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 Pittsburgh, dual diagnosis programs combine addiction treatment with psychiatric care and therapy, often with one team handling both. Of Pittsburgh's 24 rehab centers, 18 report programs for people with co-occurring mental health and substance use disorders.
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OutpatientOutpatient detoxificationOutpatient day treatment or partial hospitalizationFederal, or any government funding for substance use treatment programsMedicaid
Hospital inpatient/24-hour hospital inpatientHospital inpatient detoxificationHospital inpatient treatmentFederal, or any government funding for substance use treatment programsMedicare
Hospital inpatient/24-hour hospital inpatientResidential/24-hour residentialLong-term residentialFederal, or any government funding for substance use treatment programsMedicaid
OutpatientOutpatient methadone/buprenorphine or naltrexone treatmentRegular outpatient treatmentFederal, or any government funding for substance use treatment programsMedicare
Residential/24-hour residentialResidential detoxificationShort-term residentialFederal, or any government funding for substance use treatment programsMedicaid
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.