What This Treatment Is

Anxiety disorders and substance use disorder co-occur frequently. Adults with generalized anxiety disorder, panic disorder, or social anxiety disorder have significantly higher rates of alcohol and drug use disorders than the general population. The connection is typically driven by self-medication: patients use alcohol, benzodiazepines, or opioids to manage anxiety’s physical and cognitive symptoms.

Why This Pattern Is Common — and Dangerous

Anxiety produces real, disabling symptoms: racing thoughts, chest tightness, sleep disruption, avoidance. Alcohol and benzodiazepines blunt those symptoms short-term, reinforcing continued use. But both substances create dependence over time, and benzodiazepine withdrawal in particular can be medically dangerous. The self-medication path often produces worse anxiety plus a substance use disorder.

Evidence-Based Treatment

Treatment combines evidence-based anxiety therapy — Cognitive Behavioral Therapy for anxiety, exposure-based approaches, interoceptive exposure for panic — with non-dependence-forming medications: SSRIs or SNRIs rather than benzodiazepines. For co-occurring AUD, naltrexone or acamprosate; for OUD, buprenorphine or naltrexone. Benzodiazepines are avoided when possible in co-occurring SUD patients.

Our Care Model: Specialty-Led, Distinct Primary Tracks

Elevated Healing operates separate primary treatment tracks for Mental Health and Substance Use, each led by the appropriate clinical specialty from day one. When both are present, our teams coordinate care across tracks so the full clinical picture is addressed without collapsing treatment into a single generalized program.

This is different from a blended or generalized model. Read more on our Care Model page.

Elevated Healing’s Specialty-Led Approach

For Calabasas patients, treatment happens at our Woodland Hills campus (~15 min via US-101). Psychiatric providers manage medication with awareness of SUD comorbidity — benzodiazepines avoided in favor of SSRIs, SNRIs, buspirone, or hydroxyzine.

Practically:

  • Full psychiatric evaluation covering anxiety disorder subtype, severity, functional impairment.
  • SUD evaluation focused on whether substance use began as anxiety coping.
  • SSRI or SNRI first-line for anxiety.
  • CBT delivered by therapists credentialed in exposure-based work.
  • MAT for co-occurring alcohol or opioid use disorder as indicated.
  • Most follow-ups eligible for telehealth after initial in-person work.
  • Benzodiazepine tapering support when patients arrive already dependent.
Evidence base. CBT for anxiety plus SSRI or SNRI medication produces symptom reduction and functional improvement, per the American Psychiatric Association.

Access from Calabasas

Our physical location is at 21250 Califa St, Ste 114, Woodland Hills, CA 91367, about a 15-minute drive from Calabasas via US-101 in normal traffic.

  • From central Calabasas — US-101 East, exit at Winnetka Avenue or De Soto Avenue, then a short drive north.
  • From Hidden Hills or Woodland Hills-adjacent areas — many patients complete the trip in under 15 minutes.
  • From Agoura Hills or Westlake Village — allow about 20–25 minutes via US-101.
  • Telehealth — after your initial in-person assessment, most follow-up psychiatric visits can be done by video across California, reducing travel burden for maintenance and step-down care.

New patients typically complete their initial evaluation in person; ongoing follow-up can be scheduled remotely when clinically appropriate.

Program Levels That Deliver This Care

This service is delivered inside the level of care that matches your clinical need at intake. Level of care can shift over time as treatment progresses.

Partial Hospitalization (PHP)

Structured day program, five days per week, with psychiatric oversight and integrated therapy.

Learn about PHP

Intensive Outpatient (IOP)

Three-to-five sessions per week that allow work or school to continue.

Learn about IOP

Outpatient (OP)

Weekly therapy plus regular psychiatric visits — well-suited to step-down maintenance.

Learn about OP

Telehealth Follow-Up

Video visits with the psychiatric provider, available across California for eligible patients.

Learn about telehealth

Insurance, Cost, and Getting Started

Most commercial insurance plans cover anxiety and sud under mental health and substance use disorder benefits, which are subject to federal parity requirements under the Mental Health Parity and Addiction Equity Act. Parity means insurers cannot impose stricter limits on behavioral health services than they apply to physical health services — a real legal protection worth knowing you have when you call.

The first step is a conversation with our admissions team. This call is free, confidential, and carries no obligation. During it, we:

  • Verify your insurance benefits within one business day.
  • Confirm what’s covered, what your copay or coinsurance will be, and whether prior authorization applies.
  • Start any required prior authorization on your behalf so you’re not stuck on hold with your insurer.
  • Schedule a clinical evaluation — usually within a few business days of your first call, sooner when the situation is time-sensitive.

If insurance doesn’t cover the service or your plan design doesn’t fit, self-pay options can be discussed. There is no charge to have this conversation. Reach us at (747) 888-3000 or use our insurance verification form.

What Progress Looks Like

Recovery through anxiety and sud is not a straight line, and durable clinical outcomes rarely happen in weeks. Realistic timelines matter here more than optimistic promises. Most patients notice measurable improvement in the first month of consistent treatment — reduced cravings, more stable mood, better sleep, easier engagement with therapy. Substantive behavioral change typically takes root over three to six months.

Progress is reviewed at every clinical visit. We measure it in specifics: frequency of the target behavior, functional recovery in work and relationships, sleep quality, and — where medications are involved — how well the pharmacology is holding cravings and side effects. When something isn’t working, we adjust. That might mean a dose change, a therapy focus shift, or a step up or down in level of care. The plan follows the patient’s clinical picture, not the other way around.

Setbacks are treated as clinical data, not moral failure. If a relapse or symptom flare happens, the team’s job is to understand what led to it and refine the plan. Patients are not discharged for a relapse. Long-term recovery is often what happens after the acute treatment phase ends, and we plan for that from the first visit — through aftercare planning, coordinated hand-offs, and telehealth follow-up available across California.

Confidentiality and HIPAA Protections

Treatment records at Elevated Healing are protected under the Health Insurance Portability and Accountability Act (HIPAA) and, for substance use records specifically, under 42 CFR Part 2 — a federal regulation providing additional protection for substance use disorder treatment information. That means treatment status and clinical details are not disclosed to family members, employers, or third parties without your written authorization, except in narrowly defined legal circumstances (imminent harm, court order).

Practical protections include HIPAA-compliant scheduling and communication systems, secure insurance verification channels, and billing structured to minimize what appears on statements. Patients with heightened confidentiality concerns can request specific accommodations at intake — arrival timing, check-in flow, telehealth-first scheduling — and our admissions team will confirm what’s available.

Frequently Asked Questions

Why aren't benzodiazepines used?
Benzodiazepines are effective for acute anxiety but create dependence, and that risk is elevated when substance use disorder is also present. Long-term use is associated with cognitive effects and elevated overdose risk (especially with opioids or alcohol). SSRIs, SNRIs, buspirone, and hydroxyzine are safer and effective.
I'm already on benzodiazepines — do I have to stop?
Not immediately. Abrupt discontinuation is medically dangerous — seizure risk is real. We support gradual, medically managed tapering coordinated with your psychiatric provider. The goal is safe reduction, not sudden discontinuation.
Can most anxiety and SUD care be done via telehealth from Calabasas?
After the initial in-person evaluation, most psychiatric visits and therapy sessions can be delivered by video for California residents. This reduces commute burden while preserving clinical rigor. Some exposure-based therapy work may be done in person depending on the treatment plan.
How long do SSRIs take to work?
Typically 4-6 weeks for noticeable anxiety improvement, with continued gains beyond that. Some patients feel some effect in the first two weeks. If an SSRI isn’t working after 6-8 weeks at adequate dose, switching agents or adding therapy focus is considered.
What if my anxiety got worse when I stopped drinking?
Common — alcohol’s suppressant effect can mask underlying anxiety, which surfaces when drinking stops. That’s not a reason to resume; it’s a reason to address the anxiety directly with therapy and appropriate medication.
Does insurance cover co-occurring anxiety and SUD care?
Yes — most commercial insurance covers this under parity-protected mental health and substance use benefits. Reach us at (747) 888-3000.

If You’re in Crisis

If you or someone you love is in immediate crisis, help is available 24/7. You are not alone.

Trusted External Resources

Independent, evidence-based sources on the topics covered on this page:

National Institute of Mental Health — Anxiety Disorders →

NIH institute’s overview of anxiety disorders.

SAMHSA — Co-Occurring Disorders →

SAMHSA’s overview of co-occurring conditions.

Anxiety and Depression Association of America →

Nonprofit clinical and public education organization.

American Psychiatric Association →

APA’s guidance on anxiety disorders.

City of Calabasas →

Municipal community services and public safety resources.

Ready to Talk About Anxiety and SUD?

Our admissions team can walk you through what treatment looks like, verify insurance benefits, and answer questions. Conversations are confidential.

Call us confidentially at (747) 888-3000 — or request a consultation online.

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