Killeen, TX
View →Residential program with CBT and DBT integrated into daily groups. Mindfulness, yoga, and equine-assisted therapy give clients hands-on tools for anxiety alongside clinical work. Clinical Director: David Jaskowiak, LPC.
Anxiety and Addiction
- Anxiety and substance use treated at the same time, by the same team
- CBT, DBT, ACT and mindfulness, matched to you rather than issued from a list
- Psychiatric provider visits and medication management on site
- Residential, PHP and IOP across Arizona, Texas, Nevada and Oregon
Medically reviewed by
Heather Cariker, MSN, APRN, PMHNP-BC, Psychiatric Nurse Practitioner
Last reviewed August 2026
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Free & confidential • No obligation • Usually answered within minutes
What We Mean by Co-Occurring Anxiety
Substance use disorders and anxiety frequently co-occur, often because people use substances to quiet panic, social anxiety, or the constant background hum of generalized worry. Either can come first. Alcohol or benzodiazepines might start as a way to get through a stressful day, and over time the substance use makes the underlying anxiety worse, not better.
Treating these separately, the addiction first and the anxiety later, tends to work less well. Integrated treatment means both are addressed at the same time, by the same team, so progress on one doesn't stall while the other waits.
At Virtue, substance use disorder is the primary diagnosis we're built to treat. Anxiety is addressed concurrently throughout your time with us. Through therapy, medication management where appropriate, and skills you can use long after treatment ends. You won't be told to wait for the anxiety piece, and you won't be referred out for it.
What Virtue treats
- Substance use disorder as the primary diagnosis
- Anxiety occurring alongside addiction. Diagnosed or undiagnosed
- Panic symptoms, social anxiety, and generalized worry tied to substance use
- Medication management for existing anxiety prescriptions
- Skills-based work. CBT, DBT, mindfulness, for long-term coping
Important to know
Virtue specializes in addiction treatment. Substance use disorder is the primary diagnosis we treat. If your primary need is standalone psychiatric care for anxiety without a substance use component, we'll be direct about whether we're the right fit and help connect you with appropriate resources.
How We Treat Both
Evidence-based therapies adapted for clients with both a substance use disorder and co-occurring anxiety. Most are available across all residential locations.
CBT & DBT
Cognitive and dialectical behavioral therapies. Identifying the thought patterns that connect anxiety to substance use, and building distress-tolerance and emotional-regulation skills.
Medication Management
Psychiatric medications for anxiety continued and managed throughout treatment by on-site psychiatrists and psychiatric NPs. Evaluated at intake, adjusted as needed.
Mindfulness & Experiential
Yoga, meditation, art therapy, music therapy, equine-assisted therapy. Practical tools for regulating anxious symptoms in the moment, not just talking about them.
ACT & MI
Acceptance and Commitment Therapy and Motivational Interviewing. Building psychological flexibility and intrinsic motivation for change alongside anxiety symptoms.
Trauma-Informed Care
All programming is trauma-informed, since anxiety and unprocessed trauma frequently overlap. Deeper trauma-specific work is available where clinically indicated.
Family Therapy
Weekly family sessions available at most locations. Anxiety and addiction affect the whole family system. Family involvement supports recovery.
Anxiety Care at Every Level
Anxiety is addressed at whatever level of care fits where you're starting, the clinical intensity changes, the concurrent approach doesn't.
Medical DetoxIf withdrawal management is needed first, anxiety symptoms (including withdrawal-related anxiety) are monitored by 24/7 nursing and daily provider visits before stepping into treatment.
ResidentialDaily individual and group work on anxiety and substance use together, with length of stay set by your clinical progress rather than a fixed schedule.
PHPFull-day structured programming continues CBT/DBT and medication management as clients step down from residential or begin outpatient care.
IOPFewer hours per week, same clinical team where possible. Continued therapy and psychiatric follow-up while clients rebuild routine and independence.
Outpatient & AftercareDischarge planning includes a plan for ongoing anxiety management. Medication continuity, referrals, and alumni support.
Anxiety and Addiction Treatment at Every Location
Co-occurring anxiety treatment is integrated across all six Virtue facilities, each with a distinct clinical focus.
CBT/DBT · mindfulness · equine therapy
Las Vegas, NV
View →Psychiatric evaluation and medication management available from admission, with weekly provider visits. Clients managing anxiety alongside a co-occurring eating disorder are also supported here. Private villa residential setting.
Astoria, OR
View →Masters-level co-occurring clinician on staff. Full modality set for anxiety. DBT, CBT, ACT, and mindfulness. Integrated across individual and group therapy.
Houston, TX
View →Psychiatrist on-site within 24 hours of admission for every client. Medication review and management start early, not weeks into treatment.
Las Vegas Outpatient, NV
View →PHP and IOP built for comorbid diagnoses, with weekly psychiatry appointments and DBT/CBT groups designed around clients managing anxiety, substance use, and eating disorders together.
What Clients Say
4.7 / 5· 900+ Google Reviews
I'd been using to get through social situations for years. The CBT work here gave me actual tools instead of just telling me to relax. The equine sessions sound soft but they genuinely helped me regulate before group.
I was terrified they'd pull me off my anxiety meds the second I walked in. They didn't. My provider reviewed everything at intake and we actually found a better combination than what I'd had for years.
Seeing a psychiatrist within a day of admission mattered more than I expected. My anxiety had been undiagnosed for a decade and it was the first time someone connected it to my drinking instead of treating them separately.
The DBT groups here taught me to sit with anxious feelings instead of drinking over them. It wasn't instant, but by week four I could feel the difference in how I handled stress without reaching for anything.
Weekly psychiatry appointments while still working my job was exactly what I needed. My anxiety and my drinking finally had one team looking at both instead of two separate providers who never talked to each other.
Reviews are sourced from Google. Virtue Recovery Center does not edit, curate, or incentivize reviews.
Common questions
Questions people ask about anxiety and addiction
Anything not answered here, ask on the call. There is no obligation.
(866) 461-3339- Will my anxiety actually be treated, or just my addiction?
- Both, at the same time, by the same clinical team. Your therapist, medical/psychiatric provider, and case manager coordinate around the full picture: your substance use and the anxiety that co-occurs with it. You won't be told the anxiety will be addressed "later" or referred elsewhere for it.
- Can I stay on my anxiety medication during treatment?
- Yes, in most cases. Our medical team reviews your current medications at intake. Anxiety medications are typically continued and managed throughout treatment, with ongoing oversight from our psychiatric providers, this is standard care, not an exception.
- I don't have a diagnosed anxiety disorder. I just feel anxious all the time. Can you still help?
- Yes. You don't need a formal diagnosis to have your anxiety symptoms addressed alongside your substance use. Our clinical team evaluates what you're experiencing at intake and builds a treatment plan around it, whether or not it fits a specific diagnostic label.
- What therapies do you use for anxiety?
- CBT and DBT are the foundation. Identifying the thought patterns and triggers that connect anxiety to substance use, and building skills for emotional regulation and distress tolerance. Mindfulness-based practices, ACT, and motivational interviewing are also used, alongside medication management where clinically appropriate.
- Is anxiety and addiction treatment covered by insurance?
- Co-occurring disorder treatment is typically covered under the Mental Health Parity and Addiction Equity Act, which requires most commercial insurance plans to cover mental health and substance use treatment at the same level as medical care. Most commercial and PPO plans cover it, though what yours covers depends on the plan and the level of care. Our admissions team verifies your specific benefits before you commit.
- Is treatment mixed-gender?
- Yes. Programming is mixed-gender across all locations, with occasional single-gender process groups depending on the site and clinical need. Treatment is person-centered and individualized regardless of background.
- My anxiety feels like the bigger problem and substance use feels secondary. Is this still the right fit?
- We'll be direct with you: Virtue is built to treat substance use disorder as the primary diagnosis, with anxiety and other mental health conditions addressed concurrently alongside it. If your primary need is standalone psychiatric care without a substance use component, we'll tell you that clearly at intake and help point you toward appropriate resources instead.
You are allowed to ask
If you are calling for someone else
Most people who call us are calling about someone they love. You can ask about the options and check their insurance on their behalf, and it stays a conversation until you decide otherwise.
Related reading
Dual diagnosis treatment
How co-occurring conditions are treated in one plan by one team.
Read the guide →Mental health at Virtue
The conditions we treat concurrently, and where the boundaries are.
Read the guide →Therapies we use
CBT, DBT, EMDR and the experiential work, and where each one fits.
Read the guide →Residential treatment
What a stay involves and the psychiatric support that comes with it.
Read the guide →Insurance
We accept most major insurance plans.
And most PPO plans. Coverage varies by plan and by facility, so if your carrier is not shown, ask rather than assume.
- Free, and there is no obligation at the end of it
- Usually answered within minutes during the day
- You can check on behalf of someone else
- Admissions answers the phone 24 hours a day
- No insurance? Ask about private pay options. Nobody is turned away without knowing their next step.
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Still have questions? Call us.
Tell us what has been happening with both the anxiety and the substance use. Admissions will verify your insurance and arrange a clinical assessment, and a real person answers at any hour.
Confidential. No obligation. Someone answers, 24 hours a day.
