Bipolar disorder can bring sudden changes in mood and energy. If you or someone you care about is also struggling with drug or alcohol use, it can feel even harder to manage. Getting the right support at APEX Recovery can help you find more stability and start feeling better. Emotional swings and changes in thought patterns could make substance misuse even harder to control. Our accredited and experienced mental health and addiction experts provide a focus on both bipolar disorder and addiction issues at the same time. Our admissions team is here to guide you toward getting into the right program. We can also point out that an insurance plan or private payments can be used to address any financial concerns. At every stage, we can help find a way to get started on a rehab program that fits your needs.
Taking the first step can help you find balance again. If you want to know more about treatment for bipolar disorder and addiction, call (877) 881 2689. At APEX Recovery, our admissions team is here day and night to help you find residential or outpatient support programs. If you or a loved one is dealing with problem drinking or drug abuse alongside a condition of bipolar disorder, we can assist. We take a non-judgmental approach to clinical treatment to optimize a trusting relationship. This is backed up by our comfortable and modern healing spaces that offer a direct course of treatment for those experiencing a dual diagnosis of bipolar disorder and substance addiction in Nashville.
What is Bipolar and Addiction Co-Occurring Disorder?
When someone has both bipolar disorder and a substance use problem, it means that they are dealing with intense mood swings and also using drugs or alcohol to cope. This can make both issues harder to handle unless you get help for both at the same time. Thankfully, bipolar and addiction treatment in Nashville is available to help in such cases.
Bipolar disorder and addiction often interact and influence each other to make aspects of both worse. By treating both conditions at the same time under one supportive program based on your own specific experiences and health history, you can get your mood under control and reduce the intake of drugs and alcohol. This focuses attention on healing and provides a plan for improvements to meet recovery goals.
Bipolar with Co-Occurring Disorders in Tennessee
Recent data shows that around 14.9% of adults in Tennessee reported using illicit or non-medical prescription drugs within the past year. A proportion of those individuals may well have also been diagnosed with bipolar disorder. Those who have received such a diagnosis could find it especially concerning, as research has shown that they could face a risk of developing a co-occurring substance use disorder.
Managing a dual diagnosis is often harder because so many people struggle to find the right professional help. In Tennessee, about 16.88% of adults deal with substance use, while nationwide, nearly 57% of people with mental health conditions do not receive any treatment. At APEX Recovery, we close this gap by treating both issues simultaneously, ensuring you receive the full support you need to meet your recovery goals.






We accept insurance benefits for addiction treatment and bipolar conditions in Tennessee and can check your benefits and verify them. Our admissions team will explain what an insurance plan covers and what out-of-pocket costs may be. Call us today to talk privately and learn about your options.
Does Health Insurance Cover Bipolar and Addiction in Tennessee?
Most health insurance plans in Tennessee cover treatment for bipolar disorder and addiction, but the details depend on the specific plan you or a loved one has access to. The type of dual diagnosis program and the intensity of support provided will also affect overall coverage and rehab costs. It could be that residential rehab is recommended, but the treatment might also be available on an outpatient basis, with intensive outpatient (IOP) and partial hospitalization programs (PHP) offered in Tennessee.
Knowing what parts of the bipolar and addiction treatment your insurance covers can make things less stressful. We can review your policy and explain what your benefits cover before any treatment begins. Call us today at (877) 881 2689 to have your benefits checked for addiction recovery treatment covered alongside co-occurring disorder treatment in Tennessee. We can discuss the details of your coverage and how you can move forward with improving on both fronts.
Specialized Substance Addiction and Manic Episode Treatment Facilities in Tennessee
Bipolar disorder often involves alternating periods of high energy and low mood, which can shape how substances are used during different phases. Rehab centers that focus on co-occurring disorders are equipped to respond to these shifts, using evidence-based therapies that support mood regulation while addressing substance dependence in a connected, clinically guided way.
APEX Recovery provides support for co-occurring bipolar and substance use disorders across our Tennessee locations in Brentwood and Columbia. Each rehab facility offers multiple levels of care, allowing patients to move between residential and different levels of outpatient programs as symptoms change, supporting stability during both manic episodes and depressive periods.
Specific dual diagnosis treatment from APEX Addiction Recovery is available for Tennessee residents from Nashville, Memphis, Knoxville, Chattanooga, Clarksville, Murfreesboro, Franklin, Johnson City, Jackson, and Hendersonville. Traveling from any of these population centers to a clinical care location is often valuable for creating space away from local triggers and distractions. A supportive recovery setting can then help focus on stabilizing mood patterns.
Co-Occurring Disorder Treatment in Tennessee
Bipolar disorder can cause ups and downs that affect how drugs or alcohol are used and potentially abused. Because of this complex interaction, it is important to treat both at once. At APEX Recovery, we offer residential and outpatient support to help our patients stay steady at every stage of treatment and therapy.
- Apex Recovery Brentwood: 209 Ward Circle, Brentwood TN, 37027
- Apex Recovery Columbia: 2710 Trotwood Ave STE A & B Columbia, TN 38401
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Common Types of Substances Linked to Bipolar Disorders
The nature of bipolar disorder is that mental and physical activity go up and down. This sometimes has a direct influence on how alcohol and illicit drugs are used. It may be that someone affected by instances of low mood might drink or take stimulants to try to feel more positive. On the other hand, prescription drugs may be used and misused to regulate racing thoughts and mental disturbance. In all cases, noticing patterns of behavior like this can help to find the right support sooner.
Alcohol Use and Extreme Mood Swings in Bipolar Disorder
Alcohol is often used to moderate the extreme instability of moods associated with bipolar disorder. Problem drinking can disrupt mood regulation and can become a disruptive issue stealthily, making it important to notice the warning signs. Individuals diagnosed with bipolar disorder who are drinking to calm down could be at risk of even greater lows.
When alcohol misuse continues and potentially becomes an addiction, working alongside bipolar disorder, extreme mood swings could be even more of an issue. Emotional control might become harder to manage, creating a dangerous cycle of returning to alcohol as a way of coping. Integrated clinical support that addresses both co-occurring issues is vital for overall health.
Cannabis and Mood Instability in Cycling Mood Disorders
If you or a loved one is using cannabis or marijuana as a relief from anxiety or low mood, it may be that continued use can have a destabilizing effect on how you feel and think. If you are also diagnosed with bipolar disorder, the substance could produce an even more intense effect on your sensitivity to emotional stress and thought patterns. An overall instability of mood may then be evident.
During times of intense highs or lows, it could be that cannabis is sought out as a way to relieve racing thoughts. However, the resulting mood fluctuations could heighten feelings of altered perception, with paranoid thoughts sometimes reported by heavy users of the drug. In all cases, structured mental health and addiction support can look in detail at the related effects of the drug on bipolar disorder.
Cocaine and Crack Use During Manic and Depressive Episodes
Cocaine and crack are stimulants that can amplify energy, confidence, and alertness, which may feel similar to manic symptoms. Individuals may use these substances during depressive phases to increase energy or during manic episodes to sustain elevated mood states.
The intense highs from these addictive drugs can put a strain on your natural mood cycles, making it difficult to regulate emotions. In cases like these, healthcare experts may recommend an integrated form of bipolar and addiction treatment that addresses alternating elevated and low moods.
Opioid Addiction and Emotional Highs and Crashes in Mood Disorders
Opioids such as heroin or prescription painkillers are often used to dull emotional pain or reduce the intensity of depressive episodes. Individuals may feel temporary relief from low mood or emotional distress, though this effect tends to fade quickly.
If misuse of opioids continues, the highs and lows of both drug use and bipolar disorder could become even more intense. Withdrawal symptoms when the drugs are not taken could make the emotional disturbances ongoing and debilitating. Mood instability of this kind emphasizes the necessity of integrated bipolar and addiction care.
Benzodiazepines and Severe Mood Fluctuations in Bipolar Conditions
Regular benzodiazepine misuse could complicate the complex interaction of serious mood fluctuations in bipolar conditions. These sorts of drugs might be prescribed to manage agitation, but ongoing use could have the reverse effect and actually increase the chances of major shifts in mood.
If you or a loved one has been diagnosed with bipolar disorder and regularly abuses benzodiazepines, there could be a risk of unexpected mood fluctuations getting even more pronounced. The extreme emotional patterns linked to the disorder could become more severe, complicating the management of the condition. To address these concerns, a sustainable treatment plan that considers the issues involved in both conditions may be recommended.
Amphetamines and Intense Shifts in Energy and Mood Cycles
Amphetamines are often used to increase energy, focus, and alertness. Individuals diagnosed with bipolar disorder who are in the midst of an intense low period may turn to these substances to counter depressive feelings. However, the mood shifts associated with the disorder could then be stabilized, creating a precedent for even greater emotional unpredictability.
If misuse of amphetamines continues to become a habit, the mood shifts could continue to become more extreme. People might seek out the stimulants even more when the intense highs are followed by an even more pronounced crash.
MDMA and Hallucinogens Impacting Mood Regulation Disorders
MDMA and hallucinogens are types of drugs that could have a significant impact on how you or a loved one sees the world, both internally and externally. Intense psychological experiences that change how you feel about yourself and those around you will affect emotions, thoughts, and perception. Such experiences could become even more intense during an unstable period related to a bipolar condition.
Ongoing use could make users of the drugs more emotionally vulnerable, with problems reaching a place of stability. Prolonged irritability and difficulty in assessing dangerous situations and how real problems are could also be an effect of continued misuse of these substances. When combined with bipolar mood cycles, a sustainable treatment course could be the most effective way to analyze the problems involved.
Prescription Stimulants and Sedatives in Bipolar Mood Cycling
Bipolar conditions are known for irregular mood cycling. When prescription drugs are used to counter the effect of this outside medical guidance, it could produce intense problems for the individual involved. For example, stimulants might be taken to boost energy and mood during low periods, while sedatives could be taken during an emotionally active stage. All of this could cause mood imbalance.
Ongoing misuse of prescription drugs, which may have the potential for addiction, can make it more difficult to stabilize the unpredictable symptoms of bipolar conditions. This makes it a positive idea to explore the importance of medical monitoring when looking at the relationship between bipolar disorder and substance use and abuse.
Who Is Rehab for Bipolar and Drug & Alcohol Addiction Suitable For?
If you or someone close to you has experienced instability of mood, along with alcohol and substance addiction, rehab treatment that specifically looks at the connection between both might be a recommended choice. Professional and compassionate attention to the patterns of a dual diagnosis could help restore balance within a treatment program. The following are specific examples of who could benefit from structured rehab support.
Individuals with Bipolar Disorder and Substance Addiction
Rehab for bipolar disorder and substance misuse helps those whose mood instability and substance use patterns are closely connected. When manic episodes or depressive periods begin to influence substance use, professional medical care can help restore balance while addressing both conditions.
People with Extreme Mood Swings and Alcohol or Drug Misuse
Extreme mood swings can lead to unpredictable behavior, which may include turning to alcohol or drugs during periods of distress or elevated mood. If you or someone close to you is experiencing unpredictable mood cycles, clinical attention for behavioral health and dual diagnosis issues may help regulate these episodes.
Those with Manic and Depressive Episodes and Addiction
Manic and depressive episodes can create significant shifts in energy, motivation, and emotional control. Some patients may use substances to either sustain an elevated mood or reduce depressive symptoms, though this often reinforces addiction and makes mood stabilization more challenging without targeted treatment.
Individuals with Mood Instability and Ongoing Substance Use
Mood instability can affect decision-making and emotional responses, which may lead to ongoing substance use as those affected try to find balance. Continued abuse of drink and drugs can intensify mood fluctuations, creating a cycle where both bipolar symptoms and addiction become more difficult to manage without professional support.
People Using Drugs or Alcohol to Cope with Emotional Highs
Emotional highs during manic phases can feel overwhelming or difficult to control, leading some patients to use alcohol and drugs in an attempt to regulate intensity. This approach can increase risk-taking behavior and reinforce dependence, making it harder to maintain stability without addressing both conditions together.
Individuals Needing Structured Dual Diagnosis Treatment
Some individuals benefit from a consistent level of treatment when bipolar disorder and substance use begin to overlap significantly. Dual diagnosis treatment provides coordinated support that addresses mood cycling and addiction together, helping you or a loved one build stability and improve coping strategies.
APEX Recovery offers free bipolar and addiction assessments, giving you a chance to talk through what has been going on and how it affects your daily life. Our team will listen to your concerns and help you understand your options. Call now to arrange a confidential assessment and take an important step forward.
Mood Instability and Substance Use Disorder Treatment at APEX Recovery Tennessee
Living with shifting moods while dealing with substance use can feel overwhelming, especially when energy levels and emotions change without warning. At APEX Recovery Tennessee, we bring mental health and addiction care together so both sides of the issue are addressed simultaneously. If you or someone you care about is experiencing cycling moods along with ongoing substance misuse, we will provide the necessary evidence-based treatment needed for a real, positive change.
We know that taking the initial step can be challenging. Rest assured, though, that if you are dealing with bipolar disorder and substance misuse, you can call us at (877) 881 2689 to talk through your ongoing issues and concerns. Together, we can decide on the best route for managing both conditions in a caring and considerate way.
Benefits of Residential Treatment in Nashville, Tennessee, for Extreme Mood Swings and Substance Dependency
Residential treatment provides a stable environment where patients can step away from triggers while receiving continuous clinical support for extreme mood swings and substance dependency. Supportive dual diagnosis care focuses on managing manic and depressive episodes alongside addiction. It does this using evidence-based therapies that help regulate mood, improve daily functioning, and reduce reliance on substances.
When the effects of substance use on mood instability are looked at in detail, alongside the way some individuals turn to drugs or alcohol to ease pressure, the connection becomes clearer. A coordinated mental health and addiction program in Tennessee can then provide a stronger foundation for making meaningful, lasting progress. Residential treatment supports these issues, making it a valuable option for many affected by both conditions.
Robert Monk
Bipolar Disorder & Addiction Statistics (Updated 2026)
- High Co-Occurring Addiction Rates: Recent U.S. psychiatric research published in 2025 estimates that more than 40% of individuals diagnosed with bipolar disorder will experience a substance use disorder during their lifetime.
- Alcohol Is the Most Common Substance: 2025 clinical findings from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) show alcohol use disorder remains the most common addiction among people living with bipolar disorder.
- Elevated Suicide Risk: Individuals with both bipolar disorder and substance misuse disorders are associated with significantly higher suicide attempt rates compared to bipolar disorder alone, according to 2025 NIH-backed psychiatric reviews.
- Earlier Onset of Addiction: U.S. mental health researchers reported in 2025 that people with bipolar disorder tend to develop substance misuse issues several years earlier than the general population.
- Hospitalization Burden: Co-occurring bipolar disorder and addiction continue to rank among the leading causes of psychiatric hospitalization and emergency behavioral health admissions across the United States in 2025.
- Integrated Treatment Improves Outcomes: 2025 addiction treatment outcome studies found that integrated dual-diagnosis care significantly improves medication adherence and reduces relapse rates for bipolar patients.
- Stimulant Abuse Concerns: Cocaine and methamphetamine misuse remain strongly associated with manic episodes and psychiatric instability in bipolar disorder patients, according to 2025 addiction psychiatry data.
- Sleep Disruption Connection: Updated 2025 behavioral health research found that chronic sleep disruption caused by alcohol and drug misuse can worsen bipolar mood cycling and increase relapse frequency.
- Young Adult Vulnerability: Americans ages 18–25 continue to show the highest rates of co-occurring bipolar symptoms and substance misuse disorders in 2025 behavioral health surveillance reports.
- Dual Diagnosis Treatment Demand Rising: U.S. behavioral health providers reported continued growth in demand for integrated bipolar and addiction treatment programs throughout 2025, particularly for outpatient and intensive outpatient care.
Verified Data Sources:
National Institute of Mental Health (NIMH) — Bipolar Disorder Statistics;
National Institute on Alcohol Abuse and Alcoholism (NIAAA);
National Institute on Drug Abuse (NIDA);
CDC Mental Health Data & Research;
American Journal of Psychiatry — 2025 Dual Diagnosis Research.


