What We Treat
Anger is one of the underlying contributors to substance abuse and other destructive behaviors that we treat at Promises. We address both problems to help guard against relapse. Clients learn how to manage their anger using relaxation therapy, cognitive behavioral practices and mindfulness, among other approaches.
Antisocial personality disorder involves a pervasive pattern of disregard for, and violation of, the rights of others. People with this disorder may break laws, lie, manipulate and act recklessly. Through intensive therapy, clients learn appropriate behaviors and make connections between their actions and feelings.
Anxiety disorders affect 40 million adults, making them the most common mental illness. We treat anxiety disorders as well as a dual diagnosis of anxiety and substance abuse, trauma or other mental health disorder. Using evidence-based therapies and medications, clients learn how to manage anxiety and be resilient in everyday life.
Avoidant personality disorder is characterized by feelings of extreme social inhibition, inadequacy and sensitivity to criticism. People with this disorder often struggle to maintain relationships, becoming increasingly isolated over time. In treatment, they address underlying thought patterns, develop healthy self-esteem and learn skills to more comfortably interact with others.
Barbiturates are used for sedation, muscle relaxation and anxiety treatment. Similar to benzodiazepines, their effects include slurred speech, memory loss, clumsiness and mood changes. Treatment often begins with medical drug detox, followed by individual, group and family therapy.
Commonly known by brand names Xanax, Valium and Klonopin, benzodiazepines are prescribed to treat anxiety, insomnia and other conditions. Also known as “benzos,” this class of medication can be addictive, causing side effects such as anxiety, depression, low libido and emotional numbness.
About 40% of people with bipolar disorder receive another diagnosis before the illness is correctly identified. At Promises, we carefully assess each client and develop individualized treatment plans that may include medication and traditional and alternative therapies. Recognizing that people with bipolar disorder are at high risk for substance abuse, we treat all issues at the same time.
Negative body image can cause people to withdraw from relationships and social situations. Left unaddressed, these issues can escalate into body dysmorphic disorder or eating disorders. Through one-on-one counseling and therapy in small groups, we help clients work toward self-acceptance and develop trust and body awareness.
BPD is marked by unstable moods and problems with self-awareness and interpersonal relationships, in addition to impulsive thoughts and behaviors. Most people with borderline personality disorder also have other psychiatric disorders such as anxiety, depression or an eating disorder. Treatment includes family counseling, psychiatric care and evidence-based therapies like dialectical behavior therapy.
Codeine is prescribed for pain relief and to treat coughs and colds. However, when used in large amounts without medical supervision, the drug’s euphoric effects make it a high-risk drug for abuse. Common side effects include nausea, vomiting, drowsiness, constipation and depression.
Codependency occurs when one person exhibits too much (and often inappropriate) caring for other people’s problems. People with codependency may have issues with drugs or alcohol or other destructive behaviors. In treatment, clients develop resiliency, self-confidence, healthy coping skills and learn what healthy relationships look like.
Delusions are false beliefs that a person holds despite evidence to the contrary. They can occur as part of many different disorders including schizophrenia, brief psychotic disorder, bipolar disorder and major depressive disorder with psychotic features. At Promises, we address delusions as part of substance abuse and mental health treatment.
People with dependent personality disorder need to be taken care of and fear being abandoned or separated from others. They may go to extreme lengths to maintain their relationships, even if they’re suffering abuse. Treatment often includes assertiveness training and cognitive behavioral therapy to help clients develop new skills and attitudes toward themselves and others.
Roughly one in six people will experience depression. Although it is highly treatable, many people continue to suffer with depression symptoms and other issues such as substance abuse. Treatment typically includes a combination of medication and therapy to help clients develop skills for healthy, independent living.
Our clients receive integrated dual diagnosis treatment for substance abuse and a wide range of mental health disorders. Through comprehensive assessments, our multidisciplinary team identifies underlying conditions that are fueling addiction and other destructive behaviors and develops treatment plans that address all of these challenges using evidence-based therapies and expert psychiatric care.
Dysthymia is a chronic, low-grade form of depression that continues for two years or more. It affects approximately 1.5 percent of adults in the U.S. Using a combination of medication and psychotherapy, we help clients develop healthy coping skills and address underlying issues so they can find ways to feel fulfilled while minimizing self-defeating behaviors.
Grief is often described as emotional reactions that occur in stages, not always in order and, at times, even simultaneously. Everyone copes with loss in their own way. In some cases, alcohol or other drugs or other destructive behaviors are used as a coping tool. We provide grief and loss counseling and support groups to help our clients work through unresolved grief and co-occurring issues.
As prescription painkillers get more expensive and harder to find, many people who are addicted to opiates turn to heroin. Although relapse rates are high for heroin users, we work to make recovery possible with safe heroin detox, evidence-based treatment and long-term relapse prevention plans.
People with histrionic personality disorder require approval from others to feel worthy and feel a need to be the center of attention. As a result, they may be preoccupied with how they look and feel hyper-sensitive to criticism. In treatment, clients work on interpersonal skills, self-esteem and underlying issues such as past trauma and attachment issues.
Some of the clients we treat at Promises have experienced infidelity in a relationship and feel lost, angry, or worried for their own health and the well-being of their family. Using the trauma model, we help clients develop skills to navigate trauma triggers, process anger and other emotions, and make decisions about the future.
Marijuana is the most widely used illicit drug in the U.S. Although many people think marijuana use is harmless, research shows that about 9% of users become addicted, and the risk is higher among those who start young, use on a daily basis or have an underlying mental health disorder.
An addiction to meth can develop quickly, sometimes with just one use. Meth can inflict long-term, often irreparable damage. Users may suffer from liver damage, heart attacks, tooth loss, long-term memory loss and brain damage. Getting help is essential to prevent further damage.
Health issues, career changes, loss of loved ones and lack of direction or meaning are all issues that can arise in mid-life. To cope, some people turn to drugs or alcohol, have affairs, seek attention in unhealthy ways, or engage in other compulsive behaviors. We help clients develop a strong sense of self, establish goals and set healthy boundaries so they can effectively manage these complex mid-life issues.
Depression, bipolar disorder and other mood disorders affect about 20 percent of the U.S. population. The most effective approach to treatment involves a combination of evidence-based medications and therapies like cognitive behavioral therapy. We also emphasize a healthy lifestyle that includes proper nutrition, fitness and mindfulness practices.
Narcissistic personality disorder is characterized by excessive need for attention and a sense of entitlement and superiority. People with this disorder have difficulty maintaining healthy relationships, are easily frustrated and often feel envious of others. Treatment addresses interpersonal skills and self-esteem as well as co-occurring issues like substance abuse.
OCD is diagnosed in about 2% of the population. Some of our programs treat OCD as a primary diagnosis, others as a co-occurring disorder. Treatment includes traditional and alternative approaches that help clients develop healthy coping skills like mindfulness and cognitive-behavioral techniques to help manage intrusive thoughts.
Heroin and prescription painkiller addiction has reached epidemic proportions, killing more than 27,000 people per year. To meet this pressing need, we’ve created personalized opiate addiction treatment programs and opiate detox using the latest evidence-based medications such as Suboxone.
Many people we treat became addicted to oxycodone or other opiates after being prescribed the medication following an accident or injury. We treat OxyContin addiction with comprehensive treatment programs that include intensive therapy, support groups and medications like buprenorphine and naltrexone.
Panic disorder is marked by repeated panic attacks that produce uncontrollable fear and other symptoms in situations that would not normally produce this type of reaction. Treatment includes medications and therapies that help clients address anxious thoughts as well as issues like past trauma and substance abuse.
People with paranoid personality disorder have a longstanding pattern of extreme distrust. They experience social isolation, are suspicious of other people’s motives, and have problems working with others. Usually a combination of medications and therapies such as cognitive behavioral therapy are effective in reducing paranoia and limiting its impact.
About 9% of Americans meet the criteria for a personality disorder. Most personality disorders are characterized by rigid thinking, which can lead to problems with relationships, work/school and social situations. Because people with personality disorders may also struggle with addiction and other issues, treatment at Promises addresses all of these difficulties with intensive therapy and psychiatric care.
Over 52 million people in the U.S. have abused prescription drugs such as opiate painkillers and anti-anxiety medications. To combat this growing epidemic, Promises provides safe, comfortable medical detox and evidence-based addiction treatment. Clients participate in traditional and alternative therapies and address underlying issues that drive them to self-medicate.
Process addictions are compulsive behaviors around activities such as eating, gambling, sex and shopping. They can be as disruptive to a person’s life as an addiction to drugs or alcohol and are marked by similar symptoms including loss of control and failed attempts to stop despite negative consequences.
Propoxyphene is a pain-relieving opiate that has been taken off the U.S. market due to the risk for cardiac issues it can cause. Because it is usually bound to acetaminophen, long-term propoxyphene use can cause liver problems, stomach cramps, nausea and chronic constipation.
Brief psychosis involves psychotic symptoms such as delusions, hallucinations and disorganized thinking that come on suddenly but last for less than a month, after which the individual usually recovers. Most brief psychotic disorders occur following a disturbing event such as an assault or the death of a loved one.
Many people with addiction and mental health disorders struggle with relationships and intimacy, either as part of their disorder or as a result of it. We help clients build self-esteem, improve their communication skills, and address trauma, grief, substance abuse and other underlying factors that keep them stuck in destructive relationship patterns.
Schizoaffective disorder has features of both schizophrenia and a mood disorder with symptoms that range from delusions and hallucinations to disorganized thinking and suicidal thoughts. It affects an estimated one in 100 people. At Promises, treatment includes family counseling, support groups and psychotherapy to establish healthier thought and behavior patterns.
People with schizoid personality disorder organize their lives to avoid contact with others. They may be resistant to get help or change, and may have difficulty opening up to a therapist. Some of the goals of treatment are to establish a sense of safety so they can start to open up, address co-occurring issues like anxiety and depression, and develop social and interpersonal skills.
Schizophrenia is a brain disorder that is broken down into three types: paranoid schizophrenia, catatonic schizophrenia and disorganized schizophrenia. It affects about one percent of Americans. Schizophrenia makes it difficult to function in daily life as the lines between reality and delusion blur, but with treatment, people with schizophrenia can lead satisfying lives.
Schizotypal personality disorder is marked by odd patterns of thinking and behaving that are out of touch with reality. The person may also have brief psychotic delusions or hallucinations as well as distrust of others and social isolation. Treatment is designed to build trust and communication, discover the differences between perceptions and reality, and work toward a more satisfying life.
Low self-esteem is part of many of the disorders we treat. We delve into the causes of low self-esteem and help clients recognize they are valuable and worthy through individual and group therapy and experiential approaches. Clients learn to replace destructive behaviors with healthier ones and build self-confidence.
Some people who abuse drugs or alcohol also struggle with sexual compulsivity, especially in early recovery when their primary coping tool (substances) is no longer available. By addressing underlying issues such as past trauma and mental health disorders, clients learn healthy ways to cope and to embrace vulnerability and develop close relationships with others.
Compulsive shopping is characterized by excessive shopping and buying behavior that leads to emotional distress or impairment. Studies have found that more than one in 20 Americans is a compulsive shopper. At Promises, we help people with addictions and mental health issues who also suffer from compulsive shopping learn how to cope with emotions in healthy ways.
Insomnia and other sleep disorders are common among people who abuse alcohol or other drugs. Left untreated, sleep disorders create a significant relapse risk. We provide evidence-based care that treats both the sleep disorder and the substance dependency using mindfulness, neurofeedback and trauma therapies.
Social phobia causes people to feel intense, uncontrollable fear or worry in everyday social situations. At Promises, we treat social phobia with psychotherapy, social skills training, confidence-building activities, and relaxation techniques such as acupuncture and meditation. Our goal is to free our clients from anxiety so they can live up to their full potential.
Unresolved trauma is at the heart of many of the challenges facing our clients. We offer comprehensive trauma recovery programs in a highly supportive, deeply validating environment where clients have access to a wide range of trauma therapies such as Somatic Experiencing, neurofeedback and EMDR. Clients develop a strong sense of safety and learn how to tap into their own innate ability to heal.
Psychosis is a brief loss of contact with reality, usually in the form of false beliefs about what is taking place or who someone is (delusions) and/or seeing or hearing things that are not there (hallucinations). Psychosis can occur as a side effect of drug or alcohol abuse, certain medications and many medical conditions.
Vicodin, a brand name for the combination of hydrocodone and acetaminophen, is often prescribed after an accident or surgery. Over time, people can build a tolerance and become dependent on the drug. Long-term use can lead to liver problems, headaches and chronic constipation.
Alprazolam (Xanax) is often prescribed to treat anxiety. What sometimes starts as legitimate medical use can evolve into addiction. Patients may take larger doses than prescribed, experience cravings for the drug and have multiple failed attempts to stop using it. Treatment may begin with medical detox, followed by intensive therapy and attention to the underlying causes of addiction.