Co-occurring disorders

When you come to Tulip Hill because you’re struggling with addiction, we do more than treat your addiction. We treat you.

Addictions rarely develop on their own from a few instances of substance or alcohol use. Instead, they are usually driven by co-occurring mental health disorders that fuel the need to cope with them by using substances or alcohol. It’s this overuse as a coping mechanism that leads to addiction in many people, but the disorders that cause the overuse are far too often left untreated.

When you visit us for help recovering from addiction, our clinicians and therapists will also take the time to identify any potential mental health disorders that may be fueling your addiction. As part of your recovery, we’ll work closely with you to help you develop healthier coping mechanisms for your mental health to help you eliminate your dependency on substances or alcohol.

Start your

Recovery Today


Anxiety is the feeling of apprehension that develops in your body as a natural response to stress. It’s normal to encounter moments of anxiety throughout life, such as when going to a job interview or giving a speech in front of a big crowd. However, when you experience long-lasting feelings of anxiety or experience anxiety for no apparent reason, you may have an anxiety disorder.

This level of anxiety can be debilitating, forcing you to miss out on things you love or crippling your ability to perform simple daily tasks, such as entering an elevator or even leaving your home. 

Without treatment, it can grow worse and further affect your daily life or drive you to using substances or alcohol to try to calm yourself down.

    Symptoms of anxiety disorder

    Anxiety symptoms vary from person to person depending on how their body responds to stress and fear. For some, you might panic or feel out of control. For others, you might lose sleep or feel worried all the time. 

    Anxiety can exhibit itself as one or more of these symptoms:

    • Rapid breathing
    • Increased heart rate
    • Difficulty falling asleep
    • Difficulty concentrating


    Clinical depression is the long-lasting feeling of sadness or loss of interest in everything around you. It can affect the way you think and behave, leading to a variety of problems, including turning to substances or alcohol as a coping mechanism.

    Depression has been long stigmatized in society as simple feelings of sadness that one should just be able to “snap out” of. However, depression is not something you can “snap out” of. It may be the result of an altered chemical balance in your brain or of certain psychological triggers beyond your control. Regardless of the cause, when you’re dealing with depression, you don’t need to “snap out” of it. You need help from professionals.

      Symptoms of depression

      People who suffer from depression usually experience it as daily episodes during which the symptoms spike. Common symptoms of depression include:

      • Strong feelings of sadness, emptiness, hopelessness or disinterest
      • Irritability and angry outbursts
      • Sleeping too little or too much
      • Reduced appetite
      • Anxiety
      • Difficulty concentrating
      • Fixation on death and suicide

      Post-traumatic stress disorder (PTSD)

      Traumatic events can cause effects like anxiety, flashbacks and nightmares. After a little time, these feelings usually go away as you recover after the traumatic event. However, when you have symptoms of trauma that persist for months or years, you may be struggling with PTSD, which is an ongoing form of trauma that you are unable to recover from on your own.

      When struggling with PTSD, you might turn to substance or alcohol use to help cope with the symptoms, which can ultimately lead to addiction.

        Symptoms of PTSD

        If you are experiencing one or more of the following symptoms, you may be suffering from PTSD:

        • Intrusive memories — Recurring, unwanted thoughts of the traumatic event that can occur in the form of flashbacks, dreams or unshakable thoughts
        • Mood changes — Depressing thoughts and feelings of hopelessness, feelings of detachment and disinterest, and difficulty concentrating 
        •  Physical and emotional changes — Constantly feeling aware of danger, being easily startled and having difficulty sleeping
        • Avoidance — Purposefully avoiding talking about the event and avoiding anything or anyone that reminds you of it 

        Bipolar disorder

        Bipolar disorder is a mental health condition that causes mood swings from states of hypomania or mania and depression. Periods of hypomania and mania have similar symptoms, but mania is more severe and long lasting. Periods of depression in bipolar disorder are similar to that of clinical depression.

        In some people with bipolar disorder, the mood shifts occur frequently, sometimes on a daily basis. For others, the mood shifts are more rare or may take place over several days or weeks.

        Bipolar disorder can drive someone to substances or alcohol as a coping mechanism, which can lead to addiction and other health issues.

        Symptoms of bipolar disorder

        Symptoms of bipolar disorder vary from person to person. It’s best understood by breaking it down into symptoms of hypomania and mania and symptoms of depression. If you have multiple episodes of symptoms from either category, you may have bipolar disorder.

        Symptoms of hypomania and mania include:

        • Feeling abnormally upbeat and cheerful
        • Feeling more energetic and jumpy
        • Feeling like you need less sleep
        • Talking more than usual
        • A heightened sense of self-confidence
        • Being easily distracted
        • Poor decision making, such as spending too much money or taking sexual risks

        Symptoms of depression include:

        • Feelings of sadness, hopelessness and emptiness
        • Disinterest in most things around you
        • Reduced appetite and weight loss
        • Sleeping too little or too much
        • Anxiety
        • Difficulty concentrating
        • Fixation on death and suicide

        Treating addiction and mental health disorders together at Tulip Hill Recovery

        Failure to treat mental health disorders along with an addiction often results in people ending right back up where they started. We aim to provide long-term recovery and freedom from your addiction by treating the co-occurring mental health disorders that drive your need to use.

        Our team of licensed therapists and clinicians will work closely with you to identify any signs of mental health disorders and develop a treatment for them into your recovery program. We help equip you with the skills you need to cope with your mental health in more positive ways, eliminating the need for substances or alcohol.

        If we believe we are the right team to help you, we’ll guide you through the admissions process and begin treatment as soon as possible, which includes:

        • 30 days of partial hospitalization (PHP) intensive care that includes living in one of our sober living homes while receiving daily treatment, therapy, accountability and support. Our clinicians will closely monitor your health during this time to treat any withdrawal symptoms that can affect your health.
        • 60 days of intensive outpatient (IOP) care that includes scaled-down therapy and treatment, while helping you prepare to transition back into the real world
        • Post-recovery assistance from our staff and alumni members, including job training, transportation assistance and developing life skills

        Recovering from addiction or overcoming the challenges of mental health disorders is not something you should try to do on your own. With the help of our team and our alumni members who have recovered at Tulip Hill, you can break free of your addiction and learn how to cope with your mental health disorders to take back control of your life. 

        If you or someone you know needs professional help, we are here to talk and answer any questions you may have about recovery. Please contact us online or call us at 877-845-8192 to get in touch with our team and start the recovery journey.

        "This program did more than save my life, it gave me one worth living. Through working with the clinical team as well as the rest of the staff I was able to find the things that were getting in the way of me living a drug-free life. The structure of the program helped lay the groundwork for my new life by creating a healthy routine and motivating me to put action towards bettering myself. Thanks to Tulip Hill Recovery's staff and their efforts to help me begin my new life, I’ve been inspired to give back by working with others suffering from substance abuse."

        -LM, Texas

        We’re Here to help

        Talking to someone about treatment for addiction can be intimidating, but we’re here to make it as easy and accessible as possible. If you or a loved one needs professional help, we are always available to talk and answer any questions you may have about treatment or recovery. Please contact us online or call us at 877-845-8192 to get in touch with our team and start the recovery journey.

        Murfreesboro Location

        1800 S Rutherford Blvd #103,
        Murfreesboro, TN 37130

        Jackson Location

        228 West Baltimore Street
        Jackson, TN 38301


        About CARF

        We are an independent, nonprofit organization focused on advancing the quality of services you use to meet your needs for the best possible outcomes.

        CARF provides accreditation services worldwide at the request of health and human service providers. Whether you are seeking rehabilitation for a disability, treatment for addiction and substance abuse, home and community services, retirement living, or other health and human services, you can have confidence in your choice. Providers that meet our standards have demonstrated their commitment to being among the best available.”