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Managing Alcohol and Drug Use

Managing Change and Maintain Psychological Services provides in-person appointments in Lexington, MA, and online appointments to Massachusetts, Connecticut, Rhode Island, and New Hampshire

Alcohol and drugs can devastate lives, and there are many intensive treatment programs that can help people with serious substance use disorders reclaim their lives. 

Achieving long term recovery from substance use disorders usually requires ongoing support. 12-step programs, and cognitive behavioral support programs like SMART Recovery (Self Management and Recovery Training) will typically be part of a longer term recovery program. Individual therapy can also be a powerful tool in your recovery toolkit, helping you address vulnerabilities and strengths and identify the particular thoughts and behaviors that can help or hinder your recovery. 

In addition to those people who clearly struggle with substance use disorders, there are many people who may function effectively overall while overusing substances but notice their substance use is chipping away at quality of life in numerous small ways. If you use substances regularly, you may notice unwelcome consequences such as:

  • Frequent hangovers
  • Disrupted and unrefreshing sleep
  • Constant thoughts about drinking or drug use
  • Planning in the morning not to use, then ending up using anyway
  • Rationalizing your alcohol or drug use (e.g., "It's been a tough day," "It's time to celebrate")
  • Not remembering some things that happened while you were drinking or using drugs
  • Feeling like people are annoyed with you and not really knowing why
  • Irritability
  • Replaying last night to see if you did or said anything stupid, offensive, or insensitive
  • Digestive problems 
  • High blood pressure
  • Spending money you could save or use to purchase more meaningful or lasting things or experiences

Cognitive behavior therapy can be very effective in developing new approaches to drinking and substance use. In some cases, it may not be necessary to give up substances use entirely, or you may decide complete abstinence from drugs and alcohol will made your life richer and fuller. Whatever your specific goal, if you are interested in getting better control over your alcohol or drug use, I am eager to help. If I feel your substance use is too severe for outpatient care, I can help you find the higher level of care that you need.  

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9:00 am - 5:00 pm


Lexington Office

11:00 am - 7:00 pm



9:00 am - 8:00 pm



9:00 am - 12:00 pm







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