Dual diagnosis support for OCD and addiction

Rehab for OCD and substance addiction treatment

Obsessive-compulsive disorder and substance use can reinforce each other in ways that make everyday life feel unmanageable. But recovery is possible with the right kind of care.

Take a self-assessment or speak to someone now, with no pressure to commit.

A close-up of a man’s hands clasped tightly in his lap during a therapy session, showing signs of anxiety and distress related to obsessive-compulsive disorder.

Dual diagnosis inpatient treatment

Integrated addiction and OCD care

Support for intrusive thoughts

Help managing compulsive urges

A woman in a yellow sweater sits and talks with a therapist holding a clipboard during a counseling session in a comfortable, modern office setting.
Understanding OCD and substance use

One in four people with OCD will also struggle with addiction. Substance use often begins as a way to quiet obsessive thoughts or soothe compulsive behaviour. But instead of helping, it tends to magnify symptoms and lower impulse control.

We provide evidence-based, dual-diagnosis OCD treatment that addresses the neurobiological, emotional, and behavioural patterns behind both OCD and addiction. Our inpatient program includes medical support, cognitive and behavioural therapies, and relapse prevention planning delivered by a team experienced in complex mental health care.

  • At our Geelong private hospital, your detox will be supported by medical staff who understand substance use and compulsive urges
  • Our residential program in Essedon provides daily therapy and steady routine to reduce anxiety and interrupt compulsive patterns
  • The 90-day program gives you time to practise new responses, and stabilise both mental health and recovery together

We’ll call it when it suits you, with no pressure to commit

What to expect in our program

What's included and how it helps

We offer structured inpatient care for OCD and substance use, with a focus on stabilisation, skill-building, and long-term support for everyday life.

  • Daily one-on-one and group therapy sessions led by specialists
  • Support to manage intrusive thoughts and compulsive urges
  • Medication review and psychiatric support throughout your stay
  • Exposure and response prevention (ERP) and cognitive behavioural therapy (CBT)
  • Practical coping strategies and relapse prevention planning
  • Discharge planning and access to aftercare programs
More ways we can support your recovery

Mental health support that fits your needs

OCD often overlaps with other mental health conditions. That’s why we offer additional support for anxiety, depression, trauma, and more, so you get care that’s relevant to your experience.

PTSD

Evidence-based care for post-traumatic stress disorder (PTSD) and addiction. We help people stabilise, reprocess trauma, and build a safer, more connected life.

Schizophrenia

Rehab for schizophrenia requires specialised, integrated care. We treat psychotic symptoms, stabilise mental health, and help people manage addiction together.

Personality disorders

Borderline personality disorder and addiction often go hand in hand. Both can be overwhelming, but with the right treatment, recovery is possible. You do not have to face it alone.

OCD

Obsessive-compulsive disorder and substance use can reinforce each other in ways that make everyday life feel unmanageable. But recovery is possible with the right kind of care.

Domestic Violence

Supportive, trauma-informed addiction rehab for people affected by intimate partner violence (IPV), past or present.

Depression

We support people experiencing depression and addiction with evidence-based, compassionate treatment. Our inpatient program offers integrated support for mental health, substance use, and the stressors behind both.

Bipolar

Bipolar disorder is complex, especially when addiction is also in the picture. Our inpatient rehab program supports people with bipolar disorder using proven treatment options that address both.

Anxiety

Rehab for substance abuse and anxiety treatment

Anger Management

Uncontrolled anger and substance use often go hand in hand. We help clients understand the root of their behaviour, rebuild control, and recover for good.

ADHD

ADHD can make addiction harder to treat but with the right structure, support, and care, recovery is absolutely possible.

Understanding OCD and addiction

What this condition looks like and why it matters

OCD is more than a need for neatness or control. It’s a mental health condition driven by distress, repetition, and a sense that something bad might happen if you don’t act. When addiction is also present, it can make the symptoms harder to manage and the recovery path less clear. But there is a way forward.

What is obsessive-compulsive disorder?

OCD, or obsessive-compulsive disorder, is a long-term condition marked by obsessive thoughts and compulsive behaviours. These symptoms create significant emotional distress and can interfere with work, relationships, and…

Symptoms of OCD and what it can feel like

OCD shows up differently for different people. For some, it involves outward rituals like checking or cleaning. For others, the distress is internal and invisible — a mental loop of fear, shame, or the need to feel 'just…

Why addiction gets involved

Many people with OCD turn to substances when compulsions stop working or when intrusive thoughts become too intense. Substances offer short-term relief, but they can deepen distress and reduce impulse control. What…

What treatment looks like

Effective treatment for OCD and addiction means addressing both together. We use evidence-based approaches to help manage distress, challenge patterns, and build lasting recovery. Our team understands the complexity of…

What happens if you don’t get help

OCD and substance use rarely go away on their own. Without treatment, the cycle of thoughts and behaviours can become more intense, time-consuming, and disruptive. Substance use can increase risk and deepen the emotional…

CONFIDENTIAL SELF-ASSESSMENT TOOL

Worried about your drinking or drug use?

This short, confidential quiz takes less than two minutes and can help you make sense of what’s going on. Choose the category that feels most relevant to you — whether it’s alcohol, drugs, or a mix of concerns — and we’ll guide you through a few simple yes/no questions.

At the end, we’ll let you know if your answers suggest it might be time to consider rehab, and share safe, confidential options for getting started.

Take the quiz now
How our programs help

We support dual diagnosis recovery

Treating OCD and addiction at the same time takes skill, structure, and experience. Our integrated programs provide medical detox, inpatient rehab, behavioural therapy, and long-term support for people with complex needs. Whether you’re just starting out or rebuilding after relapse, we offer practical, personalised care from day one.

Residential program

Live-in rehab with structured support, therapy, and life skills training in a safe, recovery-focused setting.

Young couple holding hands during a counselling session, seeking support through family and relationship therapy.

Family Program

Education, group support, and counselling to help families understand addiction and support their loved one’s recovery.

Woman participating in a virtual recovery session from home, engaging in structured therapy through the Hader at Home online rehab program

Hader at Home

A fully digital recovery program with daily check-ins, online therapy, and self-guided workbooks for post-rehab care.

Brunette woman smiling and sharing a personal breakthrough during group therapy, celebrating progress in her outpatient recovery journey.

Intensive outpatient program

Structured addiction support with therapy, group sessions, and relapse prevention, designed to fit around daily life.

A male resident chats with his rehab counsellor.

Counselling

Trauma-informed therapy, addiction counselling, and family support available in person or via secure online sessions.

Woman embracing her partner after a heartfelt intervention at home, offering support and encouragement as he agrees to seek help for addiction.

Interventions

Professional support to help families stage a safe, structured intervention and guide their loved one into treatment.

View from a private luxury residence looking out onto a sandy backyard and beachfront, with loungers and tropical landscaping designed for peaceful, discreet recovery.

Executive rehab

Private, one-on-one treatment in a luxury setting with complete discretion and a personalised recovery schedule.

ANZAC Day tribute featuring a vintage Australian Army .303 rifle with slouch hat and rising sun badge, soldier’s dog tags, floral wreath, and the Australian flag in the background

DVA rehab

Specialised trauma-informed inpatient care for veterans and first responders, fully funded for eligible DVA clients.

A resident sitting on a couch in a shared space, working on his personal journal as part of his court-ordered rehabilitation.

Court-ordered rehab

Structured inpatient program with detox, therapy, and forensic reporting to meet bail or sentencing requirements.

Man in transitional housing tying his shoelaces as he prepares for a new day of work, rebuilding structure and independence after inpatient rehab.

Transitional housing

Recovery-focused accommodation with therapy, structure, and support to bridge the gap between rehab and independent living.

Supportive group therapy session at a medical detox centre, where diverse clients share their experiences and a psychologist gently encourages a new participant

Hospital detox

24/7 medically supervised detox in a licensed private hospital, including withdrawal support and psychiatric care.

What the process looks like

How we guide your recovery step by step

Step1

Initial assessment and planning

We begin with a thorough intake and clinical assessment so we can understand your needs, history, and goals.

Step2

Dual diagnosis treatment delivery

You’ll receive an evidence-based program that treats your mental health and substance use with ERP, CBT, and daily therapy.

We’re here whenever you’re ready – book a call or speak to someone now.

What makes our approach different

Why our OCD rehab works

We treat OCD and addiction together because we understand how deeply they influence each other. Our team includes experienced dual diagnosis clinicians who personalise care for every client. We prioritise long-term stability and outcomes over short-term fixes.

Integrated support for your diagnoses

We treat both conditions together, not separately, for stronger outcomes and real recovery.

Clinical expertise in dual diagnosis care

Our team understands the specific needs of clients with OCD and addiction.

Evidence-based and trauma-informed

We use ERP, CBT, and trauma-aware approaches in a safe, structured setting.

Personalised care that meets your needs

We tailor your plan with input from you, and adjust it as you progress.

Services that support long-term recovery

Explore our specialist rehab services

We offer a wide range of services that support our clients before, during, and after treatment.

Alcohol rehab

Individualised programs that address the physical, emotional, and behavioural impacts of alcohol dependence.

Drug rehab

Structured, supportive inpatient programs for a range of illicit and prescription drugs.

Emergency rehab

Fast-tracked admission options for people in crisis who need urgent, stabilising care.

Relapse prevention

Practical, real-world strategies to manage triggers, avoid setbacks and maintain long-term recovery.

Accreditation you can trust

We are fully accredited under the National Safety and Quality Health Service (NSQHS) Standards and governed by the Australian Commission on Safety and Quality in Health Care (ACSQHC).

Stories of real recovery

What our clients say about treatment

Many of our clients came to us after years of struggling with OCD, addiction, or both. Through personalised care, they’ve found a path to stability, clarity, and long-term recovery.

Ali Ademi

After years of trauma, addiction, and loss, Ali found the strength to rebuild his life through the support of a compassionate team, a sense of community, and a commitment to long-term healing.

Minh

After 32 years of addiction, Minh Pham found hope, healing, and a new path at The Hader Clinic. His journey is a testament to the power of community, compassion, and courage.

Peter El-Khouri

After multiple relapses, Peter found long-term recovery with Hader. Read how therapy, community and clinical care helped him reclaim his life.

A safe, private place to heal

Our facilities and locations

We provide care across two purpose-designed centres in Victoria. In Geelong, our private hospital offers medical detox in a quiet setting where obsessive thoughts and anxiety can be managed with clinical support. In Essendon, our residential rehab centre provides daily therapy and steady routine to help ease mental overload and support healthier patterns.

Inpatient Rehabilitation Program and Transitional Housing program

Essendon
150-152 Cooper St, Essendon VIC 3040

Hospital Rehabilitation Centre for 28-Day Withdrawal & Detox Program

Geelong
6-8 Townsend Road,St Albans Park VIC 3219

83%

Clients who complete our 90-day program remain sober at 12 months.

72%

Clients enrol in Hader@Home aftercare or transitional housing to support long-term engagement and reduce relapse risk.

60%

Clients who access structured aftercare are significantly more likely to maintain recovery and avoid relapse.

50%

Half of all people with addiction also have a co-occurring mental health condition, highlighting the need for dual diagnosis support.

Measuring what matters

Program outcomes you can trust

These are our results — not general estimates or industry guesses. Most rehabs don’t track outcomes like these. The few that do rarely match what we’ve achieved. Our statistics reflect what happens when clients with OCD and addiction receive structured, dual diagnosis care from experienced professionals. Every figure below is backed by clinical rigour, personal support, and long-term follow-up.

View our sources below:

Get in touch with our team now

You don’t have to wait until things get worse. We’re here to help you start your recovery safely, confidentially, and without judgement.

Take a free online assessment

Take a quick, private quiz to see if rehab could help and explore safe support options.

Book a free chat

 Schedule a confidential call with a specialist at a time that suits you.

Call us now

 Speak to someone immediately for guidance and support.

What it costs and how to get help

Funding options for rehab and recovery

We make addiction and OCD rehab more accessible with flexible funding solutions and clear, upfront pricing.

Rehab costs

A full breakdown of inpatient, outpatient, and aftercare program pricing and what’s included.

Explore rehab options

Funding options

Explore your options, including private insurance, superannuation access, payment plans, and third-party support.

Learn more about funding costs
The people behind your recovery

Meet our dual diagnosis clinical team

Our team includes addiction specialists, trauma-trained therapists, and medical professionals experienced in treating OCD and substance use together.

Dr. Yohannes, the resident clinical psychologist at The Hader Clinic’s private hospital.
Richard Smith, program director and founder of The Hader Clinic.
The people behind your recovery

Who we are and why we care

We are a nationally accredited addiction treatment provider with a long track record of helping people overcome complex mental health challenges.

Help for yourself or someone else

Support for you or someone you love

OCD and addiction affect more than just the person using. Whether you need help or want to support someone else, we’re here to guide you.

Rehab for yourself

Get confidential, personalised care for OCD and addiction that respects your story and supports long-term recovery.

Woman sits curled on a couch by a bright window, appearing reflective and concerned

Rehab for a loved one

If someone you love is struggling, we can help you understand what they need and how to support their recovery.

A couple sits together in a therapist’s office, listening with concern and support
Insights and information

More about OCD, addiction, and recovery

Our resource centre includes helpful guides and honest advice for people living with OCD and substance use, or supporting someone who is.

Take the first step today

Talk to someone who understands

No matter where you’re starting from, we’re here to help. Reach out to our team for confidential advice and practical next steps.

Speak to someone who understands

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Get the clarity you need

Frequently asked questions

What makes dual diagnosis treatment for OCD and addiction different from standard rehab?

Standard rehab often focuses on addiction alone. For individuals with OCD, treating one condition in isolation isn’t enough. At The Hader Clinic, our dual diagnosis rehab addresses both conditions together with:

  • Thorough psychiatric assessment to ensure the correct diagnosis
  • Integrated treatment plans using therapy and medication
  • Behaviour therapy, including ERP and CBT, as part of daily care
  • Relapse prevention and long‑term management

This approach reduces disruption, targets root causes, and builds skills to manage symptoms in day‑to‑day life.

Do you use ERP in your treatment program, and how is it delivered?

Yes. Exposure and Response Prevention (ERP) is a core part of how we treat OCD. ERP is a gold‑standard therapy that helps reduce obsessive thoughts and compulsions over time. We deliver ERP within a broader plan that includes medical care, structured behavioural therapy, and relapse support. Sessions are led by qualified therapists and tailored to your needs.

How do you support people who feel shame or fear about their OCD symptoms?

Shame and fear are common in OCD, especially for taboo or intrusive thoughts. We meet every client with an empathetic, non‑judgemental approach. Through therapy, groups, and education, clients learn that OCD is a disorder driven by distress — not weakness. We also teach safer ways to seek relief without compulsions or substances, and include families through our family program.

Can I start treatment if I haven’t been formally diagnosed with OCD yet?

Yes. You do not need a formal diagnosis before entering treatment. During intake you’ll receive a full psychiatric assessment to explore OCD, addiction, and contributing factors such as trauma or anxiety. If OCD or co‑occurring conditions are identified, we’ll build a personalised plan for stabilisation and long‑term support.

What happens if I relapse during the program?

Relapse is not failure. OCD symptoms and substance use can both spike under stress. If you relapse, we respond with compassion and clinical support, reassessing and adjusting your plan. You’ll continue receiving care unless safety is a concern. Every program includes relapse prevention to help you spot early signs and stay on track.

Do you offer support for people with OCD who aren’t ready for inpatient rehab?

Yes. We offer flexible outpatient services including therapy, medication reviews, and relapse planning. These help you manage OCD symptoms and reduce substance use in day‑to‑day life — a good option for people with stable but disruptive symptoms.

Is your staff trained specifically in treating OCD alongside addiction?

Yes. Our clinical team includes therapists, psychologists, and medical professionals trained in dual diagnosis and OCD treatment, including ERP and CBT. We support clients with high anxiety, perfectionism, and compulsions like cleaning, checking, or reassurance‑seeking, and adjust care for unique triggers (e.g., contamination fears, religious obsessions, trauma‑based rituals).

How do you personalise treatment for people with compulsions that aren’t visible?

Not all compulsions are obvious. Some are mental rituals like counting or reviewing. Others involve covert reassurance‑seeking. We tailor each plan to internal and external compulsions using modified ERP, skills training, and (when helpful) medication — so you can take back control in everyday life.