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Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA

Dual Diagnosis Treatment Centers Near You

Dual diagnosis treatment addresses co-occurring mental health and substance use disorders simultaneously. Find integrated treatment centers providing comprehensive care for lasting mental health and addiction recovery.

Found 8,517 rehab centers specializing in dual diagnosis across the United States.

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Browse dual diagnosis treatment centers below. All listed facilities treat co-occurring mental health and substance use disorders with integrated care.

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AppleGate Recovery
Fort Wayne, IN

AppleGate Recovery, located in Fort Wayne, IN, delivers comprehensive outpatient addiction treatment, including medication-assisted treatment with methadone, buprenorphine, or naltrexone. They employ evidence-based therapeutic modalities such as motivational interviewing, relapse prevention strategies, and specialized substance use disorder counseling. AppleGate Recovery is dedicated to providing personalized care plans for adults and young adults, with distinct programs designed for active military personnel, adult men, and women. Their commitment to individualized support and proven therapeutic methods makes them a leading provider for those seeking to conquer addiction.

AppleGate Recovery

AppleGate Recovery, located in Kokomo, IN, specializes in outpatient detox and substance abuse treatment for both adults and young adults. The center utilizes motivational interviewing and strategies for relapse prevention to deliver personalized counseling for those facing substance use disorders. With tailored programs for active military personnel, as well as separate services for adult men and women, AppleGate Recovery addresses a wide range of requirements. The facility serves clients of all genders while focusing on gender-specific care. Patients have access to outpatient treatments such as methadone, buprenorphine, or naltrexone. AppleGate Recovery is committed to providing high-quality care within a nurturing setting for those pursuing recovery from addiction.

Appleton Comprehensive Treatment Ctr

Appleton Comprehensive Treatment Ctr in Appleton, WI, provides accessible outpatient services for substance abuse and detoxification. They offer medication-assisted treatment, including methadone, buprenorphine, and naltrexone, within a nurturing setting. Their therapeutic methods incorporate 12-step integration, brief counseling, and cognitive behavioral strategies. Specialized support is available for active military members, adult men, and adult women. Catering to adults and young adults of all genders, this center emphasizes individualized treatment and robust recovery assistance. Committed to high standards and customized care, they aim to guide patients toward enduring sobriety.

APS Clinics of Puerto Rico

APS Clinics of Puerto Rico, located in Mayaguez, provides outpatient treatment for substance use disorders aimed at both adults and young adults. This facility specializes in managing co-occurring substance use issues in conjunction with significant mental health conditions for adults and emotional challenges in children. The center employs various treatment methods, including anger management, short-term interventions, and cognitive behavioral therapy. With an emphasis on personalized care, the center offers outpatient services that include methadone, buprenorphine, or naltrexone treatments. Catering to both males and females, APS Clinics of Puerto Rico prioritizes high-quality care that addresses the unique requirements of each patient.

AppleGate Recovery
Charleston, WV

AppleGate Recovery, situated in Charleston, WV, provides a range of services including outpatient detox, treatment for substance use disorders, and specialized assistance for adults facing both substance use and severe mental health challenges, as well as emotional issues in children. The center emphasizes relapse prevention and offers counseling tailored to substance use disorders, along with teletherapy options. With a commitment to personalized care, AppleGate Recovery serves individuals of all genders, including adults and young adults. Their outpatient programs featuring methadone, buprenorphine, and naltrexone are designed to deliver thorough support for individuals on their recovery journey. Discover significant and tailored treatment at AppleGate Recovery.

AppleGate Recovery
Fort Mitchell, KY

Located in Fort Mitchell, KY, AppleGate Recovery provides outpatient services for substance use disorders, featuring dedicated programs for those needing methadone/buprenorphine or naltrexone therapy. The center incorporates various therapeutic methods, including 12-step support, anger management strategies, and cognitive behavioral therapy, to tackle addiction challenges. AppleGate Recovery adopts a personalized strategy, serving adults and young adults of any gender. The emphasis on high-quality care and customized treatment plans guarantees that each individual receives the specific support necessary for their recovery journey. For those in search of thorough and effective addiction treatment within a supportive atmosphere, AppleGate Recovery is a prime choice for evidence-based services.

AppleGate Recovery
Bossier City, LA

AppleGate Recovery, located in Bossier City, LA, provides outpatient treatment for substance use disorders for both adults and young adults, including individuals facing significant mental health challenges concurrently. The center features tailored programs designed specifically for both women and men, delivering personalized care that employs cognitive behavioral therapy, motivational interviewing, and relapse prevention strategies. Through its outpatient services utilizing methadone, buprenorphine, or naltrexone treatment, along with a focus on a unique approach for each patient, the facility ensures thorough and effective support. For those in need of quality addiction treatment that emphasizes personal care, AppleGate Recovery is committed to facilitating lasting recovery for its clients.

AppleGate Recovery
Metairie, LA

AppleGate Recovery in Metairie, LA, provides a spectrum of outpatient services for individuals addressing substance use challenges. Their approach includes medication-assisted treatment options such as methadone, buprenorphine, and naltrexone. Additionally, they offer general outpatient care, brief intervention strategies, motivational interviewing techniques, and dedicated relapse prevention support. This center adopts a personalized strategy, welcoming adults and young adults irrespective of gender. AppleGate Recovery in Metairie distinguishes itself through its thorough programs and specific treatment methods designed to assist individuals in overcoming substance use disorders.

AppleGate Recovery

AppleGate Recovery, located in Slidell, Louisiana, specializes in outpatient services for individuals dealing with substance use challenges, catering to both adults and young adults. The center focuses on treatment options such as methadone or buprenorphine, naltrexone therapies, regular outpatient sessions, and telehealth services. Their methodology incorporates motivational interviewing and contingency management techniques to enhance the recovery process. AppleGate Recovery is notable for its customized treatment plans designed to meet the unique needs of each client. This facility provides services to both men and women, ensuring an all-encompassing and supportive environment for those on their journey to recovery. You can anticipate quality care and tailored assistance at AppleGate Recovery.

AppleGate Recovery

AppleGate Recovery in Muncie, IN, provides outpatient services for addiction and substance abuse. Their programs concentrate on motivational enhancement, strategies to avoid returning to substance use, and guidance for individuals facing challenges with substance use disorders. The center is equipped to support active duty military members, as well as adult men and women. By offering tailored support for adults and young adults of all genders, AppleGate Recovery ensures each person receives care suited to their unique circumstances. They are committed to effective, research-supported methods to help individuals achieve and maintain recovery. For those looking for thorough addiction treatment within a caring setting, AppleGate Recovery stands as a potential solution.

Appleseed Community Mental Health Ctr

Appleseed Community Mental Health Center in Ashland, OH, delivers diverse therapeutic approaches designed for adults and older individuals grappling with addiction and intertwined mental health challenges. Through focused outpatient and intensive outpatient options, the center provides personalized care pathways such as 12-step integration, strategies for managing anger, and concise intervention techniques. Specialized tracks for young people, adult men, and women offer distinct and supportive environments. The inclusion of gender-specific care elevates the standard of treatment, catering to the distinct needs of both men and women. For those requiring medication-assisted treatment, including methadone, buprenorphine, or naltrexone, this facility offers complete assistance structured around individual requirements.

APT Foundation Inc
New Haven, CT

APT Foundation Inc. located in New Haven, CT, provides comprehensive treatment grounded in scientific research for individuals grappling with addiction and accompanying mental health concerns, serving both adolescents and adults. The facility delivers various levels of care, from intensive outpatient services to standard outpatient programs, which include medication-assisted treatment like methadone and buprenorphine. Their approach emphasizes personalized support, incorporating therapeutic methods such as 12-step engagement, strategies for managing anger, and short-term counseling techniques. Specialized services are available for active military members, as well as adult men and women. APT Foundation Inc. is dedicated to offering high-quality assistance to all genders within adult and young adult populations who are pursuing wellness from substance dependence and coexisting psychological conditions.

AppleGate Recovery
Indianapolis, IN

In Indianapolis, Indiana, AppleGate Recovery provides accessible outpatient services, including detox, comprehensive substance use disorder care, and medication-assisted treatment options like methadone, buprenorphine, or naltrexone. They employ proven therapeutic methods, such as motivational interviewing, relapse prevention strategies, and individual counseling for substance use challenges. The center features targeted programs for active military members, adult men, and adult women, serving both adult and young adult populations of any gender. AppleGate Recovery is committed to delivering exceptional care and tailored recovery plans to assist those overcoming addiction.

Applewood Centers Inc

Situated in Cleveland, OH, Applewood Centers Inc delivers outpatient treatment for substance use disorders, catering to adults, children, adolescents, and young adults. The center focuses on addressing co-occurring substance use issues alongside significant mental health conditions in adults or serious emotional challenges in children. Employing various therapeutic strategies such as anger management, cognitive behavioral therapy, and motivational incentives, the facility offers personalized care designed to suit each client's specific requirements. Applewood Centers Inc is dedicated to providing inclusive programs for adolescents and individuals who have faced intimate partner violence, domestic abuse, and sexual trauma, ensuring a holistic and empathetic approach to recovery. Services are open to both male and female clients, reflecting a strong commitment to high-quality care for all those in need of support.

APT Foundation Inc
North Haven, CT

APT Foundation Inc. in North Haven, CT, delivers thorough care for individuals struggling with substance use, including specialized support for those facing co-occurring mental health conditions in adults or emotional challenges in children. The facility presents a range of treatment levels, such as intensive outpatient, outpatient, and medication-assisted options like methadone, buprenorphine, or naltrexone. Treatment modalities include 12-step program support, anger management techniques, and brief intervention strategies. Distinctive programs are offered for active military personnel, adult men, and adult women. Catering to adults and young adults regardless of gender, APT Foundation Inc. is committed to delivering exceptional, individualized rehabilitation services.

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APS Clinics of Puerto Rico, located in Aguadilla, delivers extensive addiction recovery services for adults facing simultaneous mental health challenges and for children dealing with significant emotional issues. The center offers a range of services including intensive outpatient programs, day treatment options, and partial hospitalization. Treatment plans incorporate specialized methods such as anger management, brief interventions, and strategies for preventing relapse. Programs are designed specifically for adolescents as well as adult men and women. APS Clinics serves individuals of all genders, including seniors, and is committed to personalized care and the use of evidence-based methods, ensuring top-notch rehabilitation services for those seeking support.

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Spanish Fork, UT

APS Spanish Fork, situated in Spanish Fork, UT, delivers complete care for individuals of all ages facing addiction and co-occurring mental health concerns. The facility offers various treatment levels, including intensive outpatient, outpatient, and day treatment, all grounded in proven methods like cognitive behavioral therapy and anger management. Tailored programs are available for active military personnel, teenagers, and adult men, ensuring that APS Spanish Fork meets diverse needs. The center is dedicated to providing excellent support and treatment for adults and seniors, regardless of gender, on their journey toward recovery from substance abuse and mental health issues.

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West Haven, CT

Situated in West Haven, CT, the APT Foundation Inc delivers extensive care for substance abuse for both adults and adolescents. This organization excels in addressing dual diagnoses, managing addiction alongside significant mental health conditions in adults or severe emotional challenges in youth. Their treatment modalities encompass intensive outpatient services, general outpatient support, and medication-assisted treatment (methadone/buprenorphine or naltrexone), ensuring personalized recovery plans. Employing therapeutic strategies like 12-step integration, anger management techniques, and brief counseling, the facility accommodates various client needs and philosophies. The APT Foundation Inc also provides distinct programs for active military personnel, adult men, and adult women, affirming their commitment to specialized support tailored to specific demographics.

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New Haven, CT

Situated in New Haven, CT, APT Foundation Inc delivers extensive treatment for substance use disorders, catering to both adults and children/adolescents facing significant mental health challenges or emotional issues. The center offers a range of treatment modalities, including intensive outpatient, outpatient, and options featuring methadone/buprenorphine/naltrexone. With dedicated programs aimed at active military personnel, adult men, and women, APT Foundation Inc customizes its services to meet the distinct needs of each individual. By employing techniques such as 12-step facilitation, anger management, and brief therapeutic interventions, the facility promotes a well-rounded approach to recovery. Committed to high-quality care, APT Foundation Inc serves as a reputable option for individuals in pursuit of impactful rehabilitation solutions.

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New Haven, CT

APT Foundation Inc in New Haven, CT, delivers targeted substance use care for adults managing co-occurring mental health issues, as well as for children with emotional disturbances. The center offers diverse residential recovery options, including extended, round-the-clock, and brief placements. Their therapeutic methods incorporate 12-step engagement, emotional regulation skills, and concise counseling. Specialized services are available for active military personnel, adult women, and survivors of domestic abuse. APT Foundation Inc supports adults, older adults, and younger adults, with a particular emphasis on women. Dedicated to high-quality support, this establishment offers a holistic and nurturing setting for individuals pursuing healing from addiction and mental health concerns.

Dual Diagnosis (Co-Occurring Disorders): Key Facts

Classification

Co-occurring mental health + substance use disorders

Prevalence

9.2 million adults in the US (SAMHSA)

Affected

~50% of people with severe mental illness have SUD

Common pairings

Depression+alcohol, Anxiety+benzos, PTSD+opioids, Bipolar+stimulants

Treatment model

Integrated (simultaneous), NOT sequential

Why it matters

Treating one without the other = high relapse rate for both

Key credential

CARF or Joint Commission dual diagnosis accreditation

Insurance

Covered under Mental Health Parity and Addiction Equity Act

What Is Dual Diagnosis?

Definition of dual diagnosis

Dual diagnosis — also called co-occurring disorders — refers to the presence of both a mental health disorder and a substance use disorder (SUD) in the same person at the same time. This is not two separate problems that happen to overlap. The mental health condition and the addiction interact with and reinforce each other, making both harder to treat in isolation.

More common than most people realize

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), approximately 9.2 million adults in the United States have co-occurring mental health and substance use disorders. Roughly half of all people with a severe mental illness also struggle with substance abuse, and about one-third of all people with any mental illness also have a substance use disorder. Despite how common this is, fewer than 10% of people with co-occurring disorders receive treatment for both conditions.

Why dual diagnosis is often missed

Many people with co-occurring disorders are only diagnosed with one condition. Substance use can mask or mimic mental health symptoms, and mental health symptoms can be dismissed as consequences of substance use. This is why comprehensive assessment by professionals trained in both mental health and addiction is essential for accurate diagnosis and effective treatment planning.

Common Co-Occurring Disorder Combinations

Depression + Alcohol

Depression and alcohol use disorder is one of the most common co-occurring combinations. People with depression often drink to numb emotional pain, but alcohol is a central nervous system depressant that worsens depression over time. This creates a self-reinforcing cycle where each condition drives the other.

Anxiety Disorders + Benzodiazepines or Alcohol

People with generalized anxiety, social anxiety, or panic disorder frequently turn to benzodiazepines or alcohol for relief. While these substances reduce anxiety temporarily, they cause rebound anxiety that is often worse than the original symptoms, leading to escalating use and physical dependence.

PTSD + Opioids

Post-traumatic stress disorder and opioid use disorder frequently co-occur. Opioids blunt the emotional pain, hyperarousal, and intrusive memories associated with PTSD. However, opioid dependence adds a second layer of suffering and makes trauma processing in therapy far more difficult.

Bipolar Disorder + Stimulants

People with bipolar disorder have some of the highest rates of co-occurring substance use. During depressive episodes, stimulants like cocaine or methamphetamine may be used to elevate mood. During manic episodes, stimulants can intensify risky behavior. Substance use also destabilizes mood cycling and interferes with medication effectiveness.

Eating Disorders + Various Substances

Eating disorders like anorexia, bulimia, and binge eating disorder frequently co-occur with alcohol, stimulants, laxatives, or diet pills. Both conditions involve compulsive behavior patterns and distorted self-perception. Treatment must address the shared psychological roots rather than treating each behavior in isolation.

Why Integrated Treatment Is Essential

The failure of the sequential model

For decades, the standard approach was sequential treatment: address the addiction first, then treat the mental health condition (or vice versa). This approach consistently produced poor outcomes. A person who achieves sobriety but still has untreated depression, anxiety, or PTSD is at extremely high risk for relapse. Likewise, stabilizing someone's mental health while ignoring active substance use undermines psychiatric treatment effectiveness.

The evidence for integrated care

Research consistently shows that integrated treatment — addressing both conditions simultaneously with a coordinated team — produces significantly better outcomes than sequential or parallel treatment. SAMHSA has identified integrated dual diagnosis treatment as an evidence-based practice and recommends it as the standard of care for co-occurring disorders. Integrated programs reduce hospitalization rates, improve treatment retention, decrease substance use, and improve mental health symptoms.

What integrated means in practice

In an integrated program, the same treatment team addresses both conditions together. A psychiatrist manages medication for both the mental health disorder and any medication-assisted addiction treatment. Therapists are trained in both mental health and substance use counseling. Treatment plans account for how the two conditions interact, and progress is measured across both domains simultaneously.

What Happens in Dual Diagnosis Treatment

Comprehensive assessment

Treatment begins with a thorough evaluation by professionals trained in both mental health and addiction. This assessment identifies all co-occurring conditions, determines the severity of each, evaluates how the conditions interact, screens for medical complications, and establishes a baseline for measuring progress.

Medication evaluation and management

A psychiatrist evaluates medication needs for both conditions. This may include antidepressants, mood stabilizers, anti-anxiety medications (non-addictive options), antipsychotics, and addiction-specific medications like buprenorphine, naltrexone, or acamprosate. Medication management is ongoing throughout treatment, with adjustments as symptoms change.

Individual and group therapy

Individual therapy uses evidence-based approaches like Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to address thought patterns, emotional regulation, trauma, and coping skills. Group therapy provides peer support from others with co-occurring disorders, reduces isolation, and builds interpersonal skills. Specialized groups may focus on relapse prevention, emotion management, or specific conditions like trauma or anxiety.

Family education and involvement

Co-occurring disorders affect the entire family. Family education helps loved ones understand both conditions, learn how to provide effective support without enabling, establish healthy boundaries, and participate constructively in the recovery process. Family therapy sessions address relationship dynamics that may contribute to or result from the conditions.

Aftercare planning

Before discharge, the treatment team develops a detailed aftercare plan that includes ongoing psychiatric care, continued therapy, support group participation, medication management, relapse prevention strategies, and crisis planning. Aftercare is especially important for dual diagnosis because both conditions are chronic and require ongoing management.

Typical program timeline

Dual diagnosis programs are often longer than single-condition treatment. Residential programs typically last 30 to 90 days, though some extend to 6 months for complex cases. Intensive outpatient programs run 8 to 12 weeks. Step-down to standard outpatient therapy and psychiatric follow-up usually continues for 6 to 12 months or longer, depending on individual progress and needs.

How to Choose a Dual Diagnosis Treatment Center

Licensed MH + addiction staff

Verify the center has both licensed mental health professionals (psychiatrists, psychologists) and certified addiction specialists working together.

Psychiatric services on-site

On-site psychiatric care is essential for medication evaluation, prescribing, and ongoing management of both psychiatric and addiction medications.

Medication management

Look for programs that coordinate psychiatric medications with addiction treatment medications, monitoring for interactions and adjusting as needed.

Accreditation (CARF, Joint Commission)

CARF or Joint Commission accreditation with a specific dual diagnosis designation indicates the program meets rigorous quality standards for co-occurring care.

Evidence-based therapies

The center should offer CBT, DBT, trauma-focused therapy, motivational interviewing, and other proven approaches tailored to co-occurring disorders.

Individualized treatment plans

Every dual diagnosis presentation is different. The center should create personalized plans based on your specific conditions, severity, history, and goals.

Insurance Coverage for Dual Diagnosis Treatment

The Mental Health Parity and Addiction Equity Act

The Mental Health Parity and Addiction Equity Act (MHPAEA) requires health insurance plans that offer mental health and substance use coverage to provide benefits that are comparable to medical and surgical coverage. This means your insurer cannot impose stricter limits on dual diagnosis treatment than it would on treatment for a physical health condition like diabetes or heart disease.

ACA essential health benefits

Under the Affordable Care Act, mental health and substance use disorder services are classified as essential health benefits. All ACA-compliant marketplace plans must cover these services, including dual diagnosis treatment. This applies to individual and small group plans purchased through the Health Insurance Marketplace.

Medicaid coverage

Medicaid covers mental health and substance use treatment in all states, though the specific services covered and provider networks vary by state. Many states have expanded Medicaid under the ACA, broadening access to dual diagnosis treatment for low-income adults. Contact your state Medicaid office or a treatment center's admissions team to verify your specific coverage.

How to verify your benefits

Call the member services number on the back of your insurance card and ask specifically about coverage for co-occurring mental health and substance use treatment. Request details on in-network providers, deductibles, copays, prior authorization requirements, and any limits on residential or outpatient days. Most treatment centers also offer free insurance verification — call their admissions line and provide your insurance information for a benefits check before committing to a program.

If you've tried treatment for addiction OR mental health alone and relapsed, you may need integrated dual diagnosis care. This is not a failure — it means both conditions need to be addressed together.

Frequently Asked Questions About Dual Diagnosis

What exactly is dual diagnosis?

Dual diagnosis refers to having both a mental health disorder (like depression, anxiety, PTSD, or bipolar disorder) and a substance use disorder simultaneously. Also called co-occurring disorders, this condition affects approximately 9.2 million adults in the United States and nearly 50% of people with severe mental illness. Integrated treatment that addresses both issues together — rather than separately — produces significantly better outcomes.

Why is integrated treatment important for dual diagnosis?

Integrated treatment is crucial because mental health and addiction affect each other directly. Treating only one condition while ignoring the other typically leads to relapse in both. For example, getting sober without addressing underlying depression or PTSD leaves the person vulnerable to self-medicating with substances again. Integrated programs provide coordinated care where mental health professionals and addiction specialists work together on a unified treatment plan.

How do I know if I have dual diagnosis?

Signs that you may have co-occurring disorders include: experiencing mental health symptoms (depression, anxiety, mood swings, paranoia) alongside substance use problems; using substances to cope with emotional pain or mental health symptoms; difficulty controlling substance use despite consequences; mental health symptoms that persist or worsen even during periods of sobriety; or previous treatment failure for either addiction or mental health alone. A comprehensive assessment by a qualified professional can confirm a dual diagnosis.

What makes a treatment center qualified for dual diagnosis?

Look for programs that have both licensed mental health professionals (psychiatrists, psychologists, licensed clinical social workers) and certified addiction specialists on staff. The center should offer on-site psychiatric services, medication management, evidence-based therapies for both conditions (CBT, DBT, trauma-focused therapy), and individualized treatment plans. CARF or Joint Commission accreditation with a dual diagnosis designation is a strong indicator of quality.

Does insurance cover dual diagnosis treatment?

Yes, most health insurance plans cover dual diagnosis treatment. The Mental Health Parity and Addiction Equity Act requires insurers to cover mental health and substance use treatment at levels comparable to medical and surgical coverage. ACA-compliant plans include these as essential health benefits. Medicaid also covers co-occurring disorder treatment in all states. Contact your insurance provider or a treatment center's admissions team to verify your specific benefits and out-of-pocket costs.

What if I was only diagnosed with addiction but think I have a mental health condition too?

This is very common — many people enter addiction treatment without a formal mental health diagnosis. If you experience persistent sadness, anxiety, mood swings, flashbacks, difficulty concentrating, or other symptoms beyond your substance use, tell your treatment team. Request a comprehensive psychiatric evaluation. A qualified dual diagnosis program will screen for co-occurring mental health conditions and adjust your treatment plan accordingly. Getting the right diagnosis is essential for lasting recovery.

Can I take psychiatric medications while in addiction treatment?

Yes, and in many cases it is essential. Proper psychiatric medication management is a critical part of dual diagnosis treatment. Non-addictive medications like SSRIs, SNRIs, mood stabilizers, and certain anti-anxiety medications (such as buspirone or hydroxyzine) are safe and effective during addiction recovery. Dual diagnosis programs have psychiatrists who specialize in prescribing medications that treat mental health conditions without interfering with sobriety or creating new dependencies. Never stop taking prescribed psychiatric medications without consulting your doctor.

Medical Review and Sources

Medically Reviewed Updated April 10, 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

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