
Addiction is a chronic medical condition defined by behaviors that have negative consequences. Despite the damage that’s done, the user can’t stop using. Types of addiction include alcohol, nicotine, drugs (street and misusing prescriptions), gambling, sex/porn, internet/technology, shopping, caffeine and food.
Anyone can be susceptible to any type of addiction, there are a few known factors that increases a person’s likelihood of moving from using to abusing. Learn more in the FAQ’s.
The hallmark signs of addiction are an increase in tolerance (needing more to have the same effect), intense and undeniable urges, using even though you know it’s hurting yourself and loved ones, and extreme behaviors to continue the addiction. See below for more details.

FAQs of Addictions
How does addiction therapy help a disease?
Addictions are considered to be a disease that is chronic and treatable. Identifying it as a disease recognizes that the cause is biochemical, rather than a choice or laziness.
The brain’s chemistry and structure alters to the point that the user is able to make wise, logical decisions that take all the pros and cons into consideration.
Therapy is helpful because it allows for an objective outsider to identify the cycle and the cycle’s weaknesses, while providing ways to interrupt the cycle. It’s hard to do on your own, having an observer allows for an unbiased strategy that is more likely to be effective.
What is increased tolerance?
Over time, your body becomes accustomed to the same thing. This can include many things – caffeine, alcohol, opioids, gambling. With continued use, you need more to get the same effects. For example needing to drink more to reach the same feeling, or placing higher bets to get that rush.
It occurs naturally over time when the same substance is ingested often, or the same behavior is repeated. It is an indication that your actions maybe becoming an addiction.
Can people recover from addiction?
Absolutely! There are a number of factors that influence an individual’s success. The two most influential are the level of motivation for change and the level of support.
There are a lot of different treatment options – not every one is right for everyone. It might take some time to find the right fit. In the meantime, staying optimistic and hopeful, with the help of others, will take you a long way.
What is the role of urges in addiction?
When addressing addictions, urges take on a whole new level. Everyone experiences urges daily on some level – to sleep in, skip the gym, eat the donut. For the most part, we can talk ourselves down and maintain boundaries we’ve set for ourselves.
For someone with an addiction, the behavior is all consuming and can’t be denied. This person will get very anxious, possibly irritable, as they can only fixate on their urge. This sensation will persist until something else fills it or replace it to satisfy the need.
How can I tell if I’m dependent?
A dependence is present when users sacrifices themselves and their loved ones to satisfy an urge. They understand the cost it has on them, yet it’s near impossible to deny.
An example would be a gambler losing money meant for the mortgage, knowing it may mean losing their home and family. They have become dependent on the high of the risk and chance of winning, that they can’t see the consequence or minimize it.
What causes addiction?
- Biological/Genetic: Roughly 50% contribution to addiction. Using also changes brain development and functioning, making it harder to contain and control
- Environmental: Normalized use in families, influence of peer pressure in adolescents, accessibility of substance
- Psychological: Comorbid with mental health diagnosis (anxiety, depression, PTSD, bipolar) as a way to cope. Using can mask/numb certain difficult emotions.
Does a relapse mean I am weak?
A relapse means that you’re struggling with changing your behaviors and have a few more kinks to work out. You are trying a new way of living, there are a lot of moving parts that need to work well together to stay sober.
Adopting any new habit comes with challenges and setbacks – using a budget, going to the gym, sticking to new eating habits and even riding a bike. Relapse is part of the process, not a sign that you can’t reach your goals.
What does it mean to hit rock bottom?
For many addicts, hitting rock bottom is the event that ultimately leads to them seeking and sticking with abstinence. Every person has a different rock bottom.
For some, it may be getting a DUI or a health scare. Others, losing their family (from the lies and chaotic lifestyle) is what it takes. Those that are deeper into their addiction may end up incarcerated or homeless and still actively use.
Types of addiction support
- Support groups, such as AA, NA, and Gambling Anonymous
- Many religious organizations have their own recovery supports
- Outpatient therapy – meet with a therapist weekly to gain objective support and develop a personalized plan.
- Medication management – to address underlying issues (trauma, anxiety) and mitigate addiction
- Partial Hospitalization/Intensive OutPatient (IOP) – therapy/group several times a week, still live at home and go to work
- Residential – more intense with groups and individual therapy, detox, medication management, relapse prevention, life skills; live in the facility for 24/7 care
- Inpatient – more intense form of residential, has more restrictions and rigorous treatment
What can I expect from addiction therapy?
First step will be an assessment. This is done through a conversation with a therapist and questionnaire(s). All aspects of your addiction (current symptoms, history of use, kinds of use, and attempts to stop using will be evaluated.
Next, you and your therapist will develop a treatment plan, determining which treatment option is the best fit for you.
Your therapist will also discuss treatment options, in terms of intensity. If addressed early, lower levels of care may be most appropriate. If you’ve been struggling for some time, you may need to think of going to a higher level of care. This is something to discuss with your therapist and family.
How can I support a loved one in addiction therapy?
What to do:
- Listen – believe them when they say they are struggling
- Validate – Say that you understand, that it must be overwhelming for them
- Ask in detail how they are coping, even if you just suspect they are using
- Encourage – point out small steps and growth, remind them it takes time to work through
- Set boundaries and stick to them – ‘Next time you get high, I am going to…’ Follow through every single time, regardless of their excuses.
- Find support for yourself – through different groups or your own therapy
- Support finding additional support – groups, therapy, rehab
What not to do:
- Minimize their pain – ‘It’s not that bad’
- Ignoring their needs – be consistent in reaching out with support
- Getting frustrated yourself – remember it takes time to overcome an addiction
- Be a ‘fixer’ – don’t do things for them, that enables lack of self efficacy, rather support them through hard tasks
- Pressing – don’t goad them into situations they are not ready for, create a supportive environment
How do I know if I need help from addiction therapy?
If you’re here, you have some concerns about your use. It’s always better to find support sooner rather than later as it’s easier to treat early on.
- Find yourself thinking about behavior (drinking, gambling, using) more and more
- Experiencing increased tolerance
- Lying to others about your use (saying running errand instead of going to liquor store)
- Breaking own boundaries (tell yourself only gaming on week-ends and can’t follow through)
- Others are questioning how much you use/engage in behavior or sharing concerns
- Find yourself acting differently – change in motivation and interests, more irritable, life feels more chaotic

How to Start Addiction Therapy Today
Blue Horizon Counseling is excited to provide support for people with concerns about their use through addictions. We treat addictions both in person and virtually across Texas. Addictions can be a heavy burden, impacting all areas of your life and relationships. The good news is that there is help. Several therapists are on staff to meet your individual needs and preferences, offering a variety of different kinds of therapy. Follow these steps, and get started today:
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Contact Us
Have your first session
Address your Stressors
Once we’ve verified your insurance benefits, you will schedule your first appointment, the intake. This is where you’ll get to know your therapist and set therapy goals.
As you continue to meet with your therapist, and develop a relationship, you will start to notice progress towards your goals. Life will feel more manageable, and you can plan for a better future.
Resources about/for Addictions
BHC approach to treating Addictions
We use several different treatments to treat addictions. Which one is the best fit for you?
Cognitive Behavior Therapy
CBT is perhaps the most widely known type of intervention and one that most graduate schools teach their new therapists. It uses a model that says after an event happens (a friend doesn’t text back), you have a thought about it (they hate me, or they are busy), which produces a feeling (rejection or indifference) and then a behavior (isolation, or going on with your day). Your thought influences your feelings and behaviors. By changing your thoughts, you change your feelings and behaviors.
Learn more Cognitive Behavioral Therapy.
These therapists offer CBT: Barbara, Heather R, Lee Ann and Madeline

Eye Movement Desensitization Reprocessing
EMDR has been around since the late 1980’s. It takes advantage of natural brain processes to ‘thaw’ memories that have been ‘frozen’ in time. These memories lay the foundation to current struggles (depression, anxiety, PTSD). Once the memory is processed, it no longer influences how we think and feel about ourselves and the world.
Learn more about Eye Movement Desensitization and Reprocessing.
These therapists offer EMDR: Barbara, Heather, Lee Ann and Madeline

BHC approach to medication
Medication can be a very useful addition to the therapy provided by your therapist. We are open to discussing medication options with you. It is important to note that we will never require medication, or try to persuade you in either direction (to use or not to); however, we will share observations and insights from our own experiences and observations.
We do not have anyone on staff that is able to prescribe medication, however, we can help you find someone that can.

