Killeen, TX
View →Residential program built explicitly for adults with SUD and co-occurring mental health issues. Trauma-focused programming, Warriors Path veteran track. Clinical Director: David Jaskowiak, LPC.
Dual Diagnosis Treatment
- Substance use and mental health treated in one plan by one team
- Anxiety, depression, trauma, PTSD and bipolar addressed concurrently
- Psychiatric evaluation and medication management on site
- Available across all six facilities
Medically reviewed by
Dr. Keith Garcia, MD, PhD, Medical Director
Last reviewed August 2026
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What We Mean by Dual Diagnosis
Substance use disorders and mental health conditions frequently co-occur, often because people use substances to cope with overwhelming symptoms like anxiety, depression, or unprocessed trauma. Either can develop first. Either can make the other worse.
The clinical term is "dual diagnosis" or "co-occurring disorders." The research is clear: treating them separately, addiction first and mental health later, works less well than treating them together. Integrated treatment means both are addressed simultaneously by the same team, within the same program.
At Virtue, substance use disorder is the primary diagnosis we're built to treat. Mental health conditions. Anxiety, depression, PTSD, and others. Are addressed concurrently throughout your time with us. You won't be told to wait. You won't be referred out. You'll have a psychiatrist, therapist, and case manager who treat the whole picture from day one.
What Virtue treats
- Substance use disorder as the primary diagnosis
- Anxiety and depression occurring alongside addiction
- PTSD and trauma co-occurring with substance use
- Eating disorders alongside SUD (Las Vegas Outpatient)
- Veteran-specific trauma and addiction (Warriors Path, started at Killeen)
Important to know
Virtue specializes in addiction treatment. Substance use disorder is the primary diagnosis we treat. If your primary need is standalone psychiatric care without a substance use component, we'll be direct about whether we're the right fit and help connect you with appropriate resources.
How We Treat Both
Evidence-based therapies adapted for clients with both a substance use disorder and a co-occurring mental health condition. Most are available across all residential locations.
CBT & DBT
Cognitive and dialectical behavioral therapies. Foundational for both addiction and mood disorders. DBT is especially effective for emotional dysregulation.
EMDR
Eye Movement Desensitization and Reprocessing. Trauma processing for clients whose addiction is rooted in unprocessed experiences. Available at Killeen, Las Vegas, and Astoria.
CPT
Cognitive Processing Therapy for PTSD. Available at Astoria and Houston, particularly relevant for veterans and trauma survivors.
ACT & MET
Acceptance and Commitment Therapy and Motivational Enhancement Therapy. Build psychological flexibility and intrinsic motivation for change.
Medication Management
Psychiatric medications continued and managed throughout treatment by on-site psychiatrists and psychiatric NPs. Evaluated at intake, adjusted as needed.
Trauma-Informed Care
All programming is trauma-informed. Killeen's residential program has an explicit trauma focus across groups and individual therapy.
Mindfulness & Experiential
Yoga, meditation, art therapy, music therapy, equine-assisted therapy, sound healing. Experiential work often reaches what structured therapy alone cannot.
Family Therapy
Weekly family sessions available at most locations. Addiction and mental health affect the whole family system. Family involvement supports recovery.
Dual Diagnosis Treatment at Every Location
Co-occurring mental health treatment is integrated across all six Virtue facilities, each with a distinct clinical focus.
Trauma-focused · Veterans track
Las Vegas, NV
View →Psychiatric evaluations, medication management, and MAT across all levels. EMDR-trained clinicians. Also treats co-occurring eating disorders. Private villa residential setting.
Astoria, OR
View →Masters-level co-occurring clinician on staff with EMDR and CPT training. Full modality set: DBT, CBT, ACT, MET, CPT integrated across individual and group therapy.
Houston, TX
View →Psychiatrist on-site within 24 hours of admission for every client. Co-occurring mental health treated alongside primary SUD throughout the residential stay.
Las Vegas Outpatient, NV
View →PHP and IOP built specifically for comorbid diagnoses. Substance use, eating disorders, and mental health addressed simultaneously. Weekly psychiatry, EMDR, trauma-informed, DBT, mindfulness.
What Clients Say
4.7 / 5· 900+ Google Reviews
Coming back from deployment with PTSD and a substance problem, I needed somewhere that understood both. The trauma work at Killeen was real, not just checking a box. David Jaskowiak and the clinical team there are the real deal.
The EMDR sessions finally gave me a way to process things that had been driving my drinking for years. I'd done CBT before but the trauma work opened something different. Having it as part of the same program, not a referral, not "maybe later". Made all the difference.
I came in for opioids but I've struggled with depression and an eating disorder my whole life. The Montessouri program handled all three without making me feel like I needed to pick which one mattered most. The weekly psychiatry and the nutrition sessions were both part of the same plan.
They had a psychiatrist see me within the first 24 hours. I wasn't expecting that level of responsiveness. My co-occurring diagnosis was taken seriously from the first day, it wasn't an afterthought once the detox was done.
Reviews are sourced from Google. Virtue Recovery Center does not edit, curate, or incentivize reviews.
Common questions
Questions people ask about dual diagnosis and addiction
Anything not answered here, ask on the call. There is no obligation.
(866) 461-3339- Will my mental health actually be treated, or just my addiction?
- Both are treated, at the same time, by the same clinical team. Virtue's integrated approach means your therapist, psychiatrist, and case manager coordinate around the full picture: your substance use and the mental health issues that co-occur with it. You won't be told "we'll address the mental health after the addiction" or referred somewhere else.
- Can I stay on my psychiatric medications during treatment?
- Yes, in most cases. Our medical team will review your current medications at intake. Psychiatric medications for conditions like depression, anxiety, or PTSD are typically continued and managed throughout treatment. Our psychiatrists and psychiatric NPs provide ongoing medication management, this is a standard part of care, not an exception.
- What mental health conditions do you treat alongside addiction?
- We commonly treat anxiety, depression, PTSD, and trauma alongside primary substance use disorders. Our clinical team is equipped to manage co-occurring diagnoses with evidence-based therapies including CBT, DBT, EMDR, and CPT. If you have a specific diagnosis or concern, call our admissions team, we'll be direct about whether Virtue is the right clinical fit.
- What does "dual diagnosis" actually mean?
- Dual diagnosis (also called co-occurring disorders) refers to the presence of both a substance use disorder and a mental health condition in the same person. Either can develop first, many people use substances to cope with mental health symptoms, and substance use can also trigger or worsen mental health conditions. Integrated treatment, which addresses both at once, works better than treating them separately.
- Do you have psychiatrists on staff?
- Yes. All residential locations have psychiatric services available. Either on-site psychiatrists and psychiatric NPs, or scheduled psychiatric visits during treatment. Houston has a psychiatrist on-site within 24 hours of admission for every client. Las Vegas Outpatient provides weekly psychiatric appointments.
- Is dual diagnosis treatment covered by insurance?
- Co-occurring disorder treatment is typically covered under the Mental Health Parity and Addiction Equity Act, which requires most commercial insurance plans to cover mental health and substance use treatment at the same level as medical care. Most commercial and PPO plans cover it, though what yours covers depends on the plan and the level of care. Our admissions team verifies your specific benefits before you commit.
- Is treatment mixed-gender?
- Yes. Programming is mixed-gender across all locations, with occasional single-gender process groups depending on the site and clinical need. Virtue serves adults 18+ with a broad age range and even gender distribution. Treatment is person-centered and individualized regardless of background.
You are allowed to ask
If you are calling for someone else
Most people who call us are calling about someone they love. You can ask about the options and check their insurance on their behalf, and it stays a conversation until you decide otherwise.
Related reading
Dual diagnosis treatment
How co-occurring conditions are treated in one plan by one team.
Read the guide →Mental health at Virtue
The conditions we treat concurrently, and where the boundaries are.
Read the guide →Therapies we use
CBT, DBT, EMDR and the experiential work, and where each one fits.
Read the guide →Residential treatment
What a stay involves and the psychiatric support that comes with it.
Read the guide →Hoarding and substance use
A co-occurring pattern that gets missed more often than most.
Read the guide →The dangers of vaping THC
EVALI, lung damage and addiction, in a medically reviewed guide.
Read the guide →Insurance
We accept most major insurance plans.
And most PPO plans. Coverage varies by plan and by facility, so if your carrier is not shown, ask rather than assume.
- Free, and there is no obligation at the end of it
- Usually answered within minutes during the day
- You can check on behalf of someone else
- Admissions answers the phone 24 hours a day
- No insurance? Ask about private pay options. Nobody is turned away without knowing their next step.
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Still have questions? Call us.
Tell us what has been happening with both the dual diagnosis and the substance use. Admissions will verify your insurance and arrange a clinical assessment, and a real person answers at any hour.
Confidential. No obligation. Someone answers, 24 hours a day.
