Dual Diagnosis Treatment in Burlington, NJ

Dual Diagnostic Treatment

Dual diagnosis, also known as co-occurring disorders, occurs when an individual simultaneously faces both a mental health condition and a substance use disorder (SUD). It’s not rare—it’s more common than many realize.

At Pathways Treatment Center in Burlington, NJ, we understand that treating one without the other can leave the recovery journey incomplete. That’s why our dual diagnosis program is built on a foundation of compassion, integration, and personalization. Pathways Treatment Center is accredited by The Joint Commission and LegitScript-approved, reflecting our commitment to the highest standards of safety and clinical care in every program we offer, including dual diagnosis treatment. Each client receives a tailored plan that holistically addresses both mental health and substance use needs, from evidence-based therapies and medication-assisted treatment to individual, group, and family sessions.

Dual Diagnosis Treatment

What Is Dual Diagnosis Treatment?

A co-occurring disorder, also known as dual diagnosis, describes the presence of a substance use disorder at the same time as another mental health disorder. Dual diagnosis treatment is a specialized treatment plan that includes therapies, medications, and activities to address co-occurring disorders.

In New Jersey, 76% of individuals with substance use disorder do not receive treatment, according to a SAMHSA survey. These numbers highlight a significant gap in care and underscore how vital integrated, accessible treatment options truly are.

It’s not uncommon for a mental illness to co-exist with substance abuse. Conditions such as depression, anxiety, ADHD, post-traumatic stress disorder, and bipolar disorder can even lead to substance abuse. The goal of dual diagnosis treatment is to help patients achieve long-term recovery from both substance use disorder and the symptoms of mental illness.

Woman in dual diagnosis treatment in New Jersey

Dual Diagnosis Treatment

Mental Health Conditions We Treat Alongside Addiction

When someone struggles with addiction, it’s often more than just a substance use disorder. Many people also face underlying mental health conditions that either contribute to or are worsened by their drug or alcohol use. These overlapping challenges make recovery more complex, but also highlight why dual diagnosis treatment is so important.

At our dual diagnosis treatment center, we frequently work with clients who experience both substance use disorders and one or more of the following mental health conditions:

Anxiety disorders are among the most common mental disorders that co-occur with addiction. Symptoms such as constant worry, panic attacks, or social anxiety can drive individuals to misuse alcohol or drugs in an attempt to feel calmer.

Unfortunately, substance use often makes anxiety worse over time. Through therapies like cognitive behavioral therapy (CBT) and mindfulness-based strategies, Pathways helps clients learn healthier ways to manage anxiety while addressing substance use.

Bipolar disorder involves extreme mood swings ranging from depressive lows to manic highs. During manic phases, individuals may act impulsively, increasing the risk of substance misuse. During depressive episodes, alcohol or drugs may be used to self-medicate overwhelming sadness or hopelessness.

Our integrated approach stabilizes mood while addressing addiction, providing balance and structure for long-term recovery.

Depression is a leading co-occurring disorder in people with addiction. Feelings of hopelessness, loss of interest in daily life, and fatigue can push individuals toward drugs or alcohol as a temporary escape. However, substance use often deepens depressive symptoms and fuels the cycle of relapse.

At Pathways, evidence-based therapies and medication management work hand in hand to treat both depression and addiction at the same time.

PTSD often develops after experiencing trauma, such as abuse, violence, or military combat. Flashbacks, nightmares, and hypervigilance can make daily life feel unbearable, leading many people to use substances to numb emotional pain. Unfortunately, this coping mechanism prevents real healing. Pathways’ trauma-informed care approach helps clients process their experiences safely, reduce symptoms, and find healthier coping strategies.

Individuals with ADHD may struggle with impulsivity, focus, and restlessness, which can increase the risk of substance use as a way to self-regulate. Stimulants, alcohol, or cannabis are often misused in attempts to calm the mind or boost performance. Our clinicians work to manage ADHD symptoms while providing skills-based therapies that reduce the need for unhealthy coping strategies.

Personality disorders, such as borderline, narcissistic, or antisocial personality disorder, are also common in those with substance use disorders. These conditions can impact relationships, self-image, and emotional regulation, often making recovery more challenging. At Pathways, therapies like dialectical behavior therapy (DBT) emphasize mindfulness, distress tolerance, and interpersonal effectiveness, helping clients navigate both addiction and personality-related struggles.

Obsessive-compulsive disorder can create intrusive thoughts and compulsive behaviors that individuals may attempt to quiet through substance use. Over time, this only intensifies both conditions. Our clinicians use targeted, evidence-based approaches to help clients manage OCD symptoms while building a foundation for sustained recovery.

The overlap between addiction and mental health is complex, but integrated treatment makes recovery possible. At our dual diagnosis treatment center, we address both conditions with compassion, structure, and evidence-based care, helping clients build the tools they need for stability, healing, and lifelong recovery.

Not sure which of these applies to you?
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Dual Diagnosis Treatment

What Are the Common Risk Factors for Dual Diagnosis?

Dual diagnosis occurs due to a variety of factors. However, there are some common risk factors that increase the likelihood of dual diagnosis.

  • Genetics: If you have a family history of either substance abuse or mental health conditions, you may be more likely to develop co-occurring disorders, such as anxiety, depression, or obsessive-compulsive disorder.
  • Environmental factors: If you live in poverty, experience chronic stress, or are exposed to violence, this may increase the risk of developing these two disorders.
  • Trauma: This may be physical or sexual abuse, experiencing a natural disaster, or surviving a tragedy such as a school shooting.
  • Early exposure: It’s also been noted that individuals who use drugs or alcohol at a young age are more at risk of developing a mental health disorder.

While not everyone who has one or more of these risk factors will develop a dual diagnosis, it’s useful to be aware of some causes that lead to co-occurring disorders.

happy group of people in recovery with dual diagnosis

Dual Diagnosis Treatment

Signs of a Co-Occurring Disorder

Recognizing the signs of a co-occurring disorder starts with understanding that mental health and substance use symptoms often overlap, sometimes making it difficult to identify what is driving what.

Symptoms of mental health disorders vary by person and condition, but there are common signs that you may notice in yourself or others, including:

  • Mood changes
  • Chronic fatigue
  • Changes in behavior
  • Irrational thoughts
  • Disrupted sleeping patterns
  • Delusions or hallucinations
  • Difficulty concentrating

The symptoms of mental health disorders can be subtle, but their effects can spread across all areas of life.

Recognizing a substance use problem early can benefit you during recovery and lessen the severity of withdrawal symptoms. Common symptoms of substance use include:

  • Urges to drink or use drugs
  • Difficulty controlling the amount or frequency of substance use
  • Neglecting responsibilities
  • Engaging in risky behavior
  • Lying about or hiding substance use
  • Physical discomfort or pain when you stop using a drug or alcohol

Substance abuse causes serious mental and physical health problems, so it’s important to seek help as quickly as possible when you notice these signs. If you suspect a friend or family member may benefit from substance abuse treatment, you can intervene by offering to get help.

Dual Diagnostic Treatment

How We Treat Dual Diagnosis at Pathways

Dual diagnosis treatment recognizes that substance use disorder and mental health disorders are connected and require comprehensive treatment. From dual diagnosis treatment, you can expect a thorough assessment to evaluate your addiction and mental health issues. At Pathways, we will then create a treatment plan tailored to your needs. Effective treatment typically includes a combination of the following therapies and medication.

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is talk therapy that helps you understand your thoughts and behavior patterns. This is a useful way to treat co-occurring disorders because it helps you and a therapist identify the root causes of your mental health and substance use problems and resolve the issues. CBT provides you with techniques and tools to manage the symptoms of mental health disorders, and is also useful for relapse prevention, because treating your mental health reduces the risk of using substances again.

Dialectical Behavior Therapy (DBT)

Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that emphasizes mindfulness. DBT helps you become more self-aware and teaches you to manage your emotions, stress, and close relationships. DBT includes both individual and group therapy sessions. During these sessions, you may identify negative behaviors or thoughts that lead to substance use and develop coping mechanisms to manage cravings.

Motivational Interviewing (MI)

Motivational interviewing (MI) is psychotherapy that focuses on an individual’s resistance to change. This is successful in addiction treatment because MI helps you find intrinsic motivation to recover. This type of therapy relies on the belief that people are more likely to change their behavior when they feel that making a change aligns with their values and goals.

Medication Management

Medication management helps you manage symptoms of either withdrawal or a co-occurring disorder. In a dual diagnosis program, you may be prescribed an antidepressant, mood stabilizer, anti-anxiety medication, or medication to manage substance cravings. These medications reduce symptoms and the risk of relapse. Medication management is typically offered alongside other therapies and treatments; medication-assisted treatment (MAT) can help treat mental health disorders and help you cope with withdrawal symptoms while completing your recovery program.

Support Groups

Joining a support group may be a part of your dual diagnosis treatment. There are support groups in New Jersey for those who struggle with either their mental health or substance abuse. Attending meetings with these groups helps you maintain your sobriety and provides understanding and encouragement. Spending time with other individuals who are just as committed to living sober can hold you accountable too.

Dual Diagnosis Treatment

Levels of Care for Dual Diagnosis Treatment

Dual diagnosis treatment isn’t one-size-fits-all. Depending on the severity of your symptoms and the support you have at home, Pathways offers two levels of structured care in Burlington, NJ.

  • Partial hospitalization program (PHP): Our PHP in New Jersey is the most intensive level of outpatient dual diagnosis care we offer, providing structured clinical support several days a week while you return home each evening. It’s often the right starting point for clients whose mental health and substance use symptoms require close monitoring and daily therapeutic support.
  • Intensive outpatient program (IOP): Our IOP for co-occurring disorders offers a step down in structure while still providing meaningful clinical support for co-occurring disorders. IOP allows clients to begin reintegrating work, school, or family responsibilities while continuing therapy and relapse prevention planning.
man with co-occurring disorders in therapy for addiction

Dual Diagnostic Treatment

Paying for Dual Diagnosis Treatment

We know that cost and coverage are often the first questions on your mind, and we want to make that part as easy as possible. Pathways works with a range of insurance providers to help make dual diagnosis treatment accessible, including Aetna and Magellan.

Not sure what your plan covers? Our admissions team offers a free, confidential insurance verification so you know your coverage before you commit to a program. You can also review our payment options if you’re exploring self-pay or financing.

Dual Diagnosis Treatment at Pathways Treatment Center

At Pathways Treatment Center, we offer accredited, compassionate treatment to help you achieve healing from mental health and substance use disorders. Our dual diagnosis treatment in Burlington, New Jersey, provides flexible levels of care, from PHP to IOP, so you can receive treatment perfectly suited to your needs. We will answer any questions you have about co-occurring disorders and treatment in our dual diagnosis program.

If you or a loved one has a mental health disorder that co-occurs with substance use disorder, contact us today or call (888) 818-2616 to learn how we can help.

Dual Diagnosis FAQ

They refer to the same thing—dual diagnosis and co-occurring disorders both describe having a mental health condition and a substance use disorder at the same time. Treatment for both terms means addressing each condition together, rather than treating one and ignoring the other.

Length of treatment depends on your individual needs, the severity of your symptoms, and which level of care you start in. Many clients begin in PHP and step down to IOP as they stabilize, with the full process typically spanning several weeks to a few months.

Yes—treating them together is the standard of care. Addressing only the substance use disorder or only the mental health condition tends to leave the other untreated, which increases the risk of relapse. Pathways’ integrated approach treats both simultaneously through therapy, medication management, and support groups.

Many insurance plans cover some or all of the cost of dual diagnosis treatment. Pathways works with providers including Aetna and Magellan, and our admissions team offers free insurance verification so you can understand your specific coverage before starting treatment.

If you’re managing a mental health condition like anxiety, depression, or PTSD alongside drug or alcohol use, you likely need integrated treatment rather than addressing one issue at a time. A clinical assessment at Pathways can confirm a diagnosis and determine the right level of care for you.

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