Veterans Affairs Medical Center - Alcohol and Drug Treatment Program

They offer inpatient residential, inpatient hospital, outpatient, telemedicine and detox. Which one fits is usually decided by how much structure the first few weeks need, and San Diego has 8 other centers within 14 miles.

They detox from opioids and alcohol, so the first stage and the treatment after it can happen in one place rather than across two trips to San Diego.

Alongside this, San Diego has 98 NA meetings and 748 free AA meetings.

They prescribe buprenorphine and naltrexone, which is the part of treatment that is prescribed rather than attended. Of the 8 centers near San Diego, not all of them do.

They do video appointments, which matters if San Diego is a drive for you.

They treat both. Depression and anxiety alongside a substance are common rather than unusual, and one place handling the two together beats two handling one each. San Diego has 8 other centers if this one cannot.

Expect questions rather than a sales pitch, and expect them to be direct. The call can be made by a relative, and intake lines deal with that constantly. Ask what the assessment after this call involves and whether it happens in person.

Expect days for withdrawal management, weeks for a residential program, and months for anything outpatient. The first two weeks are usually the most intensive part of whatever you choose. Ask what happens on the last day, and what gets arranged before it.