SUBSTANCE USE & HABIT CHANGE

Substance use and habits exist on a spectrum. Some people seek care because they want to stop completely. Others are questioning their relationship with alcohol, cannabis, medications, or other behaviors and want a clearer, less judgmental space to think about change.

You do not need to have “hit rock bottom” to deserve support.

What to expect

The goal is not shame or perfection. The goal is greater freedom, honesty, stability, and choice. Together, we will track progress, adjust the plan as needed, and build a path that supports the kind of life you want to live.

What this can feel like

• Using more than intended

• Difficulty cutting back despite wanting to

• Feeling preoccupied with a substance or habit

• Using to manage stress, sleep, anxiety, mood, or loneliness

• Feeling conflicted, secretive, or ashamed

• Noticing effects on motivation, relationships, work, or health

• Wanting change, but not wanting to be judged or pressured

How I approach care

I take a practical, nonjudgmental, evidence-based approach. We begin by understanding your goals, your patterns of use, what the behavior does for you, and what makes change difficult.

Care is individualized. Some patients are working toward abstinence. Others are clarifying their goals, reducing harm, or building healthier coping strategies. When a higher level of care is needed, I will discuss that openly and help guide appropriate next steps.

What treatment may include

Treatment may include medication management for cravings or co-occurring anxiety, depression, or sleep problems; therapy-informed motivational work; relapse-prevention planning; and coordination with therapists, recovery supports, or structured programs when appropriate.

We may also focus on routines, triggers, emotional regulation, sleep, stress, relationships, and replacing short-term relief with more sustainable forms of support.