People who are addicted to substances such as alcohol, marijuana, cocaine, or opiates often do not see things the same way as those around them do. To some, using substances is the solution to their problems and helps them cope. To them abstinence or “going cold turkey” is a scary idea. One can abstain from using addictive substances for short periods of time, but to stop and feel good about it requires new social behaviors, support from others, a different mindset, and coping skills.

Addiction is a complex issue involving psychological and biological factors that make it difficult for those affected to break free. Outcomes are better when treatment involves a comprehensive approach including medical consultation (pharmacological), psychotherapy, and 12-step recovery for social support. Ideally and only with the consent of my clients, I collaborate with family, employers, recovery sponsors, psychiatrists, and primary care physicians to coordinate care and give my clients the best chance for positive outcomes.

When I initially meet with clients dealing with alcohol and drugs, I spend a lot of time determining how they feel about using addictive substances and how they view the impact on their lives and those around them like family, spouses, and employers. I ask what it would look like if suddenly their problem were solved. There are times when intervention may be warranted. I help individuals, couples, and families navigate these difficult times by advising them about intervention strategies and making appropriate referrals to treatment. Shaming of those suffering under the grip of addiction doesn’t work. It is far more affective to cultivate a person’s buy-in to change.

When someone is substance-dependent, all of his or her relationships are affected. Addiction prevents people from gaining traction in their lives, being independent, and growing. Living or working with someone who has an alcohol or drug dependency is stressful and imposes a tremendous emotional strain. I have over 20 years of experience helping those facing addiction, their spouses, and families find paths to recovery and stay on them.