Substance Use Disorder
Understanding the Condition, Treating the Person
Substance Use Disorder (SUD) is not a character flaw, and it is not a sign of moral weakness. It is a recognized medical condition that affects the brain's circuitry, altering how we experience pleasure, stress, and self-control.
At The Tikvah Center, we approach SUD with the clinical rigor of a medical facility and the warmth of a Jewish home. We believe that with the right combination of evidence-based treatment and spiritual connection, the brain can heal, and the person can return to a life of potential and purpose.
What is Substance Use Disorder?
Substance Use Disorder is a complex condition in which there is uncontrolled use of a substance despite harmful consequences. It is diagnosed on a spectrum from mild to severe.
People often ask, "When does 'partying' or 'taking medication' turn into a disorder?" Clinically, we look for changes in the brain and behavior. It is no longer about "getting high"; it becomes about survival. The brain’s reward system is hijacked, making the substance feel as necessary as food or water.
Key signs of SUD include:
- Loss of Control: Taking more than intended or for longer than intended.
- Cravings: Intense urges to use the substance that block out other thoughts.
- Tolerance & Withdrawal: Needing more to get the same effect, or feeling sick when stopping.
- Neglect: Failing to meet obligations at work, school, or home due to use.
How We Treat Substance Use Disorder
We treat Substance Use Disorder as a chronic condition that requires a multi-faceted approach. We don't just "stop the use"; we treat the underlying mechanisms that drive it.
1. The Bio-Psycho-Social-Spiritual Model
We address every angle of the disorder:
- Biological: Addressing the physical cravings and brain chemistry.
- Psychological: uncovering the emotional triggers, trauma, or co-occurring disorders like anxiety.
- Social: Rebuilding relationships and navigating community pressures.
- Spiritual: Reconnecting with a sense of meaning greater than oneself.
2. Cognitive Restructuring
Using therapies like CBT (Cognitive Behavioral Therapy), we help clients identify the "automatic thoughts" that lead to use. We work to break the cycle of Trigger -> Thought -> Action.
3. Developing "Sober Capital"
Recovery requires replacing the disorder with something better. We help clients build "sober capital"—healthy relationships, vocational skills, and hobbies (like our Krav Maga program)—that make a sober life worth living.
4. Jewish Values in Clinical Practice
We frame recovery through the concept of Teshuva. In our center, Teshuva isn't just about repentance; it is about "returning" to your original, healthy state before the disorder took hold.
FAQs
Browse answers to popular questions. Don't see what you are looking for? Contact us!
"Functional addiction" is a common myth. You may be holding down a job, but if your substance use is causing internal distress, health issues, or relationship strain, or if you cannot stop when you try, you may still meet the criteria for SUD. You do not need to lose everything before asking for help.
Physical dependence means your body has adapted to a drug (you get withdrawal symptoms if you stop). This can happen even taking medication as prescribed. SUD involves the compulsive behavior: seeking the drug despite negative consequences, cravings, and loss of control.
Substance Use Disorder is generally considered a chronic condition, similar to diabetes or hypertension. There is no "cure" that allows a person to return to using substances safely. However, it can be successfully managed. With proper treatment, individuals can live symptom-free, happy, and productive lives in long-term remission.
There is a genetic component. Research shows that genetics account for about 40-60% of a person's risk for addiction. However, genes are not destiny. Environment, trauma, and mental health play huge roles. We help you understand your risk factors so you can manage them.
No. Our center is a judgment-free zone open to Jews of all backgrounds—secular, reform, conservative, or orthodox—as well as non-Jewish individuals seeking high-quality care. We respect where you are in your spiritual journey.
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