About this service

Co-occurring disorders case management — also called dual diagnosis case management — is an integrated clinical service that addresses substance use and mental health conditions in a single coordinated plan, rather than treating them as separate problems handed off between specialties.

The majority of people with a substance use disorder also live with a mental health condition. Depression, anxiety, trauma, PTSD, bipolar disorder, and psychosis frequently co-occur with addiction. Treating one without addressing the other is one of the most common reasons treatment fails.

Co-occurring disorders require a clinician who understands both sides of the picture simultaneously. Not a substance use specialist who treats mental health as secondary, and not a mental health provider who minimizes addiction. Someone who holds both.

Our integrated case management approach ensures that your treatment plan addresses substance use and mental health as interconnected, because they are. We coordinate providers, align treatment goals, and make sure nothing falls through the cracks between specialties.

Our approach

01

Integrated Assessment

A comprehensive evaluation that examines both substance use and mental health simultaneously, identifying how each influences the other.

02

Unified Care Plan

A single, coordinated plan that addresses both conditions, not two separate plans that don't talk to each other.

03

Dual-Track Coordination

We manage relationships with providers across both specialties, ensuring they are aligned and communicating.

04

Ongoing Monitoring

We track progress across both dimensions and adjust the plan in real time as your needs change.

"Co-occurring presentations are not a specialty add-on for us. They are the norm in the cases we see. Our clinical team is trained to hold both the substance use and the psychiatric complexity in view at all times, which is what effective dual-diagnosis care actually requires."
— Jack Foley, LMFT · Founder, Holistic Solutions

Related services

Common questions, honest answers.

What are co-occurring disorders?

Co-occurring disorders (also called dual diagnosis) describe the simultaneous presence of a substance use disorder and a mental health condition — for example, depression with alcohol use disorder, or PTSD with opioid use disorder. The majority of people with a substance use disorder also live with a mental health condition.

Why does dual diagnosis often need integrated case management?

Treating one condition without the other is one of the most common reasons treatment fails. Integrated case management ensures the substance use and mental health pieces are addressed as a single, coordinated plan with providers who communicate, rather than two parallel tracks that miss each other.

How do you handle providers across both specialties?

We assemble a team that includes the right substance use specialists and the right psychiatric providers, align them on shared treatment goals, and manage communication so nothing falls through the cracks between disciplines.

Is dual diagnosis case management available nationwide?

Yes. Co-occurring case management is one of our most-requested services and is available in all 50 states. We also have dedicated dual diagnosis pages for Las Vegas, Los Angeles, and New York City clients.

What conditions commonly co-occur with substance use?

Depression, anxiety, trauma and PTSD, bipolar disorder, ADHD, and psychotic disorders are the conditions we see most frequently alongside substance use. The combination of substances and underlying psychiatric conditions changes the clinical picture considerably and requires care planning that holds both in view.

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Reach out. We'll take it from here.

All inquiries are confidential. A member of our team will respond within one business day, wherever you are in the US.

If you or someone you know is in crisis, call or text 988 (Suicide & Crisis Lifeline), available 24/7