Addiction and Substance Use Treatment in NYC That Works
A substance use disorder is a treatable medical condition, and outpatient psychiatric care works for most people who have one. What works is treating the substance and the anxiety, depression, or ADHD underneath it together. At Integrative Psych in Manhattan, one clinician handles all of your addiction treatment in a single plan.
- In-person · Manhattan
- Telehealth · New York
Start with an assessment
Short, private check-ins that help you put words to what you're noticing before your first conversation.
Child ADHD
A check on a child's focus, follow-through, and emotional reactions.
Adult ADHD
A check on focus, organization, and follow-through in adults.
Anxiety
A check on worry, tension, and how much they shape your days.
Depression
A check on mood, energy, and interest in everyday life.
Our clinicians are affiliated with
What is a Substance Use Disorder
A substance use disorder is the clinical term for a pattern of use that causes meaningful distress or impairment. The DSM-5 defines it along a spectrum (mild, moderate, severe) using 11 criteria spanning loss of control, life impact, risky use, tolerance, and withdrawal. Most people meet criteria for a moderate-to-severe presentation by the time they seek help, and that's a treatable starting point, not a verdict.
None of these mean you've failed. Substance use disorders rarely travel alone, and most people with one also meet criteria for anxiety, depression, ADHD, trauma, or bipolar disorder. Treating one and ignoring the other is the most common reason treatment doesn't hold.
- A substance use disorder is a clinical condition on a spectrum of severity, and it responds to treatment. Naming it isn't hitting bottom; it's the first step toward care that works.
- Most people with a substance use disorder also live with anxiety, depression, ADHD, or trauma. Treating both together is what makes treatment hold.
- One clinician handles medication and therapy in a single plan, with no handoffs between a separate prescriber and therapist.
- We're an outpatient practice. We treat substance use alongside co-occurring conditions, and we help you find detox or residential care when a higher level is needed.
- Your clinician reviews the Sigmund Assessment before your first appointment, so they understand your case from day one.
It tends to show up like this
- You're using more than you intended: more drinks on a weeknight, a stronger dose, a higher frequency than a year ago.
- You've tried to cut back and couldn't sustain it for more than a few days or weeks.
- The amount you used to enjoy doesn't do much anymore, so you use more to reach the same effect.
- You notice withdrawal when you stop: anxiety, irritability, tremor, sweating, disrupted sleep.
- Your use is tangled up with a mental health condition. You drink to quiet anxiety, or use cannabis to sleep when ADHD is running the show.
- You've kept using despite consequences, whether a DUI, a hard conversation at work, or a doctor's warning.
Common, treatable, and too often untreated
About
1 in 6Americans ages 12 and up has a substance use disorder in a given year (SAMHSA, NSDUH)
Roughly
3 in 4people with a substance use disorder don't receive treatment for it (SAMHSA, NSDUH)
Treatment Options for Substance Use Disorders
Effective care usually combines medication, psychotherapy, and practical changes to daily life. The right mix depends on the substance, the severity, and the condition underneath it.
Medication-assisted treatment
For alcohol, opioid, and nicotine use disorders, evidence-based medication reduces craving, blocks reinforcing effects, or steadies the underlying neurochemistry so therapy can do its work. It isn't trading one dependency for another; it's a tool that makes recovery more durable. For alcohol use disorder, naltrexone (a daily tablet or monthly injection) reduces craving, acamprosate eases the discomfort that drives early return to use, and disulfiram helps a subset of motivated patients. For opioid use disorder, buprenorphine reduces craving and withdrawal in an outpatient office, naltrexone blocks opioid effects after full detoxification, and methadone is dispensed only through federally licensed programs we'll help you find. For cannabis, stimulant, and benzodiazepine use disorders, no FDA-approved medication exists, so care focuses on the co-occurring condition and managing withdrawal where it applies.
Therapy
Evidence-based therapies include CBT, motivational interviewing, and relapse-prevention work, adapted to your patterns. When trauma is part of the picture, trauma-focused approaches often belong in the plan too.
Harm reduction and peer support
Not everyone arrives ready for full abstinence. Harm reduction, which lowers the risks of continued use while you work toward change, is a legitimate, evidence-based starting point. Mutual-aid groups (AA, NA, SMART Recovery) work differently for different people, and a good plan respects the support already helping you.
How We Treat Substance Use at Integrative Psych
Care here is delivered by one clinician in a single plan: medication, therapy, and lifestyle structure, coordinated from the start. Your anxiety, your ADHD, and your alcohol use are handled by the same person rather than passed between a separate prescriber and therapist, and you never repeat your history to a new face. Our clinicians are board-certified psychiatrists and psychiatric nurse practitioners, and the practice houses clinicians affiliated with the National Institutes of Health, Columbia University, and New York-Presbyterian Hospital.
Your clinician reviews the Sigmund Assessment, a structured evaluation, before your first appointment, so they already understand your use history, co-occurring symptoms, and goals on day one. Our approach is also informed by academic research: Dr. Ryan Sultan, Professor of Clinical Psychiatry at Columbia University, has published peer-reviewed work on cannabis use among U.S. adolescents, including a national study of more than 68,000 young people, and you can explore the research if you want to look deeper. Care is available in person at our Manhattan office, and by telehealth anywhere in New York State.
Assess
The Sigmund Assessment captures your symptoms, history, and goals before your first appointment, so your clinician already understands your case.
Match
We match you to the clinician best suited to your goals and stage of change, not the next open slot.
Treat
Therapy, medication, and lifestyle structure delivered from the same chair, so your first appointment moves straight to a plan.
Track
Validated tools track response at regular intervals, so changes are guided by data, not guesswork.
Clinicians who treat addiction
Board-certified psychiatrists and psychiatric nurse practitioners. The practice houses clinicians affiliated with NIH, Columbia, and New York-Presbyterian.
What Our Patients Say
Insurance and Billing
Integrative Psych is an out-of-network practice. You pay at the time of service and receive a monthly superbill to submit to your insurer for potential out-of-network reimbursement. Many PPO plans reimburse a portion, and your insurer is the best source for what your specific plan covers. To check yours, call the number on your card and ask about out-of-network reimbursement for outpatient psychiatric evaluations, follow-up visits, and therapy.
Billing, simply
- Out-of-network; you pay at the time of service.
- Monthly superbill provided for reimbursement.
- Many PPO plans reimburse a portion of out-of-network care.
- Call the number on your card to confirm your benefits.
Frequently Asked Questions About Substance Use Treatment
Is this practice a detox facility or rehab program?
No. Integrative Psych is an outpatient psychiatric practice. We treat substance use disorders alongside co-occurring conditions using medication and therapy in a scheduled-appointment model. If you need medically supervised detox or residential care, we'll help you find the right program and provide outpatient care before, during, or after it.
Is medication-assisted treatment just replacing one addiction with another?
No. Naltrexone, acamprosate, and buprenorphine reduce craving, block reinforcement, or steady neurochemistry so therapy and treatment of co-occurring conditions can take hold. Used as prescribed alongside behavioral care, they make recovery more durable rather than trading one dependency for another.
Can I be treated for my anxiety or ADHD while I'm still using?
Yes, in most cases. Many people arrive with active substance use and a co-occurring condition that's gone undertreated. A good plan treats both together rather than one at a time. The exact sequencing depends on the substance, the severity, and the other diagnosis, which is what the evaluation is for.
Do I have to commit to abstinence to start?
No. Your stated goal shapes the plan, and harm reduction is a legitimate place to begin. Some people start by reducing use and move toward abstinence over time; others aim for abstinence from day one. Treatment works at either end of that spectrum, and the plan adjusts as your goals do.
Are my substance use records confidential?
Yes, with an added layer of protection. Substance use records are covered by HIPAA and by a federal regulation, 42 CFR Part 2, that generally prevents sharing them with insurers, employers, or other providers without your written consent. We'll walk through what this means for your situation during intake.
How do I know if outpatient care is right for my situation?
Outpatient care fits well when you're medically stable and the substance use is tangled with anxiety, ADHD, depression, or trauma that needs ongoing treatment. It's the right level when you don't need 24-hour monitoring or supervised detox. The evaluation makes this call directly, and if a higher level is safer to start, we'll say so.
Where can I find addiction treatment near me in NYC?
Our office is at 80 8th Ave in Manhattan, where evaluation and ongoing psychiatric care for substance use are available in person. We also offer telehealth anywhere in New York State, with the same clinical standards as in-person visits.
Crisis Resources: We are not an emergency treatment clinic. If you or a loved one is in crisis, call 911, call or text 988 (Suicide and Crisis Lifeline), or go to the nearest emergency room. For substance use support 24/7, call SAMHSA's National Helpline at 1-800-662-HELP (4357), free and confidential. Integrative Psych is an outpatient practice and is not equipped to provide crisis intervention or medically supervised detoxification.
Ready to Get Evaluated?
A consultation isn't a commitment to medication, abstinence, or any single path. It's a clear picture of what's driving your use and what's most likely to help. Appointments are in person at our Manhattan office or by telehealth anywhere in New York State.
This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Consult a qualified healthcare provider for personalized guidance on substance use and co-occurring mental health conditions.