Dual diagnosis treatment addresses addiction and a mental health condition such as depression, anxiety, PTSD, or bipolar disorder at the same time. Treating one while ignoring the other is a common reason recovery does not stick, because each condition feeds the other.
In Portland, dual diagnosis programs combine addiction treatment with psychiatric care and therapy, often with one team handling both. Of Portland's 32 rehab centers, 18 report programs for people with co-occurring mental health and substance use disorders.
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OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentRegular outpatient treatmentFederal, or any government funding for substance use treatment programsMedicare
Hospital inpatient/24-hour hospital inpatientHospital inpatient detoxificationFederal, or any government funding for substance use treatment programsMedicare
Residential/24-hour residentialResidential detoxificationShort-term residentialFederal, or any government funding for substance use treatment programsIHS/Tribal/Urban (ITU) funds
12540 SW Main Street, Suite 202, Portland, OR 97223
OutpatientIntensive outpatient treatmentOutpatient methadone/buprenorphine or naltrexone treatmentFederal, or any government funding for substance use treatment programsMedicare
OutpatientIntensive outpatient treatmentOutpatient methadone/buprenorphine or naltrexone treatmentFederal, or any government funding for substance use treatment programsMedicare
3710 SW U.S. Veterans Hospital Road, Building 104, Level P3, Portland, OR 97239
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentRegular outpatient treatmentFederal, or any government funding for substance use treatment programsPrivate health insurance
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentFederal, or any government funding for substance use treatment programsIHS/Tribal/Urban (ITU) funds
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentRegular outpatient treatmentFederal, or any government funding for substance use treatment programsMedicare
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentFederal, or any government funding for substance use treatment programsIHS/Tribal/Urban (ITU) funds
4713 North Albina Avenue, Suite 301, Portland, OR 97217
OutpatientOutpatient day treatment or partial hospitalizationIntensive outpatient treatmentFederal military insurance (e.g., TRICARE)Private health insurance
Any combination of a substance use disorder and a mental health condition, such as depression, anxiety, PTSD, bipolar disorder, or ADHD.
Why treat both conditions together?
Because they feed each other. Untreated depression or anxiety commonly drives a return to drinking or using, so integrated care improves the odds for both.
Do dual diagnosis programs prescribe psychiatric medication?
Most do. Psychiatric providers on staff can prescribe and manage medication alongside the addiction treatment.