What are Substance Use Disorders (SUDs)?

Substance Use Disorders (SUDs), including dependence on alcohol, tobacco, and cannabis, are chronic, relapsing brain diseases characterized by compulsive substance seeking and use despite harmful consequences. SUDs are complex, influenced by biological, psychological, and social factors, and they fundamentally change the brain's reward system. Seeking the expertise of a psychiatrist specializing in addiction is vital, as co-occurring mental health conditions frequently fuel the addiction cycle.

Dual Diagnosis and Comprehensive Care

Dr. Sravani Behara provides comprehensive management based on a dual diagnosis model: simultaneously treating the substance use disorder and any underlying or co-existing mental illnesses (e.g., depression, bipolar disorder, or anxiety). This integrated approach is critical for successful, long-term recovery. Treatment begins with a detailed assessment to determine the extent of dependence and the most appropriate level of care, including detoxification support when necessary.

Common Issues We Address

• Uncontrollable cravings and compulsive use of alcohol, cannabis, or tobacco.

• Difficulty reducing or stopping substance use despite clear negative consequences.

• Withdrawal symptoms when attempting to quit.

• Tolerance—needing increasing amounts of the substance to achieve the desired effect.

• Relapse prevention and management of high-risk situations.

• Co-occurring psychiatric illnesses (Anxiety, Depression) that maintain the cycle of addiction.

Integrated Recovery for Long-Term Sobriety

Treatment involves a combination of pharmacological interventions (medications to reduce cravings and manage withdrawal symptoms) and evidence-based psychological therapies. Dr. Behara guides patients through relapse prevention planning, motivational strategies, and developing healthier coping mechanisms, empowering them to sustain sobriety and rebuild a fulfilling life.

How to Support Someone with a Substance Use Disorder

• Avoid enabling behavior: Do not cover up their mistakes, lend money that will fund substance use, or take responsibility for their sobriety.

• Set and maintain firm boundaries: Define clear, non-negotiable boundaries regarding their substance use in your presence or home, and follow through on the consequences.

• Support recovery efforts: Encourage them to attend their counseling sessions, doctor appointments, and support group meetings.

• Focus on the person, not the addiction: Remind them of their worth and potential, and celebrate their commitment to recovery, especially during periods of relapse.