Integrated Care · Two New Jersey Licenses
Dual Diagnosis Treatment in Norwood, New Jersey
Dual diagnosis treatment at Valley Spring Recovery Center treats adults 18 and older whose primary clinical concern is a substance use disorder and who also live with a mental health condition such as major depressive disorder, an anxiety disorder, PTSD or bipolar disorder. The two conditions are treated in one plan, by one team, from the first week. Valley Spring holds New Jersey license #200887 for substance use disorder treatment and license #70420104 for mental health treatment, which is why the psychiatric work happens here rather than at a second provider down the road.
Medically reviewed by Dr. Michael Olla, MD
Free Insurance Verification
Get Answers Now
Same-day admissions available. Our team verifies your insurance and schedules your intake, typically the same day.
Why Choose Valley Spring
Why Choose Valley Spring Recovery for Dual Diagnosis Treatment?
Valley Spring is chosen for dual diagnosis because both licenses sit in the same building, so the two conditions are treated in one plan rather than in sequence by two providers. A client whose drinking follows a panic disorder gains nothing from an addiction program that stops at the anxiety and a psychiatrist who stops at the alcohol. Here the therapist and the prescriber work the same chart.
- Weekly individual therapy with a therapist trained in substance use disorder and in the co-occurring condition
- Psychiatric evaluation within the first 72 hours, so medication coordination starts in the first week
- Symptom tracking with the PHQ-9 for depression, the GAD-7 for anxiety and the PCL-5 for PTSD
- CBT, DBT and EMDR among the twelve clinical modalities Valley Spring publishes
- New Jersey license #200887 for substance use disorder treatment and license #70420104 for mental health treatment
- Mental health license held standalone, so a substance use diagnosis is not a condition of psychiatric care
- Delivery in person at Norwood or over HIPAA-compliant video, at the same level of care either way
- Available at Partial Care, Intensive Outpatient and Outpatient rather than at one fixed intensity
- In-network contracts with 19 payers covering both the addiction and the psychiatric side of the plan, with Blue Cross Blue Shield, Aetna and Horizon accepted out-of-network or by single case agreement
- Step-down into the Thrive alumni community, which does not end when the psychiatric symptoms do
Licenses & Accreditations
People Who Recovered
What Do Clients Say About Dual Diagnosis Treatment at Valley Spring?
Clients with a co-occurring diagnosis write about not having to choose which problem to bring. The reviews below are published Google reviews of the Norwood facility. Valley Spring publishes no symptom improvement or remission rate, because PHQ-9 and GAD-7 scores are used to direct treatment for the individual client rather than to produce a marketing figure.
“It cannot be more clear the profound impact that Sean has made in my recovery journey. Finding someone who can balance the weight of recovery with genuine humor is rare, and he embodies that perfectly.”
Daisy McCloud
“Valley Spring Recovery Center truly changed my little brother Jordan's life. From the moment he entered the program, he was treated with respect, care, and real compassion. The staff went above and beyond to support him, not just in his recovery, but in every aspect of his life.”
Deshaya Williams
“Valley Spring Recovery Center saved my son's life. The staff is amazing. I'm so grateful for the exceptional care he received. The support and encouragement by the staff and the rest of the Valley Spring Community is so meaningful.”
Lana Roeser
“Valley Spring Recovery Center is absolutely exceptional. Brian and Mike have created a truly beautiful establishment, both in appearance and in spirit. The clinical setting is world class, blending professionalism with genuine compassion.”
Christopher Ferry
“Everyone treated me like family, I felt like I was born into this family. The welcoming I received was incredible. Valley Spring changed my life in ways I never thought possible.”
Tr3 Weee
Program Details
What Does Dual Diagnosis Treatment at Valley Spring Include?
Dual diagnosis treatment includes five components: individual therapy with an addiction-trained clinician, group therapy with peers carrying two diagnoses, psychiatric evaluation and ongoing medication management, standardized symptom tracking, and case management across both sets of insurance authorizations. The sections below set out what each contains and where the integration takes place.
Who the Dual Diagnosis Track Serves
This track serves adults 18 and older whose substance use disorder is the presenting concern and whose mental health condition either predates the use or emerged during it. Which came first changes the treatment sequence and not the treatment: an anxiety disorder that a client has been drinking to quiet needs the anxiety treated, and a depression that followed years of stimulant use needs the depression treated.
The distinction from ordinary psychotherapy is specific. Clinicians here hold addiction credentials, so a client is not explaining relapse dynamics to a therapist encountering them for the first time, and the prescriber writing the psychiatric medication is the prescriber writing the medication for the substance use disorder. Clients whose mental health condition is the primary concern can read the same program described from that side on Valley Spring's co-occurring disorders treatment page.
Where the Integration Takes Place
Integration is a scheduling and charting fact before it is a clinical philosophy. The therapist and the psychiatric prescriber review the same chart in the same weekly treatment-team meeting, so an antidepressant adjustment and a change in the therapy focus are decided together instead of six weeks apart by fax. Cognitive behavioral therapy is where the two conditions meet on the page, because one thought frequently sets off the symptom and the use together.
Dialectical behavior therapy skills carry the emotional regulation work, which is the shared mechanism across depression, anxiety and substance use. Group sessions put a client alongside peers managing the same pairing: staying abstinent through a depressive episode, or handling panic without a benzodiazepine. Individual sessions run one hour and take the client's specific combination rather than either diagnosis in general.
How Symptoms Are Measured Rather Than Estimated
Three validated instruments track the psychiatric side of the plan, and each is scored repeatedly rather than once at intake:
- PHQ-9: A nine-item depression measure, used to test whether a change in medication or therapy focus moved the depression or only the client's account of it.
- GAD-7: A seven-item generalized anxiety measure, used to separate anxiety that is receding from anxiety that is being avoided.
- PCL-5: A PTSD checklist keyed to the DSM-5 criteria, used to time trauma work so it does not start in a week the client cannot hold it.
Scores direct the individual client's treatment. Valley Spring does not publish aggregate score changes, because a number that a family would use to choose a provider has to be measured to a standard this program has not yet been held to.
What the Prescriber Does and Does Not Handle
Five things the psychiatrist and psychiatric nurse practitioner handle at this level, and one they do not:
- Reconciling every psychiatric medication a client already takes, inside the first 72 hours rather than at week four
- Continuing or adjusting antidepressants, mood stabilizers and non-controlled anxiety medication
- Prescribing medication-assisted treatment where an opioid or alcohol use disorder calls for it
- Watching for the interaction between a psychiatric prescription and a recovery goal
- Coordinating with an outside prescriber the client wants to keep
- Not the acute withdrawal phase. That belongs to a detox provider. Valley Spring picks up after discharge, including continuing a taper that provider began.
Who Belongs in Dual Diagnosis Treatment
Five presentations place an adult in this track rather than in a substance-use-only plan:
- A diagnosis already on record: A client carrying a documented depressive, anxiety, trauma or bipolar diagnosis alongside the substance use disorder.
- Symptoms that surfaced in abstinence: A client whose anxiety or depression became visible once the substance stopped covering it.
- Psychiatric medication already prescribed: A client on an antidepressant or mood stabilizer who needs a prescriber who understands both sides.
- Relapse after single-focus treatment: A client who completed an addiction program that never addressed the psychiatric condition and returned to use.
- Trauma driving the use: A client whose drinking or using follows a specific event, where the PCL-5 score is the thing that has to move.
Which Level of Care Admits a Co-Occurring Presentation?
Which level a co-occurring client starts at is decided by which license admits them, and Partial Care is reached under the substance use license rather than the mental health one. That is a licensing fact with a direct clinical consequence: a client who meets criteria for a substance use disorder can start at Partial Care under New Jersey license #200887, and a client presenting with a mental health condition alone starts at Intensive Outpatient, because license #70420104 does not cover Partial Care. The table below sets out each presentation, the license that admits it, the levels of care open at entry, the weekly clinical contact each carries, and what runs in parallel.
| What the client presents with | License that admits | Levels of care open at entry | Weekly clinical contact | What runs in parallel |
|---|---|---|---|---|
| Substance use disorder alone | #200887, substance use disorder | Partial Care, Intensive Outpatient or Outpatient | 33, 15, or 1 to 3 hours a week | Psychiatric evaluation regardless of whether a diagnosis follows it |
| Substance use disorder alongside a mental health condition | #200887 admits, #70420104 covers the psychiatric treatment | Partial Care, Intensive Outpatient or Outpatient | 33, 15, or 1 to 3 hours a week | Both conditions treated in one plan, by one team, from week one |
| A mental health condition alone | #70420104, mental health, held on its own terms | Intensive Outpatient or Outpatient. Partial Care is not covered by this license. | 15, or 1 to 3 hours a week | Medication management by the psychiatrist and psychiatric nurse practitioner |
| An eating disorder alongside either of the above | Neither. Outpatient licensure does not cover medical monitoring and refeeding. | Assessment, then referral to a specialist eating disorder program | Set by the receiving program | Support for the treated condition where it sits alongside the eating disorder |
The scale of the overlap is documented. SAMHSA reports in Key Substance Use and Mental Health Indicators in the United States: Results from the 2023 National Survey on Drug Use and Health that among the 58.7 million adults with any mental illness in 2023, about one third, 20.4 million people, also had a substance use disorder. Read from the other direction, those same 20.4 million adults represent slightly less than half of the 46.3 million adults who had a substance use disorder that year. A treatment plan that handles one condition and refers out the other is therefore built for a minority of the people who arrive.
Why Valley Spring
What Makes Valley Spring's Dual Diagnosis Treatment Different?
Three things separate this track from an addiction program with a visiting psychiatrist: two New Jersey licenses held by the same provider, a psychiatric evaluation inside the first 72 hours rather than weeks later, and validated symptom instruments scored repeatedly. Valley Spring holds CARF accreditation and in-network contracts with 19 payers covering both sides of the plan.
Valley Spring Recovery Center · Norwood, NJ
2
NJ Licenses (SUD + Mental Health)
3
Validated Symptom Instruments
1
Clinical Team for Both Diagnoses
Our Facility
What Does the Norwood Facility Offer a Co-Occurring Client?
Dual diagnosis treatment runs at 830 Broadway, Norwood, New Jersey 07648, with private parking off Broadway. The practical point about the building is that the psychiatric appointment and the therapy hour happen in it on the same day, which removes the second commute, the second waiting room and the second set of intake forms that a split arrangement requires.
Clinical Process
How Does Valley Spring's Dual Diagnosis Treatment Work?
Dual diagnosis treatment runs in four phases. Assessment establishes how the two conditions interact and produces baseline PHQ-9, GAD-7 or PCL-5 scores. Skills work teaches the regulation strategies both conditions share. Application tests them in the client's own week. Transition plans continuing psychiatric care, because a mental health condition does not discharge on the same date as a level of care.
Assessment of How the Two Conditions Interact
Phase 1
A licensed clinician takes both histories and maps the sequence: which condition appeared first, which symptom precedes use, and which hour of which day the pattern runs. The prescriber evaluates within the first 72 hours and reconciles current medication. Baseline PHQ-9, GAD-7 or PCL-5 scores are recorded so later change is measured rather than remembered.
Skills Work on the Mechanism Both Conditions Share
Phase 2
Emotional regulation is the shared mechanism, so DBT distress tolerance and CBT restructuring are taught against both targets at once. A client learns to name the drop in mood that precedes the craving, then to act on the naming. Group work puts them beside peers managing the same pairing rather than the same substance.
Application, With the Medication Adjusted Alongside
Phase 3
The client tests the skills against work stress, family conflict and the specific trigger the assessment named, while the prescriber adjusts medication on the rescored instruments. This is the phase integration earns its name in: a dose change and a shift in therapy focus are decided in the same weekly meeting rather than by two providers who never speak.
Transition, Including the Psychiatric Care That Continues
Phase 4
As the substance use disorder stabilizes, contact drops while the psychiatric care continues, because the two do not resolve on the same schedule. Discharge planning names the prescriber who carries the medication forward, the community provider where one is needed, and the date Thrive alumni programming begins.
Getting Started
How Does Admission to Dual Diagnosis Treatment Work?
Admission takes four steps: verification of coverage for both the addiction and the psychiatric side, a clinical assessment of both histories, detox coordination where withdrawal needs medical supervision, and a same-day start once both sides of the plan are approved. Bring the current medication list and the name of any prescriber the client wants to keep. The admissions line at (855) 924-5320 is staffed around the clock.
Call and Verify Both Sides of the Plan
Call (855) 924-5320 at any hour. The admissions team checks the plan against Valley Spring's 19 in-network contracts and verifies coverage for behavioral health and substance use separately, because plans frequently authorize the two through different reviewers.
Complete the Clinical Assessment of Both Histories
A licensed clinician takes the substance use and psychiatric histories together, in person at Norwood or over secure video, and the clinical director confirms the level of care. Bringing the current medication list and any prescriber's name shortens this step substantially.
Coordinate Detox Where Withdrawal Needs Supervision
Where withdrawal requires medical supervision, Valley Spring coordinates the referral and arranges placement with a detox partner, flagging the psychiatric medications that must continue through it, then arranges the transfer after discharge. Valley Spring does not perform detox.
A Same-Day Start, With the Prescriber Seen Inside 72 Hours
Same-day admission is available for clinically approved clients, and the psychiatric evaluation follows within the first 72 hours so no prescription lapses in the gap. The medication list gathered at the assessment is what keeps that handover clean.
How Do I Start Dual Diagnosis Treatment?
Call Valley Spring Recovery Center at (855) 924-5320, 24 hours a day. Have the current medication list to hand. The call covers coverage for both sides of the plan, the level of care, and the first available start date.
HIPAA compliant · Confidential · No obligation
Our Clinical Team
Who Delivers Dual Diagnosis Treatment at Valley Spring?
The team pairs licensed clinical social workers and licensed clinical alcohol and drug counselors with a psychiatrist who is the Medical Director and a board-certified psychiatric nurse practitioner. Case managers hold the authorizations for both benefit categories. The pairing is the product: a therapist who understands relapse and a prescriber who understands both prescriptions, reviewing one chart.
FAQ
What Do People Ask About Dual Diagnosis Treatment?
These eight questions are the ones the admissions line fields about co-occurring care: which conditions are treated alongside addiction, whether existing medication continues, which level of care admits, session frequency, coverage, what happens in a crisis between sessions, how this differs from private therapy, and whether a mental health diagnosis alone is enough to be admitted.
Which mental health conditions are treated alongside addiction?+
Valley Spring treats anxiety disorders, major depressive disorder, PTSD, bipolar disorder I and II, ADHD, OCD and borderline personality disorder alongside a substance use disorder, under New Jersey mental health license #70420104.
Can I continue the psychiatric medication I already take?+
Yes. The prescriber reconciles every current medication within the first 72 hours and coordinates with the outside prescriber where a client wants to keep one. Medication continues or changes on clinical grounds, not because a program starts.
Which level of care admits a co-occurring client?+
A client who meets substance use disorder criteria can start at Partial Care under license #200887. A client presenting with a mental health condition alone starts at Intensive Outpatient or Outpatient, because the mental health license does not cover Partial Care.
How many sessions a week are there?+
Session frequency follows the level of care: 33 hours a week at Partial Care, 15 across five evenings at Intensive Outpatient, and 1 to 3 hours at Outpatient. Individual therapy runs weekly at every level.
Does insurance cover dual diagnosis treatment?+
Valley Spring holds in-network contracts with 19 payers, among them AmeriHealth, Fidelis Care, ComPsych, Cigna and UnitedHealthcare. Blue Cross Blue Shield, Aetna and Horizon are accepted out-of-network or by single case agreement, where cost-sharing is higher.
What do I do in a mental health crisis between sessions?+
Call 988, the Suicide and Crisis Lifeline, by call, text or chat; Spanish speakers press 2 or text AYUDA, and Deaf and hard-of-hearing users dial 988 from a videophone. Call 911 for a medical emergency. Then call the on-call clinical line so the plan is adjusted.
How is this different from seeing a therapist and a psychiatrist separately?+
The therapist and the prescriber review one chart in one weekly meeting. In a split arrangement each holds half the picture, and the medication change and the therapy change arrive weeks apart without either provider knowing.
Can I be admitted for a mental health condition without a substance use diagnosis?+
Yes. License #70420104 is standalone, so a substance use diagnosis is not required for admission to mental health treatment. Care at that entry point begins at Intensive Outpatient or Outpatient.
In-Network Insurance Accepted
Also in-network with AmeriHealth, Northwell Direct, ComPsych, Oscar, VA Community Care, Lower Hudson Valley EAP, JRN Consulting, Teamsters, UMR, Oxford, New York City Employees Plan, Workforce Assistance EAP, Iron Workers Members Assistance, Humana.
Blue Cross Blue Shield, Aetna, Horizon, Carelon Behavioral Health accepted out-of-network or by single case agreement · Call 24/7 to verify your specific benefits
Which Addictions Are Treated in Their Co-Occurring Form?
Valley Spring Recovery Center's dual diagnosis program treats 7 categories of substance use and co-occurring mental health conditions: alcohol, opioids, cocaine and crack, benzodiazepines, marijuana, stimulants, and co-occurring conditions. Select one for the disorder name, where care begins, the medication position, and the levels of care that treat it.
Alcohol
DSM-5-TR: Alcohol use disorder
- Where care begins
- Medically supervised withdrawal comes first. Valley Spring Recovery Center refers to detox partners, admits directly after detox discharge, and keeps provider-to-provider communication open with the detox facility so care continues without a gap. Valley Spring does not provide detoxification.
- Medication
- Naltrexone, and Vivitrol, the extended-release injectable form of naltrexone, are on Valley Spring's medication list for alcohol use disorder. The FDA has approved three medications for alcohol use disorder overall, according to the National Institute on Alcohol Abuse and Alcoholism: disulfiram, naltrexone and acamprosate.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
The DSM-5-TR diagnoses alcohol use disorder against 11 criteria observed over a 12-month period, and grades severity by criterion count: 2 to 3 criteria is mild, 4 to 5 is moderate, 6 or more is severe. Untreated alcohol withdrawal produces seizures and delirium tremens, which is why physical dependence is stabilized under medical supervision before outpatient treatment begins. Call 911 if a person withdrawing from alcohol has a seizure, becomes confused, or cannot be woken.
There are 5 recognition signs families and clinicians look for:
- Drinking more, or over a longer period, than intended
- Repeated unsuccessful efforts to cut down or stop
- Needing markedly more alcohol to reach the same effect
- Tremor, sweating, nausea or anxiety in the hours after stopping
- Continuing to drink despite a physical or psychological problem alcohol caused or worsened
Alcohol addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Opioids
DSM-5-TR: Opioid use disorder
- Where care begins
- Medically supervised withdrawal comes first. Valley Spring Recovery Center refers to detox partners, admits directly after detox discharge, and keeps provider-to-provider communication open with the detox facility so care continues without a gap. Valley Spring does not provide detoxification.
- Medication
- Buprenorphine, including Suboxone, which combines buprenorphine with naloxone, and Brixadi, the extended-release buprenorphine injection the FDA approved in May 2023 for moderate to severe opioid use disorder, is prescribed by Valley Spring's on-staff psychiatrist. Vivitrol, extended-release injectable naltrexone, is the other option on the roster. Valley Spring does not prescribe methadone.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Opioid use disorder is sustained by two forces at once: the reinforcing effect of mu-opioid receptor agonism, and avoidance of a withdrawal syndrome that brings severe pain, diarrhea, sweating and craving. Opioid tolerance falls during any period of abstinence, including a detox stay or a jail term, so a dose that was previously tolerated can cause fatal respiratory depression afterward. Call 911 for a suspected opioid overdose and give naloxone if it is on hand.
There are 5 recognition signs families and clinicians look for:
- Taking opioids to prevent withdrawal rather than for pain or effect
- Running out of a prescription earlier than the schedule allows
- Obtaining opioids from more than one prescriber or from non-medical sources
- Muscle aches, agitation, sweating and diarrhea when a dose is missed
- Continuing opioid use despite a job, legal or relationship consequence it caused
Opioid addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Cocaine and crack
DSM-5-TR: Stimulant use disorder, cocaine type
- Where care begins
- Direct admission after clinical assessment. Cocaine withdrawal does not carry the seizure and delirium risk that alcohol and benzodiazepine withdrawal carry, so treatment starts at the assessed level of care rather than after a detox stay.
- Medication
- No FDA-approved medication exists for cocaine use disorder. The National Institute on Drug Abuse states there is no FDA-approved medication for methamphetamine use disorder or any other stimulant use disorder. Treatment is behavioral, and contingency management is the best-studied of the approaches, alongside cognitive behavioral therapy and motivational interviewing.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Cocaine blocks the dopamine transporter, so dopamine accumulates in the synapse instead of being recycled, and the resulting reward signal is what drives repeat dosing within a single session. Crack is the freebase form of the same drug, smoked rather than insufflated, which reaches the brain faster and clears faster. Cocaine constricts coronary arteries and raises the risk of myocardial infarction, arrhythmia and stroke in people with no prior cardiac history. Call 911 for chest pain, seizure or collapse, and call Poison Help at 1-800-222-1222 for any overdose or ingestion.
There are 5 recognition signs families and clinicians look for:
- Using in binges that continue until the supply is gone
- Crashing into exhaustion, low mood and heavy sleep after a session
- Spending beyond what income supports to keep a supply available
- Nosebleeds, chronic congestion, or burns on the lips and fingers
- Continuing to use despite chest pain, palpitations or a cardiac warning from a clinician
Cocaine addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Benzodiazepines
DSM-5-TR: Sedative, hypnotic, or anxiolytic use disorder
- Where care begins
- Medically supervised withdrawal comes first. Valley Spring Recovery Center refers to detox partners, admits directly after detox discharge, and keeps provider-to-provider communication open with the detox facility so care continues without a gap. Valley Spring does not provide detoxification.
- Medication
- No FDA-approved medication treats sedative, hypnotic, or anxiolytic use disorder. The FDA updated the boxed warning on the whole benzodiazepine class in September 2020 to require a gradual taper when a benzodiazepine is reduced or stopped, because abrupt discontinuation causes withdrawal reactions including seizures. A prescriber supervises that taper. Valley Spring's clinical work is behavioral, and Valley Spring does not supervise withdrawal.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Benzodiazepines bind an allosteric site on the GABA-A receptor and amplify inhibitory signaling, which is what makes them effective for anxiety, panic disorder and insomnia and also what makes stopping them dangerous. The FDA's 2020 safety communication states that physical dependence develops when benzodiazepines are taken steadily for days to weeks, even exactly as prescribed, so dependence is not evidence that a person misused the prescription. Call 911 if someone reducing or stopping a benzodiazepine has a seizure or becomes confused.
There are 5 recognition signs families and clinicians look for:
- Needing a higher dose than prescribed to get the same relief from anxiety or insomnia
- Rebound anxiety, insomnia or agitation between doses
- Filling a prescription early, or holding prescriptions from more than one clinician
- Combining a benzodiazepine with alcohol or an opioid for a stronger effect
- Avoiding situations where a dose would not be available
Benzodiazepine addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Marijuana
DSM-5-TR: Cannabis use disorder
- Where care begins
- Direct admission after clinical assessment. Cannabis withdrawal is a recognized DSM-5-TR syndrome and it is uncomfortable rather than medically dangerous, so treatment begins at the assessed level of care.
- Medication
- No FDA-approved medication exists for cannabis use disorder. The National Institute on Drug Abuse states there are no FDA-approved medications for the treatment of cannabis use disorder or for medically assisted withdrawal. Treatment is behavioral, and the three approaches with evidence behind them are cognitive behavioral therapy, motivational enhancement therapy and contingency management.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Cannabis use disorder is diagnosed on the same 11 DSM-5-TR criteria as every other substance use disorder, and the DSM-5-TR also carries cannabis withdrawal as a separate diagnosis: irritability, sleep difficulty, appetite loss, restlessness and depressed mood in the week after stopping heavy regular use. Withdrawal that reliably ends an attempt to quit is the mechanism that keeps daily use in place, which is why cannabis treatment concentrates on the first two weeks.
There are 4 recognition signs families and clinicians look for:
- Using daily, or first thing in the morning, to feel normal
- Irritability, restlessness and disrupted sleep in the days after stopping
- Losing interest in activities that were previously done without cannabis
- Continuing daily use despite a work, academic or relationship cost
Marijuana addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Stimulants
DSM-5-TR: Stimulant use disorder, amphetamine type
- Where care begins
- Direct admission after clinical assessment. Stimulant withdrawal presents as exhaustion, heavy sleep and depressed mood rather than the seizure risk that alcohol and benzodiazepine withdrawal carry, so treatment starts at the assessed level of care.
- Medication
- No FDA-approved medication exists for methamphetamine or amphetamine use disorder. The National Institute on Drug Abuse names contingency management as the best-studied behavioral treatment for methamphetamine use disorder, delivered alongside cognitive behavioral therapy, motivational interviewing and group support.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Methamphetamine forces dopamine release and blocks its reuptake, which produces a longer and more intense signal than cocaine does from the same neurotransmitter. Heavy or prolonged use produces psychosis with paranoia, visual and auditory hallucinations, and delusions that persist for months after use stops in some people. Acute stimulant toxicity raises body temperature to a dangerous degree. Call 911 for seizure, chest pain, extreme agitation or a body temperature that keeps climbing, and call Poison Help at 1-800-222-1222 for an overdose.
There are 5 recognition signs families and clinicians look for:
- Staying awake for a day or more at a time, then sleeping for an extended period
- Marked weight loss, dental damage or skin sores from picking
- Paranoia or the sense of being watched or followed
- Using a prescribed stimulant at higher doses, or by a route other than the prescribed one
- Continuing use despite a cardiac, dental or psychiatric consequence
Methamphetamine addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Co-occurring conditions
DSM-5-TR: Co-occurring substance use and mental health disorders
- Where care begins
- Direct admission after psychiatric evaluation. New Jersey Mental Health Licence #70420104 is standalone, so a substance use diagnosis is not required for admission to mental health care.
- Medication
- Psychiatric medication is prescribed by the Medical Director, an MD, and a psychiatric nurse practitioner credentialed PMHNP-BC, and it treats the mental health condition rather than the substance use disorder. Where a client is already on buprenorphine or naltrexone, that medication continues alongside psychiatric care rather than being stopped at admission.
- Levels of care
- Mental health treatment runs at Intensive Outpatient, ASAM 2.1, and Outpatient, ASAM 1.5. Partial Care at ASAM 2.5 is licensed under New Jersey Substance Use Licence #200887, so a client who also meets criteria for a substance use disorder can start there.
Valley Spring treats anxiety disorders, major depressive disorder, PTSD, trauma and complex trauma, bipolar I and II, ADHD, OCD, borderline personality disorder and schizophrenia spectrum disorders alongside substance use, and tracks them with the PHQ-9, the GAD-7 and the PCL-5. Both conditions are treated together from admission rather than sequenced, because treating a substance use disorder while an untreated psychiatric condition drives the use leaves the driver in place. Valley Spring treats adults 18 and older.
There are 4 recognition signs families and clinicians look for:
- Psychiatric symptoms that persist through periods of abstinence
- Using a substance to manage panic, intrusive memories, sleep or mood
- A previous course of treatment that addressed one condition and not the other
- Psychiatric medication started and stopped repeatedly around periods of use
Dual diagnosis treatment for co-occurring disorders sets out admissions, insurance verification and what the first week looks like.
Service Area
Where Is Dual Diagnosis Treatment Delivered in New Jersey?
Dual diagnosis treatment runs in person at 830 Broadway in Norwood and over secure video across New Jersey. The facility sits in Bergen County, 20 minutes from the George Washington Bridge, and clients travel in from Teaneck, Englewood, Fort Lee, Paramus and Hackensack. Clients also come from Rockland County, New York, within practical driving distance of Norwood, and virtual delivery covers New Jersey clients for whom the drive would compete with the appointment.
What Other Addiction Treatment Programs Does Valley Spring Recovery Center Offer?
Dual diagnosis is a way of treating rather than a separate intensity, so it runs inside the three levels of care below. Trauma-informed care is listed fourth because trauma sits underneath a large share of the co-occurring presentations this track admits.