Dual Diagnosis Treatment in Sacramento, CA

When addiction and mental health intersect, treating both matters.

Clinically reviewed by Martin Leamon, MD, Board Certified Addiction Psychiatrist

If you have ever felt like you are fighting two battles at the same time, managing substance use while also living with depression, anxiety, trauma, or another mental health condition, you are not imagining it. And you are not alone!

You may have used substances to quiet anxiety, lift depression, manage your attention or numb painful memories. Or mental health symptoms may have intensified after substance use became part of your life. For many people, it is difficult to tell which came first. What matters is not the order, but the reality that both are affecting your well-being.

When a substance use disorder and a mental health condition occur together, clinicians refer to them as a co-occurring disorders, sometimes called dual diagnoses. This combination is common, and it benefits from care that addresses both conditions together.

What co-occurring disorders can look like

Co-occurring disorders do not follow a single pattern. They can affect mood, thinking, behavior, relationships, and physical health. One condition often intensifies the other, making symptoms harder to manage when treated separately.
People living with co-occurring disorders may experience:

  • Using substances to try and cope with anxiety, depression, trauma, or emotional pain
  • Mental health symptoms that worsen during substance use or during attempts to stop use
  • Difficulty maintaining recovery when mental health needs are unaddressed
  • Cycles of improvement and relapse despite motivation and efforts at treatment
  • Feeling stuck between care systems that treat addiction and mental health separately, and don’t coordinate

These experiences are not signs of weakness or lack of motivation. They reflect how closely connected mental health and substance use can be.

Common Co-Occurring Conditions

Certain mental health conditions are more likely to occur alongside substance use disorders.

Substance Use and Mood Disorders

Depression, including major depressive disorder and persistent depressive disorder, commonly co-occurs with substance use. Some people begin using substances to escape hopelessness, thoughts of suicide or emotional numbness, while others develop depression after prolonged substance use alters brain chemistry.

Substance Use and Anxiety Disorders

Generalized anxiety, panic disorder, and social anxiety frequently co-occur with substance use. Substances may initially reduce fear or tension, but over time they often increase anxiety and reliance.

Substance Use and ADHD

These conditions often occur together, with untreated ADHD increasing the risk of developing a substance use disorder. Symptoms like impulsivity, trouble focusing, restlessness, and emotional overwhelm can make substance use feel like a way to cope or self-medicate. When ADHD continues to go unrecognized or untreated, it can increase the risk of ongoing use or relapse. Treating both ADHD and substance use together can support better focus, emotional balance, and long-term recovery.

Trauma, PTSD, and Addiction

Many people with substance use disorders have experienced trauma, such as abuse, violence, accidents, or combat. Substances may be used to suppress intrusive memories, nightmares, or overwhelming emotions. Addressing trauma in a safe supportive way is often essential to recovery.

Other Co-Occurring Conditions

Co-occurring disorders can also include: • Obsessive-compulsive disorder • Eating disorders • Bipolar disorder • Personality disorders • Complicated grief and loss

Why substance use and mental health are so closely linked

The connection between substance use and mental health is not accidental. These conditions often share underlying factors such as genetics, chronic stress, trauma, and nervous system dysregulation.
In many cases:

  • Mental health symptoms increase vulnerability to substance use
  • Substance use worsens or triggers mental health symptoms including reducing the effectiveness of psychiatric medications
  • Each condition reinforces the other over time

When only one condition is treated, progress is often limited. Addressing both together improves stability and long-term outcomes.

How co-occurring disorders affect the body and brain

Living with co-occurring disorders places ongoing strain on the body and nervous system. This may include:

  • Disrupted sleep and energy regulation
  • Heightened stress responses and emotional reactivity
  • Changes in brain chemistry affecting mood and impulse control
  • Increased physical health risks related to prolonged substance use and stress
  • Impacts daily functioning and relationships

These effects are not permanent. With appropriate care, the brain and body can recover.

How do I know if I should reach out?

These effects are not permanent. With appropriate care, the brain and body can recover.

  • These effects are not permanent. With appropriate care, the brain and body can recover.
  • Substance use and mental health symptoms are both affecting daily life
  • You have tried treating one condition without lasting improvement
  • Symptoms worsen during attempts to stop using substances
  • You feel emotionally overwhelmed, unstable, or stuck in repeating cycles
  • People close to you are concerned
  • Something inside tells you both issues need to be addressed together

You do not need to wait for things to reach a crisis point. Early, integrated care often leads to better outcomes.

 

Care options at Yellow Wood Recovery

Co-occurring disorders respond best to care that matches both conditions appropriately.
At Yellow Wood Recovery in Rancho Cordova:

Available for people with substance use disorders and co-occurring mental health conditions.

For support stabilization and continued recovery for co-occurring conditions.

Available even when a substance use disorder is not present

This structure ensures care is coordinated without unnecessarily escalating the level of treatment.

Taking the first step

Living with co-occurring disorders can feel exhausting and discouraging. You do not have to sort this out on your own. A confidential assessment can help clarify what you are experiencing and what level of support may fit.

We’re here to listen, without judgement or pressure.

Frequently Asked Questions

It means a substance use disorder and a mental health condition are present at the same time. Both conditions influence each other and are best treated together.

No. You do not need to diagnose yourself. A comprehensive assessment helps clarify what is happening and what support may help.

If substance use is not present, outpatient mental health care is available. A substance use diagnosis is not required for outpatient services.

Yes. Many people experience significant improvement when both conditions are addressed in an integrated way