Very few people who struggle with substances use only one. Drinking alongside pills, using a stimulant to stay alert and a sedative to come down, or smoking cannabis to take the edge off another drug are all common patterns. Clinicians call this polysubstance use, and it matters because each substance changes how the others affect your body, your mood and your risk of overdose.
At Atlanta Outpatient Rehab by The Recovery Village in Sandy Springs, we build outpatient treatment plans that look at the whole picture rather than one drug at a time. Our office at 325 Hammond Drive, Suite 103, serves adults across north Atlanta who can live safely at home while attending a structured program. To talk about your situation in confidence, call (855) 917-2011.
Understanding Polysubstance Abuse
Polysubstance use can be intentional, such as combining drugs to intensify or balance their effects, or unintentional, such as taking a pill or powder that has been mixed with fentanyl without the person’s knowledge. The Centers for Disease Control and Prevention notes that many overdose deaths involve more than one substance.
Some combinations are especially risky:
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- Opioids with benzodiazepines or alcohol, which together can slow breathing to a dangerous degree
- Stimulants with opioids, where one drug can mask the effects of the other until it wears off
- Alcohol with sleep medications, which can cause heavy sedation and memory blackouts
Signs of a problem include needing one substance to manage the effects of another, using more than planned, and being unable to cut back despite trying. If someone is unresponsive, breathing slowly or turning blue, call 911 and use naloxone if you have it. For emotional crisis or thoughts of suicide, call or text 988.
Treatment Approaches for Polysubstance Abuse
Because every combination is different, your plan starts with a careful assessment of what you use, how often, and what each substance does for you. The NIDA principles of effective treatment stress that care must address the whole person and adapt as needs change. Our therapists use:
- Cognitive behavioral therapy to understand the chain of situations, feelings and choices behind each substance
- Motivational interviewing to prioritize goals when stopping everything at once feels overwhelming
- DBT and ACT skills groups for cravings, distress and emotional swings
- Integrated mental health care for anxiety, depression, trauma or other conditions that often accompany multiple-substance use
- Relapse-prevention planning that accounts for how one substance can lead back to another
You do not have to decide on day one whether your goal is to stop everything immediately. Many people start by addressing the substance causing the most harm and build from there, with their therapist adjusting the plan as they gain stability. Honest conversations about what you are still using are an expected part of the work.
Our Outpatient Treatment Programs
Our intensive outpatient program in Sandy Springs includes at least nine hours of care per week through individual counseling, group therapy and medical appointments, and generally lasts about 12 weeks. Morning and evening tracks make it possible to keep working at a Perimeter Center or Buckhead office, attend classes, or manage a household in Dunwoody, Roswell or Alpharetta while in treatment.
Withdrawal from several substances at once can be unpredictable, and withdrawal from alcohol or sedatives can be medically dangerous. Detox is not part of IOP. If you need medical detox or residential care first, our sister facility The Recovery Village Atlanta in Roswell offers that level of care, and many clients continue with outpatient treatment in Sandy Springs afterward.
Polysubstance Abuse Treatment Near You in North Atlanta
We are located on Hammond Drive in the Perimeter Center area, close to GA-400 and I-285, making the office reachable from Sandy Springs, Dunwoody, Brookhaven, Buckhead, Roswell and Alpharetta. MARTA’s Red Line also serves the Perimeter area. We do not provide transportation, so it helps to plan your route in advance.
Our admissions team can verify your insurance benefits for outpatient treatment, explain likely costs and discuss private-pay options, so you know where you stand before you begin.
Begin Your Recovery Journey Today
Untangling several substances at once can feel like too much to face, but you do not have to sort it out alone. Call (855) 917-2011 to speak confidentially with our team. We will help you figure out whether outpatient care in Sandy Springs is a safe place to start, and what to do if a higher level of care makes more sense. You can also review our admissions steps ahead of time.