Why the two are usually connected
Mental health conditions and substance use often appear together. Substance use can worsen symptoms of anxiety, depression, trauma, or bipolar disorder, and unmanaged symptoms can make substance use harder to change. Treating one while ignoring the other rarely works well.
This is why integrated care — where mental health and substance use are addressed by the same team, or by teams that coordinate — is generally recommended over treating them separately.
Where to start
A primary care appointment is a reasonable first step, and a referral to a clinician who treats both conditions is often available through it. SAMHSA's National Helpline, 1-800-662-4357, provides free, confidential referrals around the clock, and its treatment locator lists services by ZIP code.
Peer support works alongside clinical care rather than instead of it. Many people use both, and peer communities specifically for co-occurring conditions exist in larger metropolitan areas and online.
If things feel urgent
If you are experiencing thoughts of suicide or a mental health crisis, call or text 988. If there is an immediate medical danger, call 911. Withdrawal from alcohol or sedatives can be life-threatening and requires emergency medical care.
This article is general information, not medical advice. It does not replace assessment or care from a qualified professional. See our terms of use and directory disclaimer.