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Addiction Psychologist: Professional Support in Complex Cases

A medical psychologist consultation for people facing alcohol, drug, or medication addiction, and for their loved ones. Assessing the situation, defining further tactics, and a personalized route of support.

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Natalia Zentsova — medical psychologist, addiction specialist

When It Makes Sense to Reach Out for a Consultation

Reaching out to a specialist makes sense even when an addiction hasn't yet led to serious consequences. The earlier you can take an objective look at what's happening, the more options you have for choosing the right approach to support.

A consultation can 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 stop, but kept returning to the same pattern
You experience strong cravings
Relapses keep happening after periods of sobriety
Alcohol or another substance is used to relieve anxiety, stress, tension, or to help you sleep
People close to you say your use has become a problem
You're not sure whether you have an addiction and want a professional assessment
Treatment has already been tried without the expected result
You need a second expert opinion
You want to understand where to start with treatment and which specialists to see

Types of Addiction I Work With

Alcohol Addiction
Drug Addiction
Medication Addiction
Addiction to Psychoactive Substances
Repeated Relapses
Psychological Dependence and Strong Cravings
Problematic Use Without a Formal Diagnosis
Codependency and Support for Relatives

Understanding What's Happening

If You're Not Sure Whether You Have an Addiction

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

People often notice a problem well before they're ready to call it an addiction: how often you use starts to increase, it becomes harder to control the amount, you develop your own "rules" for using, and alcohol or another substance is increasingly used as a way to change your emotional state.

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

What Happens in the Consultation

1
Analyzing the Situation
The history of use, attempts to stop, relapses, emotional state, life situation, and any treatment already received.
2
Psychological Assessment
Identifying the psychological factors that may be sustaining the addictive behavior.
3
Risk Assessment
Identifying situations that call for additional medical support.
4
Recommendations
Discussing possible next steps and the specialists needed.
5
A Personalized Route of Support
When needed, an individualized sequence of next steps is put together.

A Second Expert Opinion

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If treatment has already been tried but the result wasn't enough, you can get an independent assessment of the situation.

In the consultation, we analyze the history of the problem, previous visits to specialists, the approaches already used, and the possible reasons behind any relapses.

The goal is to identify which elements of support have already been tried and which directions make sense to consider next.

Personal Support in Complex Cases

In some situations, a single consultation isn't enough.

When needed, personal support is available: putting together a personalized route, coordinating with specialists across different fields, and helping organize a consistent process of treatment and recovery.

Where there are grounds for it, the route can include consultations with a psychiatrist-addiction specialist, 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 support hasn't given the expected result or where relapses keep happening.

Within my competence as a medical psychologist, I provide a second expert opinion on treatment already underway and, when needed, personal support — putting together a personalized route of care and coordinating with specialists across different fields.

More About Me

Frequently Asked Questions

Can I reach out if I'm not sure I have an addiction?

Yes. A consultation can help assess the situation and determine whether there are signs of problematic use and whether further support 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 your strategy going forward.

Do you only work with alcohol addiction?

No. Psychological support is available for various forms of chemical dependency, including alcohol, drugs, and medication.

Can a relative of someone with an addiction reach out?

Yes. A relative can get a consultation about their own strategy of behavior, boundaries, codependency, and possible ways to motivate a loved one to seek professional help.

Can the consultation be done online?

Yes, a psychological consultation can be held online if that format fits your specific situation.

Not Sure Where to Start With Addiction Treatment? Start by Assessing the Situation

You don't need to know in advance whether you need psychological support, a physician's consultation, outpatient treatment, or a more intensive program.

In the first consultation, we'll go through your situation, your history of use and previous treatment, assess risk factors, and define which next steps make sense for your specific case.

You can reach out whether you're the person facing alcohol, drug, or medication addiction yourself, or someone close to them.

After the Consultation, You'll Know What to Do Next

01
Assessing the Situation
We'll look at how serious the problem is, the history of use, relapses, and the factors sustaining the addictive behavior.
02
Identifying Risks
We'll work out whether an additional consultation with a psychiatrist-addiction specialist or another physician is needed.
03
A Personalized Route
We'll define the sequence of next steps: psychological work, medical support, rehabilitation, or ongoing support.
04
The Next Step
You'll know what to do next and which specialists to see.

Initial Consultation With a Medical Psychologist

Natalia Igorevna Zentsova

Doctor of Psychological Sciences · Medical Psychologist · Professor at Sechenov University

₽35,000 · 60 minutes

In person in Moscow or online

Confidential. The format of support is determined individually after assessing the situation. When needed, a consultation with a psychiatrist-addiction specialist or another relevant specialist is recommended.