Individuals who struggle with addiction or substance use disorders and mental health disorders are diagnosed with co-occurring disorders or dual diagnoses. A dual diagnosis is an approach that allows healthcare providers to treat the whole person and not solely their addiction. This has shown to be incredibly beneficial as substance use and mental illness are often closely related. Lets talk about some treatment for co-occuring disorders.
Substance Use Disorder
Substance use disorder is diagnosed when a person’s use of alcohol or illegal drugs leads to severe mental and physical health issues. This can result in problems at work, school, or home and ruin close relationships with family and friends. Substance use disorder often occurs with mental health issues such as depression, attention deficit disorder, post-traumatic stress disorder, and other behavioral illnesses. It is difficult to determine if the substance use caused the mental illness or the other way around in many cases. In either case, substance use cannot be treated without considering cognitive and behavioral health disruptions.
What does substance use disorder include?
A substance use disorder includes:
Alcohol or drug abuse
Alcohol or drug dependence
Co-occurring disorders can be difficult to diagnose. Symptoms of illicit drug abuse or addiction and mental illness may mask one another, making it difficult to identify what a person is actually struggling with. Often, individuals with mental health problems do not discuss their drug use with mental health professionals because they do not think it is related to their illness. This can increase the amount of time it takes to get to a correct diagnosis.It is not uncommon for people struggling with their mental health to turn to drug use. Anxious people may take drugs to feel calm, and depressed people may take drugs to numb the pain.In addition to addressing the mental health problem, alcohol or other medications often prevent a person from developing successful coping skills like maintaining satisfying relationships and feeling happy with themselves. It is also important to know how drugs and alcohol impact medicines prescribed for mental illness. Dru and alcohol use, in short, makes mental health conditions worse when not properly disclosed to your healthcare provider.People with co-occurring disorders can stop using alcohol or other substances, but as symptoms of their mental health disorders continue, they may face difficulties. To remedy both conditions, patients need a care team with an awareness of the entire patient history and experience in treatment for co-occuring disorders.
Substance Abuse & Addiction
Though it is a fine line, some people may use drugs without becoming addicted. Addiction begins with compulsive behaviors to seek out and use drugs with little regard for the consequences. The increased drug use leads to drug abuse where a person continues to use more of a substance to chase the same high. The increased volume of drug consumption results in long-lasting changes in the brain. Some of these changes are irreversible and permanent. Exposure to drugs in social settings is often where drug use begins. It may also start with misusing a valid prescription ordered by a doctor. As the person becomes accustomed to the feeling of using drugs, they increase the amount and the frequency in which they operate. This leads to experimenting with and abusing different drugs.The risk of addiction varies according to the substance (controlled or illegal) and how easily you become addicted. Some medicines have a greater risk and induce dependence more quickly than others, such as opioid painkillers. Attempts to stop drug use abruptly may cause intense cravings, make you feel physically ill (withdrawal symptoms), and be dangerous if not properly supervised.
Treatment for Co-Occurring Disorders
Previously, in the United States, opioid and alcohol abuse treatment was distinct from mental health treatments because there was not a broad understanding of co-occurring conditions. Care was administered using drastically different clinical methods at various facilities. Consequently, many individuals with depression, schizophrenia, obsessive-compulsive disorder, bipolar disorder, treatment for co-occuring disorders and other severe conditions never received a treatment plan for their substance abuse problems. Treating only one condition will not cause the other to change immediately, and a siloed treatment approach will not give you lasting results. Both conditions must be treated simultaneously, in the same place, by the same care team to be successful. This is a form of integrated cognitive behavioral therapy, and it is highly effective.About 7 million people who have received treatment for mental health still suffer from opioid or alcohol abuse. The secret to shielding this population from poverty, disease, loneliness, incarceration, and homelessness is integrated care for co-occurring disorders.Are you someone who is looking to help your daughter, mother, sister, or friend? Are you looking for substance abuse treatment options and support groups specifically for women? Join us at the women-only treatment center, Anchored Tides Recovery. Call us today at 1-866-524-6014 and get your loved one on the road to recovery.
Anchored Tides Recovery’s Outpatient Program (OP) offers a flexible and supportive treatment option for women seeking ongoing recovery from addiction and mental health challenges. Our OP provides personalized therapy sessions, group counseling, and holistic support tailored to each individual’s needs. This program allows women to continue their daily activities and responsibilities while receiving the care and support necessary for sustained recovery. With a compassionate approach, our Outpatient Program fosters healing, resilience, and personal growth, empowering women to achieve and maintain long-term wellness in a nurturing and understanding environment.
Being the first point of contact for women seeking aftercare for their recovery in alcohol and drug addiction; I am driven & passionate about helping them with their next steps. I have always been passionate about helping others & this position allows me to see those dreams come to life.
You can always find me in nature during my self care time, usually hiking, roller skating by the beach, or surfing the waves. I enjoy music to feed my soul & get grounded. I lead a healthy & holistic way of living that I enjoy sharing with others.
Michelle King
Operations Manager
Michelle has been a part of the Anchored Tides family since 2018. Michelle is an empathetic individual who finds connection with each client. Her goal is to help women feel understood and see that long-term recovery is possible. Michelle obtained a bachelor’s degree in sociology from Brandman University and is working towards her masters in social work. Michelle is passionate about helping others and considers it an honor to be a part of a treatment team who believes the client’s care is the first priority. In her spare time Michelle loves going to concerts, camping, and road trips.
Katie van Heerden
Clinical Therapist
I am Katie van Heerden, a licensed marriage and family therapist, currently conducting individual and group therapy at ATR using CBT and EMDR modalities. My passion for working with those struggling with addiction and mental health is a personal one. I, myself, grew up in a family system of addiction and mental health issues with little knowledge of what to do or how to recover. This drove me to further my education in mental health disorders, first by obtaining my BA in psychology from Cal State University Fullerton, then my Master’s Degree in Clinical Psychology from Pepperdine University. While the knowledge I have obtained in school is extensive, my personal journey through life and all of its struggles have led me to the conclusion that anyone can recover if given 2 things: resources and support. When asked what keeps me going in this field, after 10+ years, I typically respond; “I am merely a farmer. I plant the seeds, nourish when necessary, and give space to allow growth.” Watching clients transform into better versions of themselves is not only rewarding but inspiring. It is a “job” I never take for granted.
Tracy Dunn
Interventionist / Relationships & Co-Dependency
Tracy Dunn is a National Interventionist and Addiction Coach who has received training at the Crossroads Recovery Coaching Academy of Seattle Washington and The Addiction Academy in Miami Florida. As the daughter of Roger Dunn of the Roger Dunn Golf Stores, Tracy knows all too well the dramatic impact that fame and addiction can have on the family system. Her professional training partnered with over 32 years of sobriety has led Tracy to be deeply committed to both saving and changing the lives of those struggling with addiction and alcoholism and their families.
As a group facilitator, she works collaboratively with her clients to help them focus on the action they will need to take to recognize the vision they will have for themselves. As an interventionist, she has helped many families to overcome the paralyzing grip of addiction by teaching accountability, compassion, and the other tools needed to break the cycle of addiction and maintain sobriety. Tracy works with the media, treatment facilities, interventionists, therapists, and addiction psychiatrists and consults with treatment facilities. Her dedication to saving lives has given a dynamic voice of recovery to those who had previously given up hope, and the belief that they are able to create their own successes.
William Nephew
Rock To Recovery
William Nephew has been a singer/songwriter for over 20 years. He achieved some notable success early in his career with emo/rock band Jack’s Broken Heart, which won a San Diego Music Award in 2001, toured the continental United States, and shared the stage with acts like The Mars Volta and Jimmy Eat World. Having a strong passion for the arts, William earned a B.A in Cinema production. Following completion of his degree at San Francisco State University, William worked on film/tv projects for major Hollywood production companies including Sony and Universal Pictures.
Williams addiction began at an early age and followed a slow and steady progression. Eventually, William knew he had to make a change. With the help of drug and alcohol treatment, William got sober on May 26th, 2014. He has been sober ever since. William’s talent as a singer/songwriter, passion for the healing power of music, and the struggles of his past make him an outstanding program administrator for Rock to Recovery. He believes in the strength of creative expression as an extremely effective tool to cope with overwhelming emotions in early sobriety because William was actually in Rock to Recovery groups as a CLIENT before he became a program facilitator. William is also a certified CADC-I drug and alcohol counselor by the state of California.
Amy Dutton
COO / Co-Founder
Amy moved to California from Florida in 2011 to begin her journey into a life of recovery. Amy started to gain her spirit back while helping others and that’s when she found her life’s purpose. Amy graduated with a bachelor’s degree in psychology and a minor in sociology from Chapman university. Amy has also completed her CAADAC degree at Centaur university. Amy truly believes being outside and in touch with nature helps with self-destructive behaviors, which she considers to be the key to her personal recovery. After years of owning and operating a successful women’s sober living, Amy really saw the need for gender-specific aftercare. Amy Dutton and Becca Edge teamed up to create Anchored Tides Recovery.
Kelli Easley
Director of Marketing & Admissions
Kelli Easley comes to Anchored Tides bringing with her over seventeen years of experience in the field of addiction. Her unwavering passion to help others stems from her commitment to give back after overcoming her own 17-year addiction. She holds certifications in both Chemical Dependency and Family Development.Kelli had the good fortune of training under a well-respected interventionist, and therapists this has only strengthened her expertise in working with both individuals and families. Kelli is currently working towards a degree in Business Administration along with being a loving mother to her husband, and two sons. In her free time, Kelli is active in the recovery community and lends her support to nonprofit organizations to help those in underserved communities.
– “Hardships often prepare ordinary people for an extraordinary destiny” – C.S. Lewis
Bunny & Murphy
Registered Emotional Support Animals
Bunny is a 3yo male French Bulldog and Murphy is a 6yo female Shiba Inu. Both of these pups have been raised at Anchored Tides and grew up handing out love and support to our clients. They have the wonderful ability to sense when someone needs a little extra love, some playful puppy time, or just a companion to sit and hold space while they are processing something.
Murphy’s favorite treatment activities are Lunch, Reiki, Process group, and sitting in on individual sessions. Bunny’s favorite activities are Lunch, DBT, and also sitting in on individual sessions. When they aren’t working, Murphy likes to play with her little brother (who is not a support animal), go on hikes, dig holes, sleep and eat. During Bunny’s time off, he likes to destroy squeaky toys, play with his nerf dog gun, and sleep.
They (and we) believe that animals are essential in providing emotional support. Studies have shown that some of the benefits of having an ESA include enhancing calm and relaxation, alleviating loneliness, enhancing social engagement and interaction, normalizing heart rate and blood pressure, and reducing stress, pain, anxiety, and depression. They are an important part of the holistic approach at ATR to make everyone feel loved and comfortable as they walk through their recovery journey.
Hillary Delira
Program Director
Hillary, an Orange County local, has been working in the field of addiction for over a decade and has been in recovery herself for over 13 years. Coming from a broken place with nowhere to go but up, Hillary can relate to clients on a deeper level with compassion and understanding. Her favorite thing about working in recovery is watching individuals come into their own and find the inner peace they once had but lost along the way. Hillary is currently an undergrad at the University of Phoenix with a BS in Business and working on a master’s degree in healthcare administration. Hillary not only enjoys being part of the Anchored Tides family, but showing up as a wife, daughter, sister, aunt, and friend to those around her. Hillary thanks the program of recovery every day for the life she has and strives to be an example for women everywhere.
Maryam Ashraf
Primary Therapist - ACSW
Bio Coming Soon…
Jennifer Hojnacki
Social Worker / Case Management - ACSW
Bio Coming Soon…
Alisa Fienmann
Case Manager - CDAC-II
Alisa brings a high level of dedication and compassion to her work as an addiction counselor and group facilitator. A certified addiction treatment counselor (CADC-II), Alisa has nine years of experience working in the substance abuse field. Alisa has apassion for both helping others in recovery and guiding women through the process of rebuilding a valued life and increasing their self-worth. She embraces her strengths of empathy and patience to help others develop upon their inherent set of skills and seek a purpose based on their own abilities. Alisa is DBT (Dialectical Behavior Therapy) informed and brings her expertise to the therapeutic setting. Currently, Alisa is working towards a bachelor’s degree in psychology at California State University Fullerton, with the hopes of becoming a social worker. When not at work or school, Alisa enjoys fitness, watching the Boston Red Sox, salsa dancing, and spending time with family and friends.
Intensive Outpatient Program (IOP)
Anchored Tides Recovery’s Intensive Outpatient Program (IOP) provides a flexible and supportive treatment option for women seeking recovery from addiction and mental health issues. Our IOP combines evidence-based therapies, group counseling, and individualized care plans tailored to each woman’s unique needs. With a focus on empowering women to rebuild their lives, our program offers the structure needed for recovery while allowing participants to maintain their daily responsibilities. In a compassionate and understanding environment, women can develop the skills and resilience necessary for long-term recovery and personal growth.
Kelly is the RD for the PHP and IOP program at Anchored Tides and focuses primarily on helping people struggling with eating disorders overcome their challenges. She received her Bachelor of Science in Nutrition and Dietetics from California State University Los Angeles and went on to work inpatient psych and outpatient HIV before beginning her work in treating eating disorders.
Stephanie Behrens
Clinical Director & Clinical Outreach - LMFT, LPCC
Stephanie Behrens is a Licensed Marriage and Family Therapist and Licensed Professional Clinical Counselor, who earned her Masters in Clinical Psychology at Pepperdine University. She received her Bachelor’s degree in Psychology from the University of California, Santa Barbara. Stephanie has been working in the treatment industry since 2014 and joined the Anchored Tides Recovery team as Clinical Director and Clinical Supervisor in 2024. She also enjoys working as a therapist and specializes in substance abuse, complex trauma, co-dependency, and anxiety/depressive disorders. Stephanie also has an interest in animal-assisted psychotherapy where she and her dog are certified as an official therapy dog team. When she is not working, she enjoys spending time with family and friends and her Golden Retriever.
Sierra Flynn
Primary Therapist - AMFT, CATC3
Hello,
My name is Sierra Flynn. I am an associate marriage and family therapist and an
addiction treatment counselor. I completed my undergraduate studies at California State
University, Fullerton where I emphasized substance use and mental health. I then
proceeded to receive my master’s degree in Marriage and Family Therapy from Alliant
International University, and I am currently pursuing a Doctoral Degree in Marriage and
Family Therapy at Alliant. I strongly believe in reducing stigma as it relates to addiction;
therefore, I have dedicated my career and life’s work to working on the front lines with
this population. I was given a second chance in life, and I believe everyone deserves
the opportunity to succeed and reach their best self. The modalities I treat clients with
are theories I have found to be effective in my own therapeutic work. I am trained in
EMDR, and I specialize in the treatment of complex trauma and addiction.
Becca White
Primary Therapist - AMFT
My name is Becca White, an Associate Marriage, and Family Therapist. I have a bachelor’s degree in Sociology with a Minor in Addictions Counseling as well as a master’s degree in counseling with an emphasis in Marriage and Family Therapy from California State University, Fullerton. My passion to treat women with severe substance abuse issues as well as co-occurring mental disorders is a personal one. Through my own experience with addiction, I have adapted skills which add depth to understanding clients and providing them with unconditional positive regard and compassion. I believe my recovery and personal journey has become one of my greatest assets. I offer unique insight into mental health and addiction.
Currently, I utilize an array of intentional strategies to develop a positive working relationship with individuals and their families. I provide both individual and group therapy, such as psychoeducation to provide insight into the disease of addiction as well as promoting long-term sobriety.
As a therapist at Anchored Tides Recovery, I can fulfill my purpose in life, which is to help others navigate through their own perils. It is an honor to give back and help women learn the skills to become self-confident and overcome adversity.
Markie Maneval
Operations Manager - RADT-1
Like many who have struggled with addiction, Markie’s journey to sobriety was no straightforward path. As a Tulane University student and intern for the NASA Stennis Space Center, she was on her way to a successful life! Personal struggles and watching her brother also struggle and lose his battle with drugs and alcohol only drove her deeper into addiction. Her drug and alcohol abuse continued to grow out of control until she finally realized it was time to surrender and get help. She was tired of living on the streets. She was tired of hurting her loved ones. She was tired of how much she hated herself.
She now has over five years of sobriety and is a strong believer in the ability to transform the future by making positive and healthy changes. Today, Markie has over five years of sobriety and has worked in the drug and alcohol treatment industry for over 4 years. She is a strong believer in the ability to transform the future by making positive and healthy changes. She is passionate about the work and the impact she makes on her community. Markie recently joined the Anchored Tides Recovery Team and is excited to help women begin their journey into sobriety!
Julia Perez- Monje
Yoga & Movement Group
Hello, my name is Julia Perez-Monje, I am a 500 level RYT Certified Yoga Instructor, Reiki Practitioner, and Sound Healer. I first discovered yoga during my own recovery journey. I found spirituality and began to understand my true purpose in life – sharing this beautiful practice with others. I have a bachelor’s degree in psychology with a minor in human communications, and I love being able to expand on wellness with a holistic approach to healing. During yoga groups, I incorporate breathworks, aromatherapy, meditation, reiki, and sound healing. Groups are focused on deep relaxation, gentle stretching, releasing blockages, balancing chakras, staying present, and tuning into intuition. I am genuinely grateful for the opportunity to guide others to experience and ignite the healer within themselves!
Andrew Mouck
Fitness Education - RADT-1, Certified Personal Trainer
My name is Andy Mouck, and I am a dedicated group facilitator at Anchored Tides Recovery. Having personally overcome addiction and completed treatment in 2017, I am deeply passionate about helping individuals on their recovery journey. I bring a compassionate and empathetic approach to my role, creating a safe space for participants to heal and grow. Alongside my work as a group facilitator, I am a National Academy of Sports Medicine Certified Personal Trainer, sharing my love for fitness and wellness as an integral part of recovery. With a bachelor’s degree in economics from California State University, Long Beach, and ongoing studies in a post-baccalaureate health program at California State University, Fullerton, I bring a comprehensive understanding of addiction and the importance of holistic care. As a registered drug and alcohol technician, I am committed to providing the highest quality care and staying informed about the latest advancements in addiction treatment. I am honored to be part of the Anchored Tides Recovery team, empowering individuals to embrace sobriety, rebuild their lives, and create a future filled with hope and purpose.
Brandon Thompson
Reiki & Breathworks
Bio coming soon…
Dr. Sanchez
Medical Director
Venice Sanchez, MD, is a board-certified psychiatrist and addiction medicine specialist. At her practice in Newport Beach, California, Dr. Sanchez takes a holistic approach to care that emphasizes not only medication management and traditional medicine, but also the incorporation of therapy, spirituality, healthy eating and exercise, and social factors. She is a diplomate of the American Board of Psychiatry and Neurology and Addiction Medicine.
Dr. Sanchez received her bachelor’s degree from the University of California, Los Angeles, and her medical degree from Michigan State University College of Human Medicine. She continued her training at the University of California, Irvine Psychiatry Residency Program where she was recognized by faculty with the Outstanding Resident of the Year Award as an acknowledgment for her dedicated efforts in education, the clinics, and her work with her patients.
Dr. Sanchez has had extensive training at multiple facilities under the supervision of experts in her field, which allowed her to gain comprehensive knowledge and experience in treating a wide array of psychiatric disorders. Her work at the Long Beach VA, various addiction rehabilitation centers, and San Diego Detention facilities allowed her to gain expertise in Post Traumatic Stress Disorder, substance abuse, and mood and thought disorders underlying substance use.
Dr. Sanchez realizes the significant need in women’s health, especially in treating pregnant and postpartum patients who are struggling with mental illness. She not only trained with a specialist at the Maternal and Fetal clinic at UCI Medical Center, but she was also at the forefront in opening up the first Women’s Mental Health Medication Management Clinic at Long Beach VA Veteran’s Hospital. Her passion for her field allowed her to diligently pursue the much-needed training and experience in treating patients who have a comorbid psychiatric diagnosis. She also specializes in treatment-resistant psychiatric disorders.
Eating Disorder Treatment
At Anchored Tides Recovery, our Eating Disorder Treatment program offers a holistic, compassionate approach tailored specifically for women. Our multidisciplinary team provides personalized care that includes medical monitoring, nutritional counseling, therapy, and support groups. We focus on healing the underlying emotional and psychological factors contributing to eating disorders, empowering women to achieve a healthy relationship with food and their bodies. Our supportive environment encourages lasting recovery and overall well-being, helping women reclaim their lives with confidence and resilience.
Anchored Tides Recovery’s Partial Hospitalization Program (PHP) is designed for women who need intensive support while maintaining some level of independence. Our PHP offers a structured and comprehensive treatment plan that includes individual therapy, group counseling, life skills training, and holistic therapies. With a focus on addressing the root causes of addiction and mental health issues, our program provides a nurturing and empowering environment. Women in our PHP receive the care and tools necessary to achieve lasting recovery, all within a supportive community that fosters healing and growth.
Becca Edge is originally from Birmingham, Alabama. She is no stranger to mental health and substance abuse issues in her family, and she herself also struggled with addiction and moved to California to commit herself to treatment. She has been in long-term recovery since 2010. After much success in the corporate world, Rebecca started a sober living home as a “passion project” to provide women with a safe place as they re-enter the world as sober members of society. She noticed that there weren’t many aftercare programs dedicated to women’s sobriety or supporting them with the various co-occurring disorders that pop up once women are free from drugs and alcohol. So in 2016, Rebecca partnered with Amy to create a safe, therapy-focused place where women can heal from their addictions, trauma, and other issues while growing into who they were always meant to be. Becca is passionate about helping women realize their worth and supporting/helping them navigate the next steps of their lives, all while helping them feel secure on their road to long-term recovery.
