Exploring the Lived Experiences of Hospitalized Individuals with Substance Use Disorder and Co-occurring Anxiety Disorder: A Qualitative Phenomenological Analysis

Substance use disorder (SUD) frequently co-occurs with anxiety disorders, leading to complex clinical presentations, poorer treatment outcomes, and increased relapse risk. However, limited qualitative research has explored the lived experiences of hospitalized individuals with this dual diagnosis. This study explored the lived experiences of hospitalized individuals diagnosed with SUD and co-occurring anxiety disorders, focusing on their perceptions of illness, hospitalization, stigma, coping strategies, treatment experiences, and recovery expectations. A qualitative phenomenological design was used. Semi-structured interviews were conducted with 15 hospitalized adults diagnosed with both conditions. Data were analyzed using Braun and Clarke’s thematic analysis framework, and trustworthiness was ensured through member checking, and reflexive journaling. Five themes emerged: (1) Living in a Cycle of Fear and Dependence, (2) The Burden of Stigma and Self-Blame, (3) Hospitalization as Both Refuge and Restriction, (4) Searching for Understanding and Compassionate Care, and (5) Recovery as an Ongoing Journey. Participants described using substances to manage anxiety, experiencing stigma in healthcare settings, and facing uncertainty about recovery. The study concludes that individuals with co-occurring SUD and anxiety disorders experience significant psychological distress compounded by stigma and fragmented care. Integrated, trauma-informed, and patient-centered approaches are essential to improve treatment outcomes and recovery experiences.