“Archangels gave me my life back. Their team is the most amazing, caring people I have ever met. The housing they sent me to was amazing, the groups are amazing, and this whole project is amazing. If you're tired of being sick and tired, reach out and save your life.”
“This facility is run by some of the best people you could ever ask for. They are extremely professional and truly dedicated to helping those struggling with mental health and addiction. They truly saved my life. I will be forever grateful for everything they did for me.”
“I had the honor of touring this facility, and it was absolutely beautiful, clean, and thoughtfully designed. But more than how it looked, you could feel the love in every detail. Watching the staff interact with clients genuinely touched my heart.”
Plain, fact-first answers about how care works here. Want to talk to a person? Call (888) 464-2144.
Most clients arriving for substance use treatment also have an active mental health condition. Depression, anxiety, post-traumatic stress, bipolar disorder, and ADHD are the most common; many clients carry more than one. "Dual diagnosis", sometimes called "co-occurring disorder" or "comorbid SUD and mental health", is the clinical term for this combination.
At The Archangel Centers in Charlotte, dual diagnosis is the default clinical assumption. The intake battery is built to identify mental health conditions on day one, the treatment plan is built to address both from the first session, and the clinical team has the licensing and the depth to handle the integration without referring out.
This page covers what dual diagnosis treatment looks like at the Charlotte clinic specifically, the intake battery, the medication management, the therapy modalities, and the practical realities of insurance, scheduling, and admissions in North Carolina.
Two failure modes show up when SUD and mental health are not treated together. Either the SUD is treated first and the mental health symptoms drive relapse before the mental health work begins, or the mental health is treated first and the active substance use undermines every medication and therapy decision the mental health provider tries to make. Both patterns are well documented in the outcomes literature.
Integrated treatment addresses both conditions in the same plan, by the same clinical team, in the same setting. The medical provider managing MAT for opioid use disorder is the same provider managing antidepressants for the underlying depression. The primary therapist handling CBT for substance use is the same therapist handling CBT for anxiety. The treatment plan is one plan, not two.
At the Charlotte clinic, this integration is built into the program structure, not added on as a referral.
Every new client at the Charlotte clinic completes a full intake battery on day one. The battery is calibrated to surface mental health conditions alongside substance use:
Group rooms, private therapy offices, the medical office, family programming rooms, and a wellness space, designed for clinical depth and nervous-system regulation.
The Charlotte clinical team treats the full range of common dual-diagnosis presentations:
Depression is the most common co-occurring condition with substance use. Many clients describe the substance use as a way to manage low mood; others find that sustained substance use produces or deepens depressive symptoms. The Charlotte treatment plan addresses both: antidepressants where clinically indicated, CBT and behavioral activation targeting depressive patterns, and substance-use work that holds the longitudinal view. See the depression + addiction clinical overview for the broader picture.
Anxiety disorders, generalized anxiety, panic disorder, social anxiety, frequently drive substance use as self-medication. Alcohol, benzodiazepines, and opioids are all common anxiety-driven choices. Treatment integrates non-addictive anxiety pharmacology (SSRIs, SNRIs, buspirone, hydroxyzine, prazosin for nightmares) with exposure-based CBT and DBT distress tolerance. See anxiety + addiction.
Post-traumatic stress and substance use travel together more often than not. The Charlotte program is trauma-informed by default, with EMDR available in individual therapy for clients who screen in. Trauma-focused CBT, narrative therapy, and stabilization-phase work all run alongside the SUD treatment. See PTSD + addiction.
Bipolar disorder dramatically raises SUD risk, and active substance use makes bipolar disorder harder to stabilize. The medical provider runs the differential, substance-induced mood symptoms vs an independent bipolar disorder, and initiates mood stabilization where indicated. The clinical team holds the long arc; bipolar dual diagnosis is rarely resolved in 30 days. See bipolar + addiction.
ADHD frequently sits underneath stimulant misuse and is a recognized risk factor for SUD in general. The Charlotte program assesses ADHD systematically; treatment options include non-stimulant medications (atomoxetine, bupropion), behavioral skills, and, where clinically appropriate and stable in recovery, careful coordination of stimulant treatment with the prescribing provider. See ADHD + addiction.
Dual-diagnosis clients move through the same outpatient continuum as single-diagnosis SUD clients, with treatment-plan depth that reflects the additional mental-health work.
| Level | Schedule | What it is | Page |
|---|---|---|---|
| Partial Hospitalization (PHP) | Full clinical day, Monday through Friday | Most structured outpatient level | PHP in Charlotte |
| Intensive Outpatient (IOP) | 3 or 5 days a week, 3 clinical hours per session | Step-down from PHP or moderate-severity entry point | IOP in Charlotte |
| Outpatient (OP) | Individual therapy + periodic continuing-care groups | Lighter-touch continuing care | OP in Charlotte |
The on-site medical provider sees new clients within approximately 48 hours of intake. For dual-diagnosis clients, the medication picture is two layers:
Substance-use medications: Suboxone, Vivitrol, or Sublocade for opioid use disorder; naltrexone, acamprosate, or disulfiram for alcohol use disorder. The MAT layer is initiated as clinically appropriate based on the substance involved.
Mental health medications: SSRIs and SNRIs for depression and anxiety; mood stabilizers for bipolar disorder; non-stimulant ADHD options (atomoxetine, bupropion); short-term sleep support; antipsychotics where indicated (typically short-term for substance-induced psychotic symptoms). Benzodiazepines are not in our formulary for ongoing anxiety treatment, non-addictive alternatives are the standard of care.
The medical provider coordinates the two layers as a single medication plan. For clients arriving on existing psychiatric medications, continuity is maintained where possible and adjusted only with clear clinical reason.
The therapy layer at Charlotte is built to address both SUD and mental health conditions together:
The intake process is a single-call clinical assessment plus insurance verification, with a scheduled start date on clinical clearance. Same-week placement is often possible.
Step 1: Call (888) 464-2144, 24/7 helpline staffed by a counselor who opens the clinical conversation. Step 2: Free real-time insurance verification. Step 3: Clinical assessment (30 to 60 minutes) including the full intake battery, ASAM, LOCUS, PHQ-9, GAD-7, Columbia Suicide Severity Rating Scale, biopsychosocial. Step 4: Begin treatment within 24 to 72 hours of the assessment.
For clients with active suicidal ideation, severe withdrawal, or other acute medical or psychiatric concerns, the team coordinates higher-level care (medical detox, psychiatric hospitalization) before the outpatient start.
The Charlotte clinic serves Mecklenburg County and the broader Charlotte metro along the I-77 and I-85 corridors. Surrounding-area pages cover the cities and counties most commonly represented in our caseload:
Recovery starts with a confidential assessment, not a commitment. The clinical team determines whether PHP, IOP, OP, or a higher level of care first is the right starting point, with the full mental health picture included in the plan from day one.
Call (888) 464-2144 or verify your insurance. The admissions line is open 24 hours a day.
“I came back from rock bottom. I'm here because I want to show others they can too. This isn't just a business. It's my mission.”- Mike Sorrentino, Founder
Mike and Lauren Sorrentino did not set out to build a generic treatment center. They wanted a recovery-grounded program that mixes lived experience, licensed clinical expertise, and family programming that actually moves the needle for the people who love someone in active addiction.
The clinic that resulted is small enough that each client knows their primary therapist by name, but resourced enough to deliver the full ASAM continuum from Partial Care through outpatient continuing care, with MAT and EMDR available when clinically indicated.
Read the Full StoryMost clients leave the first admissions call with a clinical assessment, an insurance verification, and a scheduled start date. Recovery starts with a decision, not a commitment. The admissions line is staffed around the clock.
Confidential, 24/7 admissions. Same-week placement is often available. Verify your insurance free of charge before any commitment.
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