We recognize that our clients may have varying behavioral, emotional, and mental health concerns in addition to their challenges with substance use. Our clinical team takes a holistic approach to care and uniformly assesses for co-occurring disorders and risk factors. All clients entering our care receive a psychiatric evaluation and routine follow-up appointments with an ASAM Certified Psychiatrist. Our multi-disciplinary team then collaborates to provide well rounded treatment to meet our client’s needs.

Some common co-occurring disorders are:


Depressive disorder can present with many different characteristics and varying degrees of severity. This disease can happen to anyone anywhere. Though there are times depression seems predictable, many times it is not. Symptoms of depression include difficulty concentrating and thinking, changes in appetite, feelings of hopelessness, loss of enjoyment in everyday activities, disrupted sleep patterns, loss of energy or constant fatigue, feelings of guilt, worthlessness, and self-hatred, thoughts of suicide and/or death.

These symptoms can be constant lasting several years or present only for brief periods of time. Additionally, the severity of the symptoms can vary depending on the type of depressive disorder a client may be experiencing. Medication combined with Cognitive Behavior Therapy is an effective treatment options for individuals to learn strategies to manage their depression symptoms effectively.


Anxiety is a natural part of life and can be beneficial motivator or survival tool. Anxiety can also prevent you from expressing yourself because of innate fear; it can be isolative as it causes insecurity in relationships and feelings of being distant from others. Anxiety Disorders, similar to the depressive disorders, vary in presentation and severity. Symptoms of anxiety disorder can be divided into two categories cognitive and physiological. Cognitive symptoms include feelings of tension, restlessness, and unease, difficulty concentrating, fatigue or being worn-out, irritability, and excessive worry. Physiological symptoms may include: rapid heart rate or increased blood pressure, sweating, trembling or shaking, perceived difficulty breathing, chest pains, dizziness, numbness or tingling, temperature dysregulation.

The Victory Bay clinical team is ready to provide support in combating this uncomfortable behavioral condition. They will assist in developing strategies to manage the negative reactions and debilitation thoughts so that challenging circumstances can be faced with confidence and ease.

Bipolar Disorder

Bipolar disorder is a disease in which people cycle between two extreme states: depression and mania. The depressive state has the same symptoms as previously discussed, while the manic state involves symptoms such as: engaging in risky behaviors, loquaciousness, increased self-esteem, decreased need for sleep, racing thoughts, increased agitation, psychomotor agitation, and increased goal directed activities. Often times, people with bipolar disorder enjoy the beginning of the manic state and will attempt to recreate it with the use of substances.

Medication is necessary to reduce the presence of mood fluctuations. The clinical staff at Victory Bay can assist in adjusting to a medication routine and can discuss the increased risk alcohol and drug use has if mixed with medications.

Psychiatric Services

Approximately 43% of individuals with substance use disorders, between the ages of 26 to 49, are also experiencing a mental health disorder. (SAMSHA.GOV) Based on this knowledge, Victory Bay ensures all clients receive psychiatric services and that consulting psychiatrists are a part of the multi-disciplinary treatment. Beginning, with our intake process our staff begins to collect information related to a client’s psychiatric well-being. All clients are seen by an ASAM certified psychiatrist within 10 days of admission at which time the use of psychotropic medications to manage symptoms is discussed. Our psychiatrists are available to discuss medication options, process any potential side effects, and discuss the benefits of such an intervention.

On going medication management services is offered to all clients prescribed psychotropic medications. Appointment frequency is determined by best practice standards, as well as complexity of each client’s symptoms. All, clients regardless if they utilize psychotropic medications will have periodic follow-up appointments with the psychiatrist to evaluate progress in treatment and any changes in presentation.

Victory Bay Recovery Center also has a registered psychiatric nurse on staff full time. She is available to discuss any issues related to medications, including providing education related to what each medication is, purpose for taking, and strategies to manage side effects. Additionally, she helps to support those with physical health concerns that may impact their use of psychotropic medications as well as their recovery from substance use disorders.

With drug and alcohol addiction, there is not only a physical dependency, but a psychological dependency as well. After months and years of the same behaviors, patterns have developed which can be difficult to break. At Victory Bay, we use many types of evidence-based psychological techniques so that clients can identify, understand, and begin to change the negative thoughts and faulty thinking patterns that were developed during the course of their addiction. The clinical expertise of our multi-disciplinary team, at our dual diagnosis treatment center in NJ, assists in developing a treatment plan that leads to a reduction in relapse and a life of wellness to begin.