Co-Occurring Disorders Treatment in Scottsdale, Arizona
At Redefine Wellness & Treatment, we treat mental health conditions and substance use disorders simultaneously, not as separate problems. Our clinical team addresses the shared nervous system patterns that drive both conditions, using neurofeedback, EMDR, somatic therapy, and 20+ modalities within structured PHP and IOP programs.
- Joint Commission Accredited
- Daily Neurofeedback
- Root-Cause Treatment
- Body + Brain + Mind Approach
- Outpatient Programs, No Detox On-Site
Commission
...and many more private plans
- Integrated Mental Health and Substance Use Treatment
Structured Co-Occurring Disorders Treatment in Scottsdale, Arizona
Co-occurring disorders treatment at Redefine starts from a simple clinical reality: mental health conditions and substance use disorders share overlapping neurotransmitter systems, and treating one without the other leaves half the pattern running. Our PHP and IOP programs address both conditions from day one, using neurofeedback, trauma processing, somatic therapy, and medication coordination within the same clinical team and the same treatment plan.
- Integrated, Not Sequential We treat both conditions simultaneously, not substance use first with a mental health referral later. One clinical team, one roof.
- Neurofeedback for Shared Pathways Substance use and mental health conditions affect the same brain circuits. Neurofeedback targets both at once.
- Outpatient Structure, Clinical Intensity PHP delivers 25 to 30 hours weekly. IOP delivers 9 to 12. Both provide the density co-occurring disorders require.
- Medication Coordination Dr. Michael Yasinski, MD manages psychiatric medication and MAT within one integrated plan.
- 20+ Modalities, Matched to Your Case EMDR, DBT, somatic experiencing, breathwork, PEMF, IFS, and more, selected based on your specific combination of conditions.
Partial Hospitalization Program for Co-Occurring Disorders
PHP is the right starting point when a mental health condition and substance use are both actively disrupting daily life, or when you've completed detox and need structured support that addresses both conditions simultaneously. Five days a week, your clinical team works across the full picture: neurofeedback targeting the nervous system patterns shared by both conditions, trauma processing for the experiences driving the substance use, and evidence-based therapy for the mental health diagnosis itself. You return home each evening.
- Neurofeedback for nervous system stabilization
- Mental health + substance use from day one
- Individual and group therapy
- MAT coordination when applicable
- Step-down from detox or residential
- Return home each evening
Intensive Outpatient Program for Co-Occurring Disorders
IOP provides structured clinical treatment for co-occurring disorders three days a week while you continue working, managing family responsibilities, or maintaining your daily routine. You receive the same integrated approach as PHP: neurofeedback, individual therapy, group work, and somatic modalities all addressing both your mental health condition and substance use together. IOP works as a step-down from PHP or as the right entry point when functioning is stable but weekly therapy has not been enough to address both conditions.
- Neurofeedback for nervous system stabilization
- Integrated dual diagnosis treatment
- Individual and group therapy
- Relapse prevention built in
- Continue working during treatment
- Step-down from PHP when ready
Aftercare and Continuing Support for Co-Occurring Disorders
Co-occurring disorders carry a higher relapse risk than either condition alone, which makes the period after PHP or IOP especially critical. Aftercare at Redefine keeps both conditions in the treatment frame: ongoing neurofeedback, individual therapy, and group support structured around where you are in recovery. Your clinical team stays the same, and the frequency adjusts as both your mental health and substance use stabilize.
- Continued neurofeedback access
- Ongoing individual therapy
- Dual relapse response planning
- Alumni group support
- Frequency adjusts as you stabilize
- Same clinical team throughout
- Outpatient Programs for Dual Diagnosis
Our Co-Occurring Disorders Treatment Programs
Do I Need Detox Before Co-Occurring Disorders Treatment?
Redefine does not provide medical detox on-site. Whether you need detox before starting treatment depends on which substance is involved and how long you have been using it. Here is how that process works.
Detox Needs Vary by Substance
Alcohol and benzodiazepine withdrawal can be medically dangerous: do not stop either abruptly without medical supervision. Opioid withdrawal is intensely uncomfortable but typically manageable in 5 to 10 days. Stimulant and cannabis withdrawal are primarily psychological. Our admissions team will assess your specific situation and let you know what medical stabilization, if any, is needed before you begin.
We Coordinate the Transition
Our admissions team works with medical detox facilities to plan your transition into outpatient treatment. If you are on medication-assisted treatment for opioid use disorder, we coordinate continuity with your prescribing provider. When you are medically stable, you step directly into PHP or IOP at Redefine with both your substance use and mental health treatment starting simultaneously.
Already Medically Stable?
Many people with co-occurring disorders arrive already stable, whether you have completed a detox program, finished a medical taper, or your substance use does not require medical withdrawal management. If that is your situation, you may be able to start PHP or IOP directly. Call us to discuss where you are and we will determine the right entry point.
If you are unsure whether you need medical stabilization first, our admissions team can help you figure that out before you commit to anything.
Calling on behalf of someone you love? Calls are completely confidential and require no commitment.
Depression and Substance Use Disorder Treatment in Scottsdale, Arizona
Our Approach
Depression and substance use share overlapping neurotransmitter systems, particularly serotonin and dopamine, which means treating one without the other leaves the neurological cycle intact. At Redefine, neurofeedback targets the cortical patterns common to both depressive dysregulation and substance craving. CBT addresses the cognitive distortions that depression produces and that substance use reinforces. Somatic experiencing works with the body-level heaviness and shutdown that often accompanies co-occurring depression. Your clinical team coordinates psychiatric medication alongside behavioral treatment so both conditions are managed within one plan.
What Is Depression and Substance Use Co-Occurrence?
Depression is the most common mental health condition found alongside substance use disorders. Research consistently identifies it as the co-occurring pairing with the poorest outcomes when treated separately. Many people use substances to manage low mood, emotional numbness, or the fatigue that depression creates. Over time, the substance disrupts the brain's natural mood regulation further, deepening the depression while making the substance feel more necessary. The cycle reinforces itself until both conditions are addressed at the same time.
- Using substances to manage low mood
- Depression worsening during periods of use
- Loss of interest combined with increased use
- Emotional numbness that substances temporarily relieve
- Fatigue and withdrawal blending together
- Hopelessness about stopping either pattern
Anxiety and Substance Use Disorder Treatment in Scottsdale, Arizona
Our Approach
Anxiety drives substance use by making the nervous system feel unsafe without chemical intervention. At Redefine, we address the nervous system directly. Neurofeedback targets the hyperarousal patterns that keep the threat response elevated between uses. DBT builds concrete distress tolerance skills to replace the function the substance has been serving. Somatic experiencing works with the physical tension, shallow breathing, and bracing patterns that anxiety produces in the body. We do not treat the substance use and then refer out for anxiety. Both are addressed from day one within the same program.
What Is Anxiety and Substance Use Co-Occurrence?
Anxiety disorders are among the most prevalent co-occurring conditions in substance use treatment populations, with prevalence ranging from 27% to 75% depending on the treatment setting. Substances like alcohol, benzodiazepines, and cannabis provide rapid short-term anxiety relief, which makes them highly reinforcing. Over time, the nervous system adapts to the substance's presence and becomes more anxious without it, creating a cycle where anxiety and substance use escalate together. Many adults do not recognize the connection until both conditions are assessed simultaneously.
- Using substances to calm anxiety or panic
- Anxiety escalating between uses
- Racing thoughts that only substances quiet
- Physical tension that builds without the substance
- Avoiding situations unless using beforehand
- Feeling unable to function without chemical relief
PTSD and Substance Use Disorder Treatment in Scottsdale, Arizona
Our Approach
PTSD and substance use are treated together at Redefine because the nervous system dysregulation that trauma creates is typically what the substance use is managing. EMDR and brainspotting process stored trauma without requiring repeated verbal retelling of difficult experiences. Neurofeedback targets the hypervigilant brain patterns that PTSD produces and that substances were temporarily suppressing. IFS helps the parts of the system that developed substance use as a survival strategy. Treating the substance use without processing the trauma underneath it produces incomplete and often temporary results.
What Is PTSD and Substance Use Co-Occurrence?
PTSD is one of the strongest predictors of substance use disorder. Trauma creates nervous system states, including hypervigilance, emotional flooding, intrusive memories, and difficulty tolerating distress, that make substances an effective short-term solution. Research shows that co-occurring PTSD and substance use produces poorer treatment outcomes than either condition alone when they are treated separately. The substance prevents the nervous system from completing the processing that trauma requires, which keeps both conditions locked in place. Integrated treatment that addresses both simultaneously produces consistently better results.
- Using substances to manage intrusive memories
- Substance use that began after a traumatic event
- Nightmares or flashbacks driving evening use
- Emotional numbness maintained by substances
- Hypervigilance that only substances quiet
- Avoidance patterns reinforced by substance use
Alcohol and Mental Health Treatment in Scottsdale, Arizona
Our Approach
Alcohol is the most common substance involved in co-occurring disorders, and it interacts differently with different mental health conditions. At Redefine, your clinical team identifies which mental health condition the alcohol use developed alongside and builds treatment around that specific pairing. Neurofeedback targets the shared nervous system patterns between alcohol use and the co-occurring condition. CBT and DBT address the cognitive and behavioral patterns specific to how alcohol is functioning in your life. Medication coordination ensures psychiatric treatment and substance use recovery work together, not against each other.
What Is Alcohol and Mental Health Co-Occurrence?
Alcohol use disorder is the most prevalent substance use disorder in the United States, affecting approximately 29 million adults. Among those with alcohol use disorder, the majority also have a co-occurring mental health condition. Alcohol is a central nervous system depressant that temporarily relieves anxiety, numbs emotional pain, and creates a sense of calm, which makes it highly reinforcing for people with untreated mental health conditions. Over time, alcohol disrupts the neurotransmitter systems that regulate mood, anxiety, and stress, making the underlying mental health condition worse while making the alcohol feel more necessary.
- Drinking to manage a mental health condition
- Mental health symptoms worsening with heavy use
- Using alcohol as a primary coping mechanism
- Previous mental health treatment without addressing drinking
- Alcohol interfering with psychiatric medication
- Repeated cycles of drinking and mood instability
Prescription Drug Misuse and Mental Health Treatment in Scottsdale, Arizona
Our Approach
Prescription drug misuse often begins with a legitimate medical need: opioids for pain, benzodiazepines for anxiety, stimulants for ADHD. At Redefine, treatment starts by understanding what the medication was originally managing and what it has become. Neurofeedback targets the neurological patterns that dependence creates, whether that is GABA system dysregulation from benzodiazepines, pain pathway disruption from opioids, or dopamine depletion from stimulants. Your clinical team coordinates medication tapering or MAT continuity with psychiatric treatment for the underlying condition. The goal is addressing the original need and the dependence that developed around it.
What Is Prescription Drug Misuse and Mental Health Co-Occurrence?
Prescription drug misuse and mental health conditions frequently co-occur because many prescription medications are initially prescribed to treat mental health symptoms. Benzodiazepines for anxiety, stimulants for ADHD, opioids for pain conditions often comorbid with depression: in each case, the medication that was managing the condition can become a condition of its own. Dependence develops alongside the original mental health diagnosis, creating two intertwined problems that require integrated treatment. Many adults with prescription drug dependence do not identify as having a substance use disorder because the medication was prescribed by a doctor.
- Taking more than prescribed to feel the same effect
- Anxiety or pain returning worse between doses
- Multiple prescriptions from multiple providers
- Original condition unchanged despite escalating use
- Unable to function without the medication
- Hiding or minimizing how much you are taking
Bipolar Disorder and Substance Use Treatment in Scottsdale, Arizona
Our Approach
Bipolar disorder and substance use require precise clinical coordination because mood episodes directly influence substance use patterns and vice versa. At Redefine, psychiatric medication management and substance use treatment are coordinated by the same clinical team. Neurofeedback targets the cortical instability patterns that characterize bipolar cycling. DBT builds the emotional regulation and distress tolerance skills that both conditions require. Your treatment plan accounts for how substance use shifts across mood states, with different clinical strategies for manic and depressive episodes. This is not a condition where a single approach works across all phases.
What Is Bipolar Disorder and Substance Use Co-Occurrence?
Bipolar disorder has one of the highest rates of co-occurring substance use of any mental health condition. During manic or hypomanic episodes, impulsivity and sensation-seeking increase the likelihood of substance use. During depressive episodes, substances provide temporary relief from the emotional weight and fatigue. The substances themselves destabilize mood further, triggering more frequent cycling, reducing medication effectiveness, and making it harder to distinguish between substance effects and mood episodes. Integrated treatment that addresses mood stabilization and substance use together produces significantly better outcomes than treating them in sequence.
- Substance use increasing during mood episodes
- Using to manage the highs or the lows
- Mood instability worsening with substance use
- Difficulty distinguishing withdrawal from mood shifts
- Medications becoming less effective with ongoing use
- Impulsive substance use during elevated mood states
- Common Co-Occurring Pairings
What Co-Occurring Disorders Look Like
Brain & Nervous System
Co-occurring disorders share overlapping neurological patterns: the same dopamine, serotonin, GABA, and norepinephrine systems that mental health conditions dysregulate are the systems that substance use further disrupts. Redefine's neurological approach targets the shared circuitry driving both conditions rather than addressing them as separate problems. Modalities include:
Integrated Dual Diagnosis Treatment
Most treatment programs address substance use and mental health in sequence: stabilize one, then refer for the other. Redefine treats both from day one within the same clinical team and the same treatment plan. These modalities are specifically designed for the intersection where mental health conditions and substance use reinforce each other. Modalities include:
- CBT for Co-Occurring Disorders
- Motivational Interviewing
- Relapse Prevention Planning
- Medication Coordination (MAT when applicable)
Underlying Roots
In most co-occurring presentations, there is something underneath both conditions: unresolved trauma, attachment disruption, chronic stress, or early experiences the nervous system never processed. The mental health condition and the substance use are both responses to that original pattern. These modalities address what is driving both. Modalities include:
- EMDR
- Internal Family Systems
- Brainspotting
- Somatic Experiencing
Body & Recovery
Both mental health conditions and substance use leave measurable effects in the body: disrupted sleep, chronic tension, depleted energy, and a nervous system that has been running on stress chemistry for months or years. Redefine's body-based approaches restore the physical foundation that sustainable recovery from both conditions requires. Modalities include:
- Yoga & Meditation
- Movement Therapy
- Mindfulness Practices
- Lifestyle Coaching
Your treatment plan is built around your specific combination of conditions. We use neurofeedback and comprehensive clinical assessment to determine which modalities will address both your mental health and substance use most effectively.
(888) 546-5580- More Tools. More Options. Better Outcomes.
Our Approach to Co-Occurring Disorders
- When to Seek Help
Signs You May Need Co-Occurring Disorders Treatment
- Using substances to manage anxiety, depression, insomnia, or emotional pain
- Mental health symptoms worsening during or after periods of heavy use
- Previous treatment for one condition that never addressed the other
- Psychiatric medications becoming less effective because of ongoing substance use
- Cycles of stabilizing on one front while the other condition worsens
- Feeling stuck despite therapy, medication, or a treatment program for one of the two conditions
- Levels of Care
Which Program Is Right for You?
- Our Team
The Redefine Clinical Team
Dr. Michael
Yasinski, MD
Trauma-Informed Psychiatrist
Lindsey Dunning,
PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Brenna Gonzales, LPC, SEP, CMAT
Trauma-Informed Therapist
How Co-Occurring Disorders Treatment Works
Consultation
Free, confidential call to understand your situation
Assessment
Evaluation covering your mental health, substance use patterns, and how the two interact
Care Plan
One plan for both conditions, not two separate tracks
Treatment
Daily work combining brain, body, and behavioral approaches
Integration
Skills for staying stable and preventing old patterns
Real Connection, Support, & Healing
Our Scottsdale outpatient programs combine innovative neuroscience with proven therapeutic approaches.
- Testimonials
Healing in Their Own Words
“They made me feel at ease and understood.”
Chris S.
“Love this place!!”
Christine D.
“Best treatment in my LIFE!”
Dan S.
“Laura is an excellent practitioner”
Dr. Jasmine
“What a blessing to have found and participated in treatment at Redefine Wellness.”
Jen C.
“I have never experienced such a professional and caring staff.”
Hunter B.
“The staff is so friendly and the facility is clean. ”
Gwen J.
“I love this facility. I have been coming here for several months.”
Robert B.
“I was lost, unable to stand up for myself and stuck in anxiety.”
Presley P.
“The wellness center is stunning and the whole team has been very kind and helpful.”
Mackenzie K.
“I’m so happy to say I would 100% recommend this place over and over”
briana medley
“The staff here are wonderful and compassionate. I definitely recommend this clinic!”
Beaunerism
“Receiving treatments here was 100% a game changer, I strongly recommend!”
Jae S.
“Highly recommend if you’re looking for something focused and personal.”
Scott Forbes
“Highly recommend!”
Jenna Wolf
“The entire staff at Redefine is amazing. ”
Brittany Whitley
“The staff is incredible—super friendly”
Jon Driscoll
“A beautiful location with wonderful staff”
Matt Sheehan
“They made me feel at ease and understood.”
Chris S.
“Love this place!!”
Christine D.
“Best treatment in my LIFE!”
Dan S.
“Laura is an excellent practitioner”
Dr. Jasmine
“What a blessing to have found and participated in treatment at Redefine Wellness.”
Jen C.
“I have never experienced such a professional and caring staff.”
Hunter B.
- FAQs
Your Questions, Answered
What are co-occurring disorders?
Co-occurring disorders means having both a mental health condition and a substance use disorder at the same time. The two conditions affect many of the same brain systems and reinforce each other. At Redefine, we treat both simultaneously within the same clinical team and treatment plan.
Do you treat both conditions at the same time?
Do I need detox before starting treatment?
Will I need medication for co-occurring disorders?
What happens after I finish the program?
Aftercare keeps both conditions in the treatment frame. You continue with the same clinical team through ongoing neurofeedback, individual therapy, and group support. Frequency adjusts as both conditions stabilize, and relapse response planning addresses both.
Our Mission
At Redefine Wellness and Treatment, we empower healing by uniting mind, body, and spirit. Using trauma-informed therapies, neuroscience, and holistic practices, we deliver personalized care that fosters resilience, growth, and lasting transformation.
Our Vision
We aspire to create a world where access to transformative healing is available to all, empowering people to lead fulfilling, balanced lives.
Recognized by
Integrated Co-Occurring Disorders Treatment Works
Treating mental health conditions and substance use disorders simultaneously produces better outcomes than addressing them separately. These findings come from peer-reviewed research and large-scale treatment studies.
In a study of 216 adults with co-occurring disorders, integrated treatment produced greater reductions in psychiatric hospitalizations and arrests compared to treating mental health and substance use in parallel.
A 2025 meta-analysis of 17 randomized controlled trials with 662 participants found neurofeedback produced a large, statistically significant effect on addiction symptoms, with stronger results for substance use disorders.
Intensive outpatient programs received a "high" level of evidence rating, with multiple trials showing comparable outcomes to inpatient and residential treatment for reducing substance use.
Why Integrated Treatment Matters
Research consistently shows that treating mental health conditions and substance use disorders at the same time, with the same clinical team, produces better outcomes than sequential or parallel approaches. At Redefine, we combine neurofeedback, trauma processing, evidence-based therapy, and medication coordination in one integrated program because co-occurring disorders share overlapping neurobiology. Treating one without the other leaves half the pattern running.
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