hardcomorbidityanxietysubstance use disorderalcohol use disorderintegrated treatmentdual diagnosis
A 38-year-old man presents with generalized anxiety disorder and moderate alcohol use disorder. He reports drinking four to six drinks nightly to manage his anxiety and has been unable to reduce his alcohol intake despite multiple attempts. He reports chronic worry, muscle tension, restlessness, and sleep disturbance that predate his alcohol use by several years. His last drink was 48 hours ago, and he shows no signs of acute withdrawal. He is motivated to address both conditions. Which of the following best describes the evidence-based approach to treatment prioritization for this patient?