
Substance Use & Addiction
When Is Substance Use A Problem?
Using substances is different from having a substance use issue. Many people are able to use substances, like alcohol, caffeine or cannabis, from time to time without significant problems. Simply using a substance, any substance, does not necessarily mean someone has a substance use problem.
Substance use is problematic when it involves a pattern of harmful use that persists despite negative consequences of using. Substance use issues can impact various areas of life, including physical health, mental health, relationships, and work or school performance. Substance use issues often co-occur with other mental health conditions, such as anxiety, depression, and bipolar disorders. Substance use can also impair judgment and cognitive functions, thus leading to risky behaviours and poorer academic or occupational performance. Relationships with others may become strained or damaged as a result of substance use issues, resulting in isolation and loss of social support.
What Are Substance Use Disorders (SUDs)?
A Substance Use Disorder (SUD), sometimes referred to as a substance or drug addiction at more severe levels, may apply when someone has significant difficulty managing their substance use and the negative impacts it has on their life.
Key signs that someone may have substance use issue or a SUD include:
Difficulty with controlling use (e.g., using the substance in larger amounts or with greater frequency than intended)
Being unable to stop using the substance despite a desire to cut down
Investing a lot of time into getting, using the substance, or recovering from use
Persistent cravings or urges to use the substance
Not being able to do usual tasks or giving up on social, occupational, or recreational activities because of substance use
Continued use despite harms (e.g., health, relationship, work, or legal problems) and putting yourself in dangerous, risky, or unsafe situations to use substances
Needing more of the substance to achieve desired effect (i.e., developing tolerance)
Experiencing withdrawal symptoms when substance use is reduced or terminated
How Do We Treat Addiction And Substance Use?
Substance Use Disorders (SUDs) are usually treated with a combination of therapeutic interventions and medication to alleviate withdrawal symptoms. Treatment varies depending on severity and what type of substance was used. In severe cases, individuals may require medical supervision to ensure safe withdrawal and detoxification from substances like alcohol and opioids. Therapeutic interventions, such as Cognitive-Behavioural Therapy (CBT), can help people with SUDs identify and reframe unhelpful thinking patterns related to substance use.
Understanding what triggers their substance use, limiting access to substances, and developing alternate coping strategies for managing distress are important steps to prevent relapse. Practicing mindfulness can be helpful for accepting feelings of discomfort and pain without using substances and learning how to let cravings come and go without acting on them. Contingency management can help by providing individuals with small rewards for successfully abstaining from substance use for a certain period of time or meeting treatment goals. Peer support groups can also help encourage and keep people accountable as they navigate recovery.
Seeking Addiction Therapy In Toronto?
WG Psychology is a mental health clinic dedicated to providing compassionate, evidence-based assessment and psychotherapy services for adults. We offer addiction therapy in Toronto for adults aged 18-65 struggling with substance use and its consequences. Our clinic’s approach to therapy for addiction pulls from numerous psychotherapy orientations, including Cognitive-Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Motivational Interviewing (MI). WG Psychology’s skilled clinicians treat addictions in Toronto both in-person at our downtown location and virtually for anyone located in Ontario. Connect with us to book an appointment!
Toronto Addiction Treatment Team
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Dr. James Watson-Gaze, C.Psych
Clinical Psychologist & Clinic Director
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Nicole Lacy, RP
Registered Psychotherapist
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Imran Juma, MSc.OT, OT Reg. (Ont.)
Occupational Therapist
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Dr. Joseph Rootman
Clinical Psychologist (Supervised Practice)
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Dr. Justin Dubé
Clinical Psychologist