Addiction & Substance Use Disorder Treatment

Compassionate, evidence-based psychiatric care for addiction and substance use disorders via telepsychiatry across California.

Understanding Addiction & Substance Use Disorders

Addiction and substance use disorders are serious, complex medical conditions — not moral failures or signs of weakness. They affect millions of people across the United States and can devastate health, relationships, careers, and quality of life. Yet with the right psychiatric care, recovery is absolutely possible.

At PsychBright Health, our board-certified psychiatrists specialize in the diagnosis and treatment of addiction and substance use disorders. We take a compassionate, non-judgmental approach — meeting patients where they are and building individualized treatment plans that support lasting recovery. Whether you are in Los Angeles or anywhere else in California, we are here to help.

What Are Substance Use Disorders?

A substance use disorder (SUD) is a medical condition in which a person’s use of alcohol or drugs causes significant impairment or distress. It is characterized by a pattern of compulsive use despite negative consequences — including health problems, relationship difficulties, financial strain, and legal issues.

Substance use disorders exist on a spectrum from mild to severe, and they involve real changes in brain chemistry and structure that drive compulsive use even when a person wants to stop. This is why willpower alone is rarely sufficient — effective treatment addresses the underlying neurobiology alongside the psychological and social factors driving use.

Substance Use Disorders We Treat

Our psychiatrists are experienced in evaluating and treating a wide range of substance use disorders, including:

Alcohol Use Disorder
One of the most prevalent substance use disorders, alcohol use disorder involves a problematic pattern of drinking that causes distress or impairment. It ranges from mild to severe and can have serious physical health consequences including liver disease, cardiovascular damage, and neurological effects.

Opioid Use Disorder
Opioid use disorder involves dependence on prescription opioids (such as oxycodone or hydrocodone) or illicit opioids such as heroin or fentanyl. It carries significant risks including overdose, and responds well to medication-assisted treatment (MAT). Learn more about our Medication-Assisted Treatment and In-Home Opioid Detox.

Stimulant Use Disorder
Includes problematic use of cocaine, methamphetamine, or prescription stimulants. Stimulant use disorder can cause significant psychiatric symptoms including paranoia, psychosis, anxiety, and severe depression during withdrawal.

Cannabis Use Disorder
Despite widespread perception that cannabis is not addictive, a significant proportion of regular users develop cannabis use disorder — characterized by inability to cut down, continued use despite negative consequences, and withdrawal symptoms upon cessation.

Benzodiazepine Use Disorder
Dependence on prescription benzodiazepines (such as Xanax, Valium, or Klonopin) is a growing concern. Benzodiazepine withdrawal can be medically dangerous and requires careful, supervised management.

Sedative, Hypnotic, and Anxiolytic Use Disorders
Including dependence on sleep medications and other CNS depressants.

Co-occurring Substance Use and Mental Health Disorders
Many patients with substance use disorders also have co-occurring psychiatric conditions such as depression, anxiety, PTSD, or ADHD — a situation known as a dual diagnosis. Treating both conditions simultaneously is essential for lasting recovery.

Recognizing the Symptoms

Substance use disorders can be difficult to recognize, particularly in the earlier stages when use still feels manageable. Signs that substance use may have become a disorder include:

  • Using more of a substance than intended, or for longer than planned
  • Persistent desire or unsuccessful efforts to cut down or stop use
  • Spending significant time obtaining, using, or recovering from the substance
  • Strong cravings or urges to use
  • Failing to fulfill obligations at work, school, or home due to use
  • Continuing to use despite recurring social or interpersonal problems caused by use
  • Giving up important activities because of substance use
  • Using in situations where it is physically dangerous
  • Continuing to use despite knowing it is causing or worsening physical or psychological problems
  • Tolerance — needing more of the substance to achieve the same effect
  • Withdrawal symptoms when cutting down or stopping use

How Substance Use Disorders Are Diagnosed

Substance use disorders are diagnosed through a comprehensive psychiatric evaluation. A psychiatrist reviews the pattern, frequency, and consequences of substance use, assesses physical dependence and withdrawal risk, evaluates co-occurring mental health conditions, and reviews medical and psychiatric history.

Diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are used to confirm the diagnosis and determine severity. Medical evaluation may also be recommended to assess physical health consequences of substance use.

Identifying and treating co-occurring mental health conditions — such as depression, anxiety, PTSD, or ADHD — is an essential part of comprehensive addiction treatment, as these conditions are often a driving force behind substance use.

What Causes Addiction?

Addiction is a complex condition with multiple contributing factors. Understanding these helps our psychiatrists build more effective, personalized treatment plans.

Common contributing factors include:

  • Genetics — Addiction runs in families. Genetic factors account for approximately 40–60% of the risk for developing a substance use disorder.
  • Brain chemistry — Substances hijack the brain’s reward system, flooding it with dopamine and creating powerful associations between use and pleasure that drive compulsive behavior.
  • Mental health conditions — Depression, anxiety, PTSD, and ADHD significantly increase the risk of substance use disorders, as individuals often use substances to self-medicate symptoms.
  • Trauma and adverse childhood experiences — Early trauma is one of the strongest predictors of substance use disorder development.
  • Chronic stress and environment — High-stress environments, social isolation, and peer influence all contribute to risk.
  • Early onset of use — Beginning substance use in adolescence significantly increases the lifetime risk of developing a disorder.

When to See a Psychiatrist for Addiction

Seeking help for a substance use disorder is one of the most important decisions a person can make. You should consider speaking with a psychiatrist if:

  • You have tried to cut down or stop using and have been unable to
  • Substance use is affecting your work, relationships, health, or finances
  • You are using substances to cope with stress, anxiety, depression, or trauma
  • You experience withdrawal symptoms when you stop using
  • You are concerned about someone else’s substance use
  • You have a history of substance use problems and feel at risk of relapse
  • You have a co-occurring mental health condition alongside substance use
  • You have previously attempted treatment but have not found lasting recovery

If any of these resonate with you, a psychiatric evaluation is a strong next step. There is no judgment here — only support.

Our Approach to Addiction Treatment

At PsychBright Health, we take a comprehensive, compassionate, and evidence-based approach to addiction treatment. We understand that substance use disorders are medical conditions driven by complex factors — and that recovery is a process, not an event. Our psychiatrists work closely with each patient to understand their unique situation and build a treatment plan that gives them the best chance of lasting recovery.

How We Treat Addiction & Substance Use Disorders

Comprehensive Psychiatric Evaluation

Every patient begins with a thorough psychiatric evaluation to assess the nature and severity of the substance use disorder, identify any co-occurring mental health conditions, evaluate withdrawal risk, and understand the patient’s history, goals, and circumstances. This evaluation forms the foundation of an individualized treatment plan.

Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment combines FDA-approved medications with counseling and behavioral support to treat substance use disorders. MAT is particularly effective for opioid and alcohol use disorders and significantly reduces the risk of relapse and overdose.

  • For opioid use disorder: Buprenorphine (Suboxone) and naltrexone (Vivitrol) are the primary medications used to reduce cravings, prevent withdrawal, and block the effects of opioids.
  • For alcohol use disorder: Naltrexone, acamprosate, and disulfiram are effective pharmacological options that reduce cravings and support abstinence.

Learn more about our Medication-Assisted Treatment program.

In-Home Opioid Detox

For patients requiring opioid detoxification, we offer a supervised in-home detox program that allows patients to safely manage withdrawal in the comfort and privacy of their own home. Learn more about our In-Home Opioid Detox service.

Co-occurring Mental Health Treatment

Treating co-occurring psychiatric conditions is central to our addiction treatment approach. Depression, anxiety, PTSD, and ADHD are common drivers of substance use — and without addressing them, relapse risk remains high. Our psychiatrists treat both the substance use disorder and any co-occurring conditions simultaneously. Learn more about our treatment for Depression, Anxiety, and PTSD.

Therapy Coordination

Behavioral therapies are an essential component of addiction treatment. We coordinate with therapists providing evidence-based approaches including:

  • Cognitive Behavioral Therapy (CBT) — identifying and changing thought patterns and behaviors that drive substance use
  • Motivational Interviewing (MI) — building and strengthening the patient’s own motivation and commitment to change
  • Contingency management — reinforcing abstinence and positive behavior changes
  • Relapse prevention strategies — identifying triggers, developing coping skills, and building a sustainable recovery lifestyle

Lifestyle and Holistic Support

Recovery is supported by broader lifestyle changes that reduce relapse risk and support overall wellbeing, including regular exercise, sleep hygiene, stress management, social connection, and nutritional support.

Ongoing Monitoring and Follow-Up

Recovery is an ongoing process. We provide regular follow-up appointments — in-person or via Telepsychiatry — to monitor progress, manage medications, address setbacks without judgment, and provide continuous support throughout the recovery journey.

Addiction Psychiatrist Across California

We offer secure, HIPAA-compliant video appointments for patients throughout California. Telepsychiatry removes barriers to care — including stigma, transportation, and scheduling — that can prevent people from seeking help for substance use disorders.

Related Conditions We Also Treat

Substance use disorders frequently co-occur with other mental health conditions. At PsychBright Health, we also provide psychiatric care for:

  • Depression — one of the most common co-occurring conditions with substance use disorders
  • Anxiety Disorders — frequently drive self-medication with alcohol and substances
  • PTSD — trauma history is a major driver of substance use disorders
  • ADHD — untreated ADHD significantly increases risk of substance use problems
  • Insomnia and Sleep Disorders — sleep disruption both drives and results from substance use
  • Bipolar Disorder — substance use disorders are highly prevalent in people with bipolar disorder

Why Choose PsychBright Health for Addiction Treatment?

  • Board-certified psychiatrists with expertise in addiction psychiatry and dual diagnosis treatment
  • Compassionate, non-judgmental care — we treat addiction as the medical condition it is
  • Medication-Assisted Treatment including buprenorphine, naltrexone, and acamprosate
  • In-home opioid detox for patients who prefer to manage withdrawal privately at home
  • Integrated dual diagnosis treatment addressing both substance use and co-occurring mental health conditions
  • Most major insurance plans accepted
  • Same-week appointments available
  • Telepsychiatry across California

How Addiction Treatment Improves Quality of Life

Recovery from addiction opens the door to a life that substance use had closed off. Patients who engage in treatment report improvements in physical health, mental clarity, relationships, financial stability, and overall sense of purpose. The shame, secrecy, and isolation that addiction creates begin to lift. Family relationships heal. Career trajectories improve. And perhaps most significantly, patients rediscover a sense of agency over their own lives — the ability to make choices based on their values rather than their cravings.

Recovery is not a straight line, but with the right support, it is absolutely achievable — and it is worth it.

Frequently Asked Questions

Is addiction really a medical condition?

Yes. Addiction is recognized as a chronic brain disorder by every major medical organization, including the American Medical Association, the American Psychiatric Association, and the National Institutes of Health. It involves real changes in brain structure and function and responds to medical treatment just like other chronic conditions such as diabetes or hypertension.

What is medication-assisted treatment (MAT)?

MAT combines FDA-approved medications with counseling and behavioral therapies to treat substance use disorders. It is the most effective treatment approach for opioid use disorder and is highly effective for alcohol use disorder. Medications such as buprenorphine and naltrexone reduce cravings, prevent withdrawal, and significantly lower the risk of relapse and overdose.

Do I need to be completely ready to stop using to seek help?

No. Many people seek help while still ambivalent about stopping. Our psychiatrists are trained in motivational approaches and meet patients wherever they are in their readiness to change. Starting a conversation with a psychiatrist is a positive step regardless of where you are in the process.

What if I have tried treatment before and relapsed?

Relapse is a common part of the recovery process for many people — it does not mean treatment has failed or that recovery is impossible. It often signals that the treatment plan needs to be adjusted. We approach relapse without judgment and work with patients to understand what happened and strengthen the recovery plan going forward.

Do you treat dual diagnosis (addiction and mental health)?

Yes. Treating co-occurring mental health conditions alongside substance use disorders is central to our approach. Leaving an underlying condition like depression, anxiety, or PTSD untreated dramatically increases relapse risk.

Do you offer telepsychiatry for addiction treatment?

Yes. We offer secure, HIPAA-compliant video appointments for patients across California, including for medication-assisted treatment, evaluation, and follow-up care.

Do you accept insurance?

Yes. PsychBright Health accepts most major insurance plans. Call us at (213) 584-2331 to confirm your coverage.

How quickly can I get an appointment?

We typically offer same-week appointments. Call (213) 584-2331 or submit a request online and our team will follow up within one business day.

Get Help for Addiction Today

You do not have to face addiction alone. Our experienced psychiatric team is ready to help — with compassion, expertise, and a treatment plan built around your specific needs and goals.

Schedule an appointment with a board-certified psychiatrist at PsychBright Health today. Telepsychiatry appointments are available across California.

Call (213) 584-2331 or submit an appointment request online.

1180 S Beverly Dr #700, Los Angeles, CA 90035 · Monday–Friday, 8:00 AM–5:00 PM

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