ADHD and Addiction
ADHD frequently co-occurs with substance use disorder.
Read more →Bipolar Disorder and Addiction
Bipolar disorder and substance use disorder frequently occur together.
Signs of self-medication
When use is doing a job.
Substance use that started as a way to manage symptoms eventually creates its own problem. These are the patterns we see most often in patients with co-occurring bipolar disorder and addiction:
- Using alcohol or stimulants during high-energy or manic periods to keep the momentum going
- Drinking or using sedatives to come down from a manic or hypomanic episode
- Using substances to numb or escape depressive episodes
- Impulsive substance use during periods of elevated mood or risk-taking
- Substance use that intensifies alongside disrupted sleep
- Difficulty telling whether mood swings are being caused or worsened by use
- Inconsistent engagement with psychiatric medication alongside active substance use
Integrated treatment approach
Both conditions, one plan.
Clinical sequence
Integrated treatment stabilizes mood and addresses substance use as one coordinated plan rather than sequential care. The clinical sequence typically starts with medical stabilization, followed by medical evaluation and medication management — mood stabilizers, antipsychotics, or antidepressants as clinically indicated — alongside structured behavioral therapy that targets both mood regulation and substance use patterns. Family involvement and relapse-prevention planning support stability after discharge.
DSM-5: F31.9, F31.81, F34.0
Therapies we use
Evidence-based for this pairing.
Different condition pairs respond to different therapies. The modalities below have the strongest evidence base for co-occurring bipolar disorder and addiction.
- Dialectical Behavior Therapy (DBT)
- Cognitive Behavioral Therapy (CBT)
- Individual Therapy
- Group Therapy
- Family Therapy
- Relapse Prevention
Insurance coverage
Typically covered.
Commercial insurance plans typically cover integrated treatment for bipolar disorder co-occurring with substance use, including behavioral-health and medical assessment, medication management, and evidence-based therapy. Our admissions team verifies your specific plan's coverage as part of that first conversation.
Coverage is determined by medical necessity. Call admissions and we'll verify your specific plan as part of that first conversation.
Other dual-diagnosis conditions
More conditions we treat alongside SUD.
Anxiety and Addiction
Anxiety disorders — generalized anxiety, panic disorder, social anxiety, and specific phobias — commonly co-occur with substance use disorder.
Read more →Depression and Addiction
Depression and substance use disorder co-occur at very high rates, and the relationship runs both ways — depression increases the risk of substance use, and chronic substance use worsens depression.
Read more →Personality Disorders and Addiction
Personality disorders — long-standing patterns of thinking, feeling, and relating that create ongoing distress or conflict — frequently co-occur with substance use disorder.
Read more →PTSD, Trauma, and Addiction
PTSD and substance use disorder co-occur at high rates.
Read more →Sleep Disorders and Addiction
Disrupted sleep is one of the most common co-occurring issues in addiction treatment.
Read more →
Take the next step
Treat bipolar disorder and addiction and substance use together.
Admissions answers 24/7. We work with commercial insurance and verify your specific coverage on the call.