What we treat
When there are two things going on, treating one is not enough.
Depression, anxiety and PTSD sit underneath a great deal of drinking and using. If the last attempt at treatment did not hold, this is often the reason.
What dual diagnosis means
A substance use disorder and a mental health condition occurring together, each making the other harder to treat.
It is common, not unusual
Co-occurring conditions are the norm in treatment rather than the exception. If this is you, you are in the majority here.
The order does not matter much
People spend a lot of energy arguing about which came first. Clinically, both are treated at once regardless of the answer.
Separate treatment tends to fail
Getting sober in one place and treating depression in another leaves each clinician working with half the picture.
Been through treatment before and it did not stick?
This is worth one phone call. It is often the piece that was missing.
What we treat alongside substance use
Depression and anxiety
Including the kind men describe as irritability, numbness or exhaustion rather than sadness.
Trauma and PTSD
Treated with EMDR and individual therapy, at a pace set clinically. Trauma treatment →
Psychiatric and psychological disorders
Treatment here is overseen by psychologists, psychiatrists and counsellors, which is what makes treating both sides possible in one plan.
How it works in one plan
One evaluation, both sides
The intake evaluation looks at medical history, substance use history and mental health together rather than in sequence.
One team, one plan
Medication where it is appropriate, therapy alongside it, and clinicians who are talking to each other about the same person.
Aftercare that covers both
Referrals for continued psychiatric care as well as outpatient substance treatment. Aftercare →
Most major insurance covers treatment here.
Checking takes five minutes and commits you to nothing at all.
Questions people ask us
Do I need a diagnosis before I call?
No. The evaluation here is part of the process, and plenty of men arrive having never been assessed for anything.
Will I be put on medication?
Only if it is clinically appropriate, and it is a conversation with you rather than a decision made about you.
What if I am already on psychiatric medication?
Bring it, along with the prescriber’s details. It goes into the plan rather than being stopped by default. Things to bring →
Is depression just the drinking?
Sometimes it lifts with sobriety and sometimes it does not, which is exactly why both get treated rather than one being assumed away.
Can my family be part of this?
Yes, and with co-occurring conditions it helps more than usual. For family members →
Something we did not answer? Call 1-866-745-6459 and ask.
If it did not hold last time, this may be why.
One call, free and confidential, and you can end it whenever you like.
Call 1-866-745-6459Trauma treatmentKeep reading
When mental health and substance use travel together.
- Our residential programOne plan covering both, with psychiatry on the team.
- Helping someone with depression and substance abuseWhat actually helps, and what backfires.
- Supporting a loved one with co-occurring disordersFor the person doing the worrying.
- Why mental health check-ups matterCatching it before it becomes a crisis.
- For family membersHow families get brought into the work here.
- Inneractions IOPOur outpatient partner in Encino for step-down care.