Dual diagnosis, Portland
Dual diagnosis treatment in Portland, Oregon
Substance use and a mental health condition, treated together in one integrated plan instead of in separate tracks.
Talk with Garrett, Tuni or another member of our admissions team.
Medically reviewed by Medical Director Dave Cundiff, MD, MPH, FASAM · Updated
Levels of care
Levels of care in this program
This program is offered across levels of care. Your assessment decides where you start.
- DetoxBy referral, before treatment
- ResidentialLive-in, around the clock
- Partial hospitalizationFull days, home at night
- Intensive outpatientSeveral days a week
- OutpatientRegular sessions
- AftercareSupport after a program
More structureMore independence
What a dual diagnosis means
A co-occurring disorder means a substance use disorder and a mental health condition exist at the same time. Common pairings include depression with alcohol use, anxiety with drug use, PTSD with alcohol or drug use, and bipolar disorder alongside substance use.
Each condition can make the other harder to manage. Untreated mental health symptoms often lead people to self-medicate, and substance use can worsen or trigger those symptoms.
Integrated care, not separate tracks
Treatment begins with an assessment by licensed clinicians. From there, the team builds one plan that addresses both conditions at the same time, rather than treating them in sequence.
- Psychiatric services and medication management when clinically indicated
- Evidence-based therapy such as CBT and DBT
- Trauma-focused counseling and holistic support
- Family involvement where it helps recovery
Conditions we address
- Depression
- Anxiety
- Bipolar disorder
- Post-traumatic stress disorder (PTSD)
- Panic disorder
- ADHD
Levels of care
Recovery needs change over time, so the level of care should change with them. We offer a continuum that you can step up or down.
- Residential treatment: 24/7 care in a structured setting, with you living on site
- Partial hospitalization: a day program that lets you return home in the evening
- Intensive outpatient: structured care several days a week while you keep up daily responsibilities
- Outpatient: ongoing therapy and counseling while you keep living independently
- Sober living: structured housing for people working toward independence
Insurance and admissions
Our admissions team can verify your coverage, explain what portion of care is covered and walk through any out-of-pocket costs before treatment begins. If coverage does not pay for everything, we will discuss payment options with you.
Crestview is located in Southeast Portland.
Your care team
The people behind this program
Licensed clinicians lead every level of care at Crestview.
Medical Director
Dave Cundiff, MD, MPH, FASAM
Leads medical care and reviews our clinical content.
Director of Psychiatry
Jill C. Gladish, MD, MPH
Psychiatric care and medication management.
Clinical Director
Eric Pinkston, MA, CADC III
Oversees therapy and treatment planning.
Nurse Practitioner
Bonnie Lambert, LPC, PMHNP-BC
Psychiatric nurse practitioner and counselor.
Not sure which level of care fits?
Talk it through with Garrett, Tuni or another member of our admissions team. The call is free and confidential, and there is no obligation.
Talk to admissions
A confidential call with our admissions team. We will listen, check your insurance and help you choose the right level of care. No obligation.