Mental Health Facilities in Hawaii

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Find Mental Health Facilities in Hawaii

There are a total of 26 various mental health facilities, treatment centers and clinics in Hawaii, including residential treatment, inpatient, intensive outpatient and more. Find mental health treatment in Hawaii today from our list of facilities below. If you are looking for both mental health and addiction treatment, some treatment clinics may offer dual diagnosis treatment.

Call (855) 448-9507 for 24/7 help with dual diagnosis treatment.

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Hawaii offers a variety of mental health treatment centers that cater to a wide range of mental health conditions. These centers provide essential services for residents and visitors seeking help for emotional and psychological challenges. Treatment options include inpatient, outpatient, and residential programs designed to address various mental health issues.

In Hawaii, mental health conditions such as depression, anxiety, PTSD (Post-Traumatic Stress Disorder), schizophrenia, bipolar disorder, and eating disorders are commonly treated. Many of these conditions are addressed in both general mental health centers and specialized facilities, such as those focusing on trauma or addiction. The diverse nature of these treatment centers allows individuals to find care that suits their specific needs.

For those struggling with anxiety and depression, Hawaii has numerous outpatient clinics and therapy centers that offer individual and group counseling. Many of these facilities provide evidence-based therapies like Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), which are effective in treating these common mental health conditions. These therapies help patients identify negative thinking patterns and develop coping strategies.

Hawaii also offers specialized treatment for individuals dealing with PTSD, particularly in communities with high rates of military personnel or first responders. Some treatment centers focus on trauma-informed care and provide specific therapies such as EMDR (Eye Movement Desensitization and Reprocessing) to help people process traumatic memories and regain control over their lives.

For those struggling with substance abuse and co-occurring mental health conditions, Hawaii has integrated facilities where individuals can receive both mental health and addiction treatment. These centers often combine group therapy, individual counseling, and holistic approaches to help individuals recover from addiction while also managing underlying mental health issues.

Inpatient and residential facilities in Hawaii provide a more intensive level of care for individuals with severe mental health conditions such as schizophrenia or bipolar disorder. These facilities offer round-the-clock supervision, medication management, and a structured environment to help patients stabilize and manage their symptoms.

Additionally, Hawaii’s serene environment and natural beauty make it an ideal setting for certain therapeutic approaches like wilderness therapy and outdoor group therapy, which are offered at some centers. These programs use nature as a healing tool, helping individuals reconnect with themselves and the world around them.

20 Mental Health Facilities in Hawaii

Adventist Health Castle - Kailua, HI

Adventist Health Castle is a mental health facility in Kailua, HI, located at 640 Ulukahiki Street, 96734 zip code. Adventist Health Castle offers Hospital inpatient treatment. Adventist Health Castle provides Individual psychotherapy, Behavior modification and Group therapy to Adults, Seniors 65 or older and Young adults. Adventist Health Castle also supports Persons with serious mental illness and Persons with co-occurring mental and substance use disorders. Some other services offered by Adventist Health Castle include Case management, Family psychoeducation and Diet and exercise counseling.

Kona Community Hospital Behavioral Health Unit - Kealakekua, HI

Kona Community Hospital Behavioral Health Unit is a mental health facility in Kealakekua, HI, located at 79-1019 Haukapila Street, 96750 zip code. Kona Community Hospital Behavioral Health Unit offers Hospital inpatient treatment. Kona Community Hospital Behavioral Health Unit provides Psychotropic medication, Integrated dual diagnosis disorder treatment and Behavior modification to Young adults, Seniors 65 or older and Adults. Kona Community Hospital Behavioral Health Unit also supports Persons with serious mental illness, Clients referred from the court/judicial system and Persons with co-occurring mental and substance use disorders. Some other services offered by Kona Community Hospital Behavioral Health Unit include Case management, Diet and exercise counseling and Chronic disease/illness management.

Windward Treatment Services Section - Kaneohe, HI

Windward Treatment Services Section is a mental health facility in Kaneohe, HI, located at 45-691 Keaahala Road, Building F, 96744 zip code. Windward Treatment Services Section offers Outpatient treatment. Windward Treatment Services Section provides Behavior modification, Couples/family therapy and Dialectical behavior therapy to Adults, Young adults and Seniors 65 or older. Windward Treatment Services Section also supports Persons with co-occurring mental and substance use disorders, Clients referred from the court/judicial system and Persons with serious mental illness. Some other services provided by Windward Treatment Services Section include Illness management and recovery, Psychosocial rehabilitation services and Integrated primary care services.

Department Of Health Amhd Hccmhc West Hawaii - Kealakekua, HI

Department Of Health Amhd Hccmhc West Hawaii is a mental health facility in Kealakekua, HI, located at 79-1020 Haukapila Street, Room 202, 96750 zip code. Department Of Health Amhd Hccmhc West Hawaii offers Outpatient treatment. Department Of Health Amhd Hccmhc West Hawaii provides Psychotropic medication and Individual psychotherapy to Adults, Seniors 65 or older and Young adults. Department Of Health Amhd Hccmhc West Hawaii also supports Clients referred from the court/judicial system, Persons with co-occurring mental and substance use disorders and Persons with serious mental illness. Some other services provided by Department Of Health Amhd Hccmhc West Hawaii include Case management, Court-ordered outpatient treatment and Suicide prevention services.

Sutter Health Pacific Dba Kahi Mohala Hospital - Ewa Beach, HI

Sutter Health Pacific Dba Kahi Mohala Hospital is a mental health facility in Ewa Beach, HI, located at 91-2301 Old Fort Weaver Road, 96706 zip code. Sutter Health Pacific Dba Kahi Mohala Hospital offers Telemedicine/telehealth, Residential treatment and Hospital inpatient treatment. Sutter Health Pacific Dba Kahi Mohala Hospital provides Activity therapy, Group therapy and Individual psychotherapy to Young adults, Children/adolescents and Adults. Sutter Health Pacific Dba Kahi Mohala Hospital also supports Persons with eating disorders, Persons with co-occurring mental and substance use disorders and Clients referred from the court/judicial system. Some other services offered by Sutter Health Pacific Dba Kahi Mohala Hospital include Education services, Legal advocacy and Diet and exercise counseling.

Department Of Health Camhd West Hawaii Family Guidance Center - Kealakekua, HI

Department Of Health Camhd West Hawaii Family Guidance Center is a mental health facility in Kealakekua, HI, located at 81-980 Halekii Street, Suite 101, 96750 zip code. Department Of Health Camhd West Hawaii Family Guidance Center offers Telemedicine/telehealth and Outpatient treatment. Department Of Health Camhd West Hawaii Family Guidance Center provides Individual psychotherapy, Couples/family therapy and Psychotropic medication to Children/adolescents and Young adults. Department Of Health Camhd West Hawaii Family Guidance Center also supports Children/adolescents with serious emotional disturbance and Transitional age young adults. Some other services offered by Department Of Health Camhd West Hawaii Family Guidance Center include Intensive case management and Family psychoeducation.

Department Of Health Hawaii State Hospital - Kaneohe, HI

Department Of Health Hawaii State Hospital is a mental health facility in Kaneohe, HI, located at 45-710 Keaahala Road, 96744 zip code. Department Of Health Hawaii State Hospital offers Hospital inpatient treatment. Department Of Health Hawaii State Hospital provides Behavior modification, Psychotropic medication and Cognitive behavioral therapy to Young adults, Adults and Seniors 65 or older. Department Of Health Hawaii State Hospital also supports Persons with co-occurring mental and substance use disorders, LGBT and Persons with traumatic brain injury. Some other services offered by Department Of Health Hawaii State Hospital include Suicide prevention services, Vocational rehabilitation services and Psychosocial rehabilitation services.

Department Of Health Cmhc Makaha - Waianae, HI

Department Of Health Cmhc Makaha is a mental health facility in Waianae, HI, located at 84-1170 Farrington Highway, Suite B-1a, 96792 zip code. Department Of Health Cmhc Makaha offers Outpatient treatment. Department Of Health Cmhc Makaha provides Integrated dual diagnosis disorder treatment, Trauma therapy and Behavior modification to Young adults, Seniors 65 or older and Adults. Department Of Health Cmhc Makaha also supports Persons with co-occurring mental and substance use disorders, Clients referred from the court/judicial system and Persons with serious mental illness. Some other services offered by Department Of Health Cmhc Makaha include Integrated primary care services, Suicide prevention services and Court-ordered outpatient treatment.

West Hawaii Community Mental Health Center Kau Adult Mental Health - Naalehu, HI

West Hawaii Community Mental Health Center Kau Adult Mental Health is a mental health facility in Naalehu, HI, located at 219-b Kaalaiki Road, 96772 zip code. West Hawaii Community Mental Health Center Kau Adult Mental Health offers Telemedicine/telehealth and Outpatient treatment. West Hawaii Community Mental Health Center Kau Adult Mental Health provides Behavior modification, Couples/family therapy and Cognitive behavioral therapy to Adults, Seniors 65 or older and Young adults. West Hawaii Community Mental Health Center Kau Adult Mental Health also supports Clients referred from the court/judicial system, Persons with serious mental illness and Persons with co-occurring mental and substance use disorders. Some other services offered by West Hawaii Community Mental Health Center Kau Adult Mental Health include Illness management and recovery, Suicide prevention services and Case management.

Hope Treatment Services - Wahiawa, HI

Hope Treatment Services is a mental health facility in Wahiawa, HI, located at 634 Kilani Avenue, Suite 2, 96786 zip code. Hope Treatment Services offers Outpatient treatment and Partial hospitalization/day treatment. Hope Treatment Services provides Psychotropic medication, Group therapy and Behavior modification to Adults, Seniors 65 or older and Young adults. Hope Treatment Services also supports Persons who have experienced trauma, Transitional age young adults and Active duty military. Some other services offered by Hope Treatment Services include Vocational rehabilitation services, Housing services and Mentoring/peer support/consumer-run services.

Department Of Health Wahiawa Unit - Wahiawa, HI

Department Of Health Wahiawa Unit is a mental health facility in Wahiawa, HI, located at 910 California Avenue, 96786 zip code. Department Of Health Wahiawa Unit offers Outpatient treatment. Department Of Health Wahiawa Unit provides Integrated dual diagnosis disorder treatment, Psychotropic medication and Trauma therapy to Young adults, Seniors 65 or older and Adults. Department Of Health Wahiawa Unit also supports Persons with serious mental illness, Clients referred from the court/judicial system and Persons who have experienced trauma. Some other services offered by Department Of Health Wahiawa Unit include Integrated primary care services, Suicide prevention services and Case management.

Maui Memorial Medical Center Behavioral Health - Wailuku, HI

Maui Memorial Medical Center Behavioral Health is a mental health facility in Wailuku, HI, located at 221 Mahalani Street, 96793 zip code. Maui Memorial Medical Center Behavioral Health offers Hospital inpatient treatment and Partial hospitalization/day treatment. Maui Memorial Medical Center Behavioral Health provides Cognitive behavioral therapy, Behavior modification and Group therapy to Seniors 65 or older, Adults and Young adults. Some other services offered by Maui Memorial Medical Center Behavioral Health include Diet and exercise counseling, Chronic disease/illness management and Housing services.

Department Of Health Camhd West Hawaii Family Guidance Center - Kamuela, HI

Department Of Health Camhd West Hawaii Family Guidance Center is a mental health facility in Kamuela, HI, located at 65-1230 Mamalahoa Highway, Suite A-11, 96743 zip code. Department Of Health Camhd West Hawaii Family Guidance Center offers Telemedicine/telehealth and Outpatient treatment. Department Of Health Camhd West Hawaii Family Guidance Center provides Couples/family therapy, Trauma therapy and Psychotropic medication to Children/adolescents and Young adults. Department Of Health Camhd West Hawaii Family Guidance Center also supports Transitional age young adults and Children/adolescents with serious emotional disturbance. Some other services provided by Department Of Health Camhd West Hawaii Family Guidance Center include Intensive case management and Family psychoeducation.

North Hawaii Adult Mental Health Services Waimea Clinic - Kamuela, HI

North Hawaii Adult Mental Health Services Waimea Clinic is a mental health facility in Kamuela, HI, located at Waimea Civic Center, 67-5189 Kamamalu Street, 96743 zip code. North Hawaii Adult Mental Health Services Waimea Clinic offers Outpatient treatment. North Hawaii Adult Mental Health Services Waimea Clinic provides Cognitive behavioral therapy, Psychotropic medication and Individual psychotherapy to Seniors 65 or older, Adults and Young adults. North Hawaii Adult Mental Health Services Waimea Clinic also supports Clients referred from the court/judicial system, Persons with co-occurring mental and substance use disorders and Persons with serious mental illness. Some other services offered by North Hawaii Adult Mental Health Services Waimea Clinic include Court-ordered outpatient treatment, Integrated primary care services and Case management.

Hilo Medical Center Hale Hoola Behavioral Health - Hilo, HI

Hilo Medical Center Hale Hoola Behavioral Health is a mental health facility in Hilo, HI, located at 1190 Waianuenue Avenue, 96720 zip code. Hilo Medical Center Hale Hoola Behavioral Health offers Telemedicine/telehealth, Outpatient treatment and Residential treatment. Hilo Medical Center Hale Hoola Behavioral Health provides Group therapy, Trauma therapy and Psychotropic medication to Seniors 65 or older, Young adults and Adults. Some other services provided by Hilo Medical Center Hale Hoola Behavioral Health include Suicide prevention services, Education services and Chronic disease/illness management.

Hawaii State/dept Of Health Camhd East Hawaii Family Guidance Center - Hilo, HI

Hawaii State/dept Of Health Camhd East Hawaii Family Guidance Center is a mental health facility in Hilo, HI, located at 88 Kanoelehua Avenue, Suite A-204, 96720 zip code. Hawaii State/dept Of Health Camhd East Hawaii Family Guidance Center offers Outpatient treatment and Telemedicine/telehealth. Hawaii State/dept Of Health Camhd East Hawaii Family Guidance Center provides Psychotropic medication, Individual psychotherapy and Dialectical behavior therapy to Children/adolescents and Young adults. Hawaii State/dept Of Health Camhd East Hawaii Family Guidance Center also supports Transitional age young adults, Persons who have experienced trauma and Persons with post-traumatic stress disorder. Some other services provided by Hawaii State/dept Of Health Camhd East Hawaii Family Guidance Center include Family psychoeducation and Intensive case management.

West Honolulu Treatment Services Section - Honolulu, HI

West Honolulu Treatment Services Section is a mental health facility in Honolulu, HI, located at 1700 Lanakila Avenue, Room 106, 96817 zip code. West Honolulu Treatment Services Section offers Outpatient treatment. West Honolulu Treatment Services Section provides Integrated dual diagnosis disorder treatment, Cognitive behavioral therapy and Group therapy to Seniors 65 or older, Adults and Young adults. West Honolulu Treatment Services Section also supports Clients referred from the court/judicial system. Some other services provided by West Honolulu Treatment Services Section include Mentoring/peer support/consumer-run services, Suicide prevention services and Court-ordered outpatient treatment.

Counseling Services And Day Treatment Queens Medical Center - Honolulu, HI

Counseling Services And Day Treatment Queens Medical Center is a mental health facility in Honolulu, HI, located at 1374 Nuuanu Avenue, 96817 zip code. Counseling Services And Day Treatment Queens Medical Center offers Outpatient treatment, Telemedicine/telehealth and Partial hospitalization/day treatment. Counseling Services And Day Treatment Queens Medical Center provides Trauma therapy, Activity therapy and Integrated dual diagnosis disorder treatment to Young adults, Children/adolescents and Seniors 65 or older. Counseling Services And Day Treatment Queens Medical Center also supports Children/adolescents with serious emotional disturbance, Persons with co-occurring mental and substance use disorders and Persons with serious mental illness. Some other services offered by Counseling Services And Day Treatment Queens Medical Center include Diet and exercise counseling, Illness management and recovery and Court-ordered outpatient treatment.

Queens Medical Center Behavioral Health - Honolulu, HI

Queens Medical Center Behavioral Health is a mental health facility in Honolulu, HI, located at 1301 Punchbowl Street, 96813 zip code. Queens Medical Center Behavioral Health offers Hospital inpatient treatment, Outpatient treatment and Partial hospitalization/day treatment. Queens Medical Center Behavioral Health provides Psychotropic medication, Electroconvulsive therapy and Dialectical behavior therapy to Young adults, Seniors 65 or older and Children/adolescents. Some other services offered by Queens Medical Center Behavioral Health include Case management and Suicide prevention services.

Catholic Charities Hawaii - Honolulu, HI

Catholic Charities Hawaii is a mental health facility in Honolulu, HI, located at 1822 Keeaumoku Street, 96822 zip code. Catholic Charities Hawaii offers Outpatient treatment. Catholic Charities Hawaii provides Behavior modification, Group therapy and Trauma therapy to Children/adolescents, Young adults and Seniors 65 or older. Catholic Charities Hawaii also supports Clients referred from the court/judicial system, Persons who have experienced trauma and LGBT. Some other services offered by Catholic Charities Hawaii include Court-ordered outpatient treatment, Case management and Family psychoeducation.

Finding Mental Health Treatment Centers in Hawaii

Hawaii, with its unique culture, landscapes, and lifestyle, is home to a diverse population with varying mental health needs. Whether you’re a local resident, a visitor, or someone relocating to the islands, understanding how to find the right mental health treatment center in Hawaii is essential. This guide offers a detailed look at how to locate appropriate resources, the types of mental health services available, and factors to consider when seeking care in the Aloha State.

Understanding Mental Health Services in Hawaii

Mental health care in Hawaii is available across various settings, from outpatient services to inpatient care, and includes both private and public providers. The state has a combination of general mental health providers and specialized services addressing issues such as substance use, trauma, and crisis management.

Hawaii’s mental health services are primarily coordinated through the Hawaii State Department of Health (DOH), which operates the Adult Mental Health Division (AMHD) and the Child and Adolescent Mental Health Division (CAMHD). These agencies oversee a network of community mental health centers and service providers across the islands, working with both private clinics and public health programs.

Types of Mental Health Treatment Centers

Hawaii offers several types of mental health treatment centers catering to various needs. Depending on your situation, you may find it beneficial to explore different service options.

  1. Outpatient Clinics These are the most common type of mental health treatment facilities. Outpatient clinics offer regular therapy and counseling sessions, typically on a weekly or bi-weekly basis. Treatment options often include individual therapy, group therapy, family counseling, and medication management. These clinics are ideal for individuals who do not require constant supervision and are functioning well in their daily lives but need ongoing support for mental health issues such as depression, anxiety, PTSD, or eating disorders.

  2. Inpatient Psychiatric Hospitals Inpatient care is for individuals experiencing a mental health crisis or severe symptoms that make it difficult to function in everyday life. Inpatient psychiatric hospitals in Hawaii provide 24/7 care, with medical supervision and intensive therapeutic services. These facilities cater to those dealing with conditions like acute depression, bipolar disorder, schizophrenia, or suicidal thoughts. They are designed to stabilize patients, offer therapeutic interventions, and help them transition back to outpatient care once they’re more stable.

  3. Residential Treatment Centers For those who require more structured support but do not need the intensive care of an inpatient hospital, residential treatment centers provide an alternative. These centers offer long-term care, usually for individuals with substance use disorders, eating disorders, or severe mental health issues that need consistent attention but not constant hospitalization. Programs often last from a few weeks to several months, depending on the patient's needs.

  4. Community Mental Health Centers Community-based centers in Hawaii provide a wide range of mental health services, often targeting underserved populations or those without sufficient financial resources. These centers are typically nonprofit organizations and can offer services on a sliding scale. They may provide therapy, psychiatric evaluation, crisis intervention, and other mental health services, especially for individuals who face challenges such as homelessness, trauma, or low income.

  5. Specialized Treatment Centers Some treatment centers in Hawaii focus on specific mental health concerns such as trauma recovery, substance use disorders, or dual diagnosis (mental health and substance use disorders). These facilities employ specialized staff and utilize tailored treatment approaches to address the unique needs of their patients. They may offer both inpatient and outpatient services, as well as support for family members and loved ones.

How to Find Mental Health Treatment Centers in Hawaii

Finding the right treatment center requires research and a clear understanding of your needs. Here’s a step-by-step guide to help you navigate the process:

  1. Assess Your Needs Before beginning your search for a mental health treatment center, it’s important to assess the type of care you need. Do you require immediate, intensive care? Or are you seeking ongoing therapy and counseling? Determining the level of care you require will help you narrow down your search to facilities that specialize in those services.

  2. Utilize State Resources The Hawaii State Department of Health (DOH) plays a central role in coordinating mental health services. Their website provides valuable information on state-funded programs, community mental health centers, and specialized treatment facilities. The Adult Mental Health Division (AMHD) and the Child and Adolescent Mental Health Division (CAMHD) both list local providers and resources.

    If you're unsure where to start, consider reaching out to the DOH for a referral or recommendation for your specific needs. They can direct you to mental health professionals in the area, especially those who accept Medicaid or other state-funded insurance programs.

  3. Consult Your Primary Care Physician Many people start their search for mental health treatment by talking to their primary care doctor. Physicians are well-connected to local mental health resources and can recommend treatment centers or refer you to specialists in your area. This is particularly helpful if you need an assessment or psychiatric evaluation to determine the best course of treatment.

  4. Contact Insurance Providers If you have health insurance, your insurance company can provide a list of mental health treatment centers that are covered under your plan. Be sure to ask about coverage for specific types of treatment, such as therapy, medication management, or inpatient care. You can also ask about coverage for out-of-network providers if you’re interested in a particular clinic not listed within your insurance network.

  5. Reach Out to Mental Health Hotlines Hawaii has several hotlines and crisis intervention services that can help connect you with mental health resources. These hotlines can provide immediate assistance if you're experiencing a mental health crisis or need support in finding a treatment center. The Hawaii State Crisis Line is a valuable resource that offers guidance and referrals to mental health professionals statewide.

  6. Explore Online Directories Online directories such as Psychology Today, TherapyRoute, and others offer a searchable database of mental health professionals and treatment centers. These platforms allow you to filter search results by location, specialty, and insurance acceptance, making it easier to find a provider that meets your needs. Additionally, many therapists and counselors in Hawaii have their own websites that provide more details about their services, availability, and qualifications.

  7. Check for Specialty Programs Hawaii is home to several programs that specialize in specific mental health concerns. For example, some centers focus on trauma-informed care, working specifically with individuals who have experienced abuse or PTSD. Other facilities offer specialized treatment for addiction, anxiety disorders, eating disorders, or depression. If you have a specific need, such as substance use disorder, you may benefit from contacting a facility that specializes in addiction recovery and provides mental health services in tandem.

  8. Seek Recommendations from Support Groups Peer support groups and online forums can be an invaluable resource for finding mental health treatment options. Connecting with others who have experienced similar struggles can provide insights into effective treatment centers in Hawaii. Support groups for mental health conditions, such as depression, anxiety, and bipolar disorder, often have local chapters that can offer recommendations or resources for treatment.

Key Considerations When Choosing a Treatment Center

When choosing a mental health treatment center in Hawaii, several factors should influence your decision. These considerations will help ensure that the treatment center meets your needs and aligns with your values and preferences.

  1. Location and Accessibility Hawaii’s islands are spread out, and access to mental health care may vary depending on where you are located. Be sure to choose a treatment center that is accessible to you, whether that means a location within driving distance or one that offers virtual therapy options. Some facilities may offer outreach services to remote communities or islands, so it’s worth checking if they provide such accommodations.

  2. Specialization and Expertise Make sure the center you choose has experience in treating your specific mental health condition. Whether you’re dealing with anxiety, depression, trauma, or addiction, look for a facility that has specialized programs and professionals who understand the nuances of your condition. If you need a dual diagnosis program (mental health and substance use disorder), ensure the center offers integrated care.

  3. Insurance and Payment Options Mental health care can be expensive, and coverage can vary widely between insurance plans. It’s important to contact the treatment center directly to inquire about insurance acceptance, out-of-pocket costs, and sliding scale fees for those without insurance. Many community-based centers offer services at reduced rates for low-income individuals or those with limited financial resources.

  4. Cultural Sensitivity Hawaii’s cultural diversity means that you may want to consider whether a center provides services that are culturally sensitive or specific to your ethnic background. Many facilities in Hawaii are attuned to the unique needs of the local population, incorporating traditional Hawaiian healing practices alongside Western medicine. Look for centers that respect and integrate cultural values in their approach to mental health care.

  5. Treatment Modalities and Approaches Different mental health treatment centers use various approaches to care, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), medication management, and alternative therapies such as art therapy, music therapy, or yoga. It's important to choose a facility that uses evidence-based treatments that you feel comfortable with and that have been shown to be effective for your condition.

Call (855) 448-9507 for 24/7 help with dual diagnosis treatment.

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