The word addiction is frequently used in our society to describe everything from playing video games all day to working 90 hours per week. The truth is that addictive disorders are as varied as the people and family members who experience them.

Many people wonder, "Do I have a problem with drinking too much?" or "Are these pain pills hurting me?" Others go through the motions and attend treatment even though they're not interested in making changes.

Unfortunately, most substance abuse treatment centers employ a "one size fits all" approach. Typical treatment consists of detoxification, group therapy, and a referral to a twelve-step group. This approach works for many, however, some do not seem to respond. I advocate an individualized approach based on outcome research. Everyone is different so every treatment plan is different. The program has several key components:

1. In-depth evaluation of important factors such as development history, family dynamics, coping strategies, strengths vs. barriers, readiness to change, behavioral health symptoms, functional analysis, and craving assessment.
2. Comprehensive treatment based on the findings of the evaluation. For example, if readiness to change is a barrier, the treatment plan focuses on developing motivation with specific interventions helping with importance and confidence factors. In addition, skill acquisition and implementation can be extremely beneficial with changing a self-defeating behavior like putting oneself down worrying.
3. Development of a social support network of people to break out of isolation and loneliness. Also, engaging in pleasurable activities with others in the social support network is emphasized.
4. Overall development of a lifestyle that values health and wellness.