Co-occurring care
Addiction and mental health are connected, and we treat them together.

Light, height and somewhere to sit with what comes up. It matters more than people expect.
If you are in crisis right now, please start here
Admission to treatment takes a little time to arrange, and a crisis needs help immediately. Call or text 988 to reach the Suicide & Crisis Lifeline, any hour of any day. If someone is in immediate danger, call 911.
Why both at once
Treating one and ignoring the other rarely holds, and most people reading this already know that from experience.
The people supporting your recovery are the same people watching the anxiety or the trauma underneath it. Nobody is handed between two programs.
Group work most days, plus one-on-one sessions where the more personal material comes up: the things that are harder to say in a room full of people.
Plenty of people arrive on something for anxiety, depression or bipolar disorder, and plenty have quietly stopped. Our medical team reviews what you take.
Your case manager builds what comes next around the whole picture rather than the substance use alone, so you are not discharged back into what started it.
What we support
These come up again and again. We address them as part of your treatment rather than treating your recovery in a vacuum.
Very often the thing underneath the substance use rather than a side note to it. Trauma work is what people tell us afterwards made the difference.
One of the most common conditions we see alongside addiction, and one of the most common reasons people started drinking or using in the first place.
Sometimes long-standing, sometimes tied to one specific loss. Either way it does not lift on its own just because the substances have stopped.
Common here, and often in someone who came off their medication somewhere along the way. Tell us on the phone, because it changes how we care for you.
A death, a divorce, a job gone. Relapse very often arrives on the back of one of these, and it deserves treating as a real cause, not an excuse.
Everyone arrives with their own particular history. Call and tell us yours, and we will give you an honest answer about whether we are the right fit.
What we treat
Buena Vista is an inpatient detox and residential program, and mental health care is delivered inside it rather than referred out. If both are in the picture for you, this is what that looks like in practice.
Substance use and the condition underneath it are treated at the same time, inside detox and residential care, by one team rather than two that never speak.
Medical supervision, group work most days, and one-to-one sessions with your own therapist, all planned around the whole picture instead of the substance use alone.
Anxiety, depression, PTSD, trauma and bipolar disorder, where they are woven through someone’s substance use. Most people who reach this page are describing exactly that.
Our medical team reviews the psychiatric medication you already take and coordinates the ongoing care and the aftercare, so nothing lapses on the day you leave.
Not sure whether we are the right place? Call and describe it as it is. If you are in an acute crisis right now, start with 988 or 911, because that needs help faster than any admission can be arranged, and call us once things are steadier. And if what you need turns out to be mental health care without the substance use, we will tell you honestly and help you find the specialist facility for it. Either way you get an answer and somewhere to go.
Reviews
Reviews are published from Google with written consent and lightly condensed for length; wording is unchanged. These are individual experiences and are not a guarantee of any particular outcome. Reviewers were not compensated.
Coverage
Plans we work with



Do not see your plan? Call and we will check it. If we are not in network, we will say so and help you find somewhere that is.
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Getting in
Most of it happens on one phone call, and often on the same day.
Answered day or night
Substances and mental health
While you are on the line
Confirming this is a safe fit
Often the same day
We can arrange the ride
Call before you come, and we will have everything ready for you. The phone assessment and the benefits check are what let us hold a bed, complete the provider review, and meet you at the door instead of leaving you waiting at it.
Dual diagnosis FAQ
Carrying both addiction and a mental-health condition is common, and it does not make you a difficult case. Here are honest answers.
A dual diagnosis — also called a co-occurring disorder — simply means someone is living with both a substance use disorder and a mental-health condition at the same time, like addiction alongside depression, anxiety, PTSD, or bipolar disorder. It's far more common than most people realize: for many, substance use and mental-health struggles are deeply tangled together, each one feeding the other. That's exactly why they're best treated together rather than separately. When you treat only the addiction and ignore the anxiety or trauma underneath it — or treat the mental health and ignore the substance use — you leave the door open for relapse. At Buena Vista we care for the whole person, addressing both sides of the picture as part of your treatment.
Yes — as part of addiction treatment. Many of the people we care for are carrying more than substance use alone: anxiety, depression, PTSD, trauma, or bipolar disorder often walk hand-in-hand with addiction. Our approach is built around treating the whole person, so your care accounts for both the substance use and the mental-health struggles connected to it, through medical support, individual and group therapy, and case management. It's important to be clear and honest about what we are, though: Buena Vista is a substance use treatment center — a detox and residential program — not a psychiatric hospital. We're at our best when we're treating addiction alongside the mental-health conditions intertwined with it. If someone's primary need is standalone psychiatric care, or they're in an acute mental-health crisis, that calls for a different, higher level of care — and if that's the case, we'll help point you toward the right place.
Because they're connected. For a lot of people, substances became a way to cope with something painful — anxiety, trauma, depression, sleeplessness, memories that won't quiet down. If treatment tackles the addiction but never touches what's underneath, that underlying pain is still there when treatment ends, and it's one of the biggest drivers of relapse. The reverse is true too: it's very hard to make progress on your mental health while active substance use is destabilizing everything. Integrated care treats both together, so you're not left fighting a war on two fronts alone. At Buena Vista that means the same team supporting your recovery is also attentive to the anxiety, trauma, or depression woven through it.
First — we're sorry that happened, and we understand how discouraging it feels. Carrying both addiction and a mental-health condition can make people feel like they're too much for anyone to handle, and that simply isn't true. Co-occurring conditions are common, and treating them alongside addiction is a core part of what we do. We do want to be honest with you about fit, because the right care matters more than saying yes to everyone. Buena Vista is well suited to treat addiction together with conditions like anxiety, depression, PTSD, and trauma. If your primary need is intensive psychiatric care, or you're in an acute crisis, we'll tell you honestly and help connect you to a program equipped for that — we won't just turn you away and leave you on your own. The best way to find out where you fit is to call and talk it through, with no judgment.
If you're currently taking psychiatric medication, it's important to tell us during your assessment so our medical team can review it and plan your care safely. Many people come to us on medication for anxiety, depression, bipolar disorder, or other conditions, and our team takes that into account as part of your treatment. Every situation is individual, and decisions about medication are made by our medical providers with your safety in mind. If your care would be better supported by coordinating with a psychiatric provider, our team helps arrange that. The key is being open about what you're taking so nothing falls through the cracks.
We commonly support people whose substance use is intertwined with conditions like PTSD and trauma, anxiety, depression, and bipolar disorder. Because these so often fuel addiction — and are fueled by it — we address them as part of your overall treatment rather than treating your recovery in a vacuum. Every person's situation is unique, so the best way to understand whether we're the right fit for your specific needs is to talk with our team during a confidential assessment. We'll ask about both your substance use and your mental and emotional health so we can understand the full picture and, if we're not the right level of care, help guide you to the right one.
Yes. Everything you share — about your substance use and your mental health — is protected by strict federal privacy laws, including HIPAA and the additional confidentiality protections that apply to substance use treatment. We can't share your information, or even confirm that you're here, without your written permission. That confidentiality is part of what makes it safe to be honest with us. The more openly you can talk about what you're really dealing with, the better we can help — and none of it leaves our care without your say-so.
If you or someone you love is in immediate danger or having thoughts of suicide, please reach out for emergency help right now: call or text 988 to reach the Suicide and Crisis Lifeline, available 24/7, or call 911 if there's an immediate emergency. A mental-health crisis needs immediate crisis care, which is different from the treatment we provide. Buena Vista is a substance use detox and residential program, and while we care deeply, we're not a crisis or psychiatric emergency service. Once someone is safe and stable, we're here to help with the addiction and co-occurring conditions that follow — and if you reach out to us during a crisis, we'll help point you toward the right immediate resources first.
We answer at any hour of the day or night. There is nothing you have to decide on that first call, and nothing you need to have worked out before you make it.
Call (888) 362-5576