Marino E. Carbonell

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Marino Carbonell
Dr.
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Miami
Addiction Medicine
Marino E. Carbonell
7344 SW 48th St # 104
Miami
FL
33155

Addiction is a self-inflicted problem.  Why should I get involved?

Alcoholism/addiction is not a 'problem', it is a disease just as lung cancer caused from smoking, melanoma caused from sunbathing, or type II diabetes caused from poor diet and exercise are diseases.  Because alcoholism /addiction affects behavior, emotions, and brain function, those closest to the sufferer are involved and always in a very negative way.  The questions are whether to help and how.  As with any major disease, professional help is available, preferable, and effective.

Are youth and young adults more at risk for addiction than other populations?

Most addictions start at a young age, usually in adolescence. Most teens and young people are less open to therapy and treatment because they do not perceive there is a problem or have yet to hit “bottom.” And although hitting “bottom” is not always needed to seek treatment and recovery, it is an issue that is linked to this age group.  Addiction is a major health problem and we (as a society) need to start thinking “preventive” care and away from “reactive” care.  Families should be vigilant. Intervention and treatment need to start early for better results.

I've heard that the alcoholic/addict must 'hit bottom' or 'be ready' before I can help.  Is that true?

No.  Denial, the hallmark of the disease of alcoholism /addiction, precludes the person with the disease from seeing it.  Those suffering do not suddenly decide they need help without an outside 'consequence' intervening.  It is usually something unexpected, severe, painful and costly; arrest, accident, divorce, and job problems.  Sometimes, tragically, it is irreversible and unrecoverable like killing or injuring themselves or someone else.  Family or friends can step in and help before that happens, sparing everyone the pain and devastation of untreated alcoholism and addiction.  Intervening sooner rather than later is loving, kind, and effective for all.

Does breaking the addiction cycle have to do with a certain type of treatment?

Some addicts try to stop “cold turkey,” meaning the addict stops all at once with no treatment. This method can be difficult to sustain. A 12-step program or other support group can help addicts deal with abstinence. Intervention treatments (inpatient, outpatient, community based, or private therapy) may be the only answer. The long-term goal of any treatment plan is to change the person’s life so that drug use is no longer an option. However, addiction is a tough cycle to break and treatment is not a guaranteed option. Many addicts find the treatment environment hard to cope. Denial interferes with recovery.

Marino E. Carbonell
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Marino E. Carbonell
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