Will my PTSD actually be treated, or just my addiction?

Both, together, but it's important to be direct about how Virtue is structured. Substance use disorder is the primary diagnosis we're built to treat, and trauma or PTSD symptoms that co-occur with it are addressed concurrently by the same clinical team throughout your time with us. You won't be told to wait or referred elsewhere for the trauma side. If your primary need is standalone psychiatric or trauma care without a substance use component, our admissions team will be direct about whether we're the right fit.

What if I've never had a formal PTSD diagnosis?

That's common, and it doesn't disqualify you. Many clients arrive knowing something about past trauma is tangled up with their substance use without ever having had a clinical diagnosis. Your intake includes a psychiatric evaluation, and your treatment team will help clarify what's going on and build a plan around it, you don't need a diagnosis in hand before you call.

What is EMDR and how does it actually work?

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based trauma therapy that uses guided eye movements or other bilateral stimulation while you recall distressing memories in a controlled, therapist-led setting. It helps the brain reprocess traumatic memories so they carry less emotional charge, without requiring you to narrate every detail out loud. It's available with trained clinicians at Killeen, Las Vegas, and Astoria.

Is there a program specifically for veterans?

Yes. Warriors Path is a dedicated track for veterans working through combat trauma and addiction together, led by clinicians who understand military culture. It started at Killeen and is expanding to more Virtue locations. First responders are welcomed into our broader trauma-informed programming network-wide, though Warriors Path itself is a veteran-specific track.

Can I stay on my psychiatric medications during treatment?

In most cases, yes. Your medications are reviewed at intake, and psychiatric medications for conditions like PTSD, anxiety, or depression are typically continued and managed by our psychiatrists and psychiatric NPs throughout treatment. Medication management is standard care here, not an exception.

Is trauma and PTSD treatment covered by insurance?

Co-occurring trauma 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 to anything.

What if the trauma feels like my main problem and the substance use feels secondary?

We'll be honest with you: Virtue is built to treat substance use disorder as the primary diagnosis, with co-occurring trauma and PTSD addressed concurrently alongside it. If, after talking with our admissions team, it becomes clear that standalone trauma or psychiatric care without a substance use component is what you actually need, we'll tell you that directly and help point you toward appropriate resources.

PTSD & Trauma and Addiction

EMDR and CPT for the trauma underneath the substance use
Both treated in the same plan, by the same team, at the same time
A dedicated veterans track, Warriors Path, which began at Killeen
Paced by your clinician. Nobody opens the trauma work on day one

Talk to Our Team

Written by
Dr. Rajesh Harripersad, EdD, LPC-S, LCDC, EMDR Trained · U.S. Army, Retired
Last reviewed August 2026

Check your insurance

Free & confidential • No obligation • Usually answered within minutes

What We Mean by Co-Occurring Trauma & PTSD

Substance use is often a way of managing symptoms that feel unmanageable on their own. Flashbacks, hypervigilance, avoidance, disrupted sleep, a nervous system that won't settle. Combat trauma, past abuse, accidents, and other traumatic experiences can all lead to this pattern. Either the trauma or the substance use can come first, and each tends to make the other harder to treat in isolation.

Clinically, this is called dual diagnosis or a co-occurring disorder. Treating the addiction first and the trauma later, or the other way around, works less well than addressing both together. Integrated treatment means one team, one plan, from day one.

At Virtue, substance use disorder is the primary diagnosis we're built to treat. Trauma and PTSD symptoms that co-occur with it are addressed concurrently throughout your time with us, using trauma-processing therapies like EMDR and CPT alongside your addiction treatment, not as a separate referral, and not on a waitlist.

What Virtue treats

Substance use disorder as the primary diagnosis
PTSD and trauma symptoms occurring alongside addiction
Combat trauma and military-related PTSD (Killeen Warriors Path)
Anxiety and depression co-occurring with trauma and substance use
Eating disorders alongside SUD and trauma (Las Vegas Outpatient)

Important to know

Virtue specializes in addiction treatment. Substance use disorder is the primary diagnosis we treat. If your primary need is standalone trauma or 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 Trauma Alongside Addiction

Trauma-processing therapies integrated into the same treatment plan as your addiction care, not scheduled separately, not deferred.

EMDR

Eye Movement Desensitization and Reprocessing. Helps the brain reprocess traumatic memories using guided bilateral stimulation. Available at Killeen, Las Vegas, and Astoria.

CPT

Cognitive Processing Therapy, a structured protocol for PTSD. Available at Astoria and Houston, particularly relevant for veterans and trauma survivors.

Trauma-Informed Care

All programming across the network is trauma-informed. Killeen's residential program has an explicit trauma focus woven through groups and individual therapy.

CBT & DBT

Cognitive and dialectical behavioral therapies address the thought patterns and emotional dysregulation that often accompany trauma and addiction together.

Medication Management

Psychiatric medications continued and managed throughout treatment by on-site psychiatrists and psychiatric NPs. Evaluated at intake, adjusted as needed.

ACT & MET

Acceptance and Commitment Therapy and Motivational Enhancement Therapy build psychological flexibility and intrinsic motivation for change.

Mindfulness & Experiential

Yoga, meditation, art therapy, music therapy, equine-assisted therapy, sound healing. Experiential work that helps regulate a nervous system trauma has put on high alert.

Family Therapy

Weekly family sessions available at most locations. Trauma and addiction affect the whole family system. Family involvement supports recovery.

Trauma Care Across the Full Continuum

Trauma-informed care and trauma-processing therapies follow you through every level, rather than stopping at one stage.

Detox

Medically supervised withdrawal management. Trauma work typically begins once you're medically stable, though your team is aware of your history from intake.

Residential

EMDR and CPT sessions, trauma-informed groups and daily programming, with length of stay set by clinical progress rather than by who is paying.

PHP

Structured daily programming with continued trauma-processing therapy and psychiatric follow-up as you step down from residential.

IOP

Fewer hours per week, more independence, with individual therapy and trauma-informed groups continuing alongside relapse prevention work.

Aftercare

Discharge planning connects you to outpatient therapy, alumni support, and community resources so trauma work doesn't stop at graduation.

Trauma-Informed Treatment at Every Location

Co-occurring trauma and PTSD care is integrated across all six Virtue facilities, each with its own clinical focus.

Killeen, TX

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Warriors Path · Trauma-focused

Residential program with an explicit trauma focus built into every group and individual session. Warriors Path is a dedicated track for veterans working through combat trauma and addiction together; first responders are welcomed into the same trauma-informed programming. Clinical Director: David Jaskowiak, LPC.

Astoria, OR

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EMDR + CPT trauma processing

A Masters-level co-occurring clinician trained in both EMDR and CPT leads trauma processing work here, woven into individual and group therapy alongside DBT, CBT, ACT, and MET.

Las Vegas, NV

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EMDR · Psychiatry on staff

EMDR-trained clinicians support trauma processing alongside psychiatric evaluation, medication management, and MAT. Also treats co-occurring eating disorders in a private villa residential setting.

Houston, TX

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CPT · Psychiatrist within 24 hrs

CPT is available here alongside a psychiatrist on-site within 24 hours of admission for every client. Trauma and substance use are addressed together from the first day of residential treatment.

Las Vegas Outpatient, NV

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Weekly psychiatry · EMDR

PHP and IOP built for comorbid diagnoses, with weekly psychiatry, EMDR, trauma-informed groups, DBT, and mindfulness for clients stepping down from residential trauma work.

What Clients Say

4.7 / 5· 900+ Google Reviews

Coming back from deployment with PTSD and a drinking problem, I needed somewhere that understood both. Warriors Path didn't treat the trauma as separate from the addiction, the whole team got it. David Jaskowiak and the clinicians 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, and it was part of the same program the whole time, not a referral, not "maybe later."

I was skeptical about a "veterans track" being anything more than a label. It wasn't. Guys who'd actually been there, clinicians who didn't need everything explained to them first. That mattered more than I expected going in.

CPT was hard work, but having a clinician trained specifically in it made the difference. It wasn't generic talk therapy bolted onto detox, the trauma processing and the addiction treatment ran together from day one.

They had a psychiatrist see me within the first 24 hours. My trauma history came up in that first conversation, not weeks later. It didn't feel like an afterthought once detox was handled, it was part of the plan from the start.

Stepping down to IOP after residential, I was worried the trauma work would just stop. It didn't. Weekly psychiatry, EMDR, and trauma-informed groups kept going right alongside the relapse prevention work.

Reviews are sourced from Google. Virtue Recovery Center does not edit, curate, or incentivize reviews.

Common questions

Questions people ask about PTSD, trauma and addiction

Anything not answered here, ask on the call. There is no obligation.

(866) 461-3339

Will my PTSD actually be treated, or just my addiction?: Both, together, but it's important to be direct about how Virtue is structured. Substance use disorder is the primary diagnosis we're built to treat, and trauma or PTSD symptoms that co-occur with it are addressed concurrently by the same clinical team throughout your time with us. You won't be told to wait or referred elsewhere for the trauma side. If your primary need is standalone psychiatric or trauma care without a substance use component, our admissions team will be direct about whether we're the right fit.
What if I've never had a formal PTSD diagnosis?: That's common, and it doesn't disqualify you. Many clients arrive knowing something about past trauma is tangled up with their substance use without ever having had a clinical diagnosis. Your intake includes a psychiatric evaluation, and your treatment team will help clarify what's going on and build a plan around it, you don't need a diagnosis in hand before you call.
What is EMDR and how does it actually work?: EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based trauma therapy that uses guided eye movements or other bilateral stimulation while you recall distressing memories in a controlled, therapist-led setting. It helps the brain reprocess traumatic memories so they carry less emotional charge, without requiring you to narrate every detail out loud. It's available with trained clinicians at Killeen, Las Vegas, and Astoria.
Is there a program specifically for veterans?: Yes. Warriors Path is a dedicated track for veterans working through combat trauma and addiction together, led by clinicians who understand military culture. It started at Killeen and is expanding to more Virtue locations. First responders are welcomed into our broader trauma-informed programming network-wide, though Warriors Path itself is a veteran-specific track.
Can I stay on my psychiatric medications during treatment?: In most cases, yes. Your medications are reviewed at intake, and psychiatric medications for conditions like PTSD, anxiety, or depression are typically continued and managed by our psychiatrists and psychiatric NPs throughout treatment. Medication management is standard care here, not an exception.
Is trauma and PTSD treatment covered by insurance?: Co-occurring trauma 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 to anything.
What if the trauma feels like my main problem and the substance use feels secondary?: We'll be honest with you: Virtue is built to treat substance use disorder as the primary diagnosis, with co-occurring trauma and PTSD addressed concurrently alongside it. If, after talking with our admissions team, it becomes clear that standalone trauma or psychiatric care without a substance use component is what you actually need, we'll tell you that directly and help point you toward appropriate resources.

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.

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.

Check my insurance coverage

100% confidential · No commitment required

Still have questions? Call us.

Tell us what has been happening with both the ptsd and trauma and the substance use. Admissions will verify your insurance and arrange a clinical assessment, and a real person answers at any hour.

Call (866) 461-3339 Verify Your Insurance

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