Many people struggling with alcohol, opioids, nicotine or other substances wait years before asking for help — often because of shame or not knowing where to start. Addiction (substance use disorder) is a medical condition that changes how the brain works. Like diabetes or high blood pressure, it can be treated, and recovery is common. Addiction medicine is one of Dr. Adiet's areas of special interest.
Signs it may be time to talk
- Using more, or for longer, than you meant to
- Trying to cut back without success
- Cravings, or feeling sick when you stop
- Problems at work, school or home because of use
- Giving up activities you used to enjoy
- Friends or family expressing concern
How a family doctor can help
- A private, judgment-free conversation about what's happening and what you want to change.
- A medical check for related problems such as liver health, blood pressure, sleep, depression or anxiety.
- Medications that reduce cravings and withdrawal. There are FDA-approved treatments for opioid and alcohol use disorders, and many can be prescribed in a primary care office.
- Support and referrals to counseling, support groups or specialized programs when more help is needed.
- Ongoing follow-up — recovery is a process, and setbacks are part of it, not failure.
Your privacy matters
Your visit and records are confidential and protected by law. You don't need to have everything figured out to come in — wanting to talk is enough.
For families
If someone you love uses opioids, keep naloxone (Narcan) at home; it's available without a prescription and can reverse an overdose. Call 911 right away if someone is unresponsive or not breathing normally.
Help right now
- Emergency: call 911
- Suicide & Crisis Lifeline: call or text 988
- SAMHSA National Helpline (free, confidential, 24/7): 1-800-662-4357
When you're ready, call (936) 756-2888 or book online. We're here to help, not to judge.
This article is for general education and is not medical advice. Talk with your doctor about your own health. In an emergency, call 911.

