Treatment for Co-Occurring Disorders

When mental-health and substance-use conditions occur together, integrated treatment addresses both. Learn what integrated care means and what to ask for.

Updated 2026

This guide is informational and is not medical advice.

Category: special-populations · Updated 2026

Many people who seek help for a substance-use disorder also live with a mental-health condition such as depression, anxiety, or post-traumatic stress, and the reverse is also true. When both are present, this is called a co-occurring disorder. The most effective approach treats both together rather than one at a time.

This is informational only and not medical advice. A clinician can assess both conditions and recommend care.

Why integrated care matters

Treating only the substance use while ignoring a mental-health condition, or the reverse, often leads to poorer outcomes. Integrated treatment addresses both at the same time, by the same team or through close coordination, with a single plan that covers medication, therapy, and recovery support. National guidance treats integrated care as the standard for co-occurring conditions.

What integrated treatment includes

One assessment that screens for both substance use and mental-health conditions.
A single treatment plan that addresses both, rather than two disconnected plans.
Medication for either or both conditions when appropriate, managed together.
Therapy that works on both, such as cognitive behavioral therapy or dialectical behavior therapy.
Coordination among prescribers, therapists, and recovery supports.

Finding an integrated program

Not every program treats both conditions. Ask directly whether the program serves people with co-occurring conditions, whether psychiatric care and medication management are available, and how it coordinates care between providers. Community health centers and programs listed as mental health treatment or drug and alcohol rehab may offer integrated care; confirm the specifics.

What to ask

Do you treat co-occurring mental-health and substance-use conditions together?
Is psychiatric assessment and medication management available?
How do your providers coordinate care?
What therapies do you use for both conditions?
How do you handle crises?
What is the cost, and what insurance is accepted?

These listings are unrated; confirm services, licensing, cost, and availability directly.

Related guides

Frequently asked questions

Which comes first, the mental-health condition or the substance use?

It varies and often is not clear. Either can worsen the other. Effective care does not try to untangle which came first; it assesses both and treats them together in one integrated plan.

Can I get medication for both conditions?

Often yes. A prescriber can manage medication for mental-health conditions and for substance use disorder together, with attention to interactions. Ask whether the program has psychiatric prescribers and how medications are coordinated.

Do I have to be stable on one condition before treating the other?

No. Requiring people to complete one treatment before starting the other can delay care and worsen outcomes. Integrated treatment addresses both from the start, which is the approach national guidance recommends.

Where can I find integrated care?

Ask programs directly about co-occurring treatment, look at community behavioral-health centers, and call the SAMHSA National Helpline at 1-800-662-4357 for referrals. Confirm that the program provides both mental-health and substance-use services.

Data sources

SAMHSA FindTreatment.gov. This guide is provided for information and is not medical advice. Processing date: 2026-10-08.

Required disclosures

For general information only, not medical advice. This website shares public data and general information. It does not offer medical advice, diagnosis, or treatment guidance, and it cannot replace a consultation with a qualified health care professional.

Independent and unaffiliated. RehabProviders.org is a private, independently run directory. It is not affiliated with, nor endorsed or operated by, the Substance Abuse and Mental Health Services Administration (SAMHSA), the U.S. Department of Health and Human Services, or any government agency. SAMHSA has not reviewed or endorsed this site.

Confirm details before acting. Facility records come from public federal datasets and may lag or contain errors. These listings are unrated; always verify current services, licensing, availability, and cost directly with the provider.

In a crisis, get help now. Call or text 988 to reach the 988 Suicide & Crisis Lifeline, or call the SAMHSA National Helpline at 1-800-662-4357.

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