Epiphany Dual Diagnosis Treatment Center in Massachusetts

Leading Massachusetts dual diagnosis treatment center.

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What is Dual Diagnosis?

Dual diagnosis means you’ve been diagnosed with one or more mental health conditions, while also struggling with substance use disorder or alcohol use disorder. In situations like this, it might look like alcohol use gets worse when depression gets worse, or anxiety fuels prescription misuse, or trauma memories that lead to opioid abuse.

Cases like these can be incredibly challenging to create effective long-term treatment plans for, as one condition can trigger or mask another entirely. However, Epiphany Wellness boasts a distinguished team of clinicians, psychiatrists, and other professionals who are committed to helping you on the path to a healthier tomorrow.

Our team screens for mood, trauma, anxiety, and even thought disorders, while we also review drug history, current medications, medical history, and general physical health. Then, we’ll build a single, integrated treatment plan that incorporates psychological treatment, addiction treatment, psychiatric care, and relapse prevention.

Our Massachusetts Location

Dual Diagnosis at Epiphany in Massachusetts

Epiphany Wellness provides compassionate, integrated care for co-occurring mental health and substance use disorders. From the moment you pick up the phone and speak with our admissions team, we’ll start getting the information we need about your history of substance use and how your mental health may be playing a part. Our team includes a psychiatrist, addiction specialists, and numerous therapists.

Dual Diagnosis at Epiphany in Massachusetts

Dual Diagnosis

Once they perform their initial assessment and determine the appropriate level of care, they’ll collaborate on a comprehensive and coordinated treatment plan that addresses all conditions simultaneously, rather than focusing solely on the most severe or prevalent ones.

Dual diagnosis treatment often occurs in a day program, which begins in the morning and runs throughout the day until late afternoon or early evening. When clients arrive in the morning, they typically undergo a brief check-in process in which the nursing staff record their vitals, along with any pertinent notes about the previous night’s sleep, medication side effects, or withdrawal symptoms.

The programming in the mornings will typically feature evidence-based modalities conducted in small groups, including dialectical behavior therapy skill sessions and cognitive behavioral therapy discussions.[1] Around midday, there will be a break for lunch, followed by more therapy sessions, both individual and group, in the afternoon. There will be modules for trauma processing, relapse prevention education, and periodic family sessions as well.

Before heading out for the day, there will often be a check-in with each individual’s clinician. To review skills to be implemented and strategies to be relied upon in the time until the next day of program attendance.

How Dual Diagnosis Works

Dual diagnosis programs in Massachusetts will only be effective if the treatment team understands what they’re treating. This means a deep, biopsychosocial assessment before any formal treatment plans are created, to identify all co-occurring disorders. This will be a comprehensive deep dive into your emotional states, trauma history, medication needs or use, substance use patterns, addiction profile, and general physical health. In some cases, we may even request lab work to determine a safe way to taper meds or handle specific withdrawal challenges.

Massachusetts dual diagnosis treatment centers, such as Epiphany Wellness, also depend heavily on an integrated daily rhythm or routine. Regardless of your treatment schedule and module arrangement, within your treatment plan, they are unlikely to be altered, because a significant part of building healthy routines is maintaining consistency in those routines.

Continuous measurement is also essential for dual diagnosis programs in Massachusetts. With standardized symptom scales and weekly checkpoints to clearly show what’s working and what isn’t, there’s no guesswork in getting clean. When something isn’t working, the team will change course decisively and promptly, so there’s no wasted time in your treatment and no loss of focus.

Finally, regardless of how long you’re with us or where you go after completing your program, you can count on coordinated and competent transitions and step-downs. As your symptoms subside, we’ll help you determine the right level of care, whether that’s PHP, IOP, or standard outpatient services with us or elsewhere. Your plan for a continuum of care will be finalized before your discharge, ensuring that nothing is left to chance.

Why Choose Dual Diagnosis with Epiphany in Massachusetts?

  • Accredited integrated care. National quality standards plus licensed Massachusetts clinicians who treat mental health and substance use together.
  • True psychiatric involvement. On-site prescribers review medications, monitor side effects, and coordinate with therapists to ensure treatment remains aligned daily.
  • Low client-to-clinician ratio. Small groups mean your story gets heard, and your treatment plan can change quickly when symptoms shift.
  • Family engagement that fits life. In-person and secure video sessions help loved ones across Boston, Worcester, and beyond support recovery the right way.
  • Maximizing insurance benefits. We verify benefits and explain costs to ensure treatment is as accessible as possible.
  • A full continuum of care. Our admissions team will guide you smoothly through detoxification, placement in PHP, IOP, outpatient care, and aftercare to ensure long-term stability.

Here’s What Our Alumni Clients Have To Say

From the moment I stepped foot into Epiphany I felt welcomed. I was greeted with compassion and respect. I can’t say enough about the staff. Everyone involved accommodated my needs and respected my wishes and feelings. I highly recommend anyone...

Anthony Nangle Recovered Client
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Epiphany Wellness truly saved my life. I was so scared to seek treatment for the first time but they truly walked me through every step and made sure I was okay during the entire process. That one phone call to seek treatment changed my life fo...

hannah winston Recovered Client
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This place has changed my life around. Going to treatment in march of this year compared to going to treatment at Epiphany in june of this year.. wow! Major difference, I feel alive again and truly have knowledge that I need to go further into ...

Noemi Alston Recovered Client
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I was hesitant to come to treatment and am so lucky I ended up in such a wonderful program. The staff is caring and attentive to everyone’s different needs and places where they are in recovery and provide a safe and healing environment. ...

Lauren Templeton Recovered Client
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This is my second time at Epiphany and it is a place that truly cares about their clients. All of the staff are excellent. It is a program that values client feedback and incorporates groups accordingly. The program has clear steps of progre...

Shelby Recovered Client
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This is one of the best treatment centers I’ve been at, and I’ve been to a lot. They really care. They listen and try to help you in any way possible. Shoutout to my therapist Meg, and all the house techs Ashley, Kayla, Abby and Vanessa. They h...

Caitlyn Perroth Recovered Client
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I’ve had the opportunity to partner with Epiphany in helping others seek wholeness, wellness, and freedom from addiction. Not only are they professional, but they are compassionate. I have literally seen lives changed!

Dr. John E. Gray Recovered Client
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Just a quick note to thank the folks at Epiphany Wellness for all their help and support during one of the most difficult times in my life. Everyone was at the top of their game and got me back on track. I highly recommend them and know that if...

Robert Wagner Recovered Client
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We Accept Most Major Health Insurances

Find out if your health insurance qualifies now.

Levels of Care at Epiphany Wellness

  • When you need medical detox, we can help get you placed for immediate substance abuse treatment. Stay until opioids, alcohol, and other substances are cleared, and once you stabilize, step down to inpatient or outpatient services.

  • Intensive Outpatient Program

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    Evening or part-time groups allow you to work or attend school. Focus on coping skills, relapse prevention, and ongoing psychiatric care while living at home.

  • Partial Hospitalization Program

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    Full-day treatment. Mornings usually include symptom monitoring, medication management, and core therapy. Afternoons may feature skills labs, trauma work, and family sessions. You return home nightly.

Dual Diagnosis Conditions We Treat

01

Depression

Low mood mixed with alcohol use or other substances can spiral fast. We combine medication management, Cognitive Behavioral Therapy, and behavioral activation so energy and hope begin returning while cravings fall.

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02

Anxiety Disorders

Racing thoughts often drive prescription misuse or daily drinking. DBT distress tolerance, exposure practice, and mindfulness training help you face triggers without reaching for a substance.[2]

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03

Bipolar

Mood swings can undo sobriety plans. Psychiatric monitoring stabilizes medication levels while groups build sleep routines, relapse warning signs, and coping skills that protect recovery through high and low cycles.

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04

Post-Traumatic Stress Disorder

Flashbacks, hyperarousal, and avoidance push many people toward self-medication. EMDR, grounding skills, and gradual trauma processing reduce symptom spikes so you don’t need alcohol or drugs to numb pain.[3]

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05

Impulse Control Disorders

Compulsive gambling, gaming, or risky spending light up the same reward pathways as substances. CBT mapping, contingency planning, and accountability check-ins reduce urges and lower relapse risk.

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06

Borderline Personality Disorder

Rapid emotion swings and relationship crises often lead to impulsive use. Our DBT track teaches emotional regulation, interpersonal effectiveness, and crisis planning to keep you connected and safer in early recovery.

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07

Obsessive-Compulsive Disorder

Intrusive thoughts and compulsions drain focus. Exposure and response strategies are paired with medication review and skills coaching to keep recovery work on track.

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08

Trauma

Long-term or childhood trauma can hide under anger, shame, or dissociation. Gentle pacing, body-based regulation, and narrative therapy help you process your history safely while strengthening your daily coping skills.

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09

ADHD

Impulsivity and disorganization can undermine recovery. Structured planning, focused coaching, and careful medication oversight reduce chaos in daily life across Boston, Worcester, and MetroWest.

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Begin Your Recovery in Massachusetts

If you’ve been struggling with substance use and keep relapsing but don’t know why, you may also have undiagnosed mental health conditions contributing to the problem. Trust Epiphany Wellness to get to the root of the problem. Just reach out to get started.

Frequently Asked Questions About Dual Diagnosis in Massachusetts

Who is a candidate for dual diagnosis?

Anyone living with both a mental health condition and a substance use disorder. If symptoms trigger each other, integrated care is the right fit.

How long does dual diagnosis care typically last?

Length varies by level of care. Many clients spend several weeks in PHP or IOP, then step into outpatient and ongoing psychiatric follow-up.

What types of therapy are included in dual diagnosis?

CBT, DBT, ACT, EMDR, family therapy, medication management, along with holistic supports like mindfulness and the PATH wellness curriculum.

Does insurance cover dual diagnosis?

Epiphany Wellness collaborates with Blue Cross, Harvard Pilgrim, Tufts, Aetna, Cigna, Optum, MassHealth, and other insurance providers. Please call us and we’ll explain all your benefits.

What makes Epiphany different from other treatment centers in Massachusetts?

Accredited integrated psychiatry and addiction care, small groups, strong family engagement, and a full continuum from detox coordination through IOP and aftercare, all in one.

Sources

[1]Flynn, D., Joyce, M., Spillane, A., Wrigley, C., Corcoran, P., Hayes, A., Flynn, M., Wyse, D., Corkery, B., & Mooney, B. (2019, August 15). Does an adapted dialectical behaviour therapy skills training programme result in positive outcomes for participants with a dual diagnosis? A mixed methods study. Addiction science & clinical practice. https://pmc.ncbi.nlm.nih.gov/articles/PMC6694661/

[2]Petri, J. M., Cullum, K. A., & Hunnicutt-Ferguson, K. (2022, July). Exposure therapy for multiple anxiety targets: Clinical decisions guided by functional assessment. Focus (American Psychiatric Publishing). https://pmc.ncbi.nlm.nih.gov/articles/PMC10172524/

[3]Wilson, G., Farrell, D., Barron, I., Hutchins, J., Whybrow, D., & Kiernan, M. D. (2018, June 6). The use of eye-movement desensitization reprocessing (EMDR) therapy in treating post-traumatic stress disorder– A systematic narrative review. Frontiers in psychology. https://pmc.ncbi.nlm.nih.gov/articles/PMC5997931/