The Top Dual Diagnosis Treatment Centers in North Carolina (2023)

Fellowship Hall is a not-for-profit inpatient treatment program that works with men and women to provide services based on 12-step traditions. They also provide specific programming for young adults and offer gender-specific treatments. Though these programs and length of treatment is customized to the individual, most clients enter the program through detox for 1-5 days and then becomes a resident at the inpatient program. Treatment options include group therapy, psychoeducation, relapse prevention classes, biofeedback, yoga, meditation, EMDR, and more. By offering such a long list of options, clients are able to lead the way through this process and participate in programs that best fit their needs, lifestyle, and recovery goals. Fellowship Hall also provides access to transitional housing options for clients moving from residential treatment to outpatient.

Willow Place is a female-only substance abuse treatment facility that focuses on trauma-informed treatment services through a combination of evidence-based therapies, process group therapies, skill development, and holistic treatments. Though they treat women struggling with addiction, they also provide dual diagnosis support to women dealing with mental health disorders and eating disorders. Each program is customized to the client, but they may include services such as dialectical behavior therapy, medication management, family therapy, relapse prevention, biosound healing, yoga, 12-step philosophies, and art therapy. Evidence-based programs primarily consist of process groups, skill development, and interpersonal training. The overall goal is to help each woman find meaning in their life and in their recovery journey which then motivates them to continue the healing process even after their program has ended. Clients will also have access to supportive housing services.

The Blanchard Institute provides clients with individualized outpatient treatment programs that address substance use disorders and co-occurring disorders simultaneously. Their services educate each client on substance abuse and how it has affected their life, address the root cause that often stems from trauma or mental illness, and provide them with coping mechanisms and healthy habits that promote long-term recovery. Each program addresses the client as a whole, providing services for the mind and the body. These may include biosound therapy, EMDR, acupuncture, sound therapy, yoga, family education, case management, relapse prevention planning, and various support groups. Clients are also encouraged to incorporate their loved ones in family programs to help them learn about addiction and ways to cope within the home.

In order to provide clients with the most well-rounded and comprehensive dual diagnosis treatment programs possible, Lifeline Treatment Center offers a combination approach of 12-step philosophies, cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, faith-based guidance, and nutritional wellness. All potential clients will be evaluated and assessed by a clinician and team of addiction specialists to determine what the areas of need are and how to best address them. Following that, a customized program will be designed. This program may include medication management, peer support groups, psychoeducation, family therapy, case management, and group therapy. Clients will also be provided with referrals to sober living communities either through Lifeline or a trusted organization to ensure that their clients are in the safest and most comfortable environment possible.

As a mindfulness-based dual diagnosis recovery center, Oasis offers a combination of evidence-based therapies and holistic treatment services that address drug addiction and mental health disorders at the same time. Each program is based on their Oasis Model which incorporates things like an individualized treatment plan, family work, a strategic planning committee, volunteer work, and an aftercare alumni group. Clients also have access to gender-specific treatment programs, trauma therapies, 12-step programs, psychotherapy, adventure therapy, art, equine-assisted therapy, acupuncture, yoga, meditation, qi gong, and breathwork. These programs work together to treat the client spiritually, emotionally, physically, intellectually, and mentally, creating a whole-person approach to recovery.

The main form of mental health treatment at Crest View involves a reality-based therapy model that utilizes education and real-world training to address addiction, especially for clients who self-medicate as a result of mental illness. Clients will also be able to participate in yoga, meditation, fitness, and nutritional guidance in order to promote overall physical wellness. Other services that promote long-term recovery include gender-specific group therapies, family counseling, CBT, DBT, and trauma-informed care. Each of these addresses the underlying conditions that may have led to drug or alcohol use and the symptoms that have been caused by the addiction. The length of time that each client remains in this treatment facility is entirely dependent on their progression through the program.

Though Carolina Outreach provides services to adults, adolescents, and children, their substance abuse treatment programs are specifically designed for men and women over the age of 18 who struggle with drug and alcohol abuse. This program includes on-site 12-step meetings, motivational interviewing, CBT, group therapy, individual sessions, and extensive aftercare planning. Adults also have access to medication management, community support programs, and assertive community treatment. The goal is to work with each client’s strengths, help them build skills that promote overall wellness, and reinforce those skills through long-term outpatient aftercare. Clients are also encouraged to participate in family programs and therapies with their loved ones.

Red Oak Recovery has two separate locations in North Carolina; one is for their male clients and the other specifically treats women. Each treatment program at Red Oak combines 12-step philosophies, clinical therapies, family programs, and experiential or holistic treatments. This allows them to provide multifaceted plans that address the client as a whole and touch every aspect of their life. Unique services available here include eco-therapy, adventure-based therapy, Gestalt therapy, dog-assisted therapies, boundary-setting groups, and mindfulness training. Clients will also participate in a variety of evidence-based therapies, but all treatment options are decided with their treatment team and can be customized at any time to better address their needs.

Treatment services through Coastal Horizons for dual diagnosis substance use disorders include a variety of programs such as individual and group therapies, medication assistance if needed, community service events, medical care, psychiatric services, and interventions. Clients are provided with any service or program they need in order to help them regain a sense of wellness and motivation for change. Coastal Horizons also offers prevention services and outdoor recreation programs such as a challenge course that places clients in a team-building situation where they have to utilize their individual strengths and work with their peers to develop skills like communication and problem-solving.

Delta Behavioral Health combines person-centered care with evidence-based programs to create multifaceted and comprehensive treatments that help all clients struggling with substance use or mental illness. Their main form of therapy revolves around dialectical behavior therapy and skill development, but Delta Behavioral also offers individual therapy, couples therapy, family-inclusive programs, medication management, mindfulness group therapy, process groups, and more. Through these treatments, the goal is to help clients learn skills such as emotion regulation, distress tolerance, and communication. Delta Behavioral Health accepts most health insurance, self-pay, and Medicare.

SUWS of the Carolinas is an adolescent program that specifically works with individuals ages 10-17 who are struggling with any number of mental illnesses or co-occurring substance abuse. Treatment takes place in a wilderness setting which allows clients to fully immerse themselves in the healing process and commit their time and energy into healing rather than into the outside world. The main component of this program incorporates outdoor recreation and activities, however, clients also work with their treatment team in programs that include peer counseling, intensive individual and group therapies, education, and so much more. Clients are treated based on their needs and recovery goals, so the specific therapies and holistic options utilized will vary from person to person. Parents are also encouraged to participate in these programs, and while all services and events taking place at SUWS are transparent, the main goal is to help these kids in whatever way is best for them. Parent participation is encouraged, but it is limited to specific times and programs.

Every client seeking help through Triangle Springs will complete an assessment with an assigned clinician. This assessment helps both parties determine what areas of the client are in need of treatment, which program and services will best address those needs, and how long the program will need to last in order to be effective. Residents will have access to semi-private living spaces and bathrooms, outdoor areas, recreation rooms, and nutritious meals provided by an on-site chef. Treatment services include individual therapy, support groups, various talk therapies, activity-based therapy, cognitive behavioral therapy, coping skill development, relapse prevention groups, and more. Triangle Springs works with most in and out-of-network health insurance providers and may work with government assistance programs or other financial aid programs on a case-by-case basis.

Amara Wellness offers outpatient services that take a whole-person approach to substance abuse treatment, meaning that clients are not only provided services that treat specific addiction symptoms. All services and therapies offered will create a program that addresses every aspect of the client’s life, offering them skills, therapies, and habits that promote a healthy lifestyle and long-term recovery even after their program has ended. The goal is really to make sure that the time in treatment is taken advantage of so that each person is prepared for life outside of rehab. The entire process is based on addiction education, and clients will also have access to medication management, community services, peer support groups, intervention and crisis services, individual therapy, CBT, solution-focused therapy, motivational interviewing, anger management classes, mindfulness, and life skills training. Clients also have access to virtual care if that makes them feel more comfortable during this time.