Signs it may be time to get help
- Drinking or using more than you intend, or finding it hard to cut back
- Needing more to get the same effect, or feeling unwell when you stop
- Use that is affecting work, relationships or health
How I evaluate it
We go through what you use, how much and how often, past attempts to cut back, withdrawal history, medical problems and mental health symptoms. The goal is a realistic plan, not a lecture.
Treatment options
- Medications that reduce cravings and support recovery, where appropriate
- Treatment of co-occurring depression, anxiety, sleep problems or trauma
- Relapse-prevention planning and referral to counseling or support groups
- Referral to a higher level of care when that is safer
What telehealth can and can’t do
Stopping alcohol or some drugs suddenly can cause dangerous withdrawal. If you drink heavily every day or have had seizures or severe withdrawal before, you may need a medically supervised detox first. We will talk this through before any change.
This page is general information, not medical advice. Your plan is made together at your visit.