Compassionate Support for Substance Use & Behavioral Addictions

Addiction can feel like being trapped in a cycle that's impossible to break alone. At Community Minds, we provide specialized addiction treatment with same-day appointments and evidence-based approaches that address the complex biological, psychological, and social factors underlying addictive behaviors.

Recovery is possible. Effective, compassionate help is available now.
Virtual or in-person in New York state
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Modern Approaches to Addiction - Beyond Willpower and Moral Failure

For decades, addiction was widely misunderstood as a moral failing or simple lack of willpower. Today, science offers a much more nuanced understanding that has transformed how we approach treatment.

Signs You May Be Struggling With Addiction

Using substances or engaging in behaviors more frequently or intensely than intended

Unsuccessful attempts to cut down or control use despite wanting to

Spending significant time obtaining, using, or recovering from substances or behaviors

Experiencing cravings or strong urges to use substances or engage in behaviors

Continued use despite negative consequences to relationships, work, or health

Developing tolerance (needing more for the same effect)

Experiencing withdrawal symptoms when stopping

Giving up important activities because of substance use or behaviors

Using to cope with negative emotions or stress

Reaching out for help is a sign of strength, not weakness.
Virtual or in-person in New York state

Book your appointment today, start healing tomorrow.

Same-day appointments available for urgent addiction concerns

Non-judgmental, compassionate approach to substance use disorders

Virtual and in-person options for your comfort and convenience

Evening and weekend availability to accommodate work and family responsibilities

Extensive insurance coverage including Medicare and major providers

Harm reduction and abstinence-based approaches tailored to your goals

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Modern Approaches to Addiction - Beyond Willpower and Moral Failure

Addiction Science: How Our Understanding Has Evolved

For decades, addiction was widely misunderstood as a moral failing or simple lack of willpower. Today, science offers a much more nuanced understanding that has transformed how we approach treatment.

Modern neuroscience shows that addiction involves significant changes in brain structure and function, particularly in regions responsible for:

  1. Reward Processing: The brain's reward system becomes dysregulated, with diminished response to natural rewards while the substance or behavior becomes disproportionately rewarding.
  2. Executive Function: Areas involved in decision-making, impulse control, and future planning show altered activity, making it physiologically more difficult to resist cravings.
  3. Stress Response Systems: Brain circuits managing stress become hypersensitive, creating vulnerability to relapse during stressful periods.
  4. Memory and Learning: Powerful associations form between environmental cues and substance use, triggering automatic craving responses.

These neurobiological changes explain why "just stopping" is rarely effective and why comprehensive treatment addressing both brain function and behavioral patterns is essential for recovery.

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Beyond the Brain: The Biopsychosocial Model of Addiction

While neuroscience has revolutionized our understanding of addiction's biological basis, effective treatment recognizes that addiction is influenced by multiple factors:

Biological Factors:

  • Genetic predisposition (40-60% of addiction vulnerability is hereditary)
  • Individual differences in neurotransmitter systems
  • Co-occurring mental health conditions
  • Physiological responses to substances

Psychological Factors:

  • Trauma history and adverse childhood experiences
  • Coping mechanisms for emotional distress
  • Personality traits like sensation-seeking or impulsivity
  • Mental health conditions like anxiety, depression, or PTSD

Social Factors:

  • Family dynamics and modeling of substance use
  • Peer influence and social norms around substances
  • Socioeconomic stressors and resource access
  • Cultural attitudes toward substances and addiction

Effective treatment addresses all these dimensions rather than focusing solely on the substance use behavior itself.

Harm Reduction vs. Abstinence: Evolving Approaches to Recovery

Traditional addiction treatment often presented abstinence as the only legitimate recovery goal. Modern approaches recognize that recovery journeys are individual and that harm reduction approaches can be valuable for many people:

Harm Reduction focuses on reducing negative consequences of substance use even if complete abstinence isn't immediately achievable. This might include:

  • Safer use practices
  • Moderation strategies
  • Substituting less harmful substances
  • Addressing specific harms like driving while intoxicated

Abstinence-Based Approaches focus on complete cessation of substance use, which remains the most appropriate goal for many people, particularly those with severe addiction or certain substances.

Integrated Approaches combine elements of both paradigms, meeting people where they are while supporting movement toward their personal recovery goals.

At Community Minds, we recognize that recovery isn't one-size-fits-all. We work with you to establish goals aligned with your values and circumstances, adjusting the approach as your needs evolve.

Recovery Capital: Building Resources for Sustainable Change

Research shows that successful long-term recovery depends on developing what experts call "recovery capital"—the internal and external resources that support maintained positive change:

  1. Personal Recovery Capital: Physical health, emotional regulation skills, coping mechanisms, hope, and self-efficacy.
  2. Social Recovery Capital: Supportive relationships, community connections, and social networks that reinforce recovery.
  3. Community Recovery Capital: Resources like housing, healthcare access, employment opportunities, and non-stigmatizing environments.
  4. Cultural Recovery Capital: Values, beliefs, and traditions that provide meaning and purpose beyond substance use.

Effective treatment helps you build these resources while addressing the patterns that maintain addiction, creating a foundation for sustainable recovery that extends far beyond simply stopping the addictive behavior.

At Community Minds, our approach to addiction treatment is grounded in this comprehensive understanding of addiction and recovery. We provide compassionate, evidence-based care that addresses the complex factors underlying addictive behaviors while helping you build the skills and resources needed for lasting change.

Virtual or in-person in New York state

Why Choose Community Minds for Addiction Treatment

At Community Minds, we recognize that effective addiction treatment must address the whole person, not just the addictive behavior. Our comprehensive approach includes:

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Pillar 1

Evidence-Based Therapeutic Approaches

Cognitive Behavioral Therapy (CBT) to identify and change thought patterns related to substance use
Motivational Interviewing to strengthen motivation and commitment to change
Dialectical Behavior Therapy (DBT) for emotion regulation and distress tolerance
Acceptance and Commitment Therapy (ACT) to develop psychological flexibility
Mindfulness-Based Relapse Prevention to manage cravings and high-risk situations
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Pillar 2

Medication-Assisted Treatment When Appropriate

Evaluation for medications that reduce cravings and withdrawal symptoms
Integration of medication with therapy for optimal outcomes
Coordination with medical providers for comprehensive care
Education about medication options and benefits
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Pillar 3

Holistic Recovery Support

Lifestyle modifications to support long-term recovery
Connection to community resources and support groups
Family involvement and education when appropriate
Addressing co-occurring mental health conditions
Development of healthy coping mechanisms and stress management

+22

in network insurers

+10

providers from your communities

7 days

per week availability for you

Say Goodbye to One-Size-Fits-All Solutions!

Introducing a comprehensive and holistic approach to personalized addiction care.

You talk, we listen. Together, we’ll co-create a plan that fits your unique needs and goals, helping you regain control and begin your journey to recovery.

Virtual or in-person in New York state
Go from this
(Outdated Addiction Care)

Long, complicated, and overwhelming — even before you begin your recovery journey.

Long waitlists, complex intake forms, and providers who don’t truly understand your struggles, combined with hidden fees and an exhausting process that feels more like a barrier than a solution.

Long processes
Complicated
Unfit providers
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To this
(Modern, Compassionate Addiction Care)

Simple, supportive, and accessible — the care you need, when you need it.

Book your appointment on the same day! No long intake forms, no waitlists, and transparent billing with no hidden fees. Providers who specialize in addiction recovery and truly understand your journey.

Fast bookings
Uncomplicated care
From your community
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Don't take our word for it!

Here's what our patients say about care at Community Minds

By community members, for our community.

Virtual or in-person in New York state
As a person battling certain issues with mental health for years, [Community Minds, formerly Psychiatreat] is one of the best offices for psychiatry. The receptionist, Kimberly, is very kind hearted, welcoming, and extremely helpful with scheduling appointments and answering any questions or concerns. Dr. Reinfeld is always on top of things. If you need a refill, it’s done in seconds. If you want a change in medicine or treatment plan, he thoroughly deep dives into every detail and recommendation he can give you to just help. If I can give more stars I would. WOULD RECOMMEND.
Max I.
Patient, New York
This is seriously the best provider I’ve ever dealt with. They are relatively new, and highly knowledgeable. Doctors are all down to earth and personable. Everyone here really cares about the whole patient, and helps me tremendously! Strongly recommend that anyone with mental health needs check them out, they are a real God-send…
Jordan I.
Patient, New York
First clinic I called that was actually able to get me in to see someone the same week. Staff are really professional and patient. The doctor was so nice, actually listened to what’s going on in my life.
Eileen M.
Patient, New York
Kimberly is so kind, efficient and knowledgable. She knows all insurance and runs a really smooth office for Dr. Reinfeld.
Joan A.
Patient, New York
The psychiatrists in this office truly care about their patients they look at you as an individual instead of a diagnosis, they are always available when you need them.
Mykel M.
Patient, New York
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You talk, we listen 

Addiction can make you feel trapped, but you don’t have to face it alone. Taking that first step to reach out for help can be the most difficult part of the journey, but we’re here to guide you through it.

Easy, 1 page booking online.

Let's get you in the pipeline asap, so we can start matching you with your provider. Let us worry about the details!

No waitlists. Confirm your appointment.

Our team handles the details of your insurance and your preferences.

See your provider!

Simple 3 step process. Do you have more info to share? Don't worry, our team is always available to accommodate your needs. Service doesn't stop at billing.

Virtual or in-person in New York state