Anxiety Disorder & Substance Abuse | Understanding the Connection & Treatment

   Jul. 4, 2017
   5 minute read
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Last Edited: July 1, 2025
Author
Patricia Howard, LMFT, CADC
Clinically Reviewed
Edward Jamison, MS, CAP, ICADC, LADC
All of the information on this page has been reviewed and certified by an addiction professional.

Anxiety disorder and substance abuse often go hand in hand, creating a dangerous cycle that feels impossible to break. According to the National Institute on Drug Abuse, people with anxiety disorders are twice as likely to struggle with substance abuse. Many use drugs or alcohol to ease anxiety symptoms, only to find their fears worsen over time.

As Eleanor Roosevelt once said:

“Do one thing every day that scares you.”

For those battling anxiety and addiction, every day feels scary. Living with both conditions makes normal life feel overwhelming. But there is hope. With dual diagnosis treatment for anxiety and addiction, you can break free from this cycle and rebuild your life with confidence and peace.

Anxiety disorders are among the most common mental health conditions in the U.S., affecting over 40 million adults each year (ADAA). When left untreated, many people turn to drugs or alcohol for relief. Here’s how it happens:

  1. Self-medication: Substances like alcohol, benzodiazepines, or opioids temporarily numb anxiety, creating a false sense of calm.
  2. Dependence and tolerance: Over time, the brain requires more to feel relief, leading to addiction.
  3. Worsening anxiety: Substance abuse changes brain chemistry, increasing anxiety symptoms and panic attacks.

This cycle traps people in addiction, making anxiety worse while destroying health, relationships, and careers.

The Dangers of Ignoring Anxiety Disorder and Substance Abuse

Ignoring anxiety and addiction is dangerous and sometimes deadly:

  • Overdose risk: Anxiety-driven addiction often leads to misuse of dangerous substances like opioids or sedatives, increasing overdose risk.
  • Severe withdrawal symptoms: Stopping without medical help can cause seizures, panic attacks, or psychosis.
  • Mental health decline: Substance abuse worsens anxiety, depression, and suicidal thoughts.
  • Physical health problems: Addiction leads to heart disease, liver failure, brain damage, and weakened immunity.
  • Relationship breakdown: Anxiety and addiction isolate people, destroying marriages, friendships, and family trust.
  • Financial ruin: Job loss and legal problems are common as addiction takes over daily life.

Statistics That Show the Reality

  • 20% of people with an anxiety disorder also have a substance use disorder (NIDA).
  • One-third of people with a substance use disorder also have an anxiety disorder, highlighting how common this dual diagnosis is.
  • Only 9% of people with co-occurring disorders receive treatment for both conditions together, which is necessary for recovery.

Signs of Anxiety Disorder and Substance Abuse

Wondering if you or a loved one is facing both conditions? Look for these signs:

  • Using alcohol or drugs to calm nerves or reduce panic
  • Feeling anxious, fearful, or restless most days
  • Avoiding social situations or daily tasks due to anxiety
  • Needing more substances over time to feel calm
  • Experiencing withdrawal symptoms like shakiness, sweating, or panic
  • Feeling guilt or shame about using but unable to stop
  • Sleep problems, stomach issues, or constant worry affecting daily life

Why Dual Diagnosis Treatment for Anxiety and Addiction Is Essential

Treating anxiety without addressing addiction doesn’t work. Treating addiction without managing anxiety doesn’t work. Both conditions must be treated together in a dual diagnosis treatment for anxiety and addiction program.

Here’s what these programs include:

1. Medical Detox

Safely removing substances from the body under medical supervision to manage withdrawal symptoms.

2. Individual Therapy

Cognitive Behavioral Therapy (CBT) teaches healthy ways to manage anxiety without substances and address root causes.

3. Medication Management

Antidepressants, anti-anxiety medications, or non-addictive alternatives may be prescribed by mental health professionals.

4. Group Therapy

Building community with others who understand your struggles reduces isolation and promotes hope.

5. Holistic Therapies

Programs like yoga, meditation, and nutrition counseling help reduce anxiety and strengthen mental health naturally.

6. Aftercare Planning

Continued therapy, peer support groups, and sober living options keep you accountable after treatment ends.

Hope and Healing Are Possible

Living with anxiety disorder and substance abuse can feel hopeless, but recovery is real. Many people have walked this path and now live with peace, purpose, and freedom from addiction.

Jessica, who struggled with alcohol addiction and social anxiety, shared:

“I thought I would always need alcohol to feel normal. Dual diagnosis treatment showed me I could live without it. I still have anxiety, but now I have tools to handle it, and I’m finally proud of myself.”

How to Find Dual Diagnosis Treatment for Anxiety and Addiction

If you’re ready to take the first step:

  1. Acknowledge the problem: Recognizing you need help is courageous.
  2. Seek a dual diagnosis center: Look for programs that specialize in treating both anxiety and addiction.
  3. Check insurance coverage: Many private plans, Medicaid, and Medicare cover dual diagnosis treatment.
  4. Reach out for support: Call trusted directories, hotlines, or talk to your doctor for referrals.
  5. Tell someone you trust: You don’t have to go through this alone. Sharing your struggle can ease the burden and help you feel supported.

Anxiety Disorder & Substance Abuse

Anxiety disorder and substance abuse don’t define you. They are treatable conditions that, when addressed together, open the door to a healthier, happier life. Dual diagnosis treatment for anxiety and addiction offers the tools, care, and hope you need to heal.

Explore our directory today to find trusted programs that treat anxiety disorder and substance abuse together. Your recovery journey can begin today – and you deserve to live free from fear and addiction.

Frequently Asked Questions
How are anxiety disorder and substance abuse connected?
People with anxiety disorders often use drugs or alcohol to feel calmer or less fearful. However, substance use can worsen anxiety symptoms over time, creating a cycle where addiction and anxiety feed each other without proper treatment.
What is dual diagnosis treatment for anxiety and addiction?
Dual diagnosis treatment addresses both anxiety disorders and addiction together. Programs include medical detox, therapy, medication management, and aftercare to treat both conditions for long-term recovery and mental health stability.
Can anxiety cause addiction?
Yes. Many people with anxiety use alcohol, benzodiazepines, or drugs to self-medicate their symptoms. This can quickly lead to dependence and addiction, worsening anxiety in the long run.
What are the signs of anxiety disorder and substance abuse?
Signs include using substances to calm anxiety, increased tolerance, withdrawal symptoms, panic attacks, restlessness, insomnia, constant worry, and feeling unable to function without drugs or alcohol.
How can I find dual diagnosis treatment for anxiety and addiction near me?
You can find trusted dual diagnosis treatment programs by searching directories like ours, asking your doctor for referrals, or calling addiction hotlines for recommendations on centers that treat both conditions together.
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