ADHD and Addiction
ADHD frequently co-occurs with substance use disorder.
Read more →PTSD, Trauma, and Addiction
PTSD and substance use disorder co-occur at high rates.
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 ptsd, trauma, and addiction:
- Using to suppress intrusive memories, flashbacks, or nightmares
- Drinking or using to fall asleep when nightmares disrupt rest
- Using to manage hyperarousal, irritability, or hypervigilance
- Substance use that intensifies around trauma anniversaries or triggers
- Numbing emotions to avoid trauma-related distress
- Increased use during periods of perceived threat or instability
Integrated treatment approach
Both conditions, one plan.
Clinical sequence
Trauma-informed, integrated treatment addresses PTSD and substance use at the same time — delaying trauma treatment until 'after recovery' is linked to worse outcomes for both conditions. Care combines medical stabilization, structured addiction treatment, trauma-informed and trauma-focused therapy delivered at a pace that feels manageable, and medication management by authorized medical providers for symptoms like sleep disruption and hyperarousal.
DSM-5: F43.10
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 ptsd, trauma, and addiction.
- Trauma Informed Therapy
- Trauma Therapy
- Cognitive Behavioral Therapy (CBT)
- Individual Therapy
- Group Therapy
Insurance coverage
Typically covered.
Commercial insurance plans typically cover integrated treatment for PTSD co-occurring with substance use, including trauma-informed therapy and medication management by authorized medical providers. 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 →Bipolar Disorder and Addiction
Bipolar disorder and substance use disorder frequently occur together.
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 →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 ptsd, trauma, and addiction and substance use together.
Admissions answers 24/7. We work with commercial insurance and verify your specific coverage on the call.