Co-Occurring Disorders · Women's Only · Orange County
Integrated outpatient treatment for women whose substance use is intertwined with a mental health condition — depression, anxiety, PTSD, bipolar disorder, BPD, or ADHD. One plan, one team, one woman.
“Anchored tides saved my life. I had been to an inpantient facility before and my sobriety wasn't lasting, until I found this place. I enjoyed the different groups and the staff and women are so welcoming. I felt so comfortable here, which I hadn't felt before. I now have the confidence to succeed in life. Very thankful for this place.”
Substance use + mental health, treated together — one assessment, one team, one integrated plan — not parallel programs that meet only in the chart.
The standard of care recommended by SAMHSA and ASAM — women with co-occurring disorders have better outcomes when both are treated by the same team, in the same setting.
Available across every level of care we offer — dual-diagnosis programming runs through our PHP, IOP, and outpatient — the right starting point is determined clinically at intake.
Trauma-informed as a foundation, not an add-on — for most of the women we treat, trauma is part of the picture — clinicians are trained accordingly.
Most major commercial plans cover dual diagnosis at parity — in line with federal mental health parity requirements; we verify benefits before every woman's first session.
Why treating them together matters
They're the same story, told from different angles. The current evidence base is clear: women with co-occurring disorders do better when both are treated by the same team, in the same setting, with one coordinated plan. That's the standard of care SAMHSA and ASAM recommend — and the model our entire program is built around.
See how we structure dual-diagnosis care
Who Dual-Diagnosis Care Is For
Most of the women in our dual-diagnosis programming fall into one of these categories:
When this isn't the right starting point
Our admissions team helps each woman find the right level of care — even if that level isn't with us.
Levels of care available for dual diagnosis
The right starting point — and the right step-down path — is determined clinically at intake. The clinical relationship continues across levels; the cadence is what changes.
Higher acuity, recent stabilization needs, or both conditions presenting actively.
Intensive individual and group therapy, daily psychiatric availability, medication management.
Read about PHPModerate symptoms, step-downs from PHP, or lives that don't accommodate full-day treatment.
Dual-diagnosis groups, EMDR, DBT skills training, coordinated medication management.
Read about IOPLong-term stability, step-downs from IOP, or maintenance plans calling for ongoing psychiatric care.
Individual therapy with optional group, psychiatric medication management, specialty work as needed.
Read about OPOne comprehensive assessment captures both substance use and mental health history — no handoffs between disconnected teams.
Individual therapy, group, EMDR, DBT, CBT, psychiatric care, and Registered Dietitian support all coordinated by one clinical team.
Psychiatric medications managed with attention to interactions, side effects, and addiction-relevant considerations; PGX testing when helpful.
Stepping from PHP to IOP to outpatient doesn't change clinicians or split treatment. The relationship continues; the cadence adjusts.
What we treat in dual-diagnosis care
Our clinicians coordinate across substance use and mental health rather than running parallel programs that meet only in the chart. The trauma being processed in EMDR is the same trauma addressed in relapse work.
Modalities used in our dual-diagnosis program
Drawn from our broader therapies framework: the right combination is built for the woman, not the diagnosis.
First-line for depression, anxiety, PTSD, and substance use — identifying the thought patterns that drive both pictures.
Gold-standard for emotional dysregulation and borderline personality disorder; central for women whose use is tied to impulsivity.
Particularly relevant for women whose substance use is rooted in PTSD or complex trauma.
Where clinically indicated, coordinated with psychiatric medication management as one picture.
Managed by our team with attention to interactions, side effects, and addiction-relevant considerations; PGX testing where helpful.
Integrated across the program to support emotional regulation and craving management.
Most major commercial plans cover dual diagnosis at parity with single-diagnosis treatment.
We are happy to verify your benefits prior to any commitment and let you know what your plan covers. Please note: we do not accept Medi-Cal or Medicaid.
PPO, HMO, and EPO accepted
Out-of-network
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Why women choose Anchored Tides for dual diagnosis
One comprehensive assessment captures both substance use and mental health. The clinicians who meet you at intake follow you through the program.
Individual, group, EMDR, DBT, CBT, psychiatric care, and dietitian support all coordinated by one clinical team — updated in conversation, not parallel charts.
Not a single workshop — it's how sessions are structured, how clinicians are trained, and how we hold the room.
Telescoping, trauma as a primary driver, hormonal cycles, caregiving roles, and social stigma all shape the program.
Stepping from PHP to IOP to outpatient doesn't change clinicians or split treatment. The clinical relationship continues; the cadence adjusts.
Psychiatric medications prescribed and managed by our team — including pharmacogenomic (PGX) testing to guide selection when helpful.
If you or someone you love is in immediate crisis, please call or text 988 to reach the Suicide and Crisis Lifeline, or call 911. Anchored Tides is not a 24/7 crisis line. For non-emergency admissions and clinical questions, call us at (866) 329-6639.
Our Huntington Beach location
Service areas
Most women travel in from Newport Beach, Costa Mesa, Huntington Beach, and the wider Southern California coast for dual-diagnosis care.
Dual diagnosis means having a substance use disorder and a mental health condition at the same time — for example, alcohol use disorder alongside depression, or opioid use disorder alongside PTSD. Both conditions are treated together in one integrated plan rather than sequentially.
“Co-occurring disorders” is the more current clinical term; “dual diagnosis” remains in widespread use. You'll see both terms used interchangeably in clinical literature, insurance documentation, and treatment program descriptions.
Yes. Bipolar disorder co-occurring with substance use is one of the more common dual-diagnosis presentations we see, and it's one where integrated treatment matters most. Alcohol or sedatives are often used during depressive episodes; stimulants or alcohol during manic or hypomanic ones. Treatment includes mood stabilization, careful medication management, psychoeducation, and relapse mapping that takes mood phase into account.
Yes — this is one of the most common pictures in our female client population. Many women come to us with substance use that took root as a way to manage trauma symptoms. Our work integrates EMDR, trauma-focused therapy, and substance use treatment within the same clinical relationship.
No. A clinical assessment at intake determines what programming fits. Many women come to us with a clear substance use concern but no formal psychiatric diagnosis — and assessment often surfaces what's been going on underneath. Sometimes the mental health condition is the part she's been managing in silence for years.
Yes, in most cases. Most major commercial plans cover dual diagnosis at parity with single-diagnosis treatment under federal mental health parity laws. Specifics vary by carrier and plan, which is why we verify benefits before every woman's first session.
Yes. Dual-diagnosis care continues across all our levels of care, including outpatient. The clinical relationship doesn't reset when the cadence changes — the same team continues to coordinate substance use and mental health treatment as the structure lightens.
That's common. For many women, the assessment process is the first time someone has connected their depression, anxiety, or trauma symptoms to the substance use story. We don't expect women to arrive with a complete diagnostic picture. The work begins with an honest conversation.
Evidence & accountability
This page was reviewed by Zoe Tambling, LMFT on . The references below informed the specific topics noted with each citation.
