Addiction is a health condition, not a moral failing. Whether you’re questioning your habits or ready to make a change, you’ll be met here with respect, not judgment.
Maybe you’ve tried to cut back and found it harder than expected, or you’ve noticed that drinking, substances, gambling or another habit is taking more from your life than it gives. You may also be worried about someone you love.
At Calmora, therapists and psychiatrists work together to offer confidential, evidence-based care for addiction and the anxiety, depression or trauma that often come with it, in person or by telehealth.
What is addiction?
Addiction is a treatable condition in which a person keeps using a substance or repeating a behavior despite harmful consequences. Over time it changes the brain’s reward and stress systems, leading to cravings, loss of control and, with some substances, tolerance and withdrawal.
It rarely has a single cause. Genetics, stress, trauma, mental health conditions and environment all play a part, and many people first use substances to cope with pain, anxiety or sleeplessness. Shame often keeps people from asking for help, even though addiction is common.
Treatment may include motivational interviewing, CBT and relapse-prevention skills, and, when appropriate, medication to reduce cravings or support recovery.
When to seek help for addiction
Recognizing the signs and knowing when to reach out
Consider reaching out if you’re using more than you intend, craving it, hiding it from others, or continuing despite problems at work, in relationships or with your health. Stopping some substances suddenly, such as alcohol or benzodiazepines, can be dangerous, so please talk to a medical provider first. In an emergency or overdose, call 911; for crisis support, call or text 988.
A free 15-minute consultation can help you explore options, with no pressure to commit.
Types of addiction
Alcohol Use Disorder
Alcohol use disorder ranges from mild to severe and includes drinking more or longer than intended, being unable to cut down, and continuing despite harm. Therapy, peer support and FDA-approved medications such as naltrexone or acamprosate can help people drink less or stop.
Opioid Use Disorder
Opioid use disorder can involve prescription painkillers, heroin or fentanyl, and it carries a serious risk of overdose, so keeping naloxone (Narcan) on hand matters. Medications such as buprenorphine, methadone or naltrexone, combined with counseling, are the most effective treatment.
Cannabis Use Disorder
Cannabis use disorder is more common than many people realize, especially with today’s higher-potency products. Signs include using daily to cope, needing more for the same effect, and irritability or poor sleep when cutting back. CBT and motivational approaches can help you regain control.
Stimulant Use Disorder
Stimulant use disorder involves cocaine, methamphetamine or misused prescription stimulants. It can cause anxiety, paranoia, sleep problems and strain on the heart, often followed by a difficult crash. Behavioral therapies, including CBT and contingency management, are the best-studied treatments.
Gambling Disorder
Gambling disorder is a recognized behavioral addiction marked by chasing losses, hiding or lying about gambling, and needing to bet more to feel the same excitement. With online betting always within reach, it can escalate quickly. CBT can help you manage urges and rebuild financial and personal stability.
Behavioral Addictions
Some people develop compulsive patterns with gaming, shopping, pornography or social media that feel impossible to control and crowd out sleep, work or relationships. Not all are formal diagnoses, but they can cause real harm, and therapy can help you understand the urges and build healthier habits.
