Co-occurring Disorder Rehab in San Diego
Co-occurring or dual diagnosis treatment addresses a substance use disorder and a mental health condition together, in one physician-led plan. At Broadview Recovery in Lemon Grove, that care is delivered through medically supervised detox and residential treatment, led by Dr. David Deyhimy, MD, board-certified in addiction medicine and internal medicine, in a small, 12-bed setting.
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David Deyhimy, MD — Medical Director
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What Is a Co-Occurring Disorder?
A co-occurring disorder, also called dual diagnosis, means a person has a substance use disorder and at least one mental health disorder at the same time. Treating both together, rather than one at a time, is the standard of care because each condition can drive the other.
Broadview treats mood, anxiety, trauma, and attention conditions that commonly appear alongside substance use, under one physician-led plan.
Key Takeaways
- Dual diagnosis care means treating a substance use disorder and a mental health condition together, under one physician-led plan.
- Care is delivered through medically supervised detox and residential treatment only. PHP, IOP, and outpatient are arranged through case management, not provided on-site.
- Dr. David Deyhimy, MD, board-certified in addiction medicine and internal medicine, leads clinical decisions at the 12-bed Lemon Grove program.
- Families are involved from day one with patient consent, and the step-down plan is scheduled before discharge.
- Verifying your commercial insurance is free and non-binding, and benefits are checked before admission.
Who Co-Occurring Disorder Treatment Is For
Co-occurring (or dual diagnosis) treatment at Broadview is for adults with a substance use disorder and a co-occurring mental health condition who need 24/7 medical supervision and structured care. We work with families, referring clinicians, and adults seeking a small, physician-led program. If safety concerns or severe psychiatric needs are present, our team evaluates and coordinates the appropriate higher or alternate level of care.
How Broadview Treats Dual Diagnosis
Broadview uses an integrated, physician-led model that coordinates medical, psychiatric, and therapy services across detox and residential care under one named clinician.
- Physician-led medical management. Dr. Deyhimy provides clinical oversight for detox and stabilization and reviews each intake personally.
- Psychiatric medication management. A prescriber evaluates and adjusts psychiatric medications when clinically indicated.
- Licensed therapy. Individual and group psychotherapy, including trauma-informed approaches.
- Coordinated case management. Discharge planning and outpatient referrals are scheduled before release.
A Typical Day in Residential Care
Morning
Medical and psychiatric check-in, medications, breakfast.
Mid-Morning
Individual therapy or a process group.
Lunch
Shared meal and rest.
Afternoon
Skills group, a scheduled family session, or one-on-one time.
Evening
Peer support group, medication review, and wind-down.
Overnight
24/7 clinical staff on-site.
The schedule adapts to where your person is in treatment. Early stabilization focuses on medical safety before full programming begins.
Insurance and Payment
We check your commercial insurance benefits at no cost. Broadview is out-of-network with all carriers, so our admissions team will walk you through what your out-of-network benefits look like before any admission decision.
Verification is free, confidential, and non-binding, and all information is protected under HIPAA and 42 CFR Part 2. If you do not have every policy detail on hand, we will start the check and tell you what we need.
Not sure where to start?
Talk with our admissions team and verify your benefits at no cost. We will help you understand the options and what comes next.
What Families Can Expect
With patient consent, we include families in care planning from day one and keep communication clear. Your family is treated as a partner in decisions, and the next step is scheduled before discharge.
Physician-led care
Dr. Deyhimy directs clinical decisions throughout your loved one’s stay.
A 12-bed program
Small enough that the doctor knows every person by name.
Continuity before discharge
Outpatient appointments are arranged before your person leaves.
Common Co-Occurring Conditions We Treat
Broadview treats mood, anxiety, trauma, and attention conditions that commonly appear alongside substance use, under one physician-led plan. Psychiatric medication is managed when clinically indicated.
Depression
Often paired with alcohol use.
PTSD & trauma
Often paired with opioid use.
Anxiety
Often paired with benzodiazepine dependence.
ADHD & bipolar
Often paired with stimulant use.
Therapies and Clinical Approaches
Care is coordinated by Dr. Deyhimy and delivered by a licensed clinical team. To confirm which therapies and medication options are available for your person, contact admissions.
Ready to take the next step?
What to Expect
When you contact Broadview, here is what happens. Our admissions team will tell you what to expect and what comes next.
- 1
Call or submit an inquiry. We start a free verification of benefits and confirm bed availability.
- 2
Clinical intake and psychiatric screening. A clinician identifies co-occurring conditions and any immediate safety risks.
- 3
Medical detox and stabilization, if needed. Physician-supervised withdrawal management under 24/7 medical and nursing oversight.
- 4
Individualized treatment plan. Daily therapies, MAT when indicated, and family sessions with patient consent.
- 5
Clinical review and family update. Progress is reviewed with the team, and a family update is shared when the patient consents.
- 6
Pre-discharge step-down planning. Outpatient appointments and referrals are scheduled before discharge.
Our Lemon Grove Location
Broadview Recovery is a single, 12-bed facility in Lemon Grove, in East County San Diego. We serve greater San Diego and accept out-of-state admissions.
Broadview Recovery
2009 69th Street, Lemon Grove, CA 91945
Phone: (619) 805-5105
Serving Lemon Grove, La Mesa, El Cajon, and East County San Diego.
Why Families Choose Broadview
Physician-led care
Clinical decisions are led by a named, board-certified addiction-medicine physician, Dr. David Deyhimy.
Family from day one
Structured, consent-based family involvement through discharge.
Continuity before discharge
Outpatient appointments are arranged before your person leaves.
Intentionally small
A 12-bed program means the doctor knows every person by name.
Broadview prioritizes medical monitoring, evidence-based therapy, and medication-assisted treatment over amenities. If you want clinician-first care in a quieter East County setting, this program was built for that.
Related Conditions We Treat
Alcohol use disorderOpioid & fentanylStimulant useBenzodiazepinesFrequently Asked Questions
Will my insurance cover dual diagnosis treatment?
Coverage depends on your plan and documented medical need. Broadview is out-of-network with all carriers, and we offer a free, non-binding benefits check so you understand your out-of-network benefits before admission. We do not accept Medi-Cal.
What should I expect on day one?
Day one starts with intake and a focused clinical assessment with the physician and nursing team. We manage withdrawal symptoms and medications as needed, and with your loved one’s consent we begin family involvement so you understand the plan.
Who is appropriate for this program?
Broadview serves adults with a substance use disorder plus a co-occurring mental health condition who need 24/7 medical supervision and structured care. If safety or severe psychiatric needs are present, we evaluate and coordinate the right higher or alternate level of care.
How does residential dual-diagnosis care differ from outpatient treatment?
Residential care treats mental health and substance use under one clinical plan, with on-site medical and nursing support around the clock. Outpatient programs separate visits and usually cannot manage acute withdrawal or constant psychiatric needs. Broadview provides detox and residential care and arranges outpatient step-down through case management.
Will a prescriber manage psychiatric medications during treatment?
Yes. A prescriber provides psychiatric medication management as part of the integrated plan and coordinates changes with the medical and therapy teams. Medication decisions prioritize safety during detox and aim to stabilize symptoms so therapy can proceed.
Is detox safe for someone with a co-occurring mental health condition?
Detox is safer when it is physician-supervised and includes psychiatric oversight. Because a co-occurring condition can increase withdrawal risk or symptom complexity, close medical monitoring is used to reduce complications.
Can family be involved in treatment?
Yes. With patient consent, family involvement begins on day one and includes structured family sessions and clinical updates. Participation helps set boundaries, learn relapse-prevention skills, and align on the step-down plan.
Start Dual Diagnosis Treatment at Broadview
Call our admissions team to talk through your person’s situation, verify benefits, and arrange a clinical assessment.
Broadview Recovery is licensed by the California Department of Health Care Services (DHCS License #370314AP) and accredited by The Joint Commission for its Behavioral Health Care and Human Services program. Patient records are protected under HIPAA and 42 CFR Part 2.
This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you are in crisis, call or text 988 (Suicide and Crisis Lifeline).