Substance Abuse Treatment that treats the whole person, not just the use
Most of the time, substance use is the symptom with the loudest voice. SMHWI treats the addiction and the depression, anxiety, trauma, or ADHD it’s running alongside, together, in one practice. Outpatient, confidential, with medication-assisted treatment when it helps.
What Substance Abuse Treatment Is
Addiction care that treats what’s underneath it, too
Reaching out for help with a substance takes real courage, especially when you’re worried about how it will land. At SMHWI, you’ll meet an addiction psychiatrist, not a stereotype. Addiction is a medical condition, and we treat it like one: with evidence, with options, and without the shame that keeps people from asking for help in the first place.
Our outpatient substance abuse treatment pulls together the three things that make the difference in sustained recovery: medication-assisted treatment (MAT) when it helps, therapy that fits the person and not just the substance, and dual diagnosis care for the depression, anxiety, PTSD, bipolar disorder, or ADHD that so often runs alongside the use. The medications, the therapy, and the addiction care are all in the same practice and the same chart, which is how plans actually hold together instead of falling through the gaps.
SMHWI treats alcohol, opioids, stimulants, benzodiazepines, cannabis, and polysubstance use. When outpatient isn’t enough, our intensive outpatient program (IOP) steps the care up without sending you somewhere else. If a higher level of care than IOP is indicated, we help you get there and continue care after discharge.
How We Treat Substance Use
The six pieces of a real recovery plan
Not every patient gets all six. Your addiction psychiatrist chooses the mix that fits your substance, your history, and the rest of your life.
Substances & Conditions We Treat
What people actually come in for
Each condition links to the modalities and medications used most. If what you’re facing isn’t on the list, reach out. It probably still fits somewhere.
Alcohol Use Disorder
You’re tired of weighing every weekend against the next morning. Alcohol use disorder responds to MAT (naltrexone, acamprosate, or disulfiram), motivational interviewing, and relapse-prevention skills, often alongside treatment for the depression or anxiety underneath.
Request evaluationOpioid Use Disorder
Opioid use disorder has the strongest evidence base of any substance treatment: buprenorphine (Suboxone, Subutex) and extended-release naltrexone significantly reduce overdose risk and improve recovery. SMHWI psychiatrists prescribe MAT in-house alongside therapy.
Request evaluationStimulant Use (Cocaine, Methamphetamine, Rx Stimulants)
No FDA-approved medication for stimulant use disorder yet, which doesn’t mean no treatment. Contingency management, behavioral therapy, and careful psychiatric management (particularly for the ADHD, depression, or trauma underneath) make the difference.
Request evaluationBenzodiazepine Use & Taper
Benzodiazepine dependence often follows legitimately prescribed use that extended beyond its usefulness. Safe tapering requires psychiatric oversight: too fast is dangerous, too slow stalls. SMHWI psychiatrists design and manage structured tapers.
Request taper planDual Diagnosis (Co-Occurring Conditions)
Depression, anxiety, PTSD, bipolar disorder, or ADHD alongside substance use. These conditions interact. SMHWI treats both inside the same practice so the medication, the therapy, and the addiction care are coordinated by one team.
Explore servicesCannabis, Nicotine & Polysubstance Use
Cannabis use disorder (especially among those using daily and high-potency products), nicotine dependence, and polysubstance patterns are treated with motivational interviewing, CBT, and medication where appropriate.
Request evaluationWhy SMHWI For Substance Use
Addiction psychiatry inside an integrated practice
Most addiction care is separate from psychiatric care, which is why so many patients cycle through one and then the other without ever getting both. At SMHWI they’re the same practice.
Addiction psychiatry expertise
Psychiatrists trained in addiction, including dedicated addiction-trained medical directors at participating sites.
MAT in-house
Buprenorphine, naltrexone, acamprosate, disulfiram and injectable options prescribed inside the practice.
Dual diagnosis coordinated
Depression, anxiety, PTSD, bipolar disorder, and ADHD treated alongside the substance use, by the same team.
Insurance handled
In-network with most major commercial plans, Medicare, and Tricare for addiction psychiatry services.
Where To Be Seen
SMHWI addiction psychiatry clinics
Addiction psychiatry is available at all four SMHWI locations. Our Tempe clinic is led by a dedicated addiction-psychiatry medical director.
TempeArizona
Ehab Abdallah, MDMedical Director · Addiction PsychiatryScottsdaleArizona
Roland Segal, MDMedical Director, ScottsdaleGlendaleArizona
Lauren T. Bonner, MDMedical Director, GlendaleRockwallTexas
Ryan H. Hashem, MDMedical Director, RockwallInsurance
Covered by most insurance plans
In-network with most major commercial carriers, Medicare, and Tricare for addiction psychiatry. Federal parity laws require most insurance plans to cover substance use treatment on par with other medical care. Admissions verifies your benefits before the first visit.
Frequently Asked Questions
Substance abuse treatment, answered
Outpatient addiction psychiatry: medication-assisted treatment (MAT), dual diagnosis care for co-occurring psychiatric conditions, individual and group therapy, relapse prevention, and coordinated step-up to intensive outpatient (IOP) when a higher level of care is needed. SMHWI treats alcohol, opioids, stimulants, benzodiazepines, cannabis, and polysubstance use.
MAT uses FDA-approved medications combined with therapy and ongoing clinical support to treat substance use disorders. For alcohol use disorder: naltrexone, acamprosate, and disulfiram. For opioid use disorder: buprenorphine (Suboxone, Subutex) and extended-release naltrexone. MAT reduces cravings, blocks reinforcing effects, and significantly improves outcomes when combined with therapy.
Dual diagnosis refers to a substance use disorder occurring alongside a psychiatric condition such as depression, anxiety, PTSD, bipolar disorder, or ADHD. The two conditions interact, which is why treating only one rarely works. SMHWI treats both inside the same practice so medication, therapy, and addiction care are coordinated by one team.
SMHWI offers outpatient substance abuse treatment, including standard outpatient visits and intensive outpatient programming (IOP) for a higher level of care. SMHWI does not provide medical detox or residential treatment. When those levels are indicated, your psychiatrist helps arrange appropriate referrals and continues care after discharge.
Yes, in most cases. SMHWI is in-network with most major commercial carriers, Medicare, and Tricare for addiction psychiatry services. The admissions team verifies your plan and quotes your out-of-pocket cost before the first visit. Federal parity laws require most insurance plans to cover substance use treatment on par with other medical care.
No. Addiction is a medical condition and SMHWI treats it that way. The goal of the first visit is understanding, not shame. Clinicians trained in addiction psychiatry take an honest history, discuss harm reduction when appropriate, and build a plan with you, not at you.
Most new patients are seen within one to two weeks. If your situation is escalating, same-day psychiatric evaluations are available at participating locations. In an overdose or life-threatening emergency, call 911.
Medically reviewed
Reviewed by Ehab Abdallah, MD
Board-certified psychiatrist with addiction psychiatry expertise. Medical Director of SMHWI Tempe and clinical oversight for addiction and dual diagnosis services across SMHWI locations.
One conversation. No shame. Real options.
Reaching out is the hardest step. We’ll verify your insurance, listen without judgment, and build a plan with you, not at you.
In a crisis
Get help right now
SMHWI is an outpatient practice and cannot respond to emergencies. If you or someone you know is in danger, in overdose, or thinking about suicide, use these free, confidential resources, available 24/7.
- Call 911Life-threatening emergency, overdose, or someone at immediate risk of harm.
- Call or text 988Suicide & Crisis Lifeline, 24/7. Chat at 988lifeline.org/chat.
- SAMHSA Helpline 1-800-662-HELP (4357)Free, confidential, 24/7 treatment referral and information for substance use.
- Text HOME to 741741Crisis Text Line, free 24/7 support with a trained counselor.
