What is addiction?
Addiction, clinically called substance use disorder, is a treatable medical condition, not a character flaw. It develops when alcohol or drug use continues despite harm to health, work, or relationships. Substance use disorders range from mild to severe and can involve alcohol, opioids, cannabis, stimulants, sedatives, or prescription medications.
Common warning signs include:
- Using more, or for longer, than intended
- Cravings and unsuccessful attempts to cut back
- Needing more to get the same effect (tolerance) and withdrawal symptoms when stopping
- Neglecting responsibilities or giving up activities
- Continuing to use despite problems it causes
How Dr. Green can help
Substance use rarely exists on its own. Many people drink or use to cope with depression, anxiety, trauma, ADHD, or sleep problems, and those conditions need treatment too. This is called dual diagnosis, or co-occurring disorders, and it's where a psychiatrist adds real value. Dr. Green, a board-certified psychiatrist with more than 40 years of medical experience, evaluates both the substance use and the underlying mental health picture, then builds a plan that addresses both.
What treatment looks like
Treatment meets you where you are, whether you want to quit entirely or are still deciding. Psychotherapy explores what drives the use, how it affects your relationships, and what a healthier life could look like. Ongoing visits support relapse prevention and may include recovery monitoring such as drug screening. When a higher level of care is needed, Dr. Green can help coordinate with outpatient programs, residential treatment, and support groups.
Is medication involved?
It can be. Medication-assisted treatment is a proven tool for reducing cravings and preventing relapse. For alcohol use disorder, options include naltrexone, acamprosate, and disulfiram. For opioid use disorder, medications such as buprenorphine or naltrexone may be considered when appropriate. Treating co-occurring depression, anxiety, or ADHD with the right medication can also make recovery more sustainable. Dr. Green avoids habit-forming medications whenever possible and explains every option clearly.
Common questions about addiction
Do I have to hit rock bottom before getting help?
No. The earlier substance use is addressed, the easier recovery tends to be. If you're worried about your drinking or drug use, or someone close to you is, that concern alone is reason enough to talk with a professional.
Is addiction treatment confidential?
Yes. Substance use treatment records carry strong federal privacy protections, in addition to standard medical confidentiality. Information isn't shared with employers or family without your written consent, except in rare legally required situations.
Addiction treatment in Minneapolis, Excelsior and online
Recovery is possible, and asking for help is the first step. Dr. Green provides confidential substance use treatment for adults and adolescents at his Minneapolis and Excelsior offices and through telehealth. Dr. Green is accepting new patients. Call the office to talk about next steps.