Medically reviewed by Kevin Wandler, MD, Chief Medical Advisor
A drink to quiet anxiety. Pills to get through a stretch of depression. A stimulant to push past exhaustion. Using substances to manage emotional pain is common, and over time the two problems become tangled. For adults in Dallas facing that kind of overlap, the partial hospitalization program at Promises Dallas-Fort Worth offers full-day treatment that addresses both at once.
Why Treating Both Conditions Matters
When substance use and a mental health condition occur together, each can make the other worse. Treating the addiction while ignoring untreated anxiety, or treating depression while drinking continues, often leaves a gap that pulls people back. Integrated dual diagnosis treatment looks at the whole picture.
That said, PHP at Promises DFW isn’t only for co-occurring conditions. Adults with a primary substance use disorder or a primary mental health condition are also admitted.
What PHP Offers
Partial hospitalization is structured, full-day, in-person treatment at our Lewisville campus. You live at home and come to campus for treatment. It’s a step below residential care in intensity, and a significant step above standard outpatient therapy.
Getting Here From Dallas
Depending on your neighborhood, the campus is about 25 to 35 minutes north via I-35E. Because PHP happens in person, you’ll make that drive on each treatment day, so map it out from your own starting point before you begin.
For many Dallas County residents, the trip is short enough to keep up and long enough to put a little space between treatment and the routines connected to substance use.
A Closer Look at the Clinical Work
Psychiatric evaluation
Sorting out which symptoms come from a mental health condition and which come from substance use takes careful assessment. A psychiatric evaluation guides diagnosis, and medication management continues when medication is part of your plan.
Therapy on more than one front
Individual therapy, group therapy and family therapy each address a different piece: your own patterns, your connection with peers, and the relationships at home.
Skills and relapse prevention
Cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) skills give you healthier ways to handle the feelings substances used to cover. Relapse prevention work helps you plan for both cravings and mental health warning signs.
Who PHP Tends to Fit
PHP is often a step down after medical detox or residential treatment. It also suits people whose outpatient care isn’t enough. If you are still drinking heavily or using benzodiazepines, detox should come first, since withdrawal from either can be life-threatening without medical supervision.
After PHP
The next step is often the virtual IOP, which meets online several days a week and is open to adults anywhere in Texas. Every client receives aftercare planning before leaving PHP.
Commercial and Medicaid Coverage
Along with commercial plans like Aetna, Cigna and Blue Cross Blue Shield, Promises DFW is in network with several Medicaid plans, including Aetna Medicaid, Wellpoint Medicaid and UnitedHealthcare Medicaid. Whether PHP is covered depends on your plan, medical necessity and prior authorization. Admissions answers 24/7 and can verify your benefits for free, confidentially.
Frequently Asked Questions
Is the drive from Dallas worth it for a day program?
For many people it is. The campus is about 25 to 35 minutes north on I-35E depending on where you live. Admissions can help you weigh the commute against your other options.
Do I need a formal dual diagnosis before I start?
No. Many people arrive without a clear diagnosis. The psychiatric evaluation during treatment helps clarify what’s going on.
Can I live at home in Dallas while attending PHP?
Yes. You come to campus for treatment and return home afterward.
Start With a Call
Sorting out which condition came first isn’t something you have to do before calling. Admissions can start that conversation at (469) 546-9303, or you can reach out online. Our Dallas treatment page and insurance options have more background. If you’re in a mental health crisis or thinking about suicide, call or text 988. In an emergency, call 911.