Understanding Addiction

What is addiction, and how is it diagnosed?

Addiction is a chronic condition that involves compulsive behaviors related to substances or activities, despite harmful consequences. It affects the brain’s reward system, making it difficult to control urges or stop using substances even when someone wants to quit. Addiction often co-occurs with mental health conditions like anxiety, depression, or trauma, further complicating recovery.

Common symptoms of addiction include:

• Strong cravings for a substance or activity.

• Difficulty controlling use, even when trying to quit.

• Spending significant time obtaining, using, or recovering from substance use.

• Neglecting personal, professional, or social responsibilities due to use.

• Continuing use despite negative physical, emotional, or social consequences.

• Tolerance (needing more to achieve the same effect) or withdrawal symptoms when not using.

Diagnosing addiction involves a thorough assessment by a psychiatrist, including medical and psychological evaluations. Understanding the underlying factors contributing to addiction—such as genetics, trauma, or co-occurring mental health conditions—is essential for effective treatment.

What are the treatment options for addiction?

Addiction is a complex condition that requires a comprehensive and personalized approach to treatment.

Medications:

• Medication-Assisted Treatment (MAT): Combining FDA-approved medications like Suboxone, naltrexone, or methadone with therapy to treat opioid or alcohol use disorders.

• Anticraving Medications: Options like acamprosate or disulfiram to help reduce cravings or discourage use.

• Adjunctive Medications: Using antidepressants or anti-anxiety medications to address underlying mental health conditions.

Therapies:

• Cognitive Behavioral Therapy (CBT): Helps individuals identify and change behaviors associated with addiction.

• Motivational Interviewing (MI): Builds motivation for change and supports goal-setting.

• Dialectical Behavior Therapy (DBT): Teaches emotional regulation and coping strategies.

• Trauma-Informed Therapy: Addresses past experiences that may contribute to addictive behaviors.

Supportive Services:

• Group therapy and peer support programs like 12-step groups or SMART Recovery.

• Family therapy to rebuild trust and improve communication.

• Holistic interventions, such as mindfulness or exercise, to promote overall well-being.

How does addiction impact daily life?

Addiction can affect every aspect of life, from relationships and physical health to career and self-esteem. Many individuals feel trapped in a cycle of use and regret, leading to feelings of isolation or hopelessness. However, with the right treatment and support, recovery is achievable. Addiction does not define who you are, and healing is possible with compassionate, evidence-based care.

What if I’ve tried treatment before and it didn’t work?

Addiction treatment is not one-size-fits-all, and what didn’t work in the past doesn’t mean recovery isn’t possible. I specialize in treatment for individuals who have struggled with relapse or felt previous care didn’t fully address their needs. Together, we will explore:

• Adjusting treatment approaches, including new medication options.

• Addressing co-occurring mental health conditions like anxiety or trauma.

• Building personalized, flexible strategies that adapt to your unique situation.

Take the First Step Toward Recovery

Recovery is not about perfection—it’s about progress, healing, and building a life free from the constraints of addiction. As a board-certified psychiatrist in Los Angeles, I provide compassionate, individualized care that addresses both the symptoms of addiction and the underlying factors contributing to it.

Whether you’re taking your first steps toward sobriety or returning to treatment after a relapse, I’m here to support you without judgment. Together, we can create a plan that prioritizes your well-being and sets the foundation for lasting recovery.