What We Treat
Substance use and co-occurring conditions we treat
Every case is individual. If you don't see your exact situation here, call us, we'll help you understand what may be needed.
- Medically supervised
- Dual-diagnosis capable
- One connected team
Addiction Treatment
Addiction Treatment
Start here. A plain-English guide to addiction treatment at PMR, the levels of care, our clinical approach, and what happens when you reach out.
Alcohol Use Disorder
Alcohol Use Disorder
Help for alcohol use disorder, from medically supervised detox through outpatient care and continuing recovery.
- Increased tolerance
- Tremors or shaking
- Sweating
- Sleep disturbances
Opioids & Fentanyl
Opioids & Fentanyl
Treatment for opioid and fentanyl use, including MAT when it's clinically appropriate.
- Oxycodone (OxyContin)
- Hydrocodone (Vicodin)
- Morphine
- Codeine
Benzodiazepines
Benzodiazepines
Medically supervised care for dependence on benzodiazepines like Xanax, Ativan, or Klonopin.
- Xanax (alprazolam)
- Ativan (lorazepam)
- Klonopin (clonazepam)
- Valium (diazepam)
Stimulants
Stimulants
Care for stimulant use, including methamphetamine, cocaine, and misused prescription stimulants.
- Weight loss
- Difficulty sleeping
- Rapid speech
- Dilated pupils
Cannabis
Cannabis
Help when cannabis use has become daily, heavy, or hard to step away from.
- Using cannabis more frequently than intended
- Repeated unsuccessful attempts to stop
- Organizing daily life around cannabis
- Driving or working while impaired
Prescription Drugs
Prescription Drugs
Care for dependence on prescription medications, painkillers, sedatives, and stimulants alike.
- Increased tolerance
- Withdrawal symptoms
- Fatigue
- Sleep changes
Sleeping Pills
Sleeping Pills
Support when sleep medications have become something you can't sleep without.
- Increasing tolerance
- Difficulty sleeping without medication
- Anxiety at bedtime without the medication
- Needing higher doses
Antidepressants
Antidepressants
How antidepressants fit into addiction and mental health recovery, and how medication decisions are made carefully.
- Persistent sadness
- Loss of interest or motivation
- Anxiety and excessive worry
- Sleep disturbances
Co-Occurring Disorders (Dual Diagnosis)
Co-Occurring Disorders (Dual Diagnosis)
Integrated care when mental health and substance use happen together, treated as one, not two.
- Emotional signs: persistent anxiety, panic attacks, depression, hopelessness, severe mood swings, paranoia, trauma symptoms, irritability, suicidal thoughts, feeling unable to cope without substances
- Behavioral signs: using substances to manage emotions, repeated relapse during stress, impulsive or risky behavior, isolation, medication misuse, unstable relationships, frequent crises
- Physical and lifestyle signs: sleep disruption, appetite changes, poor self-care, chronic fatigue, repeated intoxication or withdrawal, inconsistent medication use, loss of daily structure
Behavioral Addictions
Behavioral Addictions
Help for compulsive behaviors that have taken over, gambling, gaming, pornography, spending, often alongside substance use.
- Loss of control: more time or money than intended, failed attempts to stop, returning after serious consequences
- Secrecy and dishonesty: hidden devices, accounts, or purchases; deleted histories; concealed losses
- Functional consequences: missed work or school, sleep disruption, financial instability, neglected responsibilities
- Emotional signs: shame, anxiety, irritability, depression, defensiveness, feeling empty without the behavior
Trauma & PTSD
Trauma & PTSD
Trauma-informed care that addresses the pain so often beneath substance use.
- Substance use increases around reminders or anniversaries
- Repeated relapse follows nightmares, conflict, or emotional distress
- Sleep remains severely disrupted even in sobriety
- Anger or panic appears suddenly, seemingly out of nowhere
You do not have to figure this out alone.
Our first step is helping your family understand what may be needed now, and what support comes next. No pressure, just a conversation.