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What Kind of Professionals Should I Be Seeing? 9 People You’ll Likely Work With in Mental Health and Addiction Recovery

Recovering from an addiction or mental health condition is a team effort involving clinical, therapeutic, and medical professionals. But how do you know whom to add to the team? Where should you start?

We’ll explore who’s usually involved in mental health and addiction treatment, why they’re there, and how to find professionals who fit your recovery needs. 

Understanding the Mental Health and Addiction Care Team

When you enter a mental health or addiction treatment program, you’ll likely work with several different professionals as part of your care team. The range can be broad, from psychiatrists and therapists to specialists in areas like trauma-informed yoga. While every program is different, there are a few core healthcare professionals you’re most likely to encounter. 

Infographic explaining 8 common mental health and addiction provider credentials. Shows LPC (Licensed Professional Counselor), LMFT (Licensed Marriage & Family Therapist), LCSW (Licensed Clinical Social Worker), LMHC (Licensed Mental Health Counselor), CADC (Certified Alcohol & Drug Counselor), PsyD (Doctor of Psychology), PhD (Doctor of Philosophy), and MD (Doctor of Medicine). Each credential includes icon and brief description of services provided. Brain with checkmarks icon in top right corner.

Here’s who they are and why they’re considered essential to your recovery:

1. Therapists and Counselors

A therapist is a licensed mental health professional, typically with a master’s degree in counseling, social work, or marriage and family therapy (e.g., LPC, LCSW, LMFT). Therapists provide individual, couples, family, or group therapy, and many have additional training in specific modalities like Eye Movement Desensitization and Reprocessing (EMDR), cognitive behavioral therapy (CBT), or trauma-informed care. They support clients through various emotional and behavioral challenges, helping them build coping strategies, improve relationships, and enhance overall well-being. 

Therapists are trained to address issues such as grief, life transitions, substance use, trauma, and more, always emphasizing safety, healing, and client empowerment.

2. Psychologists

A psychologist is a mental health professional1 with advanced training in human behavior, emotional processes, and mental disorders. Clinical psychologists hold a doctoral degree (Ph.D., Psy.D., or Ed.D.) and are licensed to assess, diagnose, and treat a wide range of psychological issues, including depression, anxiety, eating disorders, personality disorders, psychotic disorders, and more. They often provide evidence-based therapies and may also conduct psychological testing. 

Psychologists work in diverse settings such as hospitals, clinics, rehabilitation centers, schools, and private practices.

Infographic titled 'Signs Your Therapist or Provider May Not Be the Right Fit' with illustration of patient and therapist in session. Lists 8 warning signs with icons: Feel Worse After Most Sessions (rain cloud), Don't Feel Heard or Understood (ear with sound waves), Therapist Does Most of the Talking (speech bubbles), Hard to Be Honest or Open (lock), Start Avoiding or Dreading Sessions (calendar with X), Feel Judged or Not Taken Seriously (thumbs down), Their Methods Don't Help (crossed out list), and Not Seeing Any Progress Over Time (downward trending graph).

3. Social Workers

Licensed clinical social workers (LCSWs)2 are trained mental health professionals who support patients both clinically and practically. In addition to providing therapy for substance use and mental health issues, they help patients manage the real-world logistics of recovery, like securing housing, applying for benefits, or coordinating follow-up care. 

For example, if someone is transitioning out of inpatient treatment, an LCSW might help them find outpatient services, connect with support groups, or access community resources that ease the shift back into daily life. Their role is especially valuable for patients navigating complex systems or multiple levels of care.

4. Medical Providers

Medical providers attend to medical recovery needs, like managing withdrawals, side effects of substance use or medications, and ensuring any co-occurring conditions like diabetes stay treated while you’re recovering. Medical providers include doctors, nurses, psychiatric nurse practitioners, and other medical staff. Doctors and physicians can diagnose mental health disorders and provide some mental health services, including brief interventions, but typically, they’ll refer you to specialists or another level of care.

Their referral can often get you in quicker and help ensure treatment is covered by health insurance. Some health care providers, clinics, and rehabs may require a referral to begin treatment—check with admissions staff if this is necessary.

Illustration showing a healthcare team supporting a patient in mental health recovery. A person with raised arms in celebration is surrounded by medical professionals including a doctor with stethoscope and healthcare workers. Text reads 'You don't have to do this alone. Some healing needs a team.'

5. Peer Recovery Specialists

Peer recovery specialists, also known as peer support specialists or recovery coaches, use their own lived experiences with addiction and recovery to support others in their healing journey. These certified professionals provide mentorship, advocacy, and emotional support. They can help patients feel understood, reduce feelings of isolation, and model the possibility of long-term recovery. 

While support workers don’t provide clinical care, their guidance is rooted in shared experience and often complements therapy or medical treatment. Peer support improves engagement in treatment3 and increases the likelihood of sustained recovery.

6. Holistic Practitioners

Holistic practitioners focus on treating the whole person—mind, body, and spirit. In a treatment setting, this might include yoga instructors, mindfulness teachers, massage therapists, Reiki practitioners, or nutritionists. These providers use evidence-informed and complementary therapies to promote emotional regulation, physical healing, and stress relief. 

Holistic care isn’t a substitute for clinical treatment, but it can help patients reconnect with their bodies, build healthy routines, and find meaning in the recovery process.

Who Can Prescribe Medication?

A prescriber is different from a therapist. While your prescriber will prescribe medications and work with you to ensure they’re effective, a therapist handles the emotional, processing, and goal-setting side of recovery. They cannot prescribe medications of any kind. 

These professionals can prescribe medication:

7. Psychiatrists

Psychiatrists have a deep, comprehensive knowledge of the brain’s chemistry and neurological functioning, and what chemicals or processes need to be corrected for someone to feel better. They know which medications will work for specific conditions, adjusting the type or dose to fit your unique symptoms.

It can take a few sessions to get the dose and type of medication right, as most psych meds take 2+ weeks to take effect, but the results can be life-changing. Once you find the right medication(s) for you, sessions with your psychiatrist will look more like check-ins to see if you’ve had any change in tolerance, any side effects, or want to start tapering off the medication. 

Note: Most psychologists are not licensed to prescribe medication because they are not medical doctors. However, in a few U.S. states, licensed psychologists can prescribe certain psychiatric medications after completing additional education and certification in clinical psychopharmacology. While these exceptions exist, prescribing medication remains primarily within the scope of psychiatrists, who are medical doctors and licensed to prescribe in all states.

8. Psychiatric Nurse Practitioners

All psychiatric nurse practitioners can prescribe medications,4 but in some states, they also need a collaborating physician to approve the order. Psychiatric nurse practitioners are not doctors, but they do have advanced training in mental health and psychiatry. When looking for this type of support, oftentimes a referral from your PCP can be a great place to start.

9. Primary Care Providers (PCPs)

Your PCP, or primary care physician, is who you go to when you’re sick or something isn’t feeling right. Every PCP’s comfort level with psychiatric medications varies. Some don’t feel comfortable prescribing medications beyond SSRIs or SNRIs. In these cases, they’ll refer you to psychiatry for mood stabilizers, antipsychotics, sleep medications, or stimulants. Experts recommend that people taking mental health and psychiatric medications get medication management support from psychiatrists, psychiatric nurse practitioners, or specialized treatment providers.

Learn more about medication management and why it’s important to the recovery process.

Credentials to Look For

Almost everyone on your treatment team should have credentials of some sort. If they don’t, that’s a red flag. Here are the types of credentials and licensure reputable providers will have:

  • LCSW: Licensed clinical social worker; specializes in mental health support and case management
  • LMFT: Licensed marriage and family therapist; trained to work with couples, families, and relationship dynamics
  • CADC: Certified addiction counselor; specializes in addiction and substance use treatment
  • LMHC: Licensed mental health counselor; offers therapy for a wide range of mental health conditions.
  • LPC: Licensed professional counselor; similar to LMHC, depending on the state
  • Ph.D: Doctor of Philosophy; often held by psychologists who provide therapy or conduct psychological testing and research
  • M.D: Doctor of Medicine; held by psychiatrists and physicians who can prescribe medication
  • State medical license, Psy.D., and board certification: Required for psychiatrists and physicians to practice and prescribe legally

When You Need a Team, Not Just One Person

Coordinated care is a quiet hero in addiction and mental health treatment. This means everyone in your treatment team is working towards a goal together, not siloed. Coordinated care ensures that each area of your recovery moves towards that goal and doesn’t accidentally minimize or negatively interact with another.

Having a team is especially vital for patients with co-occurring disorders: a mental health condition and a substance use disorder, two different mental health conditions, two different substance use disorders, or any other combination of conditions.  

The nature of mental illness and substance use increases the demand for a coordinated treatment plan. Each person experiences their diagnosis differently and resonates with treatment in their own ways. Multiple, coordinated interventions, like therapy, medication, peer support, life skills education, and family therapy, can be even more effective.

Going to a residential treatment center or outpatient clinic means you benefit from coordinated care, with your treatment team meeting regularly to discuss your case. Not every treatment provider focuses strongly on coordination, but many do.

Telehealth vs. In-Person Options

Telehealth has broadened the reach of behavioral health care, allowing more people than ever before to get treatment. Telehealth is especially vital for rural populations5 and people with mobility challenges. In-person care, however, has many benefits—mainly the face-to-face human connection it provides. 

Telehealth Pros and Cons

A major pro for telehealth is its flexibility. You don’t need to drive anywhere, worry about parking, or live anywhere close to a physical treatment center. You only need a device (like a phone or laptop) and an internet connection. Telehealth is usually covered by insurance, same as in-person. You can connect with experts worldwide, broadening your access to treatment.

A con is that it can be harder to form a connection with someone virtually, which is a vital component of the therapeutic alliance. Some say it’s harder to communicate or feel seen in a virtual setting, leading to poorer treatment outcomes.6 Internet issues and technical problems can also disrupt sessions.

In-Person Pros and Cons

A pro for in-person care is the ability to communicate and connect more comprehensively. This means nonverbal communication and body language, which your therapist can use to make your sessions more effective. For example, if you’re wringing your hands and fidgeting, they’ll know to switch topics or gently explore what’s making you uncomfortable.

Time commitment is a con for in-person care. In addition to the session itself, you have to get ready, drive there, park, and drive home. The total time commitment can be twice as long as the appointment itself, even longer for those in rural areas. In-person treatment options can also be limited since centers and clinics must be physically close to you.

Both telehealth and in-person care can help you heal. The best setting for you will depend on your preferences, location, and insurance coverage.

Teaming Up for Recovery

Recovery isn’t a one-person show. And that’s a good thing.

You aren’t meant to do it alone. Imagine each team member—a therapist, doctor, psychiatrist—extending a hand in support. The more hands, the stronger your treatment, and the less you have to carry alone. 

Start today: Use Recovery.com to find the best treatment for you and your needs. 

FAQs

Q: What professionals deal with mental health?

A: Types of mental health professionals include psychologists, psychiatrists, licensed professional counselors (LPCs), clinical social workers, marriage and family therapists, and psychiatric nurse practitioners. Each has different training and specialties.

Q: Is it better to see a psychologist or psychiatrist?

A: It depends on your needs. Psychiatrists can prescribe medication and are often ideal for complex or severe mental illnesses. Psychologists focus more on talk therapy, testing, and long-term emotional support.

Q: Which type of professional works with individuals with severe mental disorders?

A: Psychiatrists and clinical psychologists often specialize in treating severe mental illnesses such as schizophrenia, bipolar disorder, and major depression. These professionals may work in inpatient or outpatient settings.

Q: Should I see an LPC or psychologist?

A: LPCs are trained in counseling strategies and are excellent for talk therapy and everyday mental health challenges. Psychologists may be more suitable for psychological testing, trauma recovery, or complex mental health diagnoses.

Q: How do I choose a mental health professional?

A: Consider your goals (e.g., therapy, medication, diagnosis), the provider’s credentials, experience, and whether they specialize in your area of concern. Look for licensed providers and check reviews or referrals.

Q: What is substance abuse counseling?

A: Substance abuse counseling focuses on helping individuals overcome addiction and build healthier lifestyles. It often includes therapy, relapse prevention, and support for co-occurring disorders like depression or anxiety.

Q: What is psychiatry?

A: Psychiatry is a medical field that deals with diagnosing, treating, and preventing mental illnesses. Psychiatrists are medical doctors who can prescribe medications and may provide psychotherapy.

Q: What types of addiction specialists are available for treatment?

A: Addiction specialists include substance abuse counselors, addiction medicine doctors, psychiatrists with addiction training, certified peer recovery specialists, and licensed therapists with substance use expertise.

Q: What kind of therapist should I see for addiction recovery?

A: Look for a licensed professional counselor, social worker, or psychologist who specializes in addiction, dual diagnosis, or trauma-informed care. Many use evidence-based therapies like CBT or motivational interviewing.

Q: What professionals can help with both mental health and addiction issues?

A: Addiction psychiatrists and licensed therapists trained in co-occurring disorders can address both areas. Integrated treatment programs also offer coordinated care from multiple professionals.

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CBT for Depression: 10 Ways to Change Your Life by Doing One Thing Differently

This article summarizes a conversation from the Giving Voice to Depression podcast, hosted by Terry McGuire. In this episode, Terry is joined by co-host Dr. Anita Sanz and special guest Dr. David Jacobi of Rogers Behavioral Health. Together, they explore the transformative power of Cognitive Behavioral Therapy (CBT) for people struggling with depression, anxiety, and other mental health conditions.

Dr. Jacobi outlines CBT’s foundational ideas and shares strategies that help individuals challenge distorted thinking patterns and re-engage with life through behavioral activation. If you’re feeling stuck in depression or want to support someone who is, this episode offers hopeful, real-world-tested tools that can guide the way forward.

1. Understand the Triangle of CBT: Thoughts, Feelings, and Behaviors

CBT is built on the principle that thoughts, feelings, and behaviors are deeply interconnected. When someone is struggling with depression, all three can spiral together in a negative loop.

Dr. Jacobi explained:

Cognitive behavior therapy: you can think of it as a triangle… emotions, thoughts, and behaviors at the points… There’s an interplay between these three facets. It’s very difficult to change an emotion directly… but we can look at the thoughts and begin to see if those really reflect me or others… or we can look at behavior: What can I do differently?

Key takeaway: Rather than trying to change your mood directly, target your thoughts and behaviors first. Small shifts in either can start a ripple effect that improves your emotional state.

2. Recognize the Power of Behavioral Activation

When we’re depressed, doing anything at all can feel impossible. But behavioral activation—choosing to do something even when you don’t feel like it—is one of the most effective steps you can take.

As Dr. Jacobi emphasized:

The behavioral part… really does seem to be the more powerful component of that cognitive behavioral model. To see myself doing something different… that’s what we call behavioral activation.

Behavioral activation is the practice of engaging with life again—bit by bit—even if your motivation is low. Doing something different tells your brain, “I’m not helpless,” and that message can be incredibly healing.

3. Avoid the Trap of Avoidance

Avoidance is a natural but unhelpful response to pain. Whether it’s skipping social events, ignoring responsibilities, or withdrawing emotionally, avoidance provides short-term relief but maintains depression in the long run.

As Dr. Jacobi noted:

When people are feeling like that… they engage in what we call avoidance patterns… staying away from things… But there’s no opportunity to get any good, rewarding feelings from engaging with life.

Avoidance keeps the cycle of sadness and hopelessness going. The alternative? Active coping—taking one small step toward the situation instead of away from it.

4. Engage in Active Coping Instead

Rather than retreating, CBT teaches people to try active coping strategies. This doesn’t mean pretending everything is fine. It means asking yourself, “What can I do about this situation?”

For example:

  • Instead of avoiding a teacher after failing an exam, email them to ask for help.
  • Instead of canceling plans when you’re feeling low, commit to showing up for just 15 minutes.

Dr. Jacobi illustrated the contrast:

The process of being active helps me. I feel better when I’m out doing, when I am trying to improve myself or problem-solve my situation.

These shifts empower you to reclaim some agency over your life.

5. Build Your Day with Three Types of Activities

To get the most out of behavioral activation, Dr. Jacobi suggests incorporating three types of activities into your routine:

  1. Routine Activities
    These are the basics—getting out of bed, showering, brushing your teeth. Dr. Jacobi explained: Activities that are more routine: getting up, taking a shower, brushing your teeth — those are maybe very basic things that we do every day. When we’re feeling well, that’s not a problem. When we’re struggling with depression, those things become very, very difficult.
  2. Pleasurable Activities
    These are things you used to enjoy: music, walks, painting, baking. As Dr. Jacobi noted: We want you to re-engage in those because one of the hallmark symptoms of depression is anhedonia, a loss of pleasure in things that I used to do.
  3. Valued Activities
    These connect to your core values: spending time with loved ones, volunteering, or pursuing long-term goals. Dr. Jacobi added: These are, again, things that I do that are strong values of me. So, things like relationship building — I wish I could spend more time with my kids, with my partner. It could be volunteering…

By planning one activity from each category, you create structure and purpose—even if you’re starting small.

6. Start Small and Trust the Process

When you’re deep in depression, even minor actions can feel overwhelming. That’s why the size of the action doesn’t matter—what matters is doing something.

Dr. Sanz shared:

Many times, I have asked my clients who are in a very severe depressive episode to just make a commitment to move from their bed to the couch… it’s a step that you wouldn’t think you should get a lot of credit for, but it is the beginning of making the change, of doing something different.

Don’t wait to feel motivated—act first, and let motivation follow.

As Dr. Jacobi advised:

I just want you to make a commitment to say, I’m going to try them… even though I may not feel all that much better. I’m still doing something active.

7. Support Yourself—And Let Others Support You, Too

CBT can be done on your own, but having accountability helps. Whether it’s a therapist, support group, or a friend, having someone cheer you on can provide the encouragement needed to stick with new habits.

Dr. Jacobi explained:

It is nice to have someone to support you… to cheer you on, applaud your successes. I think they can be really powerful in this process of getting well and staying well.

If you’re supporting someone else, remember that encouragement is key—but avoid enabling depressive behavior.

8. Don’t Mistake Accommodation for Support

While it’s natural to want to relieve a loved one’s pain, too much accommodation can actually prevent recovery.

As Dr. Jacobi explained:

It’s very well-intended behaviors on the part of the family to alleviate their loved one’s distress… Unfortunately, what’s happening there is, inadvertently, the loved one is really reinforcing what we would call a depressed behavior, right? The avoidance, the isolation, the not being activated.

Instead, use empathy and gentle encouragement.

I want to validate, I wanna show that I support, that I understand and empathize with your experience. Having said that, I also want to encourage activation.

9. Consider Medication as One Tool in the Toolbox

CBT is powerful, but it’s not the only approach. For some people, medication can create enough stability to begin doing the work CBT requires.

Dr. Jacobi stated:

To me, it’s another tool in the toolbox… it allows them to be able to do the behavioral activation… to engage with life.

If you need medication, it doesn’t mean you’re weak. It means you’re using every resource available to fight your depression.

10. Stay Consistent—Even When It’s Hard

There’s no one-size-fits-all solution to depression. What matters most is consistency—challenging your thoughts, doing helpful behaviors, leaning into support, and sticking with it long enough to see a change.

As Dr. Jacobi noted:

There’s lots of different components to getting well and staying well… there’s going to be multiple things… that lead to someone being able to manage their depression and then stay healthy.

Even on your hardest days, remember that small wins matter.

As Terry eloquently put it:

Something like a shower can sound very small, but the people who are really in it, that is a huge thing and it can shift everything.

Final Thoughts: Recovery Starts with You—Even in the Smallest Steps

One of the most powerful themes in this episode is that you don’t need to wait for a breakthrough or a burst of energy to begin healing. You don’t need to feel like doing something before you do it. You just need to do one small thing differently—and that, in itself, is progress.

As Dr. Sanz so wisely said:

Some of the most effective ways out of it is the help that you’re going to give to yourself.

CBT invites us to stop focusing only on what we feel and instead focus on what we can do. Depression tells us we’re helpless, but action—even tiny action—challenges that lie. If you showered today, replied to a text, or sat up instead of laying down, those are not insignificant acts. They are proof that you’re trying. And that matters.

You’re not lazy. You’re not broken. You’re not alone. And you’re not stuck forever.

This episode is a reminder that healing is often quiet, gradual, and invisible at first—but it begins with a choice: to do something different, no matter how small. Trust the process. Trust yourself. You’ve got this.

Key Takeaways

If you’re short on time, here are the core insights from this episode:

  • CBT is built on a triangle of thoughts, emotions, and behaviors. Changing thoughts and behaviors is the most direct way to shift emotions.
  • Behavioral activation is essential. Do something different—even if you don’t feel like it.
  • Avoidance maintains depression. Active coping breaks the cycle and leads to more rewarding experiences.
  • Three types of activities support recovery: routine, pleasurable, and valued activities.
  • Start small. Even moving from your bed to the couch can be a significant first step.
  • Consistency matters more than intensity. Doing a little every day leads to long-term improvement.
  • Support helps—but don’t over-accommodate. Encourage activation, not isolation.
  • Medication can help. It’s a tool, not a weakness.
  • You don’t need to feel better to start. Starting is what helps you feel better.

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Childhood Trauma Test: 10 Questions to Learn More About Your Past

Do you ever feel like something from your past is holding you back emotionally, physically, or in your relationships, but you can’t quite name it? 

This simple, 10-question childhood trauma test is a first step toward understanding how your early life may still be influencing your mental health, behaviors, and health outcomes today. It’s free, completely anonymous, and doesn’t require any sign-up.

Important Note: This test is not a diagnostic tool. It is intended for informational purposes only and should not be used as a substitute for evaluation by a licensed mental health professional or healthcare provider. If you’re concerned about how your past trauma may be impacting your well-being, speak with a qualified professional to explore further assessment and care.

What Is the Childhood Trauma Test?

Childhood should be a time of safety, exploration, and emotional growth. But for many, early years are shaped by pain, fear, or neglect—leaving lasting imprints that extend far beyond childhood. If you’ve ever wondered why certain patterns keep repeating in your relationships, why your stress response feels disproportionate, or why mental health issues seem persistent despite your best efforts, the answer may lie in unaddressed trauma from your earliest years.

Rather than offering a clinical diagnosis, this brief test is a tool to help measure your exposure to adverse childhood experiences, such as:

  • Emotional abuse or emotional neglect
  • Physical abuse or physical neglect
  • Sexual abuse
  • Witnessing domestic violence
  • Growing up with a household member who has a mental illness or substance use problem
  • Experiencing household dysfunction like divorce or incarceration

The Link Between Childhood Trauma and Health Outcomes

This assessment is a reflection of your early risk factors. The higher the score, the greater the increased risk for developing a wide range of mental health, behavioral, and physical health conditions later in life.

Key findings from the ACE study:

  • People with an ACE score of 4 or more are significantly more likely to experience mental illness, substance abuse, heart disease, and even early death.
  • Higher ACE scores correlate with low self-esteem, self-harm, and a toxic stress response that disrupts brain development and the body’s immune and hormonal systems.
  • Individuals with high ACE scores have a greater chance of experiencing post-traumatic stress disorder (PTSD), depression, anxiety, and suicidal ideation.

This underscores a powerful truth: Traumatic experiences in early life can shape long-term health outcomes in profound ways.

Breaking Down the ACE Test: What It Measures

Here’s a simplified breakdown of the ACE test’s 10 categories. The ACE test covers similar areas as this childhood trauma test. Each item is a reflection of common traumatic experiences:

1. Abuse

  • Physical abuse
  • Sexual abuse
  • Emotional abuse

2. Neglect

  • Physical neglect
  • Emotional neglect

3. Household Dysfunction

  • Domestic violence
  • Substance abuse by a parent or caregiver
  • Mental illness in the home
  • Parental separation or divorce
  • Incarcerated family member

Each “yes” answer contributes one point to your ACE score. While a score of 0 means no exposure to these categories, any score above 0 still matters, especially if the experience was prolonged or repeated.

Beyond the Score: Signs of Childhood Trauma in Adulthood

Even if you’re not familiar with your exact ACE score, there may be clues in your day-to-day life that point to unresolved trauma. Many adults live for years without realizing their challenges stem from past experiences.

Common long-term signs of childhood trauma:

  • Persistent anxiety, depression, or emotional pain
  • Chronic health problems with no clear medical cause
  • Trouble trusting others or maintaining close relationships
  • High reactivity or emotional numbness
  • Patterns of substance use or self-sabotage
  • Difficulty regulating emotions, especially under stress
  • Extreme guilt, shame, or fear that seems unrelated to current life circumstances

These effects don’t always show up immediately. Some only surface when triggered by a major life event, relationship breakdown, or prolonged stress.

Trauma and the Body: Why Early Stress Stays With Us

Why does trauma from decades ago still feel so fresh?

Because trauma doesn’t just live in the mind, it embeds itself in the body. Repeated exposure to toxic stress during childhood changes the way the nervous system develops. The brain becomes wired for hypervigilance, fear, or withdrawal, even in safe environments.

This dysregulation affects everything from hormone levels to immune function, contributing to heart disease, autoimmune conditions, and gastrointestinal disorders. It also influences the way we relate to others and how we respond to everyday challenges.

In short, the stress response system remembers what the mind tries to forget.

Healing Is Possible: Trauma-Informed Interventions and Support

Understanding your ACE score is only the beginning. True healing begins with compassion—for yourself and your journey.

If you or a loved one is struggling with the effects of trauma, there are evidence-based interventions that can help rewire the brain and promote healing.

Proven approaches include:

  • Cognitive Behavioral Therapy (CBT): Helps reframe unhelpful thought patterns and build healthy coping skills.
  • Trauma-informed care: Delivered by clinicians trained to recognize and respond to traumatic events with sensitivity.
  • Support groups or peer-led programs that normalize trauma recovery.
  • Healthcare interventions that address the mind-body connection, including somatic therapies and mindfulness.

You don’t need to go through this alone. Working with a licensed mental health professional—especially one trained in trauma—can help you process difficult memories and create new, healthier patterns.

What the Childhood Trauma Test Can (and Can’t) Do

This assessment is a valuable tool, but it’s not comprehensive. It doesn’t account for:

  • Racial trauma, bullying, or natural disasters
  • Protective factors, such as a caring teacher or mentor
  • How trauma was experienced or how long it lasted
  • Your current resilience, support system, or access to interventions

So, while this test offers important insights, it’s just one part of a larger picture. If you’re considering taking the test, do so with care and preferably with the support of a professional who can guide you through the results.

Next Steps

It’s not always easy to look back at what you’ve endured—but acknowledging your history is often the first, most courageous step toward reclaiming your life. If your score is high, or if the past still feels painfully present, know this: there is nothing wrong with you. You responded the best way you could with the tools you had.

And now, you have new tools—and new choices.

You are not alone. Help is available. Healing is possible.

Resources and Next Steps 

External Resources

FAQs

Q: What is the childhood trauma test meant to do?

A: This test is designed to help you identify whether your early life experiences may be affecting your current mental, emotional, or physical well-being. It screens for common forms of trauma, such as abuse, neglect, or dysfunction in the household. While it’s not diagnostic, it can be a valuable first step toward greater self-awareness and healing.

Q: Is this test clinically validated or used by doctors?

A: No, this is not a clinically validated or official diagnostic tool. It’s a simplified screening resource inspired by established trauma research and designed for personal insight only. If you’re concerned about your results or symptoms, speaking with a licensed mental health professional is the best next step.

Q: Can I still have trauma even if my score is low?

A: Yes. Trauma is highly personal, and the impact of a specific experience can vary widely. You may have gone through painful events that aren’t captured in this test—such as bullying, community violence, racism, or other forms of stress—and those experiences can still influence your mental and physical health.

Q: How do I know if my results are serious enough to seek help?

A: If your answers suggest a history of distressing or prolonged experiences—especially those involving abuse, neglect, or unsafe environments—it’s worth reaching out for support. Professional therapy, trauma-informed care, and medical consultation can help you understand what you’ve been through and how to move forward.

Q: I feel overwhelmed after taking the test. What should I do?

A: First, pause and take care of yourself. Trauma-related reflections can stir up deep emotions. Consider talking to a trusted friend, reaching out to a mental health professional, or calling a crisis line if you’re in distress. You’re not alone, and help is available.

Q: Is this test appropriate for children or teens?

A: This version of the test is intended for adults reflecting on their own childhood. If you are concerned about a child or adolescent, consult a mental health professional who specializes in pediatric or adolescent care. There are age-appropriate assessments and supports that can be tailored to their needs.

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Alcohol Addiction Test: 10 Questions to Find Out How Drinking Is Impacting Your Life

Have you ever wondered if your drinking is “normal” or something more serious? 

If you’re unsure, you’re not alone. Many people struggle to understand the line between casual alcohol consumption and alcohol use disorder (AUD)—especially when drinking is so normalized in social settings.

Important Note: This tool is not a medical diagnosis. It is meant to offer insight and spark reflection. If you’re concerned about your results or symptoms, speak with a qualified health care provider or mental health professional.

Why Take an Alcohol Use Disorder Self-Assessment?

Not all alcohol-related issues look the same. Some people binge drink occasionally and brush it off. Others drink daily but believe it’s under control. However, both patterns may signal something deeper, especially if the behavior continues despite negative consequences.

This questionnaire can help you:

  • Reflect on your drinking habits over the past year
  • Identify risk factors for alcohol dependence
  • Recognize early warning signs of alcohol use disorder
  • Understand if further alcohol treatment or brief intervention may be helpful

It’s not about shame or judgment—it’s about clarity. And with clarity comes choice.

Signs You Might Be Struggling With Alcohol Use Disorder

Whether or not you’ve taken a formal test, there are signs that your relationship with alcohol may be affecting your health and well-being.

Common red flags include:

  • Needing to drink alcohol to relax, socialize, or sleep
  • Feeling guilty or defensive about your alcohol consumption
  • Trying and failing to cut back on drinking
  • Experiencing cravings or irritability when not drinking
  • Prioritizing alcohol over relationships, work, or self-care
  • Noticing short-term memory issues, sleep problems, or emotional swings

These patterns may suggest more than just heavy drinking. They may reflect an alcohol use disorder, as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

When Drinking Harms Your Health

Alcohol doesn’t just affect your behavior. It can also impact your health on nearly every level. From your brain and liver to your heart and immune system, long-term or heavy drinking can lead to serious health problems, including:

  • Liver disease, including fatty liver and cirrhosis
  • High blood pressure and heart complications
  • Suppressed immune function
  • Increased risk of depression, anxiety, and other mental health conditions
  • Higher chance of developing certain cancers

For people with an existing substance use disorder or mental health challenges, alcohol often worsens symptoms and makes treatment options more complex.

What If Your Score Is High?

A high score doesn’t mean you’re broken or beyond help—it means you may benefit from support, evaluation, or intervention. Consider taking the following steps:

  • Talk to your primary care provider or a licensed counselor. They can interpret your results, screen for co-occurring mental health problems, and suggest addiction treatment options.
  • Explore outpatient or inpatient programs. These programs often combine medical care, therapy, and support groups.
  • Learn about detox: If you’re physically dependent, alcohol withdrawal can be dangerous. Medically supervised detox can help manage withdrawal symptoms safely.
  • Connect with peer-based resources: Groups like AA, SMART Recovery, and local support groups offer accountability and community.

What the Alcohol Addiction Test Can—and Can’t—Tell You

This self-assessment is a powerful tool, but it doesn’t replace personalized care. Here’s what it offers—and what it doesn’t:

It can:

  • Prompt honest reflection on your drinking habits
  • Identify patterns of alcohol abuse or risk
  • Motivate you to seek help, if needed

It can’t:

  • Diagnose AUD or other mental health conditions
  • Predict how your body will react to continued use
  • Factor in your unique background, trauma history, or support system

That’s why pairing this tool with guidance from healthcare professionals is the best path forward.

Who Should Take the Alcohol Use Disorder Test?

Consider taking the test if you:

  • Feel unsure or anxious about your drinking
  • Have experienced negative consequences related to alcohol
  • Are concerned for a loved one or want to support them with facts
  • Are exploring treatment options or ready to take the next step

Early action can prevent long-term harm and make healing easier.

Treatment and Support That Work

Recovery doesn’t look the same for everyone. Some benefit from residential rehab, while others thrive in outpatient care or with community support. The most effective alcohol treatment is:

  • Evidence-based: Includes approaches like CBT, motivational interviewing, and trauma-informed care.
  • Whole-person focused: Addresses both mental health and physical health needs.
  • Personalized: Respects your background, goals, and comfort level.

Remember, asking for help is not a weakness. It’s the beginning of reclaiming your life. The line between social drinking and alcohol addiction can be blurry—but you don’t have to figure it out alone. Whether you’re taking this test out of curiosity, concern, or crisis, it’s a meaningful step toward better health, awareness, and healing.

Your results don’t define you—but they can guide you.

Resources and Next Steps

External Resources:

FAQs

Q: Is the alcohol addiction test accurate?

A: The alcohol use disorders identification test (AUDIT) is backed by global research and used by healthcare professionals as a reliable screening tool. While not diagnostic, it gives meaningful insight into your relationship with alcohol.

Q: Can I still have a problem if I don’t drink every day?

A: Yes. Binge drinking, occasional blackouts, or regular episodes of loss of control can still indicate a substance use disorder, even if you don’t drink daily.

Q: What if I feel fine but score high?

A: Alcohol-related consequences don’t always feel immediate. A high score may mean you’re at risk of developing health problems or alcohol dependence over time. It’s worth speaking to a healthcare provider for more insight.

Q: Is this test only for people who want to stop drinking completely?

A: No. The goal is to help you understand how alcohol affects your life—so you can make informed choices. Some people reduce drinking, others stop entirely, and some seek professional help.

Q: Should I be worried about withdrawal symptoms?

A: If you experience sweating, shakiness, anxiety, or seizures after stopping alcohol, seek medical help immediately. Alcohol withdrawal can be dangerous and should be managed by professionals.

Q: Can I help a loved one take the test?

A: Yes—but it’s best to offer the test with compassion, not pressure. Let them know you’re coming from a place of concern, and encourage them to review the results with a professional if they’re open to it.

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Navigating Addiction: 6 Ways Elizabeth Pearson Found Hope and Healing in Recovery

Navigating the path to recovery can often feel like an isolating journey, fraught with personal battles and internal struggles. Yet, as Elizabeth Pearson, a content creator, marathon runner, and the powerhouse behind @eatlizabeth, profoundly shares, “You are not unique… You’re not alone. The experiences that you’re having, the things you’re grappling with. So many of us go through those same things.” Her story, as explored in a candid interview on Recoverycast with hosts Brittani Baynard and Tom Farley, illuminates the transformative power of embracing vulnerability, finding community, and understanding the deeper roots of addiction and mental health challenges.

1. The Mask of Perfection: High-Functioning Addiction

Elizabeth’s early life was marked by a relentless pursuit of perfection. As a “super type A, compulsive rule follower” involved in countless extracurriculars and academically driven, the idea of substance use was entirely off her radar, primarily driven by a fear of jeopardizing her future and disappointing her parents. However, college presented an opportunity for reinvention, and with it, the introduction of alcohol.

“When I drank alcohol for the first time, it was like, okay, all of a sudden I get to turn off the noise in my brain,” Elizabeth recounted. This initial experience offered a deceptive sense of ease and confidence, leading her to believe that drinking made her “funnier and smarter and wittier and more confident.” This feeling became a relentless chase, particularly within a college environment where binge drinking was normalized.

Her ability to maintain academic excellence and a robust social life while drinking masked the developing problem. Her grades remained high, her social circles thrived, and externally, there were no red flags for her family or friends. This highlights a crucial, often overlooked aspect of addiction: it doesn’t always manifest as immediate, visible collapse. High-functioning addiction can be particularly insidious because the individual maintains a semblance of normalcy, delaying the recognition of a problem for themselves and those around them. This can lead to significant confusion, as Elizabeth notes, “You know how nothing, there is no negative to this except this feeling.” The absence of immediate negative consequences makes it incredibly challenging to recognize that a problem exists.

Explore alcohol addiction treatment options.

2. Unpacking the Roots of Insecurity and Self-Punishment

Beneath the surface of Elizabeth’s high-achieving exterior lay a profound sense of insecurity and a pervasive feeling that “something inherently being wrong with me, but not necessarily being able to name what that thing is.” This deep-seated discomfort fueled a pattern of self-punishment, which first manifested as an eating disorder in middle and high school. This provided a twisted sense of control and a means to “keep me in line,” driven by a belief that “there’s something inside of me that feels broken or bad and like I need to be punished.”

This underlying theme continued into her relationships, as she gravitated towards verbally and physically abusive partners. Her rationale was chillingly clear: she believed she couldn’t trust herself to stay “in line” and needed external forces to do it for her. This demonstrates how unresolved emotional pain and self-perception can drive destructive patterns across different areas of life.

Elizabeth also grappled with the impact of a sexual assault during her senior year of high school. Growing up in a Christian household, she initially interpreted this traumatic event as “divine punishment for making a mistake.” Drinking became a way to “silence so much of that noise and not actually have to confront things that had happened.” While acknowledging the traumatic elements of her past, Elizabeth offers a powerful insight: “I wanted to hold onto that trauma really, really tightly and closely because I felt like it gave me reasons to drink.” This speaks to the complex interplay between trauma, narrative, and the justification of self-destructive behaviors.

3. The Catalyst for Change: When Rock Bottom Isn’t What You Expect

Despite maintaining external success, Elizabeth’s internal world was crumbling. Her drinking escalated, particularly during the isolation of the COVID-19 pandemic, when she found herself in an unsafe relationship. “I started drinking alone all the time,” she admitted, driven by “layer upon layer of shame and feeling like I had failed.” The situation became dire when her partner began to abuse her dog, Sawyer. “My self-esteem was so low at that point that I didn’t really care what happened to me,” Elizabeth revealed, but the abuse of Sawyer was the line she couldn’t cross. “That was really what got me out,” she said, crediting her dog with saving her life.

Even after escaping that abusive relationship, sobriety wasn’t immediate. She continued to drink for three more years, using the trauma as another “reason for me to drink.” She was stuck on a “hamster wheel,” trying everything to cope, all while maintaining a good job and a boyfriend. However, the emotional toll was immense. “I was so deeply depressed. I had a plan for how I wanted to end my life,” she shared.

The turning point came one Wednesday morning. “Nothing out of the ordinary had happened the night before, but I was just hung over again.” In that moment, Elizabeth experienced what she describes as a “divine intervention,” a stark realization: “You have two choices right now. You are either gonna stop drinking or you’re going to die.” This led to a period of being “dry,” abstaining from alcohol but without a structured recovery program. While physically feeling better, her mind was still consumed by thoughts of drinking. This illustrates the critical distinction between simply not drinking and actively engaging in the work of recovery.

4. Finding Community and the Power of Shared Experience

Unsure of where to turn, Elizabeth sought out an AA meeting, initially with the cynical expectation of finding people “worse off” than herself to justify her own continued drinking. “I walked into my first meeting and I thought, oh, this is gonna be great because I’m gonna go in and I’m gonna see how much worse off everybody else is, and then I’m gonna know that I don’t really belong here and I can go back to drinking,” she confessed. What she found instead was a profound sense of recognition and belonging. “I walk into that room and it is like a bunch of people exactly like me.”

This immediate connection, reinforced by a “ticket meeting” where she was called to speak, was a pivotal moment. “It was the scariest, but one most wonderful moment of my life is when I said like, hi, I’m Elizabeth and I’m an alcoholic.” This declaration, made in a room of strangers who understood her, lifted a decade-long weight of confusion and self-blame. “Finally it was just this weight lifted off my chest of being like, I have been trying to figure out for like a decade what is wrong with me. And I’m now sitting in a room full of people who just understand the way that my brain is wired. And I have a solution now.”

The response from her then-boyfriend was less supportive, as he dismissed her declaration with “Elizabeth, you’re being dramatic. You’re not an alcoholic. I know alcoholics. You’re not one of them.” Elizabeth astutely observed that “people take your choices around drinking very personally,” often seeing it as an “indictment on their choices.” Despite this, her decision to return to the meeting the next day was her “burning bush moment,” a clear commitment to herself over external validation.

Elizabeth strongly recommends women-only meetings, emphasizing that “the connection and the honesty I found in rooms of, of women has been like beyond anything that I’d experienced before.” This specialized support can foster a deeper sense of trust and shared understanding among individuals facing similar challenges.

5. Building a New Life: The 12 Steps and Rigorous Honesty

The gift of desperation, as Elizabeth calls it, was her greatest asset in recovery. She was “so desperate to feel differently and to feel well that I was willing to do anything that anybody told me to live a different life.” This willingness is paramount in embracing the 12-Step program, which Elizabeth credits with changing her life.

The 12 Steps provided not only a path to sobriety but also a framework for rebuilding relationships, particularly with women. She recognized that active addiction fosters selfishness, making genuine connections difficult. In recovery, she found an opportunity to learn “how I think about being in relationships with other people and how I can show up for people.”

A core component of Elizabeth’s transformation has been the embrace of “rigorous honesty.” Previously, her dishonesty was largely for “deception for image maintenance’s sake,” constructing a facade to prevent anyone from discovering her problem and potentially taking alcohol away. This involved blaming others for her struggles, a common defense mechanism in addiction. However, through the 12 Steps, she learned a profound lesson: “Your resentments aren’t necessarily the ways that people have wronged you, but it’s the ways that you give away your power.” This realization shifted her perspective from victimhood to accountability, allowing her to let go of anger and move forward.

The difference between being “dry” and “sober” became vividly clear. Dryness was merely the absence of alcohol, while sobriety, achieved through the 12 Steps and community, brought a profound sense of connection and purpose. “I went from feeling like I had nobody in my corner to… just having a room of strangers so ready to love me.” This unconditional acceptance, regardless of her past actions, allowed her to shed the shame and the belief that a seat in AA needed to be “earned” through a dramatic rock bottom.

6. Embracing Gratitude and a “Second Life”

Gratitude has become a cornerstone of Elizabeth’s daily practice, a tool for combating resentment, jealousy, and comparison. She reflects on her “two lives” – her “drunk life and our sober life,” seeing it as a “miracle” and a unique opportunity to choose again. This perspective fosters appreciation for the seemingly ordinary aspects of her current life that were unimaginable during her addiction.

The journey through recovery, particularly the step work, allowed her to understand the deeper layers of her struggles. She came to realize that alcohol was not her problem, but rather her “only solution.” This reframe is crucial for those grappling with addiction, suggesting that the substance itself is a symptom of underlying issues rather than the sole cause. For individuals questioning their relationship with alcohol, asking “Do you feel that like alcohol is your solution for life?” can be a powerful diagnostic question.

Elizabeth’s story underscores that true recovery is a holistic process that addresses not just substance use but also the mental, emotional, and spiritual well-being of an individual. It’s about building self-esteem through “esteemable things,” taking “the next right action,” and cultivating an unwavering commitment to honesty and self-awareness. Her journey from the depths of depression and self-hatred to a life of sobriety, community, and marathon running is a testament to the fact that transformation is indeed possible, even if it’s “often pretty messy.”

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What Should I Do After Treatment? 6 Essentials for Life in Recovery

Completing a treatment program is a major accomplishment, but it’s only the beginning. Addiction and mental health recovery is about more than abstinence or even symptom management. Long-term recovery requires planning, support, and new strategies for managing life outside of a structured environment.

This guide explores what comes next and how to build a sustainable path to well-being. Treatment is just the beginning of an exciting, new, and healthy life, one that is supported by personal growth and ongoing care.1

1. The Importance of Aftercare

What happens after discharge can make or break your recovery journey. Relapse rates or recurrence of use for substance use disorder are comparable to other chronic conditions, such as hypertension and type 2 diabetes. These conditions, like addiction, require ongoing care.

Aftercare refers to the structured support and treatment options that follow residential treatment or inpatient programs. Research shows that individuals who engage in aftercare services have higher abstinence rates and fewer relapse episodes.2 These services extend the recovery process by offering continued care,3 structure, and accountability as individuals transition back into everyday life.

Whether you’ve completed detox, inpatient rehab, or another form of substance use disorder treatment, an aftercare plan provides the scaffolding needed for long-term success.

You may also have experienced a relapse or recurrence of use. This can be a normal part of the recovery process. An important thing to remember is that you can always reconnect with your aftercare plan and continue your recovery journey no matter what setbacks occur.

Types of Aftercare Plans

There is no one-size-fits-all recovery path.4 The most effective treatment plans are personalized based on your substance use history, mental health conditions, and social circumstances.

Illustration of a woman crossing a finish line ribbon with a trophy icon and motivational quote that reads,

Common Aftercare Options Include:

  • Outpatient therapy: Includes ongoing therapy sessions with a licensed mental health professional or addiction counselor. Cognitive behavioral therapy (CBT),5 trauma-informed care, and dialectical behavior therapy (DBT) are evidence-based approaches that can reduce relapse risk and enhance coping skills.
  • Intensive Outpatient Programs (IOPs): These structured programs6 offer therapy and group support several times a week without requiring overnight stays, helping bridge the gap between inpatient care and independent living.
  • Sober living homes: Transitional residences for individuals in recovery. These environments support a drug-free lifestyle and promote peer accountability,7 reducing the risk of early relapse.
  • Recovery coaching: One-on-one support from a trained peer who offers lived experience, goal setting assistance, and motivational guidance. Recovery coaching is increasingly recognized as an effective form of community-based support.
  • Medication-assisted treatment (MAT): For those with opioid or alcohol use disorder, medications like methadone, buprenorphine, or naltrexone8 can reduce cravings and support recovery. MAT has been shown to reduce overdose risk and improve long-term outcomes.

Aftercare should be initiated before discharge, with referrals made by healthcare providers or treatment centers to ensure continuity of care.

Infographic titled “6 Essentials for Life After Treatment” featuring tips for maintaining recovery: ongoing aftercare, support network, relapse prevention, mental health care, finding joy, and long-term goals. A woman climbs an upward arrow symbolizing growth and progress, with Recovery.com branding.

2. Building a Support Network

No one recovers alone. A strong support system improves mental health, lowers relapse risk, and offers a sense of belonging during difficult times.

Recovery Support May Include:

  • Sponsors and mentors: Individuals in long-term recovery who guide and support you through 12-step programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). These relationships offer accountability and shared experience.
  • Alumni groups: Many treatment centers host alumni events and meetings to help former clients stay connected and inspired.
  • Family involvement: Family therapy helps loved ones understand addiction, rebuild trust, and become active allies in recovery. Evidence supports family therapy as a tool for improving communication and reducing substance use.
  • Online communities: Virtual meetings,9 support forums, and recovery apps can provide round-the-clock encouragement and connection.

3. Relapse Prevention Strategies

Preventing relapse isn’t just about avoiding drugs or alcohol—it’s about recognizing what leads to cravings and having tools ready to respond. The American Society of Addiction Medicine emphasizes the importance of proactive relapse prevention planning in sustaining recovery.

Core Relapse Prevention Tools:

  • Trigger identification: Learn what situations, emotions, or environments increase your risk of substance use. Triggers may include stress, isolation, boredom, or reconnecting with old social circles.
  • Coping mechanisms: Practice evidence-based strategies such as mindfulness, breathing techniques, journaling, and physical activity. These approaches have been shown to reduce anxiety and improve emotional regulation.10
  • Accountability systems: Regular check-ins with sponsors, recovery coaches, or behavioral health professionals help you stay grounded and committed.
  • Emergency plans: Create a “lifeline” contact list of trusted people you can reach out to when struggling. Have a plan for how to manage high-risk situations and cravings.

If a relapse does occur, it’s important to seek support and adjust your recovery plan. Relapse is not failure—it’s an opportunity for learning and recalibration.

Infographic titled “Signs You May Be Slipping After Treatment” showing a person tripping over a can, with warning signs of relapse including avoiding check-ins, romanticizing the past, withdrawing, skipping medication, increased cravings, mood swings, neglecting self-care, and engaging with risky people or places.

4. Staying Connected to Purpose

Recovery isn’t just about what you leave behind, it’s about what you move toward. Rediscovering or creating meaning in your life provides long-term motivation and strengthens your identity beyond addiction.

Ways to Reclaim Purpose:

  • Volunteering or service work: Studies show that helping others11 can reduce depressive symptoms and improve life satisfaction.
  • Pursuing education or skills training: Reengaging with learning fosters self-efficacy and goal-setting.
  • Spiritual or religious practice or mindfulness: Spirituality and mindfulness-based interventions like yoga or meditation have been shown to support recovery and reduce relapse risk.
  • Goal setting: Establishing short- and long-term goals helps you track progress, stay motivated, and shape a positive vision of your future.

Rebuilding relationships, embracing new interests, or engaging in creative expression can all play a role in nurturing your recovery identity.

5. Managing Mental Health Long-Term

Many individuals in recovery also live with co-occurring mental health disorders such as depression, anxiety, PTSD, or bipolar disorder. Treating these conditions is essential to maintaining stability and avoiding relapse.

Key Mental Health Strategies:

  • Medication management: Work closely with your healthcare provider to monitor prescriptions, especially if you’re taking medications for mood, anxiety, or medication-assisted treatment.
  • Routine check-ins: Consistent appointments with a licensed mental health professional can catch emerging issues before they escalate.
  • Lifestyle habits: Sleep hygiene, balanced nutrition, regular exercise, and creative or spiritual outlets all support mental wellness.
  • Ongoing therapy: Continued engagement in evidence-based therapy (e.g., CBT or trauma-informed approaches) fosters long-term emotional resilience and healing.

If you or a loved one needs additional support, visit Recovery.com.

6. Embrace Joy and Live Life to the Fullest

Recovery isn’t just about avoiding what hurts, it’s about discovering what lights you up. Fun, play, and new experiences are not only allowed in recovery—they’re essential.

Rediscovering joy can help reinforce the value of staying sober, reduce stress, and reconnect you with a sense of purpose beyond survival. Studies show that engaging in positive leisure activities can improve emotional regulation, reduce depressive symptoms, and increase life satisfaction for people in recovery.

Ways to Add Fun to Your Recovery Life:

  • Try something new: Join a hiking group, take a cooking class, or explore local art or music scenes.
  • Laugh often: Watch comedies, play games, or surround yourself with people who bring out your playful side.
  • Celebrate your wins: Acknowledge milestones, no matter how small. Treat yourself to sober rewards.
    Travel or explore: Even a weekend trip or a walk in a new park can break routine and spark joy.
  • Stay curious: Reignite your creativity through hobbies like painting, writing, dancing, or DIY projects.

Joy is not a luxury in recovery—it’s part of the medicine. The more you engage with life fully, the more recovery becomes a life worth staying in.

A Lifelong Journey

Recovery is not a destination; it’s a lifelong process that evolves with you. Life after treatment is filled with choices—some easy, some hard—but with a solid aftercare plan, community support, and a commitment to growth, lasting recovery is possible.

Whether you’re managing cravings, rebuilding relationships, or adjusting to life outside residential treatment, know this: your story is still being written, and help is always available.

Explore trusted mental health programs that offer long-term care, flexible options, and evidence-based approaches tailored to your needs.

FAQs

Q: What is the most effective mental health treatment?


A: The most effective treatment varies based on the diagnosis and individual needs. However, evidence-based approaches like cognitive behavioral therapy (CBT), medication management, and integrated care models have proven effective across a range of mental health conditions. Combining therapy, lifestyle changes, and social support typically leads to the best outcomes.

Q: What is the next step after rehab?


A: After completing rehab, the next step is engaging in a structured aftercare plan. This may include outpatient therapy, sober living arrangements, support groups, recovery coaching, and ongoing medical or psychiatric care. These steps help maintain progress and reduce the risk of relapse.

Q: What is the most successful treatment for addiction?


A: The most successful treatment often combines medication-assisted treatment (MAT) for conditions like opioid or alcohol use disorder, behavioral therapies, and peer support. Long-term success is linked to individualized care, consistency, and engagement in recovery support services. 

Not sure how to find the best treatment for you? Read more here.

Q: What are the types of substance use disorder?


A: Substance use disorders can involve different substances, including alcohol, opioids, stimulants, cannabis, sedatives, and hallucinogens. Each type varies in severity and may require specific treatment approaches based on the substance used and the individual’s mental health history.

Q: What is substance abuse treatment?


A: Substance use disorder treatment is a structured approach to helping individuals stop or reduce harmful substance use. It may involve detox, inpatient or outpatient care, therapy, medication, and peer support. Treatment plans are typically customized to address both addiction and any co-occurring mental health conditions.

Q: Can I force my family member into treatment?


A: In some states, involuntary treatment is possible under specific legal criteria if the person poses a risk to themselves or others. However, voluntary engagement in treatment is generally more effective. Encouraging open dialogue, expressing concern, and offering support can sometimes motivate a loved one to seek help.

Q: Did the substance abuse treatment fail because of complications from your mental health issue or vice versa?


A: Co-occurring disorders can complicate recovery if not treated simultaneously. If mental health issues go unaddressed, they can contribute to relapse. Integrated treatment that addresses both substance use and mental illness improves the chance of lasting recovery.

Q: Does relapse to drug use mean treatment has failed?


A: No. Relapse is a common part of the recovery process and does not mean failure. It often indicates that the treatment plan needs to be adjusted. Ongoing support, re-engagement in care, and learning from relapse experiences are key to moving forward.

Q: How do behavioral therapies treat drug addiction?


A: Behavioral therapies like CBT, contingency management, and motivational interviewing help individuals change harmful thought patterns, build coping skills, and reinforce positive behaviors. These therapies are often used alongside medication and peer support to address the root causes of addiction.

Q: How can I maintain my mental health and sobriety after treatment?


A: Maintaining recovery includes regular therapy, support group participation, medication adherence (if prescribed), and consistent self-care. Healthy routines, stress management, and a strong support network also play vital roles in preventing relapse and sustaining mental wellness.

Q: How can I support my recovery journey after completing addiction treatment?


A: You can support your recovery by staying connected to your support system, setting meaningful goals, attending follow-up appointments, practicing mindfulness, and engaging in activities that bring purpose. Recovery is a lifelong journey, and maintaining motivation is key to long-term success.

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Therapy Demystified: 12 Things Everyone Should Know About Mental Health Support

This article is based on a deeply honest and insightful conversation from the Giving Voice to Depression podcast, hosted by Terry McGuire and co-hosted by licensed clinical psychologist Dr. Anita Sanz. In Episode 250: “What Everyone Should Know About Depression,” Terry and Dr. Sanz delve into what it truly means to recognize, accept, and seek support for depression. With warmth and candor, they challenge outdated assumptions and encourage listeners to understand therapy not as a last resort, but as a vital tool in mental health maintenance. Whether you’re someone who has lived with depression for years, or you’re supporting someone who is struggling, this episode offers actionable insight, powerful metaphors, and a message of hope.

The conversation covers what therapy actually involves, when it’s time to seek help, and how to find a therapist who is the right fit. It dismantles the stigma that still clings to mental health care and replaces shame with empowerment. This article highlights the most meaningful takeaways from that conversation, structured as a list to help readers digest the lessons at their own pace.

1. Mental Health Care Deserves Same Normalcy as Physical Health Care

Terry and Anita begin the episode with a comparison that many listeners will find relatable: when our bodies show signs of distress—whether it’s a toothache, blurry vision, or car trouble—we don’t hesitate to seek professional help. But when our minds show symptoms of distress, we often feel embarrassed or believe we should “push through” on our own.

As Dr. Sanz explained:

We wouldn’t hesitate to share with family members or coworkers that we need to get our eyes checked. But when it comes to mental health… we’ve gotten the message that we should just be able to handle it on our own.

Normalizing therapy starts with recognizing that mental health is health. Seeking support doesn’t mean something is wrong with you—it means you’re taking care of yourself.

2. You Don’t Have to Wait Until You Hit Rock Bottom

A common myth about therapy is that it’s only for those in crisis. Terry and Dr. Sanz challenge this idea, encouraging people to seek help early—before things become unmanageable.

As Dr. Sanz advised:

It’s easier to see improvement if you don’t wait until it’s really, really bad.

You don’t have to justify your pain or wait until you’re drowning to reach for a lifeline. Even high-functioning individuals who are struggling silently deserve support. Therapy can help improve your quality of life even if everything looks “fine” from the outside.

3. Therapists Are Guides—Not Fixers

People sometimes avoid therapy because they believe it implies brokenness. But therapy is not about “fixing” people. It’s about being supported and guided by someone trained to help you navigate the mental and emotional terrain of your life.

As Dr. Sanz pointed out:

You don’t have to see a mental health person all the time… You go in when you need the assistance.

You wouldn’t hesitate to ask a lawyer about a legal issue or a mechanic about a car problem. Therapy is simply seeking expert guidance about emotional and psychological challenges.

4. The Stigma Around Therapy Is Rooted in Misunderstanding

For generations, mental health was viewed through a lens of shame and secrecy. Families often discouraged open conversations, instead opting for silence or denial.

As Dr. Sanz added:

Mental health has always been seen as invisible. Maybe because it happens behind closed doors, people don’t know how it gets fixed.

By talking more openly about therapy and showing that it’s not just for moments of crisis, we help reduce the stigma and open the door for others to seek support.

5. Therapy Can Help You Prepare for Hard Times—Not Just React to Them

Rather than waiting until her grief became overwhelming, Terry described seeking therapy in anticipation of her mother’s passing. This proactive step allowed her to build emotional resilience before the loss occurred.

As Terry explained:

I tried to get ahead of it. Not waiting for it to take me out or down.

Therapy can serve as emotional preparation, just like a tune-up before a long road trip. It doesn’t mean you’re weak—it means you’re wise.

6. Not Every Therapist Is the Right Fit—And That’s Okay

Choosing a therapist can feel daunting, especially if your first experience isn’t a match. But as with any relationship, compatibility matters.

Key ways to evaluate a therapist before committing:

  • Read their bios and treatment philosophies
  • Request a 15-minute consultation call
  • Ask scenario-based questions like: “How would you help someone with long-term depression?”

As Dr. Sanz emphasized:

This is not a one-and-done. All therapists are unique.

If one doesn’t feel like the right fit, keep looking. The right support is worth finding.

7. You Don’t Need to Have All the Answers Before You Start

It’s okay to walk into therapy feeling confused or overwhelmed. You’re not expected to have your emotions sorted out beforehand—that’s the therapist’s job to help you explore.

As Dr. Sanz reassured:

I actually think that’s completely and totally acceptable if that’s the truth. Say: ‘This is all I know. I’m stuck. And I’m counting on you to help me figure it out.’

You don’t need a formal diagnosis or a complete narrative. You just need the willingness to begin.

8. You Can (and Should) Ask for the Kind of Support You Need

Therapists have different styles—some are more validating, while others are more directive. Knowing what you want (and need) helps you get more out of the process.

You can ask:

  • “Do you challenge clients or focus more on listening?”
  • “What’s your approach to accountability?”
  • “Can I share feedback with you?”

As Dr. Sanz encouraged:

Be brutally honest with your therapist… You’re supposed to be able to say: ‘This isn’t working. Can you refer me to someone else?’

Being clear about your expectations builds a stronger, more effective therapeutic relationship.

9. Therapy Isn’t Forever Unless You Want It to Be

Another common misconception is that once you start therapy, you’re locked in indefinitely. But therapy is not a life sentence.

As Dr. Sanz explained:

You and your therapist should be talking about: Where are we? How far have we come? And have we done what you wanted?

Some people find a few sessions sufficient, while others may benefit from longer-term support. What matters is what’s helpful to you.

10. It’s Safe to Talk About Suicidal Thoughts—But Ask How They’ll Respond First

People often fear being hospitalized or judged for talking about suicidal thoughts. Dr. Sanz recommends having these conversations early in therapy, before a crisis occurs.

As Dr. Sanz advised:

Ask them: ‘If a client tells you X, what would your professional responsibility be?’ Then you know what you’re dealing with.

Knowing how your therapist would respond helps build trust—and could be life-saving if those thoughts ever emerge.

11. Therapy Only Works If You Work It

One of the biggest myths about therapy is that it’s passive—you show up, talk, and feel better. In reality, real progress comes from what happens between sessions.

As Dr. Sanz put it:

The therapist can provide education, tools, and support. But they don’t have any control over what you do outside the session. That’s all you.

Homework, journaling, reflection, and practice are all essential elements of the healing journey. It’s not about perfection—it’s about participation.

12. Even Insightful People Can Get Stuck—And Therapy Can Help

A listener voiced frustration over being stuck despite years of introspection. Dr. Sanz emphasized that understanding alone isn’t always enough. The brain needs retraining.

As Dr. Sanz clarified:

Neurons that fire together wire together. If we think the same thought pattern over and over, the brain follows the path of least resistance.

Through therapy and neuroplasticity, even entrenched thought patterns can shift. Change is not only possible—it’s scientific.

Final Thought: Therapy Is a Tool, Not a Failing

Mental health is complex, and everyone’s journey is different. But one universal truth remains: seeking therapy is an act of strength. It’s not a sign that you’re weak—it’s evidence that you’re brave enough to want something better for yourself.

As Terry and Dr. Sanz both emphasize, the decision to reach out for support is often the most important one you can make. Therapy offers a space to be seen, heard, and supported by someone who isn’t there to judge you, but to walk with you through the hardest parts.

You don’t have to go it alone. And you don’t have to wait until you’re barely holding on. Therapy is for every season of life—whether you’re struggling with grief, navigating relationships, or just want to know yourself better.

So take the step. Schedule the consult. Speak the truth. You deserve the kind of care that doesn’t just help you survive—but allows you to thrive.

Key Takeaways: What to Remember About Therapy

  • Therapy is a proactive, not reactive, choice. You don’t have to hit rock bottom to seek help.
  • You don’t need to have everything figured out. Just showing up is enough to start.
  • Finding the right therapist may take time. That’s normal. Don’t give up after one try.
  • Your therapist works for you. Be honest about what’s working and what’s not.
  • Stigma is powerful—but not permanent. Sharing your story helps others too.
  • Therapy is collaborative. The real work happens between sessions.
  • Even insightful people get stuck. That’s why therapy helps rewire old patterns.
  • You’re not alone. And you never were.

Therapy is one of the most valuable investments you can make in your well-being. And the truth is, everyone could benefit from it.

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Addiction and Depression: Aaron’s 8 Ways to Find Hope and Transform Your Life

The journey through addiction and depression can feel like an unending night, where the light at the end of the tunnel is a cruel mirage. Yet, as countless individuals have discovered, and as Aaron eloquently shares, hope is not merely a wish; it’s a tangible outcome of courage and connection. His story, born from the depths of personal struggle and illuminated by the devastating loss of a loved one, offers a profound testament to the power of vulnerability, community, and unwavering commitment to self-care. It’s a journey from hidden shame to open acceptance, demonstrating that even when the path ahead seems impossible, there are guiding lights to lead the way.

1. The Unexpected Catalyst for Change: Finding Hope Amidst Loss

For many grappling with substance abuse, the realization that change is necessary often comes from a deeply personal and painful place. For Aaron, that catalyst arrived in the most tragic form: the overdose death of his cousin. “The day after Thanksgiving,” Aaron recounts, “I found out my cousin had overdosed on heroin and he died… Sunday I woke up and I said, I don’t want to do this anymore. I don’t want to be the next one to die in our family.” This harrowing experience, while devastating, became the turning point that propelled him toward seeking help, despite his prior reluctance to admit his struggles.

Before this pivotal moment, Aaron, like many, held onto the belief that his drinking was merely a coping mechanism for sleep, an ingrained habit rather than a serious problem. He made “a million excuses why I wasn’t an alcoholic” and was “scared to admit that I was an alcoholic.” This internal conflict is a common thread in addiction, where denial acts as a powerful barrier to recovery. The loss of his cousin, however, shattered this denial, providing a stark and undeniable reflection of his own precarious situation. It was a wake-up call that forced him to confront the potential consequences of his unchecked substance use.

In a poignant admission, Aaron shares, “I didn’t think I was ready to be done drinking, but he was my hope.” This highlights a crucial aspect of recovery: sometimes, the impetus for change isn’t a sudden desire for sobriety, but an external force that, however painful, illuminates the urgency of the situation. His cousin, though absent, became a spiritual guide and a “higher power” in his recovery journey through Alcoholics Anonymous (AA). This unexpected source of hope underscores the profound impact that even difficult experiences can have in setting individuals on a path toward healing and self-discovery.

2. Unpacking the Intertwined Nature of Addiction and Mental Health

Aaron’s journey powerfully illustrates the inseparable link between substance use disorder and mental health challenges, specifically depression. While he initially sought help for his alcohol abuse, he readily acknowledges that depression played “a huge part of my story as well.” This duality is a common reality for many, where one condition often exacerbates or conceals the other. As the podcast host aptly puts it, “you can’t separate them… it’s trying to take the salt out of the stew to act like they’re different things.”

Aaron’s struggles with depression began at a young age, around 13 or 14, when he “didn’t feel normal” and even contemplated suicide. He initially sought therapy, but the discomfort of confronting his internal struggles led him to prematurely discontinue treatment. “It’s not comfortable feeling uncomfortable,” he admits, explaining how he told his parents he was no longer suicidal, even though he continued to struggle internally. This avoidance of discomfort later fueled his reliance on alcohol.

His drinking evolved from social high school experimentation to a deeply ingrained coping mechanism for his worsening depression. He describes a pervasive internal struggle, where his mind “doesn’t shut off” at night. Alcohol became a means to silence the relentless thoughts and induce sleep, a desperate attempt to find peace. “I just thought it was easier just to pick up a bottle and start drinking and eventually I would pass out,” he explains. This insidious cycle, where alcohol provided temporary relief while simultaneously deepening his depression, is a hallmark of co-occurring disorders. It wasn’t until he fully committed to addressing both his addiction and his mental health in rehab that he began to find genuine and sustainable relief.

Explore treatment options for alcohol addiction and depression.

3. The Progression of Addiction: From Social Drinking to Secret Shame

Aaron’s narrative provides a clear illustration of how addiction can insidiously take root and escalate. What began as casual social drinking in high school and college, where he “would get hungover and hated drinking,” gradually transformed into a pervasive and secretive habit. The shift occurred during his ten years living in Chicago, particularly while working at Cook County Juvenile Detention. The immense stress of his job, coupled with difficulties in his personal relationship, created fertile ground for his substance use to intensify.

His routine evolved into stopping at the grocery store for a pint of Fireball before even reaching home, a clear sign of escalating dependence. This marked the beginning of a descent into closet drinking, a common behavior among those struggling with addiction who wish to conceal the extent of their problem. He became “embarrassed of myself” and actively sought to avoid social situations where his drinking might be exposed. This clandestine consumption led to a life of constant deception.

The internal monologue of an active addiction is vividly portrayed by Aaron: “You would wake up and that’s kind of what was on your mind is when can I get my next drink?” During work, he would eagerly anticipate five o’clock, the moment he could escape to the liquor store. Even on weekends, his mornings began with immediate drinking, often leading to passing out by late morning and then resuming consumption in the afternoon. Despite this extreme pattern, he rationalized his behavior by pointing to his ability to maintain a job and avoid calling in sick. The perceived normalcy of his weekday drinking, which he believed “was only to help me sleep,” further masked the severity of his addiction. This deep dive into the inner workings of his addiction underscores the deceptive nature of the disease, where rationalization and secrecy become powerful tools for self-preservation, even as the addiction consumes one’s life.

4. The Transformative Power of Rehab: A Safe Haven for Vulnerability

Despite his initial apprehension, Aaron’s decision to enter rehab after his cousin’s death proved to be a pivotal turning point in his recovery. Within days of making the call to his sister, he was “flying out to California to go to rehab.” What he found there was a stark contrast to any preconceived notions he might have held about such facilities. Instead of a punitive or isolating environment, rehab became a “safe bubble” where vulnerability was not just accepted but encouraged.

“I didn’t know what rehab was going to be like,” Aaron explains, “And so when I went to rehab, it was just completely eye-opening that people were talking about their problems and that it was okay to be vulnerable and it was okay to share your story.” This revelation—the power of shared experience—was deeply impactful. As he listened to others’ stories, he found himself recognizing his own struggles reflected in their narratives, prompting the realization, “I need to be here.”

Rehab also served as his introduction to Alcoholics Anonymous (AA). Initially shy and unfamiliar with the program, he quickly embraced the principles of honesty and openness. The environment fostered a sense of belonging and understanding that had been sorely missing in his isolated existence. It was in this space that he learned fundamental truths that continue to guide his recovery: “That it’s okay to talk about being an alcoholic. It’s okay to be vulnerable. It’s okay to cry.” This profound shift from hiding his shame to embracing his truth was a cornerstone of his healing process, laying the groundwork for a life of authenticity and sobriety.

5. Building a Robust Recovery Toolbox: Strategies for Long-Term Sobriety and Mental Wellness

Recovery, as Aaron’s experience demonstrates, is an ongoing process that requires a multifaceted approach. He emphasizes the importance of having a diverse “toolbox” of strategies and resources to navigate the complexities of daily life while maintaining sobriety and managing mental health. At the core of his toolkit is the community and unwavering support of Alcoholics Anonymous (AA). “The community of AA and the people that are in recovery,” he states, “have saved my life.” He fondly recalls the powerful message he received in early recovery: “We will love you till you can love yourself.” This unconditional acceptance and support proved vital in a time when he struggled to believe in his own worth.

Beyond the vital role of AA meetings and his sponsor, Aaron incorporates specific practices into his daily routine to combat depression. He highlights the importance of simple yet impactful actions, such as opening his shades immediately upon waking and making his bed. These seemingly small acts represent a deliberate rejection of the darkness and stagnation that characterized his depressed state. He actively seeks sunlight and outdoor experiences, recognizing their positive impact on his mood. “I need to go outside or I need to call one of my friends,” he explains, understanding the importance of connection and breaking cycles of isolation.

Crucially, Aaron emphasizes the proactive management of his depression through medication, a step he initially resisted but now embraces as essential. He also communicates openly with his wife about his mental state, ensuring he has support to prevent spiraling into negative thought patterns. This awareness of his triggers and the implementation of preventative measures are critical for his well-term mental wellness. His dedication to “running a program” for his alcohol recovery—attending meetings, staying in touch with his sponsor, and prioritizing his family—shows a comprehensive commitment to a healthy, sober life. These combined strategies underscore the fact that sustained recovery is not a singular event but a continuous journey of self-awareness, proactive care, and reliance on a supportive network.

6. Embracing the Present: Living 24 Hours at a Time

A fundamental principle guiding Aaron’s recovery is the practice of living “24 hours at a time.” This approach, deeply ingrained in AA philosophy, shifts the focus from overwhelming projections about the future to managing the present moment. For someone who once grappled with suicidal ideation and the constant obsession of addiction, this daily focus provides a manageable framework for sustained sobriety and mental well-being. “I don’t look too far ahead,” Aaron explains. “If I hit my head on the pillow at night and I’m sober, it’s a good day.”

This philosophy allows him to appreciate the simple joys and accomplishments of each day, rather than being burdened by anxieties about the distant future. It’s about finding gratitude in the small victories: “I got to give my son a kiss goodnight. I got to give my kiss, uh, wife a kiss goodnight.” These moments, once overshadowed by the darkness of addiction and depression, now represent the profound beauty of his recovered life.

Living in the present also empowers him to actively engage with his mental health. While he acknowledges that negative thoughts will “constantly come” due to his long history with depression, he has developed a strategy to counteract them: “Once a negative thought comes, I need to say a hundred positive things.” This demanding but essential practice reinforces his commitment to self-care and mental resilience. By staying present and continually working on himself, Aaron ensures he can “show up for myself” and, by extension, for his family. This mindful approach to life stands in stark contrast to his past, where he was consumed by shame, secrecy, and the relentless pursuit of his next drink.

7. The Liberation of Openness: Breaking the Chains of Shame and Isolation

One of the most transformative aspects of Aaron’s recovery has been the ability to shed the pervasive shame that once defined his existence. For years, he hid his struggles with both depression and alcohol, creating a dual life where his outward presentation masked intense internal turmoil. He would drink lightly with friends, only to return home and “always had a bottle at home” to satiate his anxiety and addiction. This constant deception was a heavy burden, fueled by embarrassment and a reluctance to admit his problems.

The contrast between his former isolated self and his current openness is striking. In AA, he finds a space where “I can go and I can share what’s on my mind, and you leave the meeting feeling a million times lighter.” This stark difference highlights the power of shared vulnerability and the supportive community that AA provides. He expresses a profound desire for a similar space for mental health journeys, recognizing the “so beneficial” impact it would have for “so many people just to let the slightest thing off their mind.”

Now, he talks freely and comfortably about being an alcoholic and managing his depression. This newfound openness is not only liberating for him but also serves as an inspiration to others. He is no longer “ashamed anymore” and understands that his past experiences have led him to a place of gratitude and authenticity. By sharing his story, Aaron actively works to prevent others from walking “in the shoes that I did for so many years.” The act of admitting his struggles has dissolved the shame, replacing it with a sense of purpose and a desire to help others find their own path to liberation and recovery. This profound shift from secrecy to transparency is a testament to the healing power of honesty and connection.

8. The Hopeful Horizon: A Life Reimagined

Aaron’s journey culminates in a life that, just a few years prior, seemed utterly unattainable. His addiction and depression had led him to a point where he genuinely “didn’t think that I was gonna be here when I was 35 years old.” Now, at 38, he celebrates his sobriety as a rebirth, likening it to “turned three years old.” This metaphor encapsulates the profound transformation he has undergone, a complete recalibration of his existence.

He reflects on the tangible blessings that have entered his life since embracing recovery: a wife, a two-and-a-half-year-old son, and a rekindled relationship with his family. During the depths of his addiction, he constantly “lied to ’em” and kept his distance, driven by a misguided desire to protect them from his self-destructive behavior. “I wanted to keep my distance because I didn’t wanna hurt him,” he recalls. Now, trust has been rebuilt, and he can confidently say he will “show up and they know that I’m gonna be there and I’m not lying about anything.” This honesty and reliability are gifts not only to his loved ones but also to himself, allowing him to “just live an honest life where it’s just not constant. Did I do this or did I do that?”

The internal shift is equally profound. While he continues to work on his depression in therapy, the “obsession of alcohol has been lifted,” allowing him to dedicate his energy to mental well-being. He recognizes that his negative thoughts are a battle he will face lifelong, but he now possesses the tools and the will to confront them. His gratitude for his current life is palpable, a stark contrast to the despair he once felt. Aaron’s story is a powerful reminder that even from the darkest depths, a life rich with purpose, love, and authenticity is not only possible but within reach for those willing to take the courageous step towards help.

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Navigating Trauma: Jonas’s 7 Ways Treatment Can Transform Your Life

Life can throw unexpected curveballs, leaving us feeling lost, overwhelmed, and disconnected. For many, navigating the aftermath of trauma can feel like an insurmountable challenge, impacting not only their own well-being but also the lives of those around them. Yet, as one individual’s journey illustrates, seeking help can provide a pathway to profound transformation, even when circumstances remain largely the same.

1. Recognizing the Need for Help: The Unseen Struggle

Often, the individuals most in need of support are the last to recognize the depth of their struggle. This was certainly the case for Jonas, who found himself in a chaotic and dark period of his life, grappling with an abusive relationship and the heartbreaking loss of contact with his children. Despite his internal turmoil, it was his sister who ultimately identified the severity of his situation and recommended trauma treatment at InHarmoni Rehab. As Jonas recounts, “I didn’t really understand in what kind of position I was in. Before she told me I needed to go, of course I realized that I was using sleeping pills in order to sleep, and things were going not in the right direction. I could see the signs, but I could not understand it myself.”

This sentiment underscores a critical aspect of mental health: self-awareness can be a significant barrier when deeply entrenched in emotional pain. External perspectives from loved ones can be invaluable in these moments, offering a lifeline when an individual is unable to objectively assess their own needs. The signs—such as relying on substances like sleeping pills to cope—were present, yet the emotional toll prevented Jonas from fully grasping the extent of his struggles. This often happens because trauma can impair our ability to regulate emotions and make sound judgments, leading to a distorted view of reality and a reluctance to seek help.

2. Overcoming Skepticism: A Leap of Faith Towards Healing

The decision to enter treatment is rarely an easy one, often accompanied by a healthy dose of skepticism and apprehension. Jonas admits, “My expectations going into treatment was quite on the skeptical side. I didn’t think I could do much about changing my behavior and my mood because of the state and my life situation. So I would say that I was quite skeptical.” This initial doubt is a common hurdle for many seeking help for trauma. The weight of past experiences and the belief that one’s situation is unchangeable can create a powerful barrier to embracing the possibility of recovery.

However, moving past this skepticism is often the first and most crucial step towards healing. It requires a willingness to suspend disbelief and take a leap of faith, even when the path ahead seems uncertain. This initial acceptance, even if hesitant, opens the door to new perspectives and strategies for coping. For those contemplating treatment, it’s important to acknowledge these fears and recognize that they are a normal part of the process. Trusting in the therapeutic process, even when doubts linger, can unlock profound personal growth.

Explore trauma treatment options.

3. The Ripple Effect of Healing: A New Perspective on Connection

One of the most profound realizations Jonas experienced in rehab was the interconnectedness of his well-being with those around him. He discovered that his emotional state and behaviors had a significant impact on his friends, family, and ultimately, his children, even in their absence. “Well, I would say that rehab gave me a brand new perspective on life. I realized that it’s not only me that matters because the way I feel and behave affects everybody around me. And if I don’t feel well, My friends, my family, and everybody will be affected.”

This shift in perspective is a cornerstone of trauma recovery. It moves beyond individual suffering to encompass the broader relational context. When individuals heal from trauma, the positive effects radiate outwards, improving the quality of their relationships and creating a more positive environment for everyone involved. This understanding also empowered Jonas to maintain his strength for his children, recognizing that even without direct contact, his improved well-being could indirectly impact them. This concept aligns with attachment theory, which posits that our emotional well-being and relational patterns are deeply intertwined. A research article in Psychological Science in the Public Interest highlights the lasting impact of early attachment experiences on adult relationships and mental health, underscoring the importance of healing individual trauma for the benefit of broader relational systems.

4. Embracing Practical Skills: Tools for Lasting Change

Beyond theoretical insights, trauma treatment provides invaluable practical skills that empower individuals to navigate daily challenges and foster lasting change. For Jonas, two key practices stood out: morning meditation and a conscious effort to change his communication patterns. He notes, “And of course there was a lot of practical skills that I’m using every morning, especially the meditation and especially the way I communicate. I’m trying to change my communication patterns because I realized that that was one of the reasons why I ended up in the situation I was in.”

Meditation offers a powerful tool for mindfulness, allowing individuals to observe their thoughts and feelings without judgment and cultivate a sense of calm amidst chaos. It can help regulate the nervous system, which is often dysregulated in individuals with trauma.

Communication skills are equally crucial, especially for those whose past trauma may have impacted their ability to express themselves effectively or set healthy boundaries. Learning to communicate assertively, actively listen, and understand non-verbal cues can transform relationships and prevent recurring patterns of conflict. These skills are often taught in various forms of therapy, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), which are frequently used in trauma treatment.

5. Redefining “Better”: Thriving Amidst Unchanged Circumstances

Perhaps one of the most remarkable aspects of Jonas’s journey is his ability to thrive even when his external circumstances remained largely the same. He clarifies, “actually I would say that my life today is not much different. I’m not in a completely different situation. The situation is actually the same, although the way I feel in this situation is what has have changed. I can now handle the situation. I can now understand what I’m feeling, and I also understand that things will be as good as you make them.”

This powerful realization highlights that healing isn’t always about dramatically altering external circumstances, but rather about transforming one’s internal landscape. It’s about developing resilience, emotional regulation, and a proactive mindset to navigate life’s challenges. Before treatment, Jonas was “feeling worse and worse,” but now, even with similar external pressures, he’s “feeling better and better.” This shift in perspective and internal strength is a testament to the profound impact of trauma treatment. It demonstrates that true well-being stems from our ability to adapt, cope, and find inner peace regardless of external variables. This internal locus of control is a key factor in long-term recovery and resilience, as detailed by research on psychological well-being.

6. The Investment in Yourself: An Insurance for the Future

For those hesitating to seek treatment due to concerns about cost or efficacy, Jonas offers a compelling perspective: it’s an investment, an insurance for the future. He urges individuals to consider the broader implications of their well-being, emphasizing that the positive impact extends beyond themselves. “I would say that this is a really, really small investment compared to what it’s gonna cost you if you don’t make the investment. So I would see it as a, as an insurance. It’s an insurance for the future. You can change everything for the better. By taking this step, I wish you the best of luck.”

This powerful analogy underscores the long-term benefits of addressing trauma. The emotional, physical, and relational costs of untreated trauma can be immense, leading to chronic stress, strained relationships, and diminished quality of life. Investing in treatment is not just about alleviating immediate suffering; it’s about building a foundation for a healthier, more fulfilling future. It’s an investment in personal growth, improved relationships, and overall well-being. Thinking about the cost-benefit analysis of treatment can be a powerful motivator for many.

How to pay for treatment.

7. Taking the First Step: Embracing the Unknown

The journey to healing can feel daunting, filled with questions and uncertainties about the process, the environment, and the people involved. Jonas acknowledges these common fears: “maybe you are a little bit in the doubt about going, maybe you’re a little bit scared about, you know, how it’s gonna be like, maybe you’re thinking about what kind of people are you gonna meet? How is the premises gonna be? How is the food gonna be? How is, how is this gonna change me anyway? How can, how can a treatment change anything?”

His advice is simple yet profound: “I would say that the only thing you can do to find out is to take the step because you know where you’re at, you know what problems you have, and if you want to try to solve them, try to find a solution. I would say that this is a really good first step.”

This sentiment encapsulates the essence of taking control of one’s narrative. While uncertainties may linger, the potential for positive change far outweighs the fear of the unknown. Recognizing one’s current struggles and actively seeking solutions is the courageous first stride towards a brighter future. Embarking on a healing journey requires courage, self-compassion, and a willingness to embrace the transformative power of support.

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How Do I Know if I Need Mental Health and Addiction Treatment?

If you’re reading this, you might be wondering, “Do I need help?”

That question alone takes courage, and it could be the most important first step in your healing journey.

Acknowledging the need for mental health or addiction treatment is not a sign of weakness. It’s a sign of wisdom. It means you know something isn’t right, and that you might be open to change. 

Change is where healing begins.

When stress, anxiety, substance use, or feeling lost becomes overwhelming, it can be hard to know if you need professional help. This guide will help you recognize when it’s time to seek treatment and how to take that first step.

Illustration of a person with raised arms standing on a small island with a palm tree, accompanied by the text 'Asking for help isn't weakness—it's awareness.

Recognizing Signs and Symptoms

Recognizing when you need help is the first, and often hardest, step toward healing. 

It can be challenging to recognize the signs and symptoms of addiction1 and mental health conditions. But behavioral health experts say there are common indicators. Often, our loved ones or family members are the first to notice and point out changes. 

These warning signs typically fall into 3 main categories that affect how we act, feel, and function physically.

Behavioral, Emotional, and Physical Indicators

Mental health and substance use issues often show up in subtle ways at first. You might not even realize how much they affect your life until someone else points it out—or until it starts interfering with your peace. Over time, consequences can get more severe and start to impact your quality of life.2

Here are some red flags to watch for:

  • Withdrawing from friends, family, or favorite activities
  • Ongoing mood swings, anxiety, irritability, or deep sadness
  • Trouble sleeping, or sleeping too much
  • Significant weight loss or gain
  • Neglecting hygiene
  • Using substances (like alcohol, drugs, food, or even social media) to escape
  • Difficulty concentrating, staying motivated, or feeling hopeful
  • Feeling like life is overwhelming or not worth living

If you’re experiencing several of these symptoms, your mind and body may be signaling that it’s time for support.

Infographic showing 9 common signs you might need mental health or addiction treatment, displayed in a 3x3 grid with icons. Signs include: withdrawing from people or activities, hiding how you really feel, sleeping too much or too little, mood swings/anxiety/sadness, using substances to cope or escape, struggling to focus or feel hopeful, feeling overwhelmed or emotionally numb, loved ones noticing a change in you, and falling behind on tasks and routines. Illustration of a concerned person appears on the right side with exclamation points around them.

Self-Assessment Tools and Questions

If you’ve noticed potential warning signs, specific assessment tools can help you evaluate whether your symptoms warrant professional attention.

Note: These assessments should not replace a formal diagnosis, but your results may indicate whether it’s a good idea to seek a clinical evaluation. If your answers point to possible signs of addiction or mental health concerns, consider speaking with a professional for support or further evaluation.

Clinical Screening Tools for Self-Assessment

Healthcare providers commonly use the following evidence-based screening tools3 in treatment settings, but they’re also available for self-assessment. 

GAD-7: Generalized Anxiety Disorder 7-Item Scale

What it’s for: Screens for generalized anxiety disorder and assesses severity. Also effective at detecting panic disorder, social anxiety disorder, and PTSD.

How it’s used: Rate how often you’ve been bothered by anxiety symptoms over the past 2 weeks. Takes 2-3 minutes to complete.

Sample questions:

Over the last 2 weeks, how often have you been bothered by the following problems?

  • Feeling nervous, anxious, or on edge
  • Not being able to stop or control worrying
  • Trouble relaxing

Where to find it: The GAD-7 is available online4 or through your healthcare provider.

Chart titled 'When Patterns Shift from Normal to Concerning' showing four examples of how behaviors can escalate on a spectrum from green (normal) to red (concerning). Examples include: occasional drinking to getting drunk daily, feeling down for a day to persistent hopelessness, losing focus sometimes to can't function at work or home, and needing alone time to withdrawing from everyone. Each row features an icon and a gradient bar showing the progression.

PHQ-9: Patient Health Questionnaire-9

What it’s for: Screens for depression based on DSM-5 criteria and assesses severity, including suicidal ideation.

How it’s used: Rate how often symptoms have affected you over the last 2 weeks. Takes 3-5 minutes to complete.

Sample questions:

Over the last 2 weeks, how often have you been bothered by the following problems?

  • Little interest or pleasure in doing things
  • Feeling down, depressed, or hopeless
  • Thoughts that you would be better off dead or hurting yourself

Where to find it: The PHQ-9 is available online5 or through your healthcare provider.

CAGE Questionnaire (Cut Down, Annoyed, Guilty, Eye-Opener)

What it’s for: Brief screening tool to identify alcohol misuse.

How it’s used: Four yes-or-no questions that take about one minute to complete.

Sample questions:

  • Have you ever felt you should cut down on your drinking?
  • Have people annoyed you by criticizing your drinking?
  • Have you ever felt guilty about your drinking?
  • Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover?

Where to find it: The CAGE Questionnaire6 is available online or through your healthcare provider.

These self-assessment tools offer a quick, confidential way to evaluate whether you may benefit from professional support. While they don’t provide a diagnosis, they can identify concerning patterns and help guide your next steps.

Of course, taking an honest self-assessment requires acknowledging that there might actually be a problem, which isn’t always easy.

The Role of Denial and Minimization

Let’s be honest. It can be easy to talk yourself out of needing help.

Maybe you have said things like:

  • “It’s not that bad.”
  • “I can handle this on my own.”
  • “Other people have it worse.”

Minimizing or denying a problem is a common part of struggling with addiction or mental health concerns. It’s a way the mind tries to protect itself from pain by pretending things are fine. But most people underestimate how much their struggles are actually affecting their lives. Denial helps you feel in control, while minimizing sounds like “It’s not that bad” or “I can stop anytime”—but both can keep you from getting help when you need it most.

These thought patterns can delay help until a crisis occurs. But it’s important to remember that you don’t need to be in crisis to deserve support.

When “Functioning” Doesn’t Mean “Healthy”

You don’t need to lose your job, home, or relationships to require treatment. Many people with mental health or substance use disorders are still meeting their responsibilities at work or school. This is known as “high functioning.”7

Busting the Myth of the High-Functioning Addict

Not everyone struggling with addiction:

  • Drinks or uses in the morning
  • Gets a DUI
  • Misses work regularly

Not everyone with a mental health condition:

  • Experiences suicidal ideation
  • Has difficulty in social situations
  • Needs hospitalization

These things can and do happen for many people. However, addiction and mental illness look different for everyone. “Functioning” doesn’t mean your mental well-being is intact. High-functioning alcoholism, drug addiction, anxiety, or depression can fly under the radar for years. But that doesn’t mean you couldn’t benefit from treatment to improve your physical, mental, or spiritual well-being.

What Loved Ones Might Notice First

Sometimes, the people closest to us can see the signs before we’re ready to. It’s not because they’re trying to judge, it’s because they care. They know your usual patterns, and when something shifts, they notice.

Here are some common changes or warning signs8 loved ones or others closest to you, like family members or employers, may notice:

  • A drop in mood or energy: You may seem tired, irritable, or not yourself—even if you don’t realize it.
  • Changes in routine or motivation: Maybe you’re skipping work, sleeping all day, or losing interest in things you used to love.
  • Avoiding responsibilities or isolating: Pulling away from family, missing events, or spending long hours alone can be a red flag.
  • Unusual behavior or secrecy: Loved ones might notice you’re being vague, avoiding eye contact, or hiding parts of your day.
  • Increased substance use: They may comment on how much you’re drinking or using—and how it’s affecting your mood or relationships.
  • Emotional outbursts or numbness: Whether you’re snapping easily or seem checked out, they may sense something’s off emotionally.

Sometimes, these observations come as gentle concern. Other times, they may sound like frustration. Either way, don’t dismiss what your loved ones say, even if it’s hard to hear.

Why this matters:

When you’re in the middle of a mental health or addiction struggle, your view can get clouded. You might not notice how your habits or emotions have shifted. That’s why outside perspectives are valuable—they help you see what you might be missing.

What to do next:

  • Ask someone you trust: “Have you noticed any changes in me lately?”
  • Listen without defending. Just take it in with an open heart.
  • If several people have expressed concern, it’s worth exploring.

Remember: A loved one noticing a change in you or family members sharing a concern isn’t an accusation. It’s an invitation to check in with yourself and consider if help could make things better. Reaching out for support, including peer support, can be another helpful way to bring other people into what is going on in your life.

Next Steps if You’re Unsure

Olivia Mueller, VP of Research at Recovery.com, shares:

Trying to find substance abuse and mental health treatment that meets your needs can be overwhelming. Why? Well, one main reason is we often don’t know where to begin and we have misconceptions about ‘rehab’ and recovery. When someone breaks a bone, most of us laypeople have common knowledge about treatment protocol: See a doctor, get an X-ray, get a cast or sling to hold things in place to allow healing, go to follow-up appointments, and so on.

Yet, it’s not as simple when it involves questions about treatment for addiction or mental health. The journey ahead can feel overwhelming, but there can be a clear path forward and guidance when you feel unsure about the next steps for treatment.

If you’re still unsure whether you need help, consider talking to a mental health professional or health care provider. A diagnostic evaluation typically includes:

  • A review of your medical history
  • A mental health screening
  • Questions about alcohol use disorder, drug use, trauma, and mood
  • Referral to treatment programs, psychotherapy, or support groups

These assessments can be conducted through outpatient mental health services, inpatient programs, or telehealth.

If you’ve read this far, something inside you is reaching for hope—and that matters.

You don’t need to have it all together to ask for help. You just need to be willing to take one small step.

No matter where you are in the process, you’re not alone. Recovery is possible and there’s a community here to help you take the next step. Find qualified addiction treatment programs in your area that offer personalized care when you need it most.

FAQs

Q: What are the signs that a person may need addiction or mental health treatment?

A: Everyone struggles with their health from time to time, but if your symptoms persist for more than 2 weeks, interfere with your work or relationships, or you find yourself using substances to cope with daily stress, you may need professional addiction or mental health treatment. A professional assessment can help you accurately determine your treatment needs. Also note that you don’t have to be in severe distress or crisis to benefit from professional support: many people see therapists for maintenance, additional support through growth phases, or to work through less severe (but still important) issues.

Q: When should someone seek help for addiction or mental health?

A: If symptoms last more than 2 weeks, worsen over time, or affect your ability to function at home, work, or school, it’s a strong sign to reach out to a mental health professional or treatment provider. It is always recommended to seek outside support for symptoms of substance use disorder or mental health conditions. Determining risk factors or other symptoms through assessments can also be a helpful way to learn if you need outside support.

Q: How do I know if I need help with my mental health?

A: Ask yourself: Am I coping in healthy ways? Have others expressed concern? Am I feeling overwhelmed more often than not? If the answer is yes to any, consider taking a self-assessment or speaking to a provider.

Q: What qualifies as a serious mental illness?

A: Serious mental illnesses (SMIs) include conditions or mental disorders like schizophrenia, bipolar disorder, anxiety disorders, eating disorders, post-traumatic stress disorder, and major depression that significantly impair daily functioning. A formal diagnosis is made by a licensed mental health professional.

Q: How do I get addiction or mental health treatment?

A: You can start by talking to your therapist, healthcare provider, using a non-biased treatment finder like Recovery.com, or calling a helpline. Treatment may include talk therapy, medication, support groups, or outpatient services.

Q: What are the types of substance use disorder?

A: Substance use disorders can involve alcohol, opioids, stimulants, or other drugs. They range in severity and may include physical dependence, compulsive use, or co-occurring mental health conditions. The DSM-5-TR outlines criteria for specific mental health and substance use diagnoses. To better understand what you’re experiencing, you can take a self-assessment, complete a formal evaluation, or talk with a licensed treatment provider or health care professional. These steps can help clarify whether treatment would be beneficial.

Q: Can substance abuse treatment fail due to untreated mental health issues, or vice versa?

A: It’s common for mental illness and substance use to be interconnected. If one condition goes untreated, it can undermine recovery from the other. Integrated treatment is often the most effective. Talking to your treatment provider or health care provider about your concerns about co-occurring mental health and addiction is an important first step in preparing a comprehensive and effective treatment plan. 

Q: How can I tell if I need treatment for addiction?

A: Warning signs of addiction include cravings, loss of control, using despite consequences, a relapse or recurrence of use, or hiding your substance use. If you’re unsure, talk with a provider or complete a screening tool as a first step. Just asking the question may be an indicator that you already know something is not quite right, and that you want to change.

Q: How can I tell if my addiction requires professional treatment?

A: If your self-control is slipping, your health or relationships are suffering, or you’ve tried to stop and cannot, professional addiction treatment can provide structure, support, and lasting results. You have options: intensive residential programs, flexible outpatient treatment, family therapy, evidence-based behavioral therapies, and other specialized approaches that can be tailored to your specific situation and goals.