Anxiety2025-07-10T11:58:32+00:00

Anxiety and Addiction Treatment in St. Louis

Struggling with anxiety and addiction can be common. Anxiety disorders are among the most frequently co-occurring conditions with substance use disorders (addiction) because people may turn to alcohol or drugs to self-medicate overwhelming worry, panic attacks, or social anxiety, only to find that it worsens their anxiety over time.

At Engage Wellness, our dual diagnosis treatment center in St. Louis, Missouri, offers comprehensive, integrative care that addresses both the psychological and physical aspects of recovery. Our programs are designed to treat substance abuse and anxiety simultaneously with a combination of evidence-based treatment interventions and holistic approaches to support long-term healing.

Key Points

  • Anxiety and addiction are among the most common co-occurring disorders.

  • Both anxiety and addiction have similar risk factors, and one can influence the development of the other.

  • The symptoms of anxiety disorders and substance use disorders can overlap, creating challenges for diagnosis and treatment.

  • A comprehensive approach to anxiety and addiction with dual diagnosis treatment is crucial for long-term recovery.

What Is Anxiety?

Anxiety disorders are a group of mental health conditions that are characterized by excessive and persistent worry, fear, or anxiety that can interfere with daily life, relationships, work, or other responsibilities. These feelings can persist long after the triggering event and are more severe than the types of anxiety people feel in the course of daily life. Anxiety disorders are among the most frequent behavioral health problems in the U.S., with lifetime rates of 28.8%.[1]

There are several types of anxiety disorders, including:[2]

  • Generalized anxiety disorder (GAD): Characterized by chronic worry about everyday events.

  • Panic disorder: Involving sudden, intense episodes of fear known as panic attacks.

  • Social anxiety disorder: Extreme fear of social situations or judgment.

  • Specific phobias: Intense fear of particular objects or situations.

The symptoms of anxiety can vary based on the specific disorder or severity, but may include:[3]

  • Restlessness

  • Difficulty concentrating

  • Feeling exhausted

  • Sleep problems

  • Difficulty controlling worry

  • Muscle tension

  • Headaches

  • Stomach pain

  • Nausea

  • Increased heart rate

Panic attacks can have additional symptoms that are sometimes mistaken for a heart attack, such as numbness or tingling, feelings of impending doom, pounding or racing heart, trembling or shaking, and chest pain or discomfort[4]

With social anxiety, people may experience intense fear or anxiety in social situations that can be paralyzing, a fear of negative evaluation, and avoidance of social situations.[5]

Drug Addiction and Interaction with Anxiety

Mental health conditions like anxiety frequently co-occur with substance use disorders for several reasons. People with anxiety may use drugs or alcohol to cope with the symptoms of anxiety disorders to self-medicate, which can progress to dependence or addiction.

Panic disorder and alcohol use disorder are also connected. Alcohol withdrawal can cause anxiety, which may trigger panic attacks in people with panic disorder. This can start a cycle of using alcohol to self-medicate. Substance use provides temporary relief, the brain becomes dependent on the substance to manage anxiety, and the tolerance builds, leading to more use.

Statistics for Anxiety and Substance Use Disorder

Anxiety and addiction are deeply connected. The symptoms of anxiety can emerge during the course of substance abuse and withdrawal, and anxiety disorders are a risk factor for developing a substance use disorder. According to the National Epidemiological Survey on Alcohol and Related Conditions, 17.7% of respondents with a current substance use disorder also met the criteria for an anxiety disorder.[6]

In addition, one study of people with opioid use disorders reported that 12% of men and 21% of women met criteria for a lifetime anxiety disorder.[7] This research also found that anxiety disorders generally precede the development of co-occurring alcohol and drug use disorders at 57-80% and 67.6-100%, respectively.[8]

Causes of Anxiety and Substance Use Disorder

There’s no single cause for co-occurring anxiety and addiction, but they do have overlapping risk factors:[9]

  • Genetics and brain chemistry: Some people have a genetic predisposition to anxiety disorders and substance use disorders. Chemical imbalances in neurotransmitters like serotonin, dopamine, and gamma-aminobutyric acid (GABA) can also affect these conditions.

  • Trauma and stress: Traumatic experiences like abuse, neglect, or violence are strongly linked to both anxiety and addiction. High-stress environments, especially during childhood or adolescence, can affect emotional regulation and coping mechanisms.

  • Early substance use: People who use substances earlier in life are at a greater risk of developing co-occurring mental health disorders. Early use disrupts brain development and increases vulnerability to anxiety and depression.

  • Self-medication behaviors: Without treatment, anxiety often leads people to use substances as a way to numb or escape their fear or discomfort, leading to dependency.

  • Social and cultural pressures: Stress, like financial pressure, work stress, or academic pressure, can contribute to anxiety and increase the likelihood of using substances for relief.

Anxiety and Addiction Treatment Centers in St. Louis

Dual diagnosis treatment programs at Engage Wellness focus on whole-person healing and simultaneous treatment of anxiety and addiction. These addiction and mental health services are tailored to your needs with several levels of care for anxiety and addiction.

Each mental health and drug rehab treatment plan is customized to your unique needs, history, and goals, but some of the therapies we offer include:

01

which involves loved ones in the anxiety disorder treatment process to repair relationships, improve communication, and strengthen recovery outcomes.

02

Group therapy for anxiety and addiction, which brings people together in a group setting to foster a sense of community and reduce the feelings of isolation that occur with dual diagnosis.

03

12-Step groups for anxiety and addiction that bring together peers in recovery to connect, reflect on experiences, share advice, and stay accountable to their abstinence.

04

Cognitive behavioral therapy (CBT) for anxiety and addiction, which addresses the negative thought patterns that drive anxiety and substance use, replacing them with healthier coping strategies.

05

Dialectical behavioral therapy (DBT) for anxiety, which teaches emotional regulation and distress tolerance to improve anxiety symptoms and promote sobriety.

06

Eye movement desensitization and reprocessing (EMDR) therapy, which helps with reprocessing disturbing memories and reducing the stress associated with them.

07

Holistic treatment for anxiety, which may include meditation, yoga, art therapy, or other modalities for mind-body healing, wellness, and emotional balance.

08

Veterans programs for service-related trauma, anxiety, and substance abuse that addresses the unique experiences of military life and the reintegration to civilian life.

Frequently Asked Questions About Anxiety and Addiction Treatment in St. Louis

Can Anxiety Get Worse During Addiction Recovery?2025-06-24T00:25:08+00:00

Yes, anxiety can temporarily increase during early recovery, especially during detox. That’s why it’s important to receive mental illness support for dual diagnosis to ensure existing anxiety is addressed along with substance use disorder.

How Often Do Anxiety and Substance Abuse Co-Occur?2025-06-24T00:27:33+00:00

Anxiety and substance use disorders are among the most frequent psychiatric problems because of overlapping risk factors and the cycle of self-medicating anxiety symptoms with substances.

What happens If Generalized Anxiety Disorder Is Left Untreated?2025-06-24T00:26:51+00:00

Untreated, GAD can cause severe anxiety and depression with setbacks at work, school, or with interpersonal relationships.

Does Anxiety Cause Substance Abuse?2025-06-24T00:26:34+00:00

Anxiety symptoms can be severe, leading some people to use substances to numb their emotions, relax, or escape negative emotions. This is a form of self-medication or an unhealthy coping mechanism that can start a cycle of substance abuse and worsening anxiety.

How Long Is Dual Diagnosis Treatment for Anxiety and Addiction?2025-06-24T00:26:17+00:00

The duration of dual diagnosis treatment for anxiety and addiction in an addiction treatment center can vary based on the program and your progress, but it can last anywhere from a few months to a year or longer.

[1] Smith, J. P., & Book, S. W. (2008, October). Anxiety and substance use disorders: A Review. The Psychiatric times. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC2904966/ on 2025, April 22.

[2] U.S. Department of Health and Human Services. (n.d.-a). Anxiety disorders. National Institute of Mental Health. Retrieved from https://www.nimh.nih.gov/health/topics/anxiety-disorders on 2025, April 22.

[3,4,5] Mayo Foundation for Medical Education and Research. (2018, May 4). Anxiety disorders. Mayo Clinic. Retrieved from https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961 on 2025, April 22.

[6,7,8] Back, S. E., & Brady, K. T. (2008, November). Anxiety disorders with comorbid substance use disorders: Diagnostic and treatment considerations. Psychiatric annals. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC2921723/ on 2025, April 22.

[9] U.S. Department of Health and Human Services. (2024a, October 3). Co-occurring disorders and health conditions. National Institutes of Health. Retrieved from https://nida.nih.gov/research-topics/co-occurring-disorders-health-conditions#problems-occur on 2025, April 22.

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