What This Treatment Is

Post-traumatic stress disorder and substance use disorder co-occur at rates far higher than either condition alone would predict. Peer-reviewed epidemiologic data show that adults with PTSD have significantly elevated rates of alcohol and drug use disorders. The relationship is typically driven by the self-medication hypothesis: substances used to manage hyperarousal, intrusive symptoms, insomnia, or numbing itself becoming a chronic problem.

Why the Comorbidity Is Common

PTSD symptoms are physiologically disruptive. Hypervigilance, intrusive memories, nightmares, and dissociation drive real physical and emotional distress. Alcohol and opioids blunt those symptoms in the short term — which reinforces use. Over time, the substance-based coping becomes its own condition, and the underlying PTSD remains untreated. Populations with high rates include veterans, first responders, survivors of intimate-partner violence, and adults with early-life trauma.

What Evidence-Based Treatment Looks Like

The current standard of care combines trauma-focused therapy — EMDR (Eye Movement Desensitization and Reprocessing), Cognitive Processing Therapy (CPT), Prolonged Exposure, or Accelerated Resolution Therapy — with concurrent substance use treatment. Medication support may include SSRIs for PTSD, prazosin for trauma-related nightmares, and MAT for the substance use disorder. Both conditions get targeted treatment simultaneously.

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

Our Woodland Hills program treats PTSD and SUD through coordinated specialty-led tracks. Therapists are credentialed in EMDR, CPT, and Accelerated Resolution Therapy. Psychiatric providers manage medication on both sides.

Practically:

  • Full psychiatric and trauma-informed evaluation at intake, including PTSD screening and SUD assessment.
  • Stabilization phase before deep trauma processing — safety, skill building, and initial substance use treatment come first.
  • Trauma-focused therapy (EMDR, CPT, ART) delivered by therapists credentialed in each modality.
  • Medications when indicated: SSRI for PTSD symptoms, prazosin for nightmares, MAT for co-occurring SUD.
  • Concurrent SUD care coordinated with the trauma work — neither track works alone.
  • Suicide risk assessment throughout — both conditions independently elevate risk.
Evidence base. Concurrent treatment of PTSD and SUD produces better outcomes than sequential treatment (SUD first, then PTSD), per VA National Center for PTSD and APA guidance. Trauma-focused therapies (EMDR, CPT, PE) are first-line for PTSD.

Access at Our Woodland Hills Campus

Our campus is at 21250 Califa St, Ste 114, Woodland Hills, CA 91367, in the West San Fernando Valley. Access is straightforward:

  • From the 101 (Ventura Freeway) — exit at De Soto Avenue or Winnetka Avenue and drive a short distance north.
  • From the 118 (Ronald Reagan Freeway) — take Winnetka or De Soto south into the West Valley.
  • Nearby communities — Warner Center, Winnetka, West Hills, Canoga Park, Tarzana, and Encino are all a short drive.
  • Telehealth — after your initial in-person assessment, most follow-up psychiatric visits can be done by video for California residents.

Parking and check-in details are provided at intake. If accessibility accommodations are needed, tell our admissions team when you call.

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 ptsd 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 ptsd 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

Should I deal with the trauma first or the substance use first?
Neither — they’re treated in parallel. The old model of ‘get sober first, then treat trauma’ has been substantially revised based on evidence showing concurrent treatment produces better outcomes. Stabilization (safety, skills) comes first, then trauma processing happens alongside substance use treatment.
What's EMDR and how does it work for PTSD?
Eye Movement Desensitization and Reprocessing is an evidence-based trauma therapy that uses bilateral stimulation (typically guided eye movements) while the patient briefly focuses on the traumatic memory. Over sessions, the emotional charge of the memory diminishes. EMDR is a first-line PTSD treatment per APA and VA guidelines.
What about medications for PTSD?
SSRIs (sertraline, paroxetine) are FDA-approved for PTSD and reduce symptom severity for many patients. Prazosin is used off-label for trauma-related nightmares. Benzodiazepines are generally avoided because they can worsen PTSD long-term and carry dependence risk, especially with co-occurring SUD.
Can I do trauma therapy while I'm still using substances?
Yes and no. Initial stabilization work (skills, safety, education) can happen while substance use continues. Deep trauma processing typically requires more stability — physical safety, reduced substance use, and skills to manage strong emotional responses. Timing is a clinical decision made together.
What about veterans and first responders?
PTSD-SUD is particularly common in these populations, and our team is experienced in working with them. Documentation for VA benefits or first-responder programs can be coordinated with your authorization. Please tell admissions about your service background so appropriate coordination can begin.
Does insurance cover PTSD and SUD care?
Yes — most commercial insurance covers co-occurring care under mental health and substance use benefits subject to parity. 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 Center for PTSD (VA) →

Department of Veterans Affairs — leading national resource on PTSD.

National Institute of Mental Health — PTSD →

NIH institute’s overview of PTSD.

SAMHSA — Trauma & Violence →

SAMHSA’s overview of trauma-informed care.

EMDR International Association →

Professional body for EMDR clinicians and research.

American Psychiatric Association →

APA’s public-facing guidance on PTSD.

Ready to Talk About PTSD 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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