Dual Diagnosis Treatment

Understanding dual diagnosis care

Dual diagnosis means having both a substance use disorder and a mental health condition at the same time. This is common, and effective treatment is available. About half of people with a substance use disorder also have a mental health condition, and many experience the reverse.

The two conditions feed each other. Untreated depression can lead to drinking. Alcohol can make depression worse. Opioids might blunt anxiety for a short time, but withdrawal can make it spike. The cycle often continues until both are treated together.

Care at separate clinics can become fragmented. One provider may not see the other’s plan. Medications can conflict. Appointments stack up, and people fall through the cracks.

Integrated care means one provider and one treatment plan for both conditions. Your clinician sees the full picture and manages medications in one place. Follow-up plans adjust together. When therapy is part of your plan, we collaborate with your therapist rather than duplicate care. You don’t have to repeat your story. You get one point of contact, fewer conflicting decisions, and care that moves in the same direction.

Conditions we commonly treat

We treat both substance use and mental health conditions together. Below are the diagnoses and combinations we see most often.

Substance use disorders:

• Opioid use disorder (heroin, fentanyl, prescription painkillers)
• Alcohol use disorder
• Stimulant use (methamphetamine, cocaine)
• Other substance use disorders (benzodiazepines, cannabis)

Mental health conditions:

• Depression
• Anxiety disorders (generalized anxiety, panic disorder, social anxiety)
• PTSD
• Bipolar disorder
• ADHD
• Insomnia
• OCD

Common combinations we see:

• Opioid use disorder + depression
• Opioid use disorder + anxiety
• Opioid use disorder + PTSD
• Alcohol use disorder + depression
• Alcohol use disorder + anxiety
• Stimulant use + ADHD
• Other combinations across the lists above

These are common examples, not a complete list. Treatment moves at a pace that feels manageable, even if you’ve struggled with care before.

How our program works

Here’s what to expect, from the online assessment to ongoing management.

Step 1: Online Assessment

Complete a short questionnaire about symptoms, substance use, and medical history. Your answers help your provider prepare for your visit.

Step 2: Schedule Your Appointment

Choose a time that works for you. Appointments are often available within days.

Step 3: Initial Evaluation

Meet with your provider for an initial evaluation, usually 45-60 minutes. We will review your history, symptoms, and treatment options together, then decide on clear next steps.

Step 4: Ongoing Care

Follow-up visits are shorter and focus on progress, medication adjustments, withdrawal symptoms, and safety planning. Visit frequency adjusts based on your needs, progress, and safety.

Insurance and cost

We check your insurance benefits before your first visit and share estimated out-of-pocket costs.

• Washington: Most commercial plans. Private pay is available.
• Nevada: Most commercial plans. Medicaid and Medicare accepted. Private pay is available.
• New Mexico: Most commercial plans. Medicaid and Medicare accepted. Private pay is available.
• California: Private pay only. We do not bill insurance in California.