Addictions

Addiction and compulsive behaviors often develop quietly and gradually. What may begin as a way to cope with stress, numb emotions, or feel relief can slowly take on a life of its own. You might feel stuck in patterns you want to change but find difficult to stop, even when the consequences are clear. Shame, frustration, and self-blame often follow, making it harder to reach out for help.

Struggling with addiction does not mean you lack willpower or character. Addiction is driven by learned behavioral and neurological patterns that can be understood and changed. Therapy can help you break these cycles, rebuild trust with yourself, and develop healthier ways of coping. We work with adults in Massachusetts who are dealing with addictive or compulsive behaviors and want support making lasting change.

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Addiction involves a pattern of repeated behavior that continues despite negative consequences. Over time, the behavior becomes less about pleasure and more about relief from discomfort or distress.

Addictive or compulsive behaviors often involve:

These patterns are reinforced by the brain’s reward and stress systems, especially during periods of emotional or psychological strain.

Types of Addictions and Compulsive Behaviors

People seek therapy for a wide range of addictive or compulsive patterns, including:

Substance-Related Concerns

(Work is focused on recovery, motivation, and behavior change, not substance use itself.)

Behavioral Addictions and Compulsions

Process Addictions

Each pattern has unique features, but the underlying cycle is often similar.

Addictive behaviors are often maintained by a predictable loop:

Over time, the brain learns to associate the behavior with relief, even when the costs increase.

Many people ask, “Why can’t I just stop?”

Common reasons include:

Understanding these factors reduces self-blame and opens the door to change.

Therapy focuses on understanding the function of the behavior, not just stopping it.

Therapy helps you:

We take an individualized, evidence-based approach that recognizes addiction as a behavioral and emotional process.

In therapy, you may:

Progress often looks like increased control, reduced urgency, and greater confidence over time.

FAQs About Addictions Therapy

Do I have to stop completely to start therapy?

No. Therapy meets you where you are and supports change at your pace.

No. Relapse is treated as information that can guide future change.

Yes. Many of the same mechanisms and treatments apply.

If addictive or compulsive behaviors are interfering with your well-being, relationships, or goals, therapy can help. Many people wait due to shame or fear of judgment. Support can help you understand these patterns and make meaningful, lasting changes.

Our work with addictions emphasizes compassion, understanding, and sustainable change. We focus on helping clients understand the role addiction plays in their lives, build healthier coping strategies, and move toward lives that feel more stable, meaningful, and aligned with their values.