Dual Diagnosis Treatment in New York
When addiction and mental health conditions occur together—what professionals call "dual diagnosis" or "co-occurring disorders"—treatment becomes more complex but also more important. Nearly half of people with substance use disorders also have a mental health condition. New York facilities increasingly specialize in treating both issues simultaneously, which research shows leads to much better outcomes.
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Dual diagnosis means having both a substance use disorder and a mental health condition at the same time. This could be depression and alcohol addiction, anxiety and opioid dependence, PTSD and cocaine use, or any combination of mental health and substance issues.
Here's why this matters: these conditions often feed each other. Someone with untreated anxiety might drink to calm their nerves. Someone with depression might use stimulants to feel normal. If treatment only addresses the addiction without treating the underlying mental health condition, relapse becomes much more likely.
The reverse is also true—substance use can worsen mental health symptoms or even trigger conditions that might not have developed otherwise. Alcohol is a depressant that can create or deepen depression. Stimulants can trigger anxiety or psychotic episodes. This interconnection is exactly why integrated treatment works better than addressing each issue separately.
- Using substances to cope with emotional pain or mental health symptoms
- Mental health symptoms that worsen with substance use
- Failed attempts at treatment that only addressed one condition
- Difficulty determining which problem came first
- Mood swings that persist even during sobriety
- Anxiety or depression that intensifies during withdrawal
- History of trauma combined with substance use
- Medication non-compliance due to substance use
- Self-medicating with alcohol or drugs
Integrated dual diagnosis treatment addresses both conditions simultaneously with a coordinated team. Rather than bouncing between a psychiatrist and an addiction counselor who don't communicate, you work with providers who understand how your conditions interact.
Treatment typically includes psychiatric evaluation and medication management for your mental health condition, combined with addiction treatment approaches like counseling, group therapy, and possibly MAT. The key is that these services are integrated—your treatment plan considers both conditions together.
Many people with dual diagnosis benefit from residential treatment initially, where they can stabilize both conditions in a structured environment. After that, ongoing outpatient care helps maintain progress with both issues.
Treatment Options Available in NY:
- Integrated dual diagnosis programs
- Psychiatric evaluation and medication management
- Trauma-informed care (especially for PTSD)
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Medication-assisted treatment when appropriate
- Group therapy for co-occurring disorders
- Residential programs with psychiatric services
New York has been a leader in developing integrated dual diagnosis treatment. OASAS requires licensed facilities to screen for mental health conditions and either provide or refer for appropriate care. Many of the state's larger treatment centers employ psychiatrists and offer comprehensive mental health services on-site. This is particularly true in the NYC metro area, where access to specialized dual diagnosis programs is excellent.
Treatment Centers for Dual Diagnosis
OASAS-licensed facilities in New York
Abbott, situated in Orchard Park, NY, is a leading rehabilitation center that specializes in outpatient services for individuals dealing with substance use issues and co-occurring disorders, both in adults and children. Our facility offers a variety of treatment options, including outpatient methadone, buprenorphine, or naltrexone therapies. We pride ourselves on utilizing evidence-based methods such as cognitive behavioral therapy and anger management. Our programs are designed to meet the unique needs of diverse groups, including active duty military personnel, adolescents, and adult men. At Abbott, we are committed to providing personalized care and support for all our clients, ensuring that both men and women receive the compassion and help they need to triumph over addiction and mental health challenges.
Access Recovery, located in Middletown, NY, is dedicated to providing a variety of evidence-based treatment programs designed to support both adults and children struggling with substance use and co-occurring mental health disorders. Whether you’re looking for intensive outpatient, standard outpatient, or specialized treatment options like methadone, buprenorphine, or naltrexone, the center has you covered. At Access Recovery, we take a comprehensive approach to care that includes techniques such as anger management, brief interventions, and cognitive behavioral therapy. This ensures that each client receives personalized support that truly meets their individual needs. Our facility also offers specialized programs tailored for active duty military members, adolescents, and adult men, making our services inclusive for a wide range of clients. We proudly serve both males and females across all age groups, providing the quality care and support essential for those on the path to recovery from addiction and mental health challenges.
Situated in Rochester, NY, "Action for a Better Community" is dedicated to providing comprehensive substance use treatment, alongside specialized care for those facing co-occurring serious mental health conditions. This facility offers a range of outpatient programs, including effective methadone and buprenorphine treatments. With a strong emphasis on 12-step facilitation, anger management, and brief intervention strategies, the center serves adult men and women as well as children and adolescents who have dealt with intimate partner violence. Recognizing the unique needs of both genders, "Action for a Better Community" is committed to delivering quality care for all clients on their journey toward recovery from substance use disorders and mental health challenges.
Addiction Care Interventions, based in New York, NY, is dedicated to providing comprehensive treatment for both substance use disorders and co-occurring mental health challenges in adults and children alike. Our center offers a variety of programs, including intensive outpatient care, regular outpatient services, and outpatient detoxification, all designed to meet the unique needs of each individual. We emphasize the importance of personalized care in our treatment approach, focusing on techniques such as anger management, brief intervention, and cognitive behavioral therapy. Additionally, we offer specialized programs for adolescents, adult men, and adult women, ensuring that everyone receives the support tailored to their specific situation. Catering to adults and seniors of all genders, Addiction Care Interventions is committed to delivering quality care through a range of evidence-based practices. Our goal is to help individuals achieve lasting recovery and enhance their overall mental well-being.
Located in Forest Hills, NY, Advanced Human Services Inc offers a wide array of outpatient treatment options for both adults and young adults facing substance use disorders and co-occurring mental health challenges. This facility excels in providing detoxification services, substance use treatment, and dual diagnosis programs specifically designed for clients grappling with serious emotional disturbances or mental illnesses. At Advanced Human Services, the staff is dedicated to delivering personalized care that incorporates 12-step facilitation, anger management, and brief interventions. They work closely with adult men and women, as well as those who have experienced intimate partner violence, ensuring that each individual's needs are met with compassion and understanding. In addition to outpatient detoxification, the center provides treatments with methadone, buprenorphine, or naltrexone, committing to high-quality care for clients on their journey to recovery.
Situated in Forest Hills, NY, Advanced Human Services Inc provides a wide array of outpatient rehabilitation services designed to meet diverse needs. The center specializes in detoxification, substance use treatment, and addressing co-occurring disorders, offering personalized programs for both adults and young adults. With a strong emphasis on 12-step facilitation, anger management, and brief interventions, Advanced Human Services caters to the unique needs of male and female clients alike. One of the standout features of this facility is its dedicated support for individuals impacted by intimate partner violence. In addition to outpatient detoxification, the center also offers methadone and buprenorphine treatments, ensuring that clients receive quality care in a nurturing and supportive environment. Overall, this facility is an excellent choice for individuals seeking specialized treatment in a compassionate setting.
Both Medicaid and private insurance in New York cover dual diagnosis treatment. The Mental Health Parity Act requires equal coverage for mental health and addiction services. When seeking treatment, ask specifically about their mental health services and whether a psychiatrist is available on-site or by referral.
Verify Your CoverageWhen calling treatment programs, be upfront about both your substance use and mental health history. Ask specifically: "Do you treat co-occurring disorders? Do you have psychiatric staff?" The right program will conduct thorough assessments of both conditions and create an integrated treatment plan.
Call for HelpEditorial Team
Healthcare Information SpecialistsMedical Training NYC
Last updated: January 8, 2026
Content Information
This content is compiled from official government sources including SAMHSA and the New York State Office of Addiction Services and Supports (OASAS). Our editorial team verifies facility licensing and updates information regularly.
Important: This is a directory service providing information only. We do not provide medical advice or treatment recommendations. Always consult with healthcare professionals before making treatment decisions.
If you're experiencing a medical emergency:
- SAMHSA - Co-Occurring Disorders — View source (Accessed December 2025)
- NAMI - Dual Diagnosis — View source (Accessed December 2025)
- NY OASAS — View source (Accessed December 2025)