Personalized, Integrated Care for Co-Occurring Disorders
Recovery Without Walls is a leading dual diagnosis treatment center in Mill Valley, California, offering a holistic and evidence-based approach to treating mental health disorders and substance use.
Schedule a Free Information Session
Contact our team today to learn more about our dual diagnosis program or schedule a free consultation.
Our Director of Recovery Medicine, Dr. Howard Kornfeld, MD, practised emergency medicine for many years and is board-certified in both pain and addiction medicine, who taught as a clinical faculty member in the pain fellowship program at UCSF over the last twenty years. He is also a Distinguished Fellow of the American Society of Addiction Medicine.
What Is Dual Diagnosis?
Dual diagnosis, also known as co-occurring disorders, refers to the presence of both a mental health disorder and a substance use disorder. These conditions are deeply interconnected: mental illness can increase the risk of substance abuse, and vice versa. For example, someone with undiagnosed anxiety may misuse alcohol to cope, which can further worsen psychiatric symptoms.
At Recovery Without Walls, we understand the complex interplay between these challenges. That’s why our dual diagnosis program treats the whole person, not just the symptoms.
Why Choose an Integrated Approach to Dual Diagnosis?
Many traditional treatment centers treat substance use and mental illness in silos. This fragmented care model often leads to relapse or unresolved symptoms. Recovery Without Walls offers integrated treatment that addresses every aspect of a patient’s wellbeing: physical, emotional, mental, and spiritual.
Our program is built around:
Our dual diagnosis treatment model is based on best practices, clinical research, and decades of experience helping people heal from the inside out.
Signs of Co-Occurring Disorders
If you or a loved one are struggling with a combination of emotional and behavioral health issues, you may benefit from a dual diagnosis program. Signs include:
- Mood swings, irritability, or intense emotional reactions
- Using substances to self-medicate or relieve distress
- Withdrawal symptoms that include psychological effects
- Sleep disturbances or appetite changes
- Difficulty maintaining relationships or daily responsibilities
- Previous psychiatric treatment that hasn’t resolved symptoms
Our Holistic Dual Diagnosis Treatment Services
At Recovery Without Walls, no two treatment plans are alike. We start with a full evaluation of your mental health, substance use, medical history, trauma background, and lifestyle. Then, we craft a plan that integrates the following:
1. Psychotherapy & Counseling
We offer a range of therapeutic modalities including:
- Cognitive Behavioral Therapy (CBT) to reframe harmful thoughts
- Dialectical Behavior Therapy (DBT) for emotional regulation and relapse prevention
- Motivational Interviewing to strengthen commitment to change
- Trauma-informed therapy for underlying emotional wounds
2. Expert Medication Management
We emphasize safety, efficacy, and minimal dependency. Our clinicians are trained in managing medication interactions and tapering protocols for those on long-term psychiatric drugs.
3. Functional and Nutritional Psychiatry
We examine the biochemical and nutritional factors that affect mood and addiction, including:
- Gut health and inflammation
- Hormonal imbalances
- Vitamin and mineral deficiencies
Our team may recommend targeted supplements, diet changes, and wellness routines to support brain and body recovery.
4. Addiction Medicine and Detox Support
Our care includes:
- Safe detoxification referrals
- Medication-Assisted Treatment (MAT) when appropriate
- Harm reduction and abstinence-based recovery options
- Ongoing monitoring to prevent relapse
5. Group and Community Support
We help you find connection and accountability through:
- Process and skills-based group therapy
- Access to 12-step meetings or alternatives
- Referrals to support groups for family and loved ones
Conditions We Treat Through Dual Diagnosis Care
We work with individuals navigating combinations of mental illness and substance use, including:
Levels of Care and Stepwise Approaches
Recovery Without Walls is an outpatient clinic with intensive support options. Our dual diagnosis rehab services include:
- Initial psychiatric and functional assessments
- Ongoing psychiatric care and psychotherapy
- Medication management and review
- Individual and group therapy
- Referral to detox or residential programs when needed
- Coordination with sober housing or therapeutic communities
We support both patients entering recovery and those transitioning from inpatient treatment.
Who We Serve
Recovery Without Walls offers dual diagnosis treatment to adults aged 16 and older within 200 miles of Mill Valley, California. We also welcome patients able to travel for in-person care. Our clinic is a good fit for individuals who:
- Are facing complex mental health and substance use challenges
- Have not found relief through conventional psychiatric care
- Are looking for alternatives to long-term medication dependency
- Value holistic, compassionate care that honors the whole person
Why Recovery Without Walls?
We are not your average dual diagnosis treatment center. Here’s what makes us different:
- Personalized, whole-person care tailored to your unique needs
- Compassionate practitioners who listen and never label you as "treatment-resistant"
- Integrative therapies that address mind, body, and spirit
- Innovative treatments like ketamine-assisted psychotherapy and functional medicine
- Evidence-based protocols combined with warmth and humanity
Our goal is to help you move beyond survival and toward a life of connection, clarity, and purpose.
Frequently Asked Questions
Do I need to be sober to begin treatment?
No. We work with individuals at all stages of recovery. Whether you're still using or newly sober, we meet you where you are.
Does insurance cover dual diagnosis treatment?
We are an out-of-network provider and can supply superbills for reimbursement. Some treatments may be eligible for HSA/FSA use.
Can I receive ketamine therapy as part of this program?
Possibly. After a careful screening and evaluation, ketamine may be incorporated into a broader treatment plan for eligible patients.
Do you offer inpatient treatment?
No. We are an outpatient clinic but can refer you to trusted detox and residential programs if needed.
What is the first step?
Contact us for a free informational call. We’ll walk you through the intake process, answer your questions, and see if we’re the right fit.
Begin Your Healing Journey Today
If you’re living with the effects of a mental health disorder and substance abuse, you deserve care that treats the whole you. At Recovery Without Walls, we believe in your ability to heal.
Contact our team today to learn more about our dual diagnosis program or schedule a confidential consultation.
Want to learn more about our treatment philosophy and how you may have been overprescribed?
Enter your email to receive a PDF copy of RWW’s Inna Zelikman’s article on irrational polypharmacy, published in November 2024 in Mad in America.