We start by mapping the habit loop—triggers, urges, rituals, and rewards—and setting clear goals (abstinence or harm-reduction) tied to what matters in your life. Treatment blends motivational interviewing (to resolve ambivalence), CBT (to challenge “just this once” thinking), acceptance/urge-surfing skills, and exposure with response prevention (practice being around triggers without engaging). Practical supports are front and center: stimulus control and device hygiene, blocker software and self-exclusion where relevant, spending limits and financial safeguards, timeboxing and alternate routines, plus contingency plans for high-risk moments. Partners/family can be included to reduce enabling and set workable boundaries when desired. Co-occurring issues (anxiety, depression, ADHD, trauma) are addressed so progress lasts; medication coordination is available when clinically appropriate. We track outcomes you can feel—episodes down, time and money reclaimed, urges ridden through, relationships repaired—and build a relapse-prevention plan that treats slips as data, not defeat. The aim: fewer compulsions, more choice, and a durable sense you can rely on yourself under stress.
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