Specialties
Co-Occurring Mental Health and Substance Use
Counseling and medication care that consider mental health and substance use together.
Who It Is For
Who This Care Is For
Co-occurring concerns means mental health symptoms and substance use are present together. Anxiety, depression or trauma may overlap with drinking or drug use, and the relationship between them can be complicated. You do not have to resolve one concern before discussing the other. An assessment helps your clinician understand the whole picture, including routines, relationships and what you want to change. The aim is a plan that considers both, rather than separate conversations that leave important information out.
- 01Adults with mental health and substance use concerns
- 02People considering change but unsure where to begin
- 03Clients continuing care after a treatment program
Day to Day
What it can look like
- Using substances to wind down
- Mood changes alongside changes in use
- Family conflict about drinking or drugs
- Difficulty keeping routines steady
Focus
Areas of Focus
- Assessment and treatment planning
- Mental health symptoms
- Substance use patterns
- Family communication
- Aftercare
How We Work
How Care Is Planned
- Counseling
- Krista Marquick, LMHC, CAP, and Joni Winstead, MCAP, provide counseling for substance use and mental health concerns. Sessions can address coping, goals and patterns without judgment.
- Medication Evaluation
- Samantha Abbott, APRN, provides psychiatric evaluation and medication management. Options, questions and follow-up are discussed with you rather than assumed.
- MAT When Appropriate
- Medication-assisted treatment combines medication with counseling when clinically appropriate. Samantha evaluates whether it fits your situation. This is not a promise of detox or a specific result.
- Family and Group Care
- Family education and counseling can address boundaries and communication. Group therapy may complement individual care; contact the office about current topics and availability.
Clinicians
Who focuses on this
What Can Shift
Goals You Choose Together
Your goals can include changing substance use, understanding emotional patterns or planning support after treatment. Review them with your providers. Setbacks may call for reassessment, not an assumption that you have failed.
- Understanding how symptoms and use overlap
- Practicing coping and communication skills
- Discussing a realistic continuing-care plan
Sessions
Sessions and Privacy
Care is outpatient and by secure video. Individual sessions are 53 minutes and groups are 60 minutes. Medication evaluations are 45 minutes, with 30-minute follow-ups. If a higher level of care is needed, discuss other options with your provider. Addiction treatment records have additional federal confidentiality protections. Consent and legal limits are explained as part of care.
- Format
- Secure video
Insurance in Brief
Insurance
Call the office with any questions about coverage or cost.
Please give 24 hours notice to cancel or reschedule.
Insurance- Aetna
- Blue Cross Blue Shield
- Anthem
- Cigna
- UnitedHealthcare
- Optum
- Tricare
- Carelon (Beacon)
- Oscar
- Headway
- Curative
- First Health
Questions
Frequently Asked Questions
Do I need to stop using before I can ask about care?
No. You can begin by discussing your concerns and what you want to change. Your provider assesses the appropriate level of care.Is medication always part of treatment?
No. Samantha evaluates options with you. MAT is considered when clinically appropriate, not offered as an automatic requirement.Can the providers share one plan?
Yes, with appropriate consent. Ask how information is shared and how additional protections for addiction treatment records apply.
Ask About Co-Occurring Mental Health and Substance Use
Call or email the office. We will set up a free 15-minute phone consultation to see if we are a good fit.
Existing clients: Client Portal
Please do not send health, treatment or medication details by email. If you are in crisis, call or text 988, or call 911.