PTSD — Co-Occurring Treatment
What we treat · Co-occurring

PTSD & Addiction Treatment

Individualized, evidence-based care in a private Hollywood Hills setting. Same clinical team from intake through aftercare.

Clinical context

The PTSD Connection

PTSD and substance use disorders are among the most commonly co-occurring conditions in clinical practice. Each condition tends to worsen the other — substances are frequently used to manage PTSD symptoms, while sustained substance use worsens the underlying condition and makes recovery harder.

PTSD and Addiction Together
Overview

PTSD and Addiction Together

PTSD and substance use disorders are among the most commonly co-occurring conditions in clinical practice. Each condition tends to worsen the other — substances are frequently used to manage PTSD symptoms, while sustained substance use worsens the underlying condition and makes recovery harder. PTSD also frequently co-occurs with depression and anxiety disorders, conditions that share overlapping neurobiological pathways and often need to be addressed within the same treatment plan.

Treating only the addiction without addressing PTSD leaves the most powerful driver of substance use unaddressed. This is why integrated dual diagnosis treatment — treating both conditions simultaneously within a unified clinical plan — produces significantly better outcomes than treating either in isolation.

46%of people with PTSD also have a substance use disorder
80%of trauma survivors report substance use for coping
3xhigher relapse rate when PTSD is untreated
Clinical

Symptoms and Presentation

PTSD presents alongside addiction in ways that can make diagnosis and treatment more complex. Substance use can mimic, mask, or worsen PTSD symptoms. A comprehensive clinical assessment — conducted after a sufficient period of stabilization — is essential for accurate diagnosis and appropriate treatment planning.

Substances temporarily suppress PTSD symptoms before worsening them. Alcohol increases the frequency and intensity of trauma-related nightmares over time.

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Treatment

How We Treat PTSD and Addiction

EMDR Therapy

Eye Movement Desensitization and Reprocessing that processes traumatic memories without requiring detailed narration, reducing re-experiencing symptoms.

Somatic Experiencing

Body-centered trauma therapy that releases stored survival energy, reducing hypervigilance and the physical drive to self-medicate.

Medication Support

Prazosin for nightmares, SSRIs for mood stabilization, and sleep aids that don't carry abuse potential — all coordinated with recovery goals.

"You cannot outrun trauma. But you can process it — and when you do, the need for substances fades."
Related addictions

Addictions We Treat Alongside This

Our approach

Four Pillars of PTSD and Addiction Care

Trauma-focused therapy for PTSD and addiction at Bliss Recovery

Trauma-Focused Therapy

EMDR — Eye Movement Desensitization and Reprocessing — processes traumatic memories without requiring detailed narration, reducing re-experiencing symptoms and the physical drive to self-medicate. Sessions are paced to match each client's readiness.

Somatic experiencing for PTSD and addiction at Bliss Recovery

Somatic Experiencing

Body-centered trauma therapy releases stored survival energy, reducing hypervigilance and the physical craving to self-medicate. Breathwork, grounding, and nervous-system regulation techniques are woven throughout the program.

Integrated dual diagnosis care for PTSD at Bliss Recovery

Integrated Dual Diagnosis Care

You cannot outrun trauma. But you can process it — and when you do, the need for substances fades. Our unified plan targets PTSD and substance use simultaneously within one clinical framework.

Medication support and aftercare at Bliss Recovery

Medication Support & Aftercare

Prazosin for nightmares, SSRIs for mood stabilization, and sleep aids without abuse potential are coordinated with recovery goals. Our step-down PHP/IOP programming sustains stability long after residential discharge.

Luxury private residential PTSD and addiction treatment at Bliss Recovery Hollywood Hills
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Start Your Recovery from PTSD and Addiction Today

You don't have to face trauma and addiction alone. Our team of compassionate clinicians is available around the clock — confidentially, and without pressure — to guide you toward lasting recovery.

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Common questions

FAQ about PTSD and Addiction

Can PTSD be treated at the same time as addiction?

Yes — and this is the recommended approach. Sequential treatment often fails because the untreated trauma continues to drive substance use.

Does EMDR require talking about the trauma in detail?

No — this is one of its most important clinical advantages. EMDR allows the nervous system to process traumatic memories without requiring extensive narration.

Does insurance cover PTSD and addiction treatment at Bliss Recovery?

Yes. We're in-network with HealthSmart, MultiPlan, PMCS, and TriWest, and most major commercial PPO plans cover integrated dual-diagnosis treatment for PTSD and co-occurring substance use disorder under the Mental Health Parity and Addiction Equity Act. Coverage depends on your specific plan and level of care. Our admissions team verifies your benefits in detail before you commit to anything.

How long does integrated PTSD and addiction treatment take?

Most clients begin with medically supervised detox (5 to 10 days), followed by residential treatment of an individualized length. Trauma processing — particularly with approaches like EMDR — requires adequate time to work through safely; rushing discharge often compromises outcomes. PHP and IOP step-down programming typically add another 4 to 12 weeks of continuing clinical support.

What is EMDR and why is it used for PTSD?

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based psychotherapy developed for trauma. Rather than requiring clients to narrate traumatic memories extensively, EMDR uses bilateral stimulation to help the nervous system process and integrate distressing memories. It is endorsed by the World Health Organization and the American Psychological Association as a first-line treatment for PTSD, and has been studied specifically in populations with co-occurring substance use disorder.

What does PTSD and addiction treatment look like at Bliss Recovery?

Treatment begins with a comprehensive trauma-informed psychiatric assessment. Our clinical team builds a unified plan addressing both PTSD and the co-occurring addiction simultaneously. Individual therapy incorporates EMDR and trauma-focused CBT; group therapy uses trauma-informed approaches that avoid retraumatization. Psychiatric care addresses any medication needs. Before discharge, we build a structured aftercare plan that maintains therapeutic continuity.

Is residential treatment necessary for PTSD and addiction, or can I do outpatient?

For clients with active PTSD alongside substance use disorder, residential treatment provides the clinical depth and safety needed for trauma work: a stable, contained environment; consistent daily structure; and 24/7 clinical access. Trauma processing in an unstable or triggering home environment is significantly harder and carries higher relapse risk. PHP and IOP are appropriate as step-down care once a client is stabilized.

From the Bliss Recovery channel
Dual diagnosis · mental health

Mental health and addiction treated together.

Co-occurring disorders reinforce each other. We treat both simultaneously — with psychiatric support, therapy, and medication management.

Insurance Providers

Most major PPO plans accepted.

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In-network with HealthSmart, MultiPlan, PMCS, and TriWest. Out-of-network and private pay also welcomed. Not in-network with HMOs or Medi-Cal.