SUBSTANCE USE DISORDERS
Chronic, relapsing conditions requiring structured management. We provide the psychotherapeutic backbone necessary for sustained recovery and reclaiming control over your life.
Overview
Substance Use Disorders (SUDs) involve a maladaptive pattern of use of substances (such as alcohol, tobacco, opioids, cannabis, and sedatives) leading to clinically significant impairment or distress. These disorders are characterized by loss of control over use, continued use despite harm, and physiological dependence in some cases. SUDs are best understood as chronic, relapsing conditions requiring structured, long-term management, with psychotherapy forming the backbone of sustained recovery.
Additional Facts
- High comorbidity with depression, anxiety, and personality disorders
- Often associated with significant social, occupational, and legal consequences
- Strong role of environmental, psychological, and neurobiological factors
- Relapse is common but manageable with structured interventions
Signs and Symptoms
- Inability to control or reduce substance use
- Craving or strong urge to use the substance
- Increased tolerance (needing more for the same effect)
- Withdrawal symptoms upon reduction or cessation
- Continued use despite physical, psychological, or social harm
- Neglect of responsibilities (work, home, education)
- Reduction or abandonment of previously valued activities
- Risky use (e.g., driving under influence)
- Significant time spent obtaining, using, or recovering from substance use
When to Seek Help?
Early intervention improves recovery outcomes and reduces complications. Professional help is recommended if:
- There is loss of control over substance use
- Use continues despite negative consequences
- There are withdrawal symptoms or dependence features
- Functioning in work, relationships, or health is impaired
- There have been unsuccessful attempts to quit
Treatment Approach (Psychotherapy-Focused)
Foundational, non-confrontational, client-centred style. Enhances readiness to change and resolves ambivalence, especially in early stages.
Targets maladaptive thoughts and triggers. Focuses on:
- Coping skills training
- Cognitive restructuring
- Behavioural substitution strategies
Core long-term intervention based on Marlatt’s model. Identifies high-risk situations and warning signs while developing response plans.
Behavioural approach using positive reinforcement. Rewards abstinence or treatment adherence with strong evidence in stimulant and opioid use.
Addresses interpersonal dynamics contributing to use. Enhances support systems and reduces enabling behaviours.
Encourages engagement with recovery communities. Emphasizes accountability, acceptance, and ongoing support for long-term maintenance.
Integrates mindfulness with relapse prevention. Targets craving awareness, automatic patterns, and improves emotional regulation.
Focus on rebuilding daily routines and rewarding non-substance-related activities. Addresses anhedonia and lack of structure.
Understanding addiction as a chronic condition. Awareness of triggers, cravings, and relapse cycles to promote engagement.
Do you need Emergency Psychiatric Care?
Call @ 084210 25285
At Disha Neuropsychiatry Centre, we provide immediate psychiatric assistance in times of crisis. Our compassionate team is here to offer prompt and effective care.