adolescents, women, and those who have encountered trauma. With an emphasis on personalized care, it offers rehabilitation services to both men and women of various ages in a nurturing atmosphere.
Capo Canyon Recovery, located in Mission Viejo, CA, provides all-encompassing rehabilitation services catering to both adults and young adults facing challenges related to substance use and associated mental health conditions. The center features extensive residential treatment options, which include detox services and round-the-clock support, alongside customized programs specifically designed for individuals who have experienced trauma or are grappling with pain in conjunction with substance use issues. Their therapeutic strategies, which incorporate elements like 12-step programs and anger management, are personalized to meet the unique needs of each client, fostering a complete healing process. Capo Canyon Recovery serves both men and women, creating a nurturing and gender-sensitive atmosphere conducive to recovery. With an emphasis on high-quality care and scientifically supported methodologies, this facility is committed to guiding clients towards sustained recovery and improved mental health.
Cardinal Recovery LLC, located in Gallipolis, OH, provides extensive treatment options for substance use disorders, including hospital inpatient care, 24-hour inpatient services, and long-term residential programs. This facility employs proven strategies such as cognitive behavioral therapy, the Matrix Model, and motivational interviewing to meet the needs of active duty military members and adults, both male and female. Cardinal Recovery LLC emphasizes personalized care for adults and young adults of all genders, ensuring that treatment is customized to fit individual requirements. With a commitment to high-quality and effective recovery solutions, this center serves as a guiding light for individuals pursuing healing from addiction.
Care Center located in Butler, PA, provides specialized rehabilitation services tailored for adults and seniors facing challenges related to substance use disorders alongside co-occurring mental health issues. This facility offers both intensive outpatient and outpatient treatment options that feature therapies such as methadone/buprenorphine or naltrexone. Emphasizing techniques like cognitive behavioral therapy, anger management, and brief interventions, the center aims to deliver personalized care for those in need. They also provide distinctive programs specifically designed for active duty military personnel, adolescents, and adult males. Care Center is open to both male and female clients, fostering an inclusive and comprehensive recovery environment. Discover quality and individualized care at this dedicated rehabilitation facility.
Care Clinic of Naperville Inc located in Naperville, IL delivers an extensive array of treatment services for substance use issues among both adults and children, including those facing concurrent mental health challenges. The center features various treatment formats, such as intensive outpatient programs, standard outpatient services, and regular outpatient care, employing research-backed methodologies like 12-step support, anger management techniques, and cognitive behavioral therapy. There are specialized programs designed for individuals who have faced trauma, those with dual diagnoses, and clients involved in the criminal justice system. This facility is dedicated to providing exceptional care that meets the unique requirements of adults and seniors across all gender identities.
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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