Dual Diagnosis IOP in Sioux Falls, SD
When mental health and substance use happen together, treating only one rarely works. MWI Health's dual diagnosis IOP in Downtown Sioux Falls treats both at once through integrated, evidence-based care, in person or virtually throughout South Dakota.
If you are searching for dual diagnosis treatment near you, our integrated clinical team usually enrolls new patients within days of your first call.
What is dual diagnosis
Why dual diagnosis treatment works differently
Dual diagnosis, also called co-occurring disorders, means having a substance use disorder and a mental health condition at the same time. MWI Health's Dual Diagnosis IOP in Downtown Sioux Falls provides integrated, evidence-based treatment for adults who have both a substance use disorder and a co-occurring mental health condition. This program requires both a current substance use disorder and a mental health condition; it is not a primary mental-health-only IOP. It is built for people who need more than weekly therapy or standalone addiction treatment, so you can keep living at home and meeting your responsibilities while getting intensive, coordinated support.
The program meets three days per week, three hours each, with group therapy, individual counseling, psychiatric support, and skill-building led by a single clinical team that treats both conditions together rather than in isolation.
Dual diagnosis IOP works as a step down from inpatient, residential, or partial hospitalization care, or as a step up when treating only one condition has not been enough. Before enrollment, our clinical team completes a thorough assessment, including confirmation of a substance use disorder diagnosis, to determine the right level of care.
Your care team
Randie Abbas
Licensed Addiction Counselor
As a Licensed Addiction Counselor, Randie is part of the integrated team behind our Dual Diagnosis IOP, guiding group and individual counseling and relapse prevention while your mental health and substance use are treated together.
Meet Randie AbbasIs this right for you
Signs you may need dual diagnosis treatment
Many people get mental health treatment or addiction treatment separately, only to find that progress stalls because the other condition keeps pulling them back. Dual diagnosis treatment is built for exactly this: when one condition consistently undermines recovery from the other.
Our clinical team recommends dual diagnosis treatment for adults managing both a mental health condition and substance use, who are not making enough progress when only one is treated. It is also a common step down from a higher level of care, letting you continue structured treatment as you transition back to daily life.
If you are not sure whether dual diagnosis applies to you, our admissions team will do a confidential assessment and help you understand what is driving what.
You are managing both a mental health condition and alcohol or substance use that feel connected or feed into each other
Mental health treatment alone, or addiction treatment alone, has not produced lasting improvement
You are stepping down from inpatient, residential, or partial hospitalization care with both a mental health and a substance use diagnosis
You are stable enough to live at home but need regular clinical contact to manage both conditions safely
Dual diagnosis schedule
A time that fits around your life
Our IOP meets Monday, Wednesday, and Thursday from 9:00 AM to 12:00 PM, in person at our Downtown Sioux Falls clinic (317 North Main Avenue, Ste 100) or virtually for patients throughout South Dakota.
Downtown Sioux Falls
Attend structured sessions in person at our Downtown Sioux Falls clinic. Group therapy, individual counseling, and skills-based curriculum, three mornings per week, built to fit around afternoon work and family commitments.
Virtual IOP
Same schedule, same clinical team, same evidence-based curriculum, delivered to patients across South Dakota, from Sioux Falls and Rapid City to Aberdeen, Brookings, Watertown, Pierre, Mitchell, and Yankton, through secure, HIPAA-compliant video.
Program structure
What happens in each IOP session
Each week follows a consistent three-day structure that builds the awareness, emotional regulation, and coping skills needed to manage both conditions together. Every session pairs a core curriculum block with an experiential component and a skills exercise.
Regulation & awareness
Emotional awareness and nervous system stabilization
You will focus on
- Managing overwhelming emotions
- Calming your nervous system
- Building practical coping skills
- Staying grounded under stress
What you will gain
- A clearer understanding of why depression, anxiety, and cravings feel so hard to control, and how to change that
- Proven skills to get through your most difficult moments
- A stronger connection between how your body feels and what your mind is going through
Example group topics
- Understanding your emotional patterns
- What happens in your body when you are overwhelmed
Insight & internal work
Self-understanding and emotional processing
You will focus on
- Understanding your patterns
- Processing difficult experiences
- Making sense of relationships
- Finding your own voice
What you will gain
- A deeper understanding of how past experiences and trauma shape how you feel and behave today
- The ability to start shifting the stories you tell yourself about who you are and what you deserve
- Insight into why certain people, situations, or memories trigger depression, anxiety, or cravings
Example group topics
- Parts of you that show up under stress
- Rewriting the story you tell yourself
Action & sustained change
Skill application and long-term change planning
You will focus on
- Changing unhelpful thinking
- Living by your values
- Preventing relapse
- Planning for long-term wellness
What you will gain
- Skills to recognize and interrupt the thought patterns that keep depression, anxiety, and cravings in control
- Clarity on what matters most to you and a plan for building a life that reflects it
- A personalized roadmap for staying well after IOP ends
Example group topics
- Getting back on track when things feel hard
- Building a life that aligns with your values
Monthly treatment calendar
A four-week rotating schedule
Our dual diagnosis treatment uses a monthly rotating calendar for variety, sustained engagement, and full exposure to core therapeutic approaches. Each four-week cycle covers all three session themes across a range of evidence-based methods.
Co-occurring conditions
Co-occurring conditions we treat
Dual diagnosis is the intersection of two conditions, and the most effective treatment starts by understanding how your specific mental health condition and substance use interact. These are the co-occurring patterns we treat most often, all treated alongside a current substance use disorder.
Depression
Treatment for major depression, persistent depressive disorder, and treatment-resistant depression using CBT, behavioral activation, and pharmacotherapy coordinated with your psychiatrist, treated alongside your substance use.
Anxiety disorders
Evidence-based care for generalized anxiety, social anxiety, and panic disorder, using practical coping strategies, exposure-based techniques, and DBT skills to build lasting emotional regulation.
OCD & related symptoms
Structured support for obsessive-compulsive symptoms that co-occur with substance use, using cognitive and exposure-based techniques within the group program to address intrusive thoughts and compulsive behaviors.
Trauma & PTSD
Trauma-informed care including CPT, EMDR-informed approaches, and somatic techniques for people affected by traumatic experiences, complex trauma, or chronic stress that co-occurs with substance use.
Mood disorders
Coordinated treatment for bipolar disorder, dysthymia, and mood regulation challenges through medication management, DBT skills, and individualized psychotherapy, treated alongside substance use.
Grief & life stressors
Guided support for grief and loss, major life transitions, relationship challenges, and chronic stress that affects daily functioning and often intertwines with substance use.
How we treat
Integrated evidence-based methods
Effective dual diagnosis treatment uses methods that can address mental health and substance use at the same time. Every approach we use is grounded in peer-reviewed research and adapted to your co-occurring diagnosis.
Cognitive Behavioral Therapy
CBT is the backbone of dual diagnosis treatment, addressing the thought patterns that drive both mental health symptoms and substance use, so you learn to recognize triggers, interrupt automatic responses, and build lasting change.
Dialectical Behavior Therapy
DBT builds distress tolerance, emotional regulation, and interpersonal skills, all critical when emotional dysregulation drives both the mental health symptoms and the substance use that define a co-occurring diagnosis.
Motivational Interviewing
Motivational interviewing helps you clarify your own reasons for change and work through ambivalence, which is especially useful in dual diagnosis care where competing needs can make commitment to change complicated.
Relapse Prevention
Relapse prevention here goes beyond substance use. It also addresses the mental health triggers that raise the risk of relapse, building a safety plan that accounts for both conditions.
Group Therapy
Dual diagnosis group therapy gives people with co-occurring conditions a place to support each other, covering both mental health themes and recovery, led by clinicians experienced in treating both together.
Psychiatric Support
Integrated psychiatric medication management keeps mental health medications calibrated alongside addiction treatment, with providers who understand the interactions between medications, substance use, and recovery.
Admissions & intake
How to start treatment at MWI Health
From your first call to your first session, our team handles insurance verification, the clinical assessment, and scheduling, so you can focus on getting better. Most people begin within days of their first contact.
Contact us
Same dayCall (605) 800-7477 or submit the intake form. Our coordinator gathers basic information and answers your first questions.
Insurance verification
Within 24 hoursWe contact your insurance directly to verify IOP benefits and explain any out-of-pocket costs before you decide anything. We handle this for you.
Clinical assessment
1 to 2 daysA licensed clinician completes a confidential evaluation to confirm your co-occurring diagnosis, including a substance use disorder, and the right level of care.
Begin treatment
Within daysOnce your assessment is complete and insurance is confirmed, we schedule your first session, in person in Downtown Sioux Falls or virtually from anywhere in South Dakota.
Meet your clinical team and group members. Review program expectations, scheduling, and confidentiality.
Work with your therapist to set personalized goals for both conditions based on your assessment.
Begin group therapy and individual counseling as part of your structured weekly schedule.
Meet a psychiatric provider for medication evaluation and management, coordinated with your addiction care.
Good to know
Dual diagnosis treatment questions
Yes. Our Dual Diagnosis IOP is built for adults who have a current substance use disorder alongside a mental health condition, and it treats both together. This program is not a primary mental-health-only IOP. If you have a mental health condition without a co-occurring substance use disorder, our admissions team can help you find the right level of care during your confidential assessment.
Dual diagnosis, also called co-occurring disorders, means having a substance use disorder and a mental health condition at the same time. Dual diagnosis treatment addresses both conditions in one program, delivered by a single integrated clinical team. Research shows that treating both conditions together tends to produce better outcomes than treating them separately.
When mental health and substance use happen together, each one tends to feed the other, so treating only one often stalls progress. Addressing both with one clinical team lets your treatment account for how the two interact, which supports more durable recovery.
You do not need to be completely abstinent to begin IOP. Our team meets you where you are and works with you on stabilization and recovery. You should be medically stable and not in need of medically supervised detox at the time of enrollment.
Our virtual dual diagnosis IOP uses the same integrated approach, schedule, curriculum, and clinical team as our in-person program, delivered through secure, HIPAA-compliant video. It is available to patients throughout South Dakota, and our team helps you get set up before your first session.
Medicaid and most major insurance plans cover dual diagnosis IOP when treatment is medically necessary. Our admissions team verifies your specific benefits before treatment begins and explains any out-of-pocket costs. Call (605) 800-7477 to check your coverage.
Medically reviewed
Reviewed by Clay J. Pavlis, MD
Board-certified psychiatrist and Chief Medical Officer of MWI Health.
Explore our programs
Related programs at MWI Health
Explore our related programs, or get in touch with our admissions team to find the right fit.
In crisis? Get help now
This page is not for emergencies. If you or someone you know is in immediate danger, use one of these resources right away.
Treating both conditions is the path that holds
Our dual diagnosis admissions team is here Monday through Friday, 8:00 AM to 5:00 PM, to answer your questions, verify your insurance, and schedule a confidential assessment.
Not for emergencies. If you are in immediate danger, call 911 or call or text 988 for crisis support, available 24/7.