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Addictions

Reviewed by Dr. Kalman Khodik, PsyD, Licensed Psychologist (NY & NJ), Founder and Clinical Director

Addiction is a complex, chronic condition characterized by the compulsive engagement in a behavior or the use of substances, despite negative consequences. It often involves physical and psychological dependence, where a person feels unable to stop or control their actions or substance use. Addiction can manifest in various forms, including substance use disorders (such as alcohol or drug addiction) and behavioral addictions (such as gambling, shopping, or eating).

There are many reasons why people become addicted. People with anxiety, mood disorders, personality disorders, or other mental health problems are particularly vulnerable to becoming dependent on substance use or other forms of compulsive behaviors. For example, people find that drinking alcohol or taking drugs helps them initially to alleviate stress or emotional pain. However, doing so often worsens their life circumstances and mental health conditions. Ambivalence about own addiction and treatment is very common so working with a compassionate therapist can help make that shift and increase motivation.

For many individuals, the initial use of substances like alcohol or drugs can seem like a solution to stress or emotional turmoil. The temporary relief they provide can make it easy to develop a dependency. However, the long-term effects of addiction typically exacerbate the very issues it was initially used to escape. This can lead to a cycle of self-destructive behavior, where the addiction deepens and mental health deteriorates further. Understanding the root causes of addiction is an essential part of treatment, as it allows for a more comprehensive approach to recovery.

One of the most challenging aspects of addiction is the ambivalence that many individuals feel about their own behaviors and the need for treatment. This uncertainty can make it difficult to take the first step toward recovery. A compassionate therapist can play a key role in helping individuals navigate these conflicting feelings. By providing a supportive and nonjudgmental environment, a therapist can help increase motivation, address emotional pain, and guide clients toward healthier coping strategies. Through therapy, individuals can begin to make the shift toward lasting recovery and a better quality of life.

Reviewed by Dr. Kalman Khodik, PsyD, Licensed Psychologist (NY & NJ)

Dr. Kalman Khodik, PsyD, is a licensed psychologist in New York and New Jersey and the Founder and Clinical Director of Avita Psychological Care and Avita Integrative Care. He earned his doctorate in clinical psychology from Widener University and completed advanced clinical training at the Karen Horney Clinic in New York City. Dr. Khodik specializes in depth-oriented, psychodynamic therapy and provides clinical leadership and supervision for Avita’s team of therapists.