In crisis right now? If you or someone you love is thinking about suicide or self-harm, call or text 988 (Suicide & Crisis Lifeline) or call SAMHSA at 1-800-662-HELP (4357) — free, confidential, 24/7. If there is immediate danger, call 911.
Mental health and substance use rarely travel alone. Nearly half of people living with a serious mental health condition also struggle with drugs or alcohol — and treating only one side leaves the other to pull them back. At Totality Treatment Center in Los Angeles, California, we treat both at the same time, with one coordinated team and a plan built around you.
Whether you’re facing depression, anxiety, bipolar disorder, trauma, or thoughts of suicide — with or without an accompanying addiction — you don’t have to sort out where to start. We’ll help you understand what you’re dealing with, verify your insurance, and get you into care quickly.
Verify your insurance in 2 minutes » or call (855) 619-5383 to speak with an admissions specialist today.
What is dual diagnosis (co-occurring disorders)?
Dual diagnosis — also called co-occurring disorders — means a person has both a mental health condition (such as depression, anxiety, or bipolar disorder) and a substance use disorder at the same time. It’s common: according to national data, roughly half of people with a substance use disorder also experience a mental illness, and vice versa.
The two feed each other. Someone with untreated anxiety may drink to quiet it; heavy drinking then deepens the anxiety. Treating the addiction alone — or the mental health condition alone — usually isn’t enough, because the untreated condition keeps re-lighting the fire.
Integrated dual diagnosis treatment addresses both conditions together, with a single team coordinating therapy, medication, and support so nothing falls through the cracks. Research consistently shows this integrated approach produces better, longer-lasting outcomes than treating each condition separately. That integrated model is the foundation of everything we do at Totality.
Mental health conditions we treat
You don’t need a co-occurring addiction to get help here. We treat mental health conditions on their own and alongside substance use.
Depression
Persistent sadness, loss of interest, fatigue, changes in sleep and appetite, and difficulty functioning. We combine evidence-based therapy (CBT), medication management when appropriate, and lifestyle and family support to help you feel like yourself again. Depression is highly treatable — most people improve significantly with the right care.
Anxiety
Generalized anxiety, panic attacks, social anxiety, and phobias can make ordinary days feel unmanageable. Our anxiety therapy blends cognitive behavioral therapy, exposure-based techniques, mindfulness, and — where indicated — medication, so you can regain control instead of organizing life around avoidance.
Bipolar disorder
Bipolar disorder involves shifts between depressive lows and manic or hypomanic highs. It’s a lifelong but very manageable condition. Effective bipolar treatment typically pairs mood-stabilizing medication with psychotherapy and psychoeducation, plus routines and monitoring that help prevent relapse. Our team helps you build a stable, sustainable plan — not just get through the current episode.
PTSD & trauma
Trauma can drive nightmares, flashbacks, hypervigilance, and avoidance — and it frequently underlies both depression and addiction. We use trauma-focused approaches including EMDR and trauma-focused CBT to process what happened and reduce its grip on the present.
OCD & other conditions
We also treat obsessive-compulsive disorder, adjustment disorders, and other conditions with evidence-based, individualized care.
Suicidal ideation
If you’re having thoughts of suicide, please know two things: these thoughts are more common than most people realize, and they are treatable. Treatment for suicidal ideation starts with safety and stabilization, then addresses the underlying condition — often depression, bipolar disorder, trauma, or substance use — through therapy, medication management, and close support. You are not a burden, and reaching out is a sign of strength.
If you’re thinking about suicide right now, call or text 988 or call 911. You can also call our team at (855) 619-5383 — we’ll help you take the next step.
Addiction & substance use treatment
When a mental health condition comes with drug or alcohol use, we treat the addiction as an equal partner in care — never an afterthought. We provide treatment for:
- Alcohol use disorder
- Opioid use (prescription painkillers, heroin, fentanyl)
- Stimulants (cocaine, methamphetamine)
- Benzodiazepines and sedatives
- Marijuana and other substances
Care includes relapse-prevention skills, medication-assisted treatment where appropriate, and the same integrated coordination with your mental health treatment. If you’re specifically weighing residential or luxury addiction care in California, see our companion guide to luxury rehab in California and our executive & private rehab program.
Our levels of care
Effective treatment meets you at the right level of intensity — and steps down as you stabilize. Totality specializes in premium outpatient and telehealth care in Los Angeles, so you can get intensive, expert treatment while staying connected to your life, work, and family.
| Level of care | What it means | Best for |
|---|---|---|
| Residential / inpatient | 24-hour supervised care in a live-in setting | Acute stabilization, medical detox needs, high-risk situations |
| Partial Hospitalization (PHP) | Full-day treatment, most days of the week; you return home in the evening | Step-down from residential, or high-need care without overnight stay |
| Intensive Outpatient (IOP) | Several structured sessions per week around your schedule | Ongoing recovery while resuming work, school, or family life |
| Outpatient | Weekly therapy and medication management | Maintenance, relapse prevention, long-term support |
| Individualized Intensive Program (IIP) | One-to-one, private, concierge-style outpatient care | Executives and individuals who need discretion and flexibility |
| Telehealth | Secure video therapy and psychiatry across California | Access from anywhere in the state; continuity of care |
Not sure which level fits? A short assessment with our clinical team will match you to the right starting point. Learn more about our private, one-to-one track on the Executive & Private Rehab (IIP) page.
Evidence-based therapies
Every plan at Totality is built from proven, research-backed modalities — chosen for your diagnosis, not a one-size-fits-all curriculum:
- Cognitive Behavioral Therapy (CBT) — reshaping the thought patterns that drive depression, anxiety, and relapse.
- Dialectical Behavior Therapy (DBT) — emotion regulation, distress tolerance, and interpersonal skills; especially powerful for mood instability and self-harm.
- EMDR — reprocessing traumatic memories so they lose their charge.
- Medication management — psychiatric evaluation and careful, ongoing medication oversight.
- Group therapy — connection, accountability, and shared experience.
- Family therapy — because recovery is stronger when the people around you understand and support it.
- Holistic & wellness support — mindfulness, stress management, sleep, nutrition, and movement.
What to expect: your treatment journey
- Confidential assessment. A licensed clinician listens to your history and current struggles, and helps clarify the diagnosis — including any co-occurring conditions.
- A personalized treatment plan. We match your level of care and therapies to your needs and goals, and verify your insurance so cost is clear up front.
- Active treatment. You work with a consistent, small-caseload team — individual therapy, group work, medication management, and family involvement as appropriate.
- Aftercare & relapse prevention. Before you finish, we build a step-down and support plan so progress holds — outpatient sessions, telehealth check-ins, and community resources.
Why choose Totality (Los Angeles, California)
- Integrated dual diagnosis expertise. Mental health and addiction treated together, by one coordinated team.
- Individualized attention. Small caseloads and genuinely personalized plans — you’re a person, not a bed number.
- Licensed, experienced clinicians. Care overseen by qualified psychologists and psychiatrists.
- Premium outpatient & telehealth. Intensive, expert care that fits around your real life, anywhere in California.
- A calm, private California setting. Treatment in an environment designed for focus, dignity, and recovery.
Insurance & paying for treatment
Most major insurance plans cover mental health and dual diagnosis treatment, and mental health parity laws require insurers to cover behavioral health comparably to physical health. We work with many providers and will:
- Verify your benefits for free and explain exactly what’s covered before you commit.
- Handle in-network and out-of-network questions.
- Keep everything 100% confidential.
Verify your insurance now » or call (855) 619-5383 — it takes about two minutes and there’s no obligation.
Frequently asked questions
What is dual diagnosis treatment? Dual diagnosis (co-occurring disorders) treatment addresses a mental health condition and a substance use disorder at the same time, with one coordinated team. Treating both together produces better, more durable outcomes than treating either alone.
Can you treat a mental health condition without an addiction? Yes. We treat depression, anxiety, bipolar disorder, PTSD, OCD, and other conditions on their own, as well as alongside substance use.
Is bipolar disorder treatable? Yes. Bipolar disorder is a lifelong but very manageable condition. Most people stabilize well with a combination of mood-stabilizing medication, psychotherapy, and consistent routines and monitoring.
What should I do about suicidal thoughts? If you’re in immediate danger, call or text 988 or call 911 now. If you’re safe but struggling, reach out to us or a mental health professional — treatment for suicidal ideation is effective and starts with safety and support.
Do you offer outpatient and telehealth treatment? Yes. Totality specializes in premium outpatient care (PHP, IOP, and our Individualized Intensive Program) plus secure telehealth across California, so you can get intensive treatment while staying connected to your life.
Do you take insurance? Most major plans cover mental health and dual diagnosis care. We verify your benefits for free and explain your coverage before you begin.
Where are you located? Totality Treatment Center is in Los Angeles, California, and offers telehealth statewide.
Take the first step today
Reaching out is the hardest part — and the most important. Whatever you’re facing, integrated help is available, and recovery is possible.
Verify your insurance » · Call (855) 619-5383 · Contact us
Medically reviewed by Brooke Adams, PsyD, and Ian R. Tofler, MD. This page is for educational purposes and is not a substitute for professional medical advice. If you are in crisis, call or text 988.