Drug and Alcohol Issues

Understanding patterns of use and finding a healthier way forward

Alcohol and other drugs can become a way of coping with stress, anxiety, trauma, low mood, sleep problems, or painful life experiences. What may begin as occasional use can gradually become more frequent, harder to control, or start to affect relationships, work, study, health, and self-esteem.

Struggling with alcohol or drug use is not a personal failure or weakness. It is often linked to underlying emotional pain, habit learning in the brain, and powerful nervous-system responses. With the right support, people can reduce harm, regain control, and rebuild a life that feels meaningful and healthy.

At SGI Psychology in Preston (Northern Suburbs of Melbourne), our psychologists provide non-judgmental, confidential support for people wanting to change their relationship with alcohol and drugs.

Signs drug or alcohol use may be becoming a problem

People often seek help when they notice one or more of the following:

  • difficulty cutting down or stopping

  • using more than intended

  • needing more to get the same effect

  • cravings or preoccupation with using

  • conflicts with family, partner, or friends

  • decline in work, study, or motivation

  • drinking or using to cope with emotions

  • blackouts or memory gaps

  • risky situations (driving, unsafe sex, aggression)

  • withdrawal symptoms such as shakiness, sweating, anxiety, or insomnia

Some people are unsure whether their use is a “problem” — therapy can help explore this safely and honestly.

Why people use alcohol or drugs

Substances are often used to manage:

  • stress or burnout

  • social anxiety

  • trauma or painful memories

  • low mood or numbness

  • sleep difficulties

  • loneliness or disconnection

  • boredom or lack of purpose

  • intense emotions

Therapy focuses on what the substance is doing for you, not on blame or shame.

How therapy can help

Therapy for substance use is collaborative, respectful, and paced at your comfort level. It can help you:

  • understand triggers and patterns

  • develop coping strategies without substances

  • reduce shame and self-criticism

  • learn craving-management skills

  • rebuild routines, health, and relationships

  • set realistic goals (reduction or abstinence)

  • address underlying anxiety, trauma, or depression

  • increase motivation and confidence for change

We respect that change looks different for everyone — for some it means cutting down, for others stopping completely.

Evidence-based therapies we use

Your psychologist may draw from:

  • Cognitive Behaviour Therapy (CBT)

  • Acceptance and Commitment Therapy (ACT)

  • Motivational Interviewing

  • Mindfulness-based therapies

  • Relapse prevention planning

  • Self-compassion approaches

  • Trauma-informed therapy when relevant

Where appropriate, we can also work alongside GPs, psychiatrists, or specialist services with your consent.

When urgent support is needed

Seek immediate medical help if there are signs of:

  • overdose or alcohol poisoning

  • seizures or fainting

  • confusion or loss of consciousness

  • severe withdrawal symptoms

  • suicidal thoughts or inability to stay safe

In Australia you can contact:

  • 000 for emergencies

  • Alcohol & Drug Information Service (ADIS): 1800 250 015

  • Lifeline 13 11 14

You do not have to manage this alone.

Our location

SGI Psychology is located in Preston, in Melbourne’s northern suburbs, offering:

  • in-person psychology appointments

  • Telehealth sessions Australia-wide

Book an appointment

If you would like confidential support around drug or alcohol concerns, you can:

You are welcome whether you are thinking about change, ready to change, or supporting a loved one.

Book a Session