Substance abuse and addiction are growing concerns across all age groups in today’s fast-paced and high-stress world. Addiction affects not only the physical health of an individual but also their mental, emotional, social, and occupational well-being. One of the most effective ways to treat and manage addiction is through the care and guidance of a trained psychiatrist.
As a Consultant Psychiatrist based in Kharadi, Pune, Dr. Sachin Dhanwade specializes in helping individuals break free from addiction and reclaim control over their lives through evidence-based psychiatric interventions.
Understanding Substance Abuse and Addiction
Substance abuse refers to the harmful or hazardous use of psychoactive substances, including alcohol, tobacco, and illicit drugs. Addiction, also known as substance use disorder (SUD), is a chronic brain disorder characterized by compulsive drug seeking, continued use despite harmful consequences, and long-lasting changes in brain function.
Substances commonly involved in addiction include:
Alcohol
Cannabis (Marijuana)
Opioids (Heroin, prescription painkillers)
Nicotine
Cocaine
Sleeping pills or anti-anxiety medications (e.g., benzodiazepines)
Addiction can also be behavioral (like gambling or internet use), and psychiatrists help manage both types.
The Role of a Psychiatrist in Treating Addiction
Psychiatrists are medical doctors trained in mental health, including substance use disorders. Their approach combines medical treatment, psychotherapy, and lifestyle guidance to offer holistic care. Here's how psychiatrists like Dr. Sachin Dhanwade help individuals struggling with addiction:
1. Comprehensive Assessment and Diagnosis
The first step is a thorough evaluation of the patient's physical, psychological, and social history. Psychiatrists assess:
Type and extent of substance use
Presence of co-occurring mental health issues (e.g., depression, anxiety, PTSD)
Motivation to quit
Family, work, and social dynamics
This helps in customizing a treatment plan based on the severity and individual needs.
2. Detoxification Support
Detox, or withdrawal management, is often the initial phase of treatment. Stopping certain substances suddenly can lead to dangerous withdrawal symptoms.
A psychiatrist provides medical supervision during detox and prescribes medications to ease symptoms such as:
Tremors
Anxiety
Seizures
Sleep disturbances
Cravings
Detox is just the beginning – it prepares the body for long-term psychological recovery.
3. Medication-Assisted Treatment (MAT)
In cases of alcohol or opioid addiction, psychiatrists may use medications to reduce cravings and prevent relapse. Examples include:
Naltrexone – blocks the effects of alcohol or opioids
Buprenorphine – helps reduce opioid withdrawal symptoms
Disulfiram – causes adverse effects if alcohol is consumed
Nicotine replacement therapy or varenicline for tobacco addiction
These medications are used along with counseling and are closely monitored.
4. Psychotherapy and Counseling
Therapy is the core of long-term addiction recovery. Psychiatrists either provide or coordinate structured counseling through:
Cognitive Behavioral Therapy (CBT) – helps patients recognize and change negative thought patterns and behaviors
Motivational Enhancement Therapy (MET) – builds motivation to quit
Relapse Prevention Therapy – identifies triggers and builds coping strategies
Family Therapy – involves loved ones for a supportive recovery environment
5. Treatment of Co-Occurring Disorders
Many people with addiction also suffer from other psychiatric conditions such as:
Depression
Anxiety
Bipolar disorder
Schizophrenia
Trauma-related disorders
A psychiatrist treats both addiction and the underlying mental health issues simultaneously, which is crucial for sustainable recovery.
6. Relapse Prevention and Long-Term Support
Addiction is a chronic condition, and relapses can occur. Psychiatrists help patients build resilience and maintain sobriety through:
Regular follow-up sessions
Medication adjustments
Coping skill training
Group therapy or support groups (like NA or AA)
Long-term psychiatric care ensures that patients stay committed to recovery goals.
When to Consult a Psychiatrist?
You or your loved one should consider consulting a psychiatrist if you notice:
Inability to control substance use
Repeated failed attempts to quit
Physical withdrawal symptoms
Declining mental health
Social withdrawal or occupational issues due to substance use
Addiction is treatable, and recovery is possible with the right support. If you or someone you know is struggling with substance abuse, don’t hesitate to seek professional help.
Dr. Sachin Dhanwade, Consultant Psychiatrist in Kharadi, Pune, offers compassionate, evidence-based treatment tailored to your needs. Take the first step toward a healthier, addiction-free life.
Read More:
Treatment Options for Depression | Dr. Sachin Dhanwade
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