Anxiety and Addiction Treatment in Virginia

Updated On: October 2, 2025
3 min read
Written by:

Amanda Stevens, B.S.

Anxiety and substance use concerns frequently overlap, creating unique challenges that demand specialized treatment. Alpas Wellness provides effective care that addresses both conditions simultaneously.

The warm, healing environment features thoughtful biophilic design elements – living green walls at nursing stations, propagated plants outside each bedroom, and soothing succulents within patient spaces. Passionate, knowledgeable staff deliver evidence-based treatment without an institutional feel or clinical sterility. Each patient receives personalized attention in a setting designed to foster comfort, safety, and lasting transformation.

Anxiety and Addiction

Key Points

  • Anxiety disorders create persistent worry and physical symptoms that interfere with daily functioning, requiring treatment approaches that break negative thought patterns and teach present-moment awareness.
  • The interconnected cycle between anxiety and addiction requires simultaneous treatment, as substances temporarily relieve anxiety but ultimately worsen both conditions when used as coping mechanisms.
  • Generalized anxiety disorder, social anxiety disorder, and phobias are all examples of anxiety-based, psychiatric diagnoses.
  • Alpas Wellness NOVA offers comprehensive care for co-occurring disorders through multiple treatment levels (detox placement, PHP, IOP) and evidence-based approaches including CBT, DBT, and experiential therapies in a healing biophilic environment.
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    What Is Anxiety?

    Anxiety creates persistent worry, fear, and physical symptoms that interfere with daily life.[1] The mind fixates on potential problems while the body responds with a racing heart, tight muscles, shallow breathing, and sleep disturbances. This reaction surpasses normal stress responses and makes routine activities feel overwhelming. Anxiety disorders affect people from all backgrounds and can develop from genetic factors, brain chemistry, personality traits, or difficult life experiences.

    Treatment approaches address anxiety as a manageable condition that responds well to proper care.[2] Cognitive techniques help break negative thought patterns, while mindfulness practices bring attention to the present moment rather than future worries. The recovery environment plays a crucial role in healing, with natural elements and comfortable spaces that naturally reduce stress.

    Each person receives treatment that addresses their specific symptoms and circumstances, creating a clear path toward managing anxiety and rebuilding confidence. Professional support makes it possible to develop effective coping strategies and regain control over thoughts and feelings.

    Drug/Alcohol Addiction and Its Interaction with Anxiety

    Anxiety and addiction feed each other in a harmful cycle that traps many people seeking relief.[3] A person feels anxious, drinks or uses drugs to feel better temporarily, then experiences worse anxiety when the effects wear off. This pattern repeats and strengthens over time, making both problems more difficult to overcome. The brief comfort from substances comes at the cost of worsening mental health and creating new problems that trigger more anxiety.

    Breaking free requires addressing both issues together rather than treating them separately. When only the addiction receives attention, untreated anxiety often leads back to substance use as a coping mechanism. Similarly, treating anxiety while ignoring addiction leaves a powerful trigger in place. Recovery works best when treatment acknowledges how these conditions influence each other and teaches new ways to manage anxiety without substances. This comprehensive approach helps build lasting skills for handling stress, processing emotions, and maintaining sobriety even during anxious periods.

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    What Are Some Common Anxiety Disorders?

    Anxiety disorders are one of the most prevalent mental health conditions in the United States, affecting millions of people across all demographics. While occasional anxiety forms a normal part of life, anxiety disorders involve excessive fear or worry that doesn’t fade and often worsens over time. These conditions create significant distress and interfere with daily activities, relationships, and overall quality of life:[4]

    • Generalized Anxiety Disorder (GAD): Persistent and excessive worry about various things without proportionate cause
    • Panic Disorder: Recurring panic attacks that happen suddenly, creating intense fear and physical symptoms like a racing heart and shortness of breath
    • Social Anxiety Disorder: Overwhelming worry about social situations, with fears of embarrassment, judgment, or rejection by others
    • Specific Phobias: Intense fear of particular objects or situations that trigger immediate anxiety responses
    • Separation Anxiety Disorder: Excessive fear or distress when separated from home or attachment figures

    How Alpas NOVA Treats Addiction and Anxiety

    The healing journey at Alpas Wellness in Virginia tackles the interconnected nature of anxiety and substance use. Treatment unfolds in spaces thoughtfully designed with biophilic elements and abundant natural light. This environment naturally reduces stress while professional staff address both conditions simultaneously, preventing the cycle where untreated anxiety triggers substance use or where continued addiction worsens anxiety symptoms.

    Levels of Care

    • Detox Placement: Medically supervised detoxification with 24/7 nursing support in specialized units designed for comfort and safety during withdrawal.
    • Partial Hospitalization Program: Intensive daytime treatment while maintaining connection to support systems outside the treatment facility.
    • Intensive Outpatient Treatment: Flexible treatment scheduling that allows patients to maintain work, school, or family commitments while receiving essential care.

    Evidence-Based Treatment Approaches

    • Cognitive-Behavioral Therapy: Helps patients identify and transform negative thought patterns that contribute to substance use and mental health symptoms, creating healthier coping mechanisms.
    • Dialectical Behavior Therapy: Teaches crucial skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness for those struggling with intense emotions.
    • Motivational Interviewing: Strengthens personal motivation for change by exploring and resolving ambivalence in a non-confrontational environment.
    • Contingency Management: Reinforces positive behaviors like abstinence and treatment participation through tangible incentives within the recovery journey.
    • Motivational Enhancement Therapy: Builds internal motivation for change through focused, goal-oriented counseling sessions tailored to individual needs.
    • Experiential Therapy: Incorporates non-traditional approaches like art, music, and adventure therapy to process emotions and develop new perspectives on recovery.
    • Relapse Prevention: Equips patients with specific strategies to identify triggers, manage cravings, and develop healthy coping skills for long-term recovery.
    • Twelve-Step Facilitation: Introduces patients to the principles and practices of 12-step programs while providing guidance on community support integration.
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    To ensure accuracy and quality, every contributor to the Alpas Wellness resource library undergoes a thorough evaluation of their experience, credentials, and achievements prior to publication.

    Frequently Asked Questions About Anxiety and Addiction In Virginia

    01

    How do anxiety and addiction affect each other?

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    When anxiety disorders and substance abuse occur together, they create a challenging cycle that complicates recovery. Many people use alcohol or drugs to self-medicate their anxiety symptoms, finding temporary relief that ultimately worsens both conditions. This pattern often leads to dependency as substance use provides a short-term escape while disrupting brain chemistry that regulates mood and stress responses. Professional treatment programs addressing both issues simultaneously show significantly better outcomes than approaches that target only one condition. Evidence-based therapies like cognitive behavioral therapy and dialectical behavior therapy effectively break this cycle by developing healthier coping mechanisms for managing anxiety without substances.

    02

    What is dual diagnosis treatment for anxiety and addiction?

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    Dual diagnosis treatment addresses both anxiety disorders and substance use disorders simultaneously. This integrated approach recognizes that anxiety and addiction often fuel each other. Treatment typically includes individual therapy, group counseling, medication management, and coping skills training. Mental health professionals work with patients to identify triggers, develop healthy coping mechanisms, and create personalized recovery plans that address both conditions.

    03

    What makes holistic therapy for anxiety and substance use disorder effective?

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    A holistic approach to treating co-occurring anxiety and addiction addresses the whole person rather than focusing solely on symptom reduction. This comprehensive methodology integrates traditional evidence-based therapies with complementary practices that support overall wellness and well-being. Treatment plans often combine medication management, when appropriate, with nutrition guidance, physical activity, mindfulness practices, and stress management techniques.

    This integrated approach proves particularly effective because it helps rebuild the physical health often compromised by substance abuse while developing sustainable skills for anxiety regulation. Clinicians find that patients engaging in holistic treatment programs often experience improved sleep, reduced cravings, better emotional regulation, and more sustainable recovery outcomes.

    04

    Can 12-step for anxiety work alongside DBT for anxiety in addiction treatment?

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    Yes, these approaches complement each other effectively in comprehensive treatment programs. 12-step programs provide valuable community support, accountability, and spiritual components that many find essential for long-term recovery from substance abuse and anxiety. Meanwhile, DBT for anxiety offers specific skills training in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness that directly addresses the psychological mechanisms underlying both anxiety disorders and addiction.

    When combined thoughtfully within a treatment plan, these modalities create a powerful framework for recovery. The structure and peer support of 12-step meetings reinforce the practical skills learned in DBT, while DBT provides concrete techniques for managing the emotional challenges that arise during the 12-step recovery process. Virginia treatment centers increasingly recognize the value of this integrated approach for addressing co-occurring disorders.

    Sources
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    [01]

    Anxiety. (2020, May 22). MedlinePlus; National Library of Medicine. https://medlineplus.gov/anxiety.html on May 9, 2025

    [02]

    Mayo Clinic. (2018, May 4). Anxiety Disorders – Diagnosis and Treatment – Mayo Clinic. Mayoclinic.org; Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/anxiety/diagnosis-treatment/drc-20350967 on May 9, 2025

    [03]

    Smith, J. P., & Book, S. W. (2008). Anxiety and Substance Use Disorders: A Review. The Psychiatric Times, 25(10), 19. https://pmc.ncbi.nlm.nih.gov/articles/PMC2904966/ on May 9, 2025

    [04]

    American Psychiatric Association. (2023, June). What Are Anxiety Disorders? American Psychiatry Association. https://www.psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders on May 9, 2025

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