Living with schizophrenia is already challenging, but when substance abuse becomes part of the picture, it can complicate life even further. People with schizophrenia are at a much higher risk of using drugs and alcohol in unhealthy ways, often as an attempt to self-medicate or cope with symptoms. If you or someone you love is struggling with schizophrenia and addiction, understanding the right treatment options is crucial.

At Surf City Detox in Huntington Beach, California, we provide compassionate, specialized care for individuals facing these complex, co-occurring disorders. Here’s everything you need to know about schizophrenia, addiction, and how access to comprehensive treatment programs and support, can help you regain control of your life.
Schizophrenia typically develops in the late teens to early 30s and requires ongoing treatment to manage symptoms and prevent severe disruptions in life. Without the right support, it can be difficult for someone with schizophrenia to maintain relationships, hold a job, or live independently.
Types of Schizophrenia
- Paranoid Schizophrenia: Dominated by hallucinations and delusions, particularly of persecution or grandiosity.
- Disorganized Schizophrenia: Marked by disorganized speech, thoughts, and behaviors, making it difficult to complete daily tasks.
- Catatonic Schizophrenia: Characterized by abnormal motor behavior, ranging from physical rigidity to excessive movement.
- Residual Schizophrenia: When the individual has a history of schizophrenia but currently has reduced symptoms.
- Undifferentiated Schizophrenia: When symptoms don’t fit into another specific category.
Although these subtypes are no longer used as formal diagnoses, they reflect the diversity of symptoms people may experience.

Schizophrenia and Substance Abuse Statistics
California-Specific Statistics:
- In California, it’s estimated that over 200,000 people live with schizophrenia, and rates of co-occurring substance use are particularly high in urban areas like Los Angeles, San Francisco, and San Diego.
- Studies show that individuals with schizophrenia in California are three times more likely to experience homelessness, where substance use often increases as a means of coping.
- Schizophrenia also raises the risk of suicide. Up to 5% of people with schizophrenia die by suicide, and substance abuse can further heighten this danger.
In California, the link between schizophrenia, addiction, and homelessness is a growing public health concern, as many individuals with untreated mental health and substance use disorders find themselves without stable housing or adequate care.
Signs and Symptoms of Schizophrenia
- Hallucinations: Hearing, seeing, or feeling things that aren’t real (most often hearing voices).
- Delusions: Strongly held false beliefs, such as thinking someone is trying to harm you.
- Disorganized Thinking: Trouble concentrating, completing tasks, or speaking coherently.
- Negative Symptoms: Lack of motivation, withdrawal from social activities, and diminished emotional expression.
- Cognitive Issues: Memory problems, trouble understanding information, or difficulty making decisions.
When combined with substance use, these symptoms can intensify, making it even more challenging to manage day-to-day life.
Causes and Risk Factors for Schizophrenia
- Genetics: A family history of schizophrenia increases the likelihood of developing the condition.
- Brain Chemistry and Structure: Imbalances in neurotransmitters like dopamine and glutamate can play a role.
- Environmental Triggers: Prenatal exposure to toxins, viral infections, or malnutrition may increase risk.
- Substance Use: Using drugs like cannabis, LSD, or methamphetamine during adolescence or young adulthood may trigger symptoms in those genetically predisposed.
- Stressful Life Events: High-stress environments can sometimes contribute to the onset of schizophrenia symptoms.
How Schizophrenia and Substance Abuse Co-Occur?
- Alcohol may temporarily ease social anxiety but can increase depression and disorganized thinking.
- Cannabis is frequently used but can intensify hallucinations or delusions.
- Stimulants like methamphetamine or cocaine can lead to heightened paranoia and erratic behavior.
The relationship between schizophrenia and addiction known as a dual diagnosis, is complex, and treating one without the other often leads to poor outcomes. That’s why integrated care, like what we provide at Surf City Detox, is so important.
Schizophrenia and Substance Abuse Treatment
Types of Treatment Options
Medication is essential in managing schizophrenia. The most common types include:
- Antipsychotics: These help reduce or eliminate hallucinations and delusions.
- Mood Stabilizers: Useful when mood swings or depression are part of the picture.
- Anti-Anxiety Medications: To help reduce agitation or anxiety during detox and recovery.
Medication management is a key component of our programs, ensuring that clients stay stabilized while working on their recovery.
Therapy services are a vital part of treating co-occurring schizophrenia and substance use disorders. While medications can help stabilize mood and manage psychotic symptoms, therapy addresses the emotional, cognitive, and behavioral aspects of both conditions. Effective therapy helps individuals build lasting coping strategies, develop healthier ways of thinking, improve communication skills, and reduce the risk of future relapse.
At Surf City Detox, we provide a wide range of evidence-based therapies tailored to meet the unique needs of individuals living with schizophrenia and addiction. These therapies are designed not only to manage symptoms but to help clients regain control over their lives and improve their overall well-being. Some of the key therapeutic approaches we offer include:
Cognitive behavioral therapy is a widely used therapy for managing schizophrenia and substance use disorders. This structured, goal-oriented therapy helps individuals identify and challenge distorted thought patterns, such as paranoia, delusions, or feelings of hopelessness, that can contribute to emotional distress and substance misuse. By learning how to recognize these harmful thoughts, clients are empowered to reframe them in more realistic and positive ways. For those struggling with addiction, CBT also helps pinpoint specific triggers and teaches strategies for resisting cravings and making healthier choices in difficult situations.
Dialectical behavior therapy is especially helpful for individuals who struggle with intense emotions, impulsivity, or self-destructive behaviors—common challenges for those dealing with schizophrenia and addiction. DBT focuses on four key areas: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. Through DBT, clients learn how to manage overwhelming feelings without turning to substances, practice staying present at the moment, and improve relationships by communicating more effectively. These skills are invaluable for reducing episodes of crisis, stabilizing mood swings, and fostering a sense of inner peace and control.
Isolation is a common experience for individuals with schizophrenia, especially when addiction is involved. Group therapy provides a safe, supportive environment where clients can connect with others who are facing similar struggles. Sharing experiences, challenges, and successes helps reduce feelings of loneliness and stigma while encouraging accountability and motivation. Our group sessions are guided by skilled therapists who foster open dialogue, teach coping strategies, and encourage peer support, creating a community that nurtures growth and recovery.
Dialectical behavior therapy is especially helpful for individuals who struggle with intense emotions, impulsivity, or self-destructive behaviors—common challenges for those dealing with schizophrenia and addiction. DBT focuses on four key areas: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. Through DBT, clients learn how to manage overwhelming feelings without turning to substances, practice staying present at the moment, and improve relationships by communicating more effectively. These skills are invaluable for reducing episodes of crisis, stabilizing mood swings, and fostering a sense of inner peace and control.
Isolation is a common experience for individuals with schizophrenia, especially when addiction is involved. Group therapy provides a safe, supportive environment where clients can connect with others who are facing similar struggles. Sharing experiences, challenges, and successes helps reduce feelings of loneliness and stigma while encouraging accountability and motivation. Our group sessions are guided by skilled therapists who foster open dialogue, teach coping strategies, and encourage peer support, creating a community that nurtures growth and recovery.
Schizophrenia and addiction don’t just affect the individual—they also take a toll on families and loved ones. Family therapy plays a crucial role in the recovery process by helping relatives understand the complexities of schizophrenia, and substance use, and how the two interact. During these sessions, families learn how to support their loved ones in healthy ways, set appropriate boundaries, and work through communication difficulties that may have arisen over time. Family therapy also offers space for healing long-standing conflicts, addressing feelings of guilt or resentment, and rebuilding trust. A strong family support system can significantly enhance long-term recovery outcomes and reduce the likelihood of relapse.

Surf City Detox Can Help You Get Your Life Back on Track
Our serene, supportive environment provides the ideal setting to begin healing, and we tailor every treatment plan to meet your unique needs. Whether you’re seeking detox, residential treatment, or aftercare planning, Surf City Detox is here to help you take the first steps toward a healthier, more fulfilling life.
Start Your Recovery Today

Surf City Detox Accepts Insurance
We accept many insurance plans to help cover the cost of addiction treatment. Contact your provider to get more information or call our office to reach an intake specialist.














