Philosophy of Care

          Welcome to my practice. Substance abuse and in particular addictive disorders are chronic conditions. This means they are long-lasting and subject to relapse if not adequately treated and arrested. Over time these conditions progress and become worse without intervention. In most cases treatment involves an “identified patient.” This is the person whom has been identified as having “the problem.” This person is the addict, the substance abuser, etc. However, addiction is a family illness. It does not occur in a vacuum, but in context. This context may include family, friends, employers, schools and the community at large. As such (and with permission from the client) these influencers may be included in the treatment process. The goal is to create and maintain changes in the patient’s environment, which will bolster and support the goal of recovery and sustained improvement.

          The patient always comes first. I will do everything in my power to always act in your best interests. All therapy is provided only with your consent and confidentiality is strictly adhered to with the exception of a few circumstances where I may be required to break the therapist-patient standard of privileged communications.

            Therapy requires courage. The process often involves talking about things we rather not face. I believe that problems should be confronted and that challenges should be faced. How much you grow in therapy is contingent upon how much effort you put forth. One must be an active participant in their therapy and not a passive bystander or spectator. Therapy can be a relatively lengthy process, you don’t undo years of thinking, feeling and behaving in just a few nights. Thus, therapy requires commitment. It requires a willingness to hang on and to face the inevitable ups and downs.

         Therapy is for talking about the things we rather not talk about. This is what requires the most effort and courage. Anyone can breach subjects that are not threatening to them. However, it is much more difficult to address issues which may cause us pain or fear. We rather not look at these.

         There are times when a legitimate mental health disorder is present. And at times these may require or benefit from pharmacology. However, we will try to exhaust other avenues first and only turn to a medicinal solution if absolutely necessary or it is agreed to be warranted. Consultation with a psychiatrist will be recommended in these cases. 

Miami Substance Abuse Therapist