• Rosina Roibal

Substance abuse and addiction

Updated: Mar 20

I specialize in addiction and substance abuse, and have a lived experience that informs my practice. Click here to read more about me. I do meet you where you are at and I honor and respect your experience and wisdom, as well as your goals. Click here to read how I work with clients.

Self-medicating, coping, escaping, numbing, addiction...these are some of the reasons we use or abuse alcohol, drugs, and even work and people. Some people can control their substance use, but many people cannot. Addiction is the desire to control our substance use, but not being able to. When we struggle to control our use and it makes our lives unmanageable, we need help. Addiction is powerful and very hard to solve on our own. Admitting we have a problem and accepting help are the first steps to recovery. Help can be found in a variety of settings, such as therapy, moderation management/harm reduction, rehab, medication, and 12-step support groups. 12-step support groups, such as Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, CODA, Food Addicts Anonymous, are the most successful ways to recover from addiction. It can also be helpful to combine approaches, such as AA and therapy. However, it's important for folks to identify what works for them. 12-step groups have a spiritual foundation, though there are many meetings specifically for agnostic/atheist folks, and there is no requirement for membership besides the desire to stop drinking/using.

If you are drinking (or using drugs) heavily, please seek medical support because suddenly stopping may cause withdrawals (shaking, sweating, headache, insomnia, anxiety, vomiting, etc.). Click here for resources.

Admitting that we can't control our substance use is hard and can conjure feelings of shame and demoralization, which in turn, leads to more use, forming a viscous cycle. Self-compassion is important to practice, especially by learning about addiction as a disease and how cunning, baffling, and powerful it is. Accepting help is an act of courage. Surrender to healing, recovery, and health. You deserve it. Don't forget, "progress, not perfection!"

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