Therapies: therapy services in Indiana

Paxil (paroxetine) is not an addiction medication. It treats the depression, anxiety, and panic symptoms that often sit underneath substance use, and addressing both at once is what keeps recovery from unraveling. It also requires a supervised taper, since abrupt discontinuation causes real withdrawal effects.

Baclofen is a muscle relaxant prescribed off label to reduce alcohol cravings and settle the physical restlessness that drives early relapse. The evidence is still developing, so it is usually considered when first line medications have not worked or cannot be tolerated.

The Matrix Model is a structured 16 week outpatient program built for stimulant use, combining individual therapy, group sessions, family education, and relapse prevention on a fixed schedule. The predictability is the point: clear expectations and steady clinical contact through the highest risk window.

Naltrexone blocks the reward response to opioids and alcohol, which lowers cravings and removes the payoff of a relapse. Available as a daily tablet or a monthly injection, it is non-addictive and prescribed alongside outpatient therapy rather than as a replacement for it.

Gabapentin is used off label in addiction treatment to ease withdrawal symptoms, anxiety, and disrupted sleep in early recovery, most often with alcohol or benzodiazepine dependence. It carries its own misuse potential, so it is prescribed and monitored closely as one part of a broader plan.

Twelve step recovery works for many people and not for everyone. These 12 step alternatives use evidence based models including CBT, DBT skills, and motivational interviewing for clients who want structure and accountability without the spiritual framework or open group format of traditional meetings.

REBT targets the beliefs driving substance use and relapse. Clients learn to challenge distorted thinking, replace it with realistic self-talk, and respond to triggers without using.

Individual and group therapy work together to support recovery by offering both personal reflection and shared accountability. One-on-one sessions provide a private space to address challenges and set goals, while group settings create opportunities to practice new skills, and gain feedback from peers.

Medication-Assisted Treatment (MAT) involves using FDA-approved medications in combination with counseling and behavioral therapies to treat substance use disorders. MAT helps individuals reduce or eliminate cravings and withdrawal symptoms, making it easier to focus on recovery. By addressing both the physiological and psychological aspects of addiction, MAT can significantly improve treatment outcomes and reduce the risk of relapse.

ACT therapy helps individuals develop psychological flexibility by learning to manage difficult thoughts and emotions rather than being controlled by them. Through mindfulness, values-based guidance, and practical coping strategies, ACT supports meaningful behavior change and long-term emotional well-being.