Q & A about Addiction

Addiction or alcohol/drug abuse or dependence is a disorder that encompasses both physical and psychological components. On a physical level, the body becomes accustomed to an addictive substance, such as alcohol or cocaine, and a need to use more often and in larger quantities develops over time. Depending on the substance, stopping suddenly can lead to experiences ranging from somatic and emotional discomfort to life-threatening withdrawal symptoms. On a psychological level, there is a destructive and irrational attachment to the substance and its effects, with compulsive use continuing in an effort to achieve emotional relief, or simply to experience feeling “normal”. The physical and psychological aspects of addiction must each be carefully evaluated and addressed in a highly individualized manner in order to begin to establish a secure recovery foundation.

There are various approaches that can be helpful, including psychotherapy, use of a sober support system, lifestyle changes, and for some individuals, medication-assisted treatment.  An experienced psychotherapist can help tailor your recovery process to your unique needs, while also addressing accompanying issues, such as depression, anxiety, guilt, shame, fear, and anger.  Emotional well-being is an important element of recovery, and the psychotherapy process can help you face and manage feelings that may have contributed to your addiction, or resulted from it.

The right fit is important when considering help for alcohol or drug use problems.  Speaking with a trained medical or behavioral health professional can assist in determining whether inpatient treatment, outpatient care, or a combination of these modalities might be best for you. I am happy to offer a free 30-minute phone consultation to discuss options, and whether we might be a good fit in terms of creating an online psychotherapy alliance.  I have numerous resources I can recommend for immediate help, and also strive to provide a comfortable and supportive online therapy environment to address treatment goals that will support long-term recovery from addiction.

The best therapies are evidence-based and deemed effective by research standards, but most importantly, resonate with you as a unique individual. I am an eclectic clinician, and am comfortable accessing a versatile array of therapeutic skills aimed at fortifying your strengths, as well as directing support towards areas of personal challenge. Some examples of these evidence-based practices are Cognitive Behavioral Therapy, Motivational Interviewing, and Person-Centered Therapy. I believe in investing deeply in the therapy process, and will offer authenticity, attentiveness, and caring within our therapeutic alliance.

Non-professional resources, such as 12-Step meetings and other types of recovery support groups can also prove valuable in the recovery process.

Professional treatment for alcohol and/or drug use, whether inpatient or outpatient, is protected as confidential healthcare by local and federal statutes.  I offer secure, HIPAA-compliant video sessions specifically designed for psychotherapy, and will always safeguard your personal identity and information.

First, a comprehensive assessment called a psychosocial evaluation is conducted in order to identify problems and areas of challenge, as well as to highlight areas of strength.  Treatment planning, as well as the therapy process itself, should be collaborative and able to adjust to your therapeutic needs.  A session is 50-minutes, via a secure telemedicine platform, typically once per week, with transition to two or more times per week if you require more support. In sessions, we will talk about the history of your substance use problems or other main concerns, discuss treatment goals, cultivate coping skills, and utilize a solution-focused and supportive dialogue as the vehicle for change and growth.  I have extensive experience in the field of addiction treatment and recovery, treating mental health issues such as depression and anxiety, addressing relationship and family problems, and exploring other important life areas, such as creating purpose and the pursuit of career and/or other passions.

Using a trusted search engine is a good start, with focus on selecting reputable and well-established websites known for offering vetted healthcare provider information. You may also cross-research a particular area of interest, such as Cognitive Behavioral Therapy, with local practitioners that offer that service.  I look forward to the opportunity of talking with you during a free 15-minute phone consultation where we can discuss your therapy needs and consider the next best steps in your recovery healing process.

Over the past few years, many of us have acclimated to online platforms for work and for socialization. The usefulness of this medium for psychotherapy has also emerged, positively impacting the field of addiction treatment and recovery. Psychotherapy via telemedicine is now widely available in New York.  I offer secure and confidential video sessions that are convenient and easy to access, and many of my clients have stated that they are as satisfied with online therapy as compared with a traditional, in-person setting.

You may need help with drinking or drug use if you have difficulty cutting back or stopping on your own.  Other signs include negative effects in your life due to your substance use, such as problems in relationships, work, finances, physical health, or mental health.  You might also consider getting help if you are often preoccupied with thoughts or feelings associated with drinking or using drugs, while attempting to remain sober.  You might experience doubt, fear, confusion, and/or anxiety as you contemplate getting help for substance use problems.  Talking with an experienced and caring professional will help guide you towards the first step in regaining control of your life.  I would be pleased to speak with you during a free 15-minute phone consultation where we can collaborate about how to begin the recovery process.

Definitely. Therapy is a place to explore your thoughts and feelings about your drinking and/or drug use, as well as other life issues.  Uncertainty and ambivalence are not uncommon in the recovery process, and are important components to discuss, clarify and resolve in therapy.  I offer a safe, empathic, person-centered, and non-judgmental clinical space where you can freely express yourself. Together, we can collaborate on strategies to actualize wellness in various life areas, with recovery from addiction as a focal point.  I am sensitive to the individualized needs of my clients, and I have learned that matching the pace of an individual is not just honoring the uniqueness of that person, but also essential for optimal success in psychotherapy.

A referral for therapy from your doctor is not necessary.  However, informing your medical provider of your substance use patterns and/or plans to seek treatment can support optimal overall health.  If you are unsure how to talk to your primary medical provider about this, I can offer help in facilitating that communication.