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Addiction Psychologist: Professional Help in Complex Cases

A consultation with a medical psychologist for people facing alcohol, drug, or medication dependence, as well as their loved ones. Assessment of the situation, determination of further tactics, and a personalized care pathway.

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Natalia Zentsova — medical psychologist, addiction specialist

When to Seek a Consultation

Reaching out to a specialist makes sense not only once a dependency has already led to serious consequences. The sooner you're able to objectively assess what's happening, the more options you have for choosing the right approach to help.

A consultation may be helpful if:

You regularly use alcohol or other psychoactive substances and are starting to worry about the consequences
You've tried to cut back or quit, but kept returning to the same pattern
You experience strong cravings
Repeated relapses occur after periods of sobriety
Alcohol or another substance is used to relieve anxiety, stress, tension, or to help you sleep
Loved ones say your use is becoming a problem
You're not sure whether you have a dependency and want a professional assessment
Treatment has already been tried, but didn't produce the expected result
You need a second expert opinion
You want to understand where to start treatment and which specialists to consult

Types of Dependency I Work With

Alcohol dependence
Drug dependence
Medication dependence
Psychoactive substance dependence
Repeated relapses
Psychological dependence and strong cravings
Problematic use without a formal diagnosis
Codependency and support for family members

How to Understand What's Happening

If You're Not Sure Whether You Have a Dependency

You don't need to diagnose yourself before seeing a specialist.

People often notice a problem well before they're ready to call it a dependency: the frequency of use increases, it becomes harder to control the amount, personal "rules" around use start to appear, and alcohol or another substance is increasingly used as a way to change one's emotional state.

In the consultation, we can work out how serious the situation is, what factors are sustaining the use, and whether an additional consultation with an addiction psychiatrist or other specialists is needed.

What Happens During the Consultation

1
Situation analysis
History of use, attempts to quit, relapses, emotional state, life situation, and any treatment already undertaken.
2
Psychological assessment
Identifying the psychological factors that may be sustaining the addictive behavior.
3
Risk assessment
Identifying situations that require additional medical care.
4
Recommendations
Discussing possible next steps and the specialists needed.
5
Personalized care pathway
If needed, an individual sequence of further steps is developed.

Second Expert Opinion

If treatment has already been tried but the result was insufficient, you can seek an independent assessment of the situation.

The consultation reviews the history of the problem, previous visits to specialists, the approaches used, and the possible causes of repeated relapses.

The goal is to determine which elements of care have already been used and which directions are worth considering next.

Personal Support in Complex Cases

In some situations, a single consultation is not enough.

If needed, personal support is available: developing an individual pathway, coordinating with specialists of various profiles, and helping to organize a consistent treatment and recovery process.

When indicated, the pathway may include consultations with an addiction psychiatrist, a psychiatrist, and other specialists.

More About Personal Support
Natalia Zentsova — medical psychologist, addiction specialist

Natalia Zentsova

Doctor of Psychological Sciences Medical Psychologist Professor at Sechenov University

Over 20 years of professional practice. I work with complex cases: addictions, PTSD, and crisis states — situations where previous help hasn't produced the expected result or where relapses keep recurring.

Within my scope as a medical psychologist, I provide a second expert opinion on treatment already underway and, when needed, personal support — developing an individual care pathway and coordinating with specialists of various profiles.

More About Me

Frequently Asked Questions

Can I reach out if I'm not sure I have a dependency?

Yes. A consultation can help assess the situation and determine whether there are signs of problematic use and whether further help is needed.

Can I reach out after a relapse?

Yes. A relapse is an important reason to analyze the factors that led to it and reconsider the strategy going forward.

Do you only work with alcohol dependence?

No. Psychological work is possible for various forms of chemical dependence, including alcohol, drug, and medication dependence.

Can a family member of someone with a dependency reach out?

Yes. Family members can get a consultation on their own strategy, boundaries, codependency, and possible ways to motivate their loved one to seek professional help.

Can the consultation be done online?

Yes, the psychological consultation can be conducted online if the format suits the specific situation.