Encino · San Fernando Valley · Los Angeles
Co-occurring bipolar disorder is bipolar I or bipolar II running alongside a substance use disorder, where mood episodes and substance use each destabilize the other. New Spirit Recovery treats bipolar disorder as part of dual-diagnosis addiction care in Los Angeles, for adults whose bipolar disorder accompanies a substance use disorder.
New Spirit Recovery helped me when I was detoxing hard for about a week. The staff were kind to me the whole time. When I thought about leaving early, they helped me slow down and choose recovery instead. By discharge I was grateful I stayed, and Iâm doing better now.
New Spirit Recovery has changed my whole life. They gave me a second chance to rewire my life and live a new one. The staff is caring and genuine, and the director and operations director guided me through the program. They set me up for success and I canât thank them enough for saving my life.
New Spirit Recovery was beneficial to my recovery. Here I learned tools to help me manage my emotions safely, journaling and breathing have been amazing tools I picked up while here. All the staff were incredible and patient. I am grateful to have come here and actually use the tools suggested.
This program teaches you how to set realistic goals and become a better version of yourself, with all the tools to start building a new foundation. The therapist and case manager give each client an individualized, tailor-made treatment plan. Serene surroundings, a private chef, daily groups, and weekend outings.
The staff is amazing. I was completely unable to detox on my own and find the right path. The food and facilities were amazing, and I found my way again. My mom and I go to church together again now. Thank you all so much.
CA DHCS licensed treatment · most admissions within 24–48 hours
Not sure where you stand?
Signs of co-occurring bipolar disorder and addiction include periods of elevated energy and reduced sleep where substance use climbs sharply, followed by crashes where use continues to blunt the low. Judgment, spending, and risk-taking shift with the mood rather than staying constant. Our dual diagnosis program stabilizes mood and treats the substance use together.
Bipolar disorder and substance use disorders are frequently mistaken for one another. Stimulant intoxication resembles mania, alcohol withdrawal resembles agitated depression, and a mood episode can look like relapse. Getting the distinction right changes the whole treatment plan, and it requires observation over time rather than a single interview.
This self-check reflects what our clinicians look for at intake: whether substance use tracks the mood cycle, whether sleep collapses during elevated periods, and whether the two patterns move together. Answer the six questions, then talk the result through with our team.
This 6-question self-check is a private screening tool, not a diagnosis. It runs entirely in your browser and nothing is saved or sent. A clinician confirms what it means. If you are in crisis, call or text 988 or chat at 988lifeline.org.
Ten minutes, a few questions, and a real answer about your coverage. Someone picks up at any hour, including this one. Bring your current medication list if you have one.
How the cycle compounds
Mood episodes and substance use destabilize each other through impulse and aftermath. Elevated periods lower restraint, so use escalates fast. The substance then deepens the depressive swing that follows and disrupts the sleep that holds mood steady. Episodes arrive closer together, and medication works less reliably.
A manic or hypomanic episode brings elevated or irritable mood, inflated confidence, racing thoughts, and a sharply reduced need for sleep. In bipolar I these episodes can be severe enough to require hospitalization. In bipolar II the elevation is milder but the depressive episodes are often longer and heavier.
Impaired judgment is part of the diagnostic picture, not a character flaw. Spending, driving, sexual risk, and substance use all escalate together during an episode. Stimulants and alcohol are the most common, and the amounts consumed during an elevated period often bear no resemblance to baseline use.
The depressive phase follows, and the substance is still there. Alcohol and opioids deepen it directly, while stimulant withdrawal strips whatever energy remains. This is the phase where risk is highest, and where treating the substance use without addressing the mood disorder reliably fails.
Disrupted sleep, missed medication, and continued substance use shorten the interval between episodes. Our clinicians coordinate medication management with weekly physician consultation while the substance use is treated, because stability in one without the other does not hold.
Suicide risk is elevated in bipolar disorder, particularly during depressive and mixed episodes. If you are thinking about harming yourself, call or text 988, or chat at 988lifeline.org any time. Support is available in Spanish and via ASL. Call 911 if you are in immediate danger.
Why people choose this one
Separating a mood episode from intoxication or withdrawal takes time and repeated observation. With 24-hour nursing and weekly physician consultation, our clinicians watch the pattern rather than inferring it from a single interview.
All standard psychiatric and dual-diagnosis medications are available here, managed by our medical director and nurse practitioner. Dual diagnosis care is the default, so mood stabilization does not wait until the substance use is resolved.
Relatives usually notice an emerging mood shift first. Family therapy and education run throughout the stay, so the people around you know what an early episode looks like and what to do about it.
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The path through
Co-occurring bipolar disorder and addiction are treated with integrated dual-diagnosis care: medically supervised withdrawal where needed, mood-stabilizing medication management under physician oversight, and structured psychotherapy including cognitive behavioral therapy and dialectical behavior therapy. Sleep regulation and family involvement are part of the plan rather than additions to it.
| Level of care | Medical oversight | Typical length | Best when |
|---|---|---|---|
| Medical DetoxStart here | 24-hour nursing, physician oversight | 7–10 days, extending to 21 where medically necessary | Withdrawal from alcohol or benzodiazepines needs medical management |
| Residential Treatment | On-site clinical staff, physician oversight | Often part of a ~35-day course | Medically stable, with the anxiety disorder treated alongside the use |
| Step-down (PHP / IOP / OP) | Scheduled clinical contact | Varies by plan | Returning to daily life while anxiety treatment continues |
We deliver medical detox and residential treatment at our own facilities. Step-down care is arranged through a vetted network we coordinate on your behalf. As a drug and alcohol rehab in Los Angeles, we keep the same clinical team with you from intake through discharge planning, and coordinate ongoing psychiatric care before you leave.
Small enough to know your name
Co-Founder
Author and recovery specialist. Created the Rewired curriculum, ten modules that run here and nowhere else.
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Clinical Director
Licensed since 2018, dual mental-health and substance-use background. Oversees clinical programming across all properties. Twenty-four years in recovery himself.
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Director of Nursing
A Licensed Vocational Nurse since 2020 with extensive behavioral health and substance use experience across detox and residential settings
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Clinical Psychologist
Clinical supervisor and a professor at California Lutheran University. Works across sites on crisis management and treatment planning.
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Program Director
Directs day-to-day operations and client care. Seven-plus years in the industry, five in management.
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Operations Director
Handles the logistics that make admission possible, including travel and transport from LAX or Burbank.
Read full bioThe question everyone asks first
What you pay depends on your plan: your benefits, deductible, copay, and coinsurance. Most PPO plans cover dual-diagnosis treatment for bipolar disorder and a substance use disorder when it is medically necessary. Anyone quoting a price before reading your policy is guessing.
Coverage varies more than people expect, and is routinely better than assumed. We check your benefits for free and tell you exactly what we find, whether or not you come here.
We do not accept Medicaid, Medi-Cal, or Medicare. Cash pay is available; ask an admissions counselor what that looks like.
Veterans: we hold a VACCN/TriWest contract. Mention it when you call. Verify insurance.
Real people, real recovery stories
Reviews published by clients and families on Google, where our average is 4.8 out of 5.
These are unpaid reviews posted publicly on Google by individual clients and families. They describe those people’s own experiences, which vary; they are not a promise of any particular outcome, and no one was compensated for them.
Looking for bipolar rehab near you?
Our bipolar disorder and addiction treatment program runs from Encino, with additional residences in Tarzana and Northridge. We admit from across the Valley, greater Los Angeles, and nationwide.
Common questions
Some people ask whether they can manage without it. Evidence supports medication as the foundation of relapse prevention in bipolar disorder, and stopping without a prescriber sharply raises the risk of a mood episode. That decision belongs with your psychiatrist.
Yes. Bipolar disorder is a lifelong condition that responds well to treatment, and many people live full lives with it. Untreated bipolar disorder carries raised risk from suicide and from co-occurring substance use, which is why sustained treatment matters so much.
The most effective approach combines mood-stabilizing medication with structured psychotherapy and a consistent sleep routine. Where a substance use disorder is also present, treating both at once produces better outcomes than treating either alone. We deliver that as residential dual-diagnosis care.
No. Substances do not cause bipolar disorder, which has strong genetic and neurobiological roots. Stimulants and alcohol can produce mood episodes that closely mimic mania or depression. DSM-5-TR classifies that separately as substance-induced bipolar and related disorder.
Stability comes from consistent medication, regular sleep, early recognition of mood shifts, and people around you who notice changes before you do. Removing alcohol and other substances matters, because they trigger episodes and interfere with medication working properly.
Medication management, psychotherapy, sleep regulation, and abstinence from substances that destabilize mood all help. Family involvement helps too, because relatives often spot an emerging episode first. Our program combines these in residential treatment with weekly physician consultation.
Most major PPO plans cover dual-diagnosis treatment for bipolar disorder and a substance use disorder when it is medically necessary. Cost depends on your benefits, deductible, and coinsurance. We verify your coverage free. We do not accept Medicaid, Medi-Cal, or Medicare.
