Anxiety & Addiction Inpatient Care

Anxiety & Addiction Outpatient Care

Anxiety & Addiction Treatment at Banyan

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Written by: Banyan Editorial Staff   |   Medically reviewed by: Dr. Darrin Mangiacarne - Chief Medical Officer   |   Edited: April 2026

Experiencing anxiety and addiction at the same time can make daily life feel like an inescapable cycle. While you might begin using alcohol or other drugs in the beginning to manage racing thoughts, settle a panic attack, or get through social situations, in time, you will likely find that substance use only heightens your anxiety. You may also notice these dual struggles start to impact your ability to function at work, your relationships, and your physical health. 

The great news is that these two co-occurring disorders can be treated effectively and efficiently. At Banyan Treatment Centers, we provide specialized, integrated treatment for co-occurring disorders to help you treat your anxiety and addiction symptoms together in one, unified plan.

What Is Anxiety and Addiction?

Anxiety and addiction are what we refer to as a co-occurring disorder, or dual diagnosis, of an anxiety disorder and substance use disorder. Your anxiety disorder could include conditions such as general anxiety disorder, panic disorder, and social anxiety disorder, to name a few. Meanwhile, substance use disorder occurs when you begin to compulsively use drugs and alcohol despite the negative consequences.

In some cases, anxiety and addiction become closely intertwined. You could develop anxiety disorder symptoms because you are already abusing alcohol or other drugs. Others find that alcohol and other substances help to alleviate their anxiety for a while. The difference is that the anxiety and addiction are far more severe than normal stress, worry, and nervousness.

Symptoms of Anxiety and Addiction

Your symptoms will present differently from one person to the next. While some people recognize the emotional and physical symptoms of anxiety disorder, others are the first to notice the behavioral, physical, and social symptoms of their substance use disorder. Frequently, these signs of the dual diagnosis appear together.

These are common signs to look out for, but it is important to note that you may have some or all of these symptoms:

  • Constantly feeling on edge, and constantly worrying
  • Having panic attacks or experiencing sudden waves of fear
  • Having trouble sleeping, difficulty relaxing, restlessness
  • Experiencing feelings of irritability
  • Avoiding social situations, daily work, and other responsibilities
  • Using alcohol and/or drugs to sleep, deal with stress, and calm your nerves
  • Increasing the amount that you consume over time to get a reaction
  • Finding you cannot cut back or cravings
  • Feeling the effects of withdrawal
  • Having issues in your daily life with anxiety and/or drug and/or alcohol usage
  • Feeling shame, secrecy, or isolation due to substance misuse
  • Feeling increased anxiety while you are high, coming down, or undergoing withdrawal

Because you may experience a mix of different symptoms, it can be hard to tell what is caused by your substance use and what is your anxiety. The best way to find out is to get a full evaluation to determine which problems are present and the appropriate course of treatment for you.

Questions about our Facilities or Programs?

Our admissions coordinators are available 24/7 to answer any questions you may have as you consider whether treatment at Banyan is right for you or your loved one.

How Anxiety and Addiction Are Diagnosed

Licensed and trained professionals in the field of mental health and substance use treatment diagnose anxiety and addiction. They may ask you about your symptoms and how you use drugs and alcohol, your medical history, and your substance use treatment history. 

They will also be looking at your trauma history, your medications, your sleep, and how you function day-to-day. They will look into the timeline of your symptoms to find out if your anxiety began before your addiction, along with your addiction, and/or because of your addiction.

These questions are a vital part of the diagnostic process. Your diagnosis can only be made if your symptoms are present. However, sometimes anxiety symptoms mimic withdrawal, and at the same time, substance use masks or even worsens the mental health symptoms. Identifying an issue accurately helps healthcare professionals design a more effective and safe recovery plan.

Treating Anxiety and Substance Use Disorders

Given that each problem may cause or worsen the other, clinicians should address both simultaneously. Integrated care helps patients better understand the link between anxiety and drug use while also encouraging them to develop more positive methods of dealing with stressful situations. This is another reason patients might benefit from a dual diagnosis approach and a full range of care options, such as those available at Banyan.

Treatment could involve:

  • Individual therapy focused on trigger identification, cognitive distortions, and emotional patterns
  • Cognitive behavioral therapy aimed at reframing negative thoughts and enhancing coping mechanisms
  • Group therapy designed to foster community and accountability
  • Prevention strategies specifically focused on managing stress, avoidance behaviors, and high-risk scenarios
  • Medication management, when medically appropriate
  • Psychoeducation regarding the interplay between anxiety, cravings, and drug use
  • Skills training in grounding techniques, emotional regulation, and routine establishment
  • Clinical research into substance use disorders and anxiety, as well as years of research regarding the connection between anxiety disorders and substance abuse, offer valuable insights into why dual diagnosis approaches are so effective when cognitive distortions play a part in anxious thoughts.

Depending on their needs, medications may play a role for some patients; providers must weigh the options, especially when co-occurring addiction is involved. Successful treatment isn't solely about preventing relapse; it is also about teaching patients how to manage their anxieties without relying on drugs or alcohol.

How Banyan Approaches the Treatment of Anxiety and Addiction

At Banyan, we start by conducting an evaluation to assess how anxiety and addictive behaviors are impacting a patient's life. Our clinicians evaluate the severity of these conditions, including substance use history, safety considerations, history of prior treatment, and how the condition is affecting overall quality of life. From there, we craft a treatment plan that supports both substance use disorder and mental health concerns.

Banyan offers a range of treatment approaches based on clinical research and the overall needs of the individual. Patients can benefit from counseling, psychiatric services, relapse prevention programs, and support as they develop coping mechanisms. Patients can also benefit from the availability of our mental health programs, in-person assessment at any of our locations, and more remote care.

What Does the Level of Care for Anxiety and Addiction Treatment Look Like?

The appropriate level of care is dependent on a variety of factors, including the severity of symptoms, patterns of drug use, medical history, safety concerns, and level of support at home.

Some may need more structured care as they enter treatment, while others may be more suited to partial, step-down treatment, or a less structured care model.

Residential Treatment

Inpatient mental health care provides live-in, intensive support for adults with severe anxiety and addiction problems that are affecting their ability to function.

Partial Hospitalization Program (PHP)

Patients get full, intensive treatment throughout the day and come home at night. It can be a good option for those who do not need inpatient treatment but need more therapy and supervision than they would be able to access in an outpatient setting.

Outpatient Treatment Program

Patients receive ongoing treatment with a bit more flexibility. They can be a good option for those with a mild to moderate level of addiction, or those looking to step down from a more intense level of treatment. 

Virtual IOP

Telehealth may offer consistent remote help for those adults who require regular treatment and require a bit more flexibility. Research on co-occurring anxiety and substance use that have been published in peer-reviewed journals suggests maintaining consistency through the different levels of care.

What Can You Expect From Anxiety and Addiction Treatment?

Anxiety and addiction treatment starts with an assessment to identify and assess both anxiety symptoms and substance use. Once the clinical team has an understanding of the patient’s requirements, a treatment plan will be implemented and modified over time to reflect progress. 

In the context of day-to-day treatment, you may be expected to participate in individual counseling, group therapy, coping-skills practice, and trigger work related to anxiety and substance use. You will be able to gain skills in identifying avoidance patterns, managing physical anxiety symptoms, and responding to cravings.

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Co-occurring Disorders and Anxiety

Anxiety can exist with other mental health disorders as well as substance use disorders. Other conditions some individuals have include depression, trauma, bipolar disorder, or other mental health conditions. Co-occurring mental illness symptoms can add difficulty to the recovery process when not identified. 

It is important for both mental health and substance use to be assessed, as the presence of unmanaged mental illness can contribute to relapse. Likewise, continued substance use can maintain active anxiety symptoms and prevent evaluation of those symptoms.

Insurance and Paying for Treatment

Many people don't pursue treatment as a result of the cost associated with it. Banyan Treatment Centers has insurance partners, and our admissions team can help you to verify your benefits and talk you through your coverage options. We encourage you to call us to get a clear picture of potential treatment benefits. The first step is usually verifying your insurance for Banyan treatment, so you have an opportunity to review your coverage in conjunction with determining your next steps.

Get Help for Anxiety and Addiction Today

Having both an anxiety disorder and a substance use disorder can feel exhausting when your substance use and anxiety are contributing to each other’s existence and perpetuity. However, having anxiety and an addiction treated is entirely possible through dual-diagnosis care that addresses both problems. 

Banyan Treatment Centers offers dual diagnosis treatment programs so you may get the help you need to heal for the long-term. Reach out to our admissions team today to talk to one of our admissions representatives to determine what anxiety and addiction treatment options work for you, or check your insurance with us.

Frequently Asked Questions

1What is the best treatment for anxiety and addiction?
It has been shown that integrated treatment that addresses both the anxiety and the substance use disorder through therapeutic treatment, psychiatric support, and a relapse prevention treatment component is often the most effective treatment.
2When should someone get help for anxiety and addiction?
If your anxiety is associated with repeated substance use, if substance use worsens your anxiety, or either condition starts impacting functioning, you may need to be considered for treatment. This includes impacts on your work, relationships, sleep, and physical or mental safety.
3Which is better, inpatient or outpatient treatment for anxiety and addiction?
Neither is better overall. Both programs offer different treatment needs depending on the severity of the co-occurring disorder, whether there are immediate relapse risks, medical needs, and outside the treatment, supports a person may have
4Can anxiety and addiction be treated together?
Yes. Because of their interaction, it is often recommended that treatment for both is included.

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Banyan Facilities for Mental Health Treatment

Banyan Castle Rock

Located in Castle Rock, CO

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Telehealth Virtual IOP

Banyan Boca

Located in Boca Raton, FL

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Banyan Tampa
Located in Seminole, FL

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Banyan Heartland

Located in Gilman, IL

Substance Use Inpatient
Mental Health Inpatient
Substance Use Outpatient
Telehealth Virtual IOP