Understanding substance use concerns
Substance use disorder involves a pattern of alcohol or other drug use that causes significant problems or distress. Difficulties can range in severity. A person may find it hard to reduce use even when they recognize its consequences. These concerns are health issues, not evidence that someone lacks character or deserves blame. Mental health and substance use concerns can occur together and should both receive attention.
What daily life can feel like
You may spend more time than intended using a substance, recovering from its effects, or thinking about the next opportunity to use it. Cravings or repeated unsuccessful efforts to cut back can feel discouraging. Some people use substances while trying to manage anxiety, sleep problems, emotional pain, or social pressure. The reasons for use and the effects on a person’s life vary. Physical dependence and withdrawal require careful assessment; dependence alone is not the same as a substance use disorder.
How substance use can affect your life
Substance use can affect health, judgment, sleep, finances, and relationships. Responsibilities may become harder to manage, or important activities may fall away. Fear of judgment can make it more difficult to ask for support. Someone may want change while feeling uncertain about what change should look like. A respectful conversation can explore both concerns and goals without assuming that every person has the same experience or needs the same plan.
How assessment and care can help
Assessment considers substances used, patterns over time, medical history, mental health symptoms, withdrawal risk, and current supports. Treatment may include counseling, medications for certain substance use disorders, recovery supports, or a combination. Harm reduction focuses on reducing harms and supporting practical steps toward health. Withdrawal can sometimes be medically dangerous, so the appropriate setting for care matters. Outpatient psychiatric care is not a substitute for medically supervised withdrawal management or emergency services. Specific medications and services depend on clinical suitability and confirmed practice availability.
Examples include motivational interviewing and CBT-based relapse-prevention strategies. Specialized programs may offer contingency management, particularly for stimulant use disorder. These options may require referral and do not describe a guaranteed in-house service menu.
Exploring care at Mountain States Psychiatry
Our proposed Colorado practice serves adults and adolescents ages 12 and older, with individual review of whether the available services fit each person’s needs. Our proposed approach emphasizes nonjudgmental assessment, shared goals, and consideration of co-occurring mental health concerns. New Patients and Insurance and Billing explain the planned process and self-pay information. This preview does not accept bookings or promise detoxification, a particular addiction medication, or a specific treatment outcome. Educational information cannot replace an individual clinical assessment.
Assessment & additional information
Harm Reduction
Harm reduction meets you where you are, without judgment. It focuses on reducing overdose, infections, and other harms while supporting your goals, whether those include reducing or stopping substance use. You do not have to be ready for abstinence to seek support.
Care may include overdose-prevention education, naloxone access, safer-use strategies, and connections to community resources. Important safety topics include avoiding substance use alone and the risks of combining opioids with alcohol or sedatives. If an overdose is suspected, call 911, even if naloxone has been given.
Supporting resources
Buprenorphine/Naloxone (Suboxone)
Buprenorphine/naloxone is a prescription treatment for opioid use disorder that can reduce withdrawal symptoms and cravings. Suboxone is one brand. The naloxone in this medication is not a substitute for emergency overdose-reversal naloxone.
Starting treatment requires an individualized plan because taking buprenorphine too soon after certain opioids can trigger sudden withdrawal. Ongoing care includes monitoring and support. Alcohol, benzodiazepines, and other sedating substances can increase the risk of dangerous sedation and slowed breathing. Share all medication and substance use with your clinician so risks can be addressed without automatically excluding you from treatment.
Supporting resources
Naltrexone (Vivitrol)
Naltrexone can support treatment for alcohol use disorder. It is available orally and as Vivitrol, an extended-release injection administered by a healthcare professional approximately monthly. Vivitrol also helps prevent a return to opioid use in adults following opioid detoxification; it does not treat acute withdrawal.
Assessment includes liver health and recent opioid use because starting too soon after opioids can cause severe withdrawal. Opioid overdose risk increases when an injection wears off, is missed, or treatment stops; attempting to overcome its blocking effect can be fatal. Liver injury and injection-site reactions are additional risks to discuss. Suitability and injection arrangements are assessed individually.
When clinically appropriate, Mountain States Psychiatry can prescribe oral naltrexone or long-acting injectable naltrexone (Vivitrol). Vivitrol administration must be coordinated at a designated site.
Supporting resources
Further reading
- NIH Substance Use Disorders
- SAMHSA Treatment Options for Substance Use Disorder
- SAMHSA Co Occurring Disorders
- SAMHSA Harm Reduction Preparing People for Change
- NIDA Preventing and Recognizing Prescription Drug Misuse
- SAMHSA stimulant use disorder treatment
Educational resources reviewed October 27, 2026. This information is not a diagnosis or an individualized treatment recommendation.
Planning your next step
New Patients · Insurance & Billing
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