We spoke with Dr. Adam Demner, a psychiatrist at The Center for Treatment of Anxiety & Mood Disorders, to understand the changing landscape of addiction treatment.
Q1: What are some current trends in addiction treatment?
We’re seeing a few big shifts. I think one of the greatest factors has been a long-overdue decrease in stigmatization, people are starting to understand that addiction commonly transcends willpower. More people are getting treatment in outpatient settings, and with telehealth, access has expanded incredibly. There’s also growing recognition that recovery isn’t just about stopping use, it’s about improving the quality of life—from physical health to personal relationships. Many programs now integrate mental health care, trauma therapy, and holistic interventions like mindfulness. We’re very grateful to be able to offer all of these as outpatient services here at The Centers.
Q2: How can someone tell it’s time to seek help?
If substance use is impacting work, school, relationships, or your health, that’s a sign to reach out. Other indications include needing more of a substance to feel the same effect, spending too much time or money on it, feeling anxious or physically unwell when not using, or having difficulty when trying to cut back. If you’re questioning whether use is a problem, that could be reason enough to get an evaluation.
Q3: What can I do if I’m worried about a loved one?
Start with a calm, caring conversation. Pick a time when they’re sober, and express concern rather than judgment—“I’m worried about you” goes further than “you need to stop.” In other words, strike when the iron is cold. It’s rarely helpful for anyone to add fuel to the fire. Offer to go with them to an appointment with their primary care doctor, this can be a big first step.
Avoid enabling behaviors like covering up for them or giving money. This last part is tricky, because the ‘line’ between enabling and supporting can be blurry—professional guidance can help with the confusion.
Q4: What types of treatment are available?
There are several levels of care:
- Detox or medical stabilization if withdrawal is a concern. For some situations, withdrawal can be dangerous without medical treatment, in some cases fatal.
- Residential or inpatient care for 24-hour structure and support over a few weeks or more.
- Intensive outpatient (IOP) or partial hospitalization (PHP) for those needing frequent therapy but are able to engage in treatment while living at home.
- Outpatient care for ongoing counseling, relapse prevention and medication management, when indicated.
The right level of care depends on severity, mental health needs, and what the home environment is like. There is absolutely no “one-size-fits-all” when it comes to addiction treatment.
Q5: What should people expect in recovery?
Recovery takes time and rarely follows a straight line. Relapse doesn’t mean failure, it’s often part of the recovery process and the potential guilt and shame must not be overlooked. Most people benefit from combining therapy, support groups, medication when needed, and strong social support.
Q6: What’s the best way to support a family member who is getting help for addiction?
Stay patient and involved. Attend family sessions if offered, set clear boundaries, and keep communication open. Learn about addiction so you can respond with understanding instead of frustration. In many ways, you are in a position of an “involuntary expert.” Advocating for a loved one without enabling their addiction is a very common challenge. Don’t forget your own self-care, support groups and therapy for families can make a big difference.
Q7: What’s your advice to someone just starting to worry about addiction?
Don’t wait for things to get worse. It’s not a matter of “will it get worse” but rather a question of “when.” As I’ve heard from many patients in one way or another, “every rock bottom has a trap door.” Talk to your doctor, a therapist, or reach out to a treatment center. Early intervention makes recovery easier. Even a short conversation with a professional can clarify what kind of support might help you or someone you love to move forward.