One step forward, two steps back. Change is possible. It’s also really hard.

I have always liked the Mark Twain quote: “Giving up smoking is the easiest thing in the world. I know because I've done it thousands of times.” Recovery is not a linear, straightforward experience. The pull to drink can feel unbearable. Sustained sobriety can seem completely impossible. And, yet, every alcoholic knows someone that’s stopped for good and stayed sober for decades. Change is possible.

My Approach

I approach the treatment of alcohol and substance use with a combination of Motivational Interviewing, Cognitive Behavioral Therapy, Harm Reduction, and Psychoanalytic Theory. Here are some considerations I take into account during therapy:

It is important to think about current motivation levels. How motivated do you feel to change? What are the costs and benefits of current use? What are your goals or what changes would you like to make, not because other people are telling you to but because you believe them to be for the best?

What is going on in the environment that is contributing to using? For example, does decreasing alcohol use mean losing the great majority of friendships? Does the work environment involve drinking as a way to build rapport with customers?

Are there positive steps to take that involve minimizing risky behaviors? Would continuing to use alcohol at a decreased amount have a significantly positive impact on life?

How do you feel about yourself as a person? Often times, people using can experience some form of an inner void or intense guilt. Does alcohol or another substance contribute to a feeling of completeness, even if it comes with significant costs?

Factoring in the above considerations, I tailor my approach to the unique needs of each individual.

We can discuss your substance use further during a free phone consultation.