Remain Curious

(407) 986-2888 | alan@azupkacounseling.com

AZupkaCounseling

My WordPress Blog

  • AZupkaCounseling
  • Home
  • About
  • Services
    • Telehealth
  • Getting Started
    • Appointment Request
    • Client Forms
    • FAQs
    • Rates & Insurance
  • Resources
    • Mental Health Links
    • Physical Health Links
    • Recent News
  • Blog
    • Addiction
    • Anxiety
    • Couples/Marriage
    • Depression
    • General
    • Issues for Women
    • LGBTQ
    • Men’s Issues
    • Self-Esteem
    • Sexual Health
  • Contact

June 9, 2025 by Alan Zupka

What Are the 4 Cs of Addiction?

Understanding Addiction Through the Lens of Compassion and Change

Addiction can take many forms. Some individuals struggle with substances such as alcohol, nicotine, or drugs. Others find themselves caught in cycles of gambling, compulsive shopping, or other behaviors that begin to feel unmanageable. No matter the form it takes, addiction often tells a story, a story of pain, unmet needs, and the search for relief.

In my work, I frequently explore the underlying narratives clients carry about their relationship with addiction. I also draw from evidence-based approaches, including cognitive behavioral therapy, mindfulness, and positive psychology, to help people reclaim a sense of agency and rewrite these stories in more empowering ways.

One common framework I find helpful in understanding addiction is the “Four Cs”: Compulsion, Craving, Control, and Consequences.

1. Compulsion

Over time, the relationship with a substance or behavior can begin to feel less like a choice and more like a requirement. Compulsion emerges when a person feels an overwhelming drive to engage in the behavior, even when part of them does not want to. In therapy, I help clients gently unpack the story behind this compulsion and identify what it might be trying to soothe or silence.

2. Craving

As addiction deepens, cravings often become more intense. These cravings may feel physical, similar to hunger or thirst, leading to agitation, sleep disruption, or loss of appetite. Mindfulness-based practices can help increase awareness of these sensations without judgment and create space between the urge and the action.

3. Control

Many individuals try to moderate their use or stop the behavior altogether. While some may succeed for a time, addiction often erodes the ability to control it in the long term. In our work together, I support clients in identifying the thoughts and beliefs that influence their choices and build skills to regain a sense of direction and stability.

4. Consequences

One of the most painful elements of addiction is its ability to persist even when it causes harm. People may continue to use or act despite knowing the risks to their health, relationships, employment, or freedom. Rather than focus on shame, I work collaboratively with clients to build a new story rooted in accountability, hope, and the possibility of change.

Are You Struggling With Addiction?

If any part of this resonates with you, I want you to know that you are not alone. Addiction does not define you; it is one part of your story, not the whole. With the proper support, it is possible to reshape that story in a way that honors your values and creates room for healing.

As a therapist, I provide a compassionate and nonjudgmental space to explore your unique experiences and goals. Together, we can begin the work of rewriting your narrative, one step at a time. If you are ready to begin that journey, please contact me for a consultation. I am here, and I am prepared to walk alongside you.

Filed Under: Addiction

October 10, 2021 by Alan Zupka

What is a Dual Diagnosis?

There are times when a person is diagnosed with a mental health issue, such as depression or anxiety. Other times, someone might be diagnosed as having a substance abuse issue. When someone has both a mental health issue and a substance abuse issue, we call it a dual diagnosis.

How Does Dual Diagnosis Develop?

Often, addictive behaviors are a result of someone trying to cope with their mental health issues. In fact, according to the Journal of the American Medical Association, roughly 53% of individuals with drug addiction and 35% with an addiction to alcohol

meet the requirements for a mental health diagnosis. These numbers tell the story of the strong correlation between mental health and addiction. 

The following are some of the mental health issues that often occur alongside addiction:

  • Schizophrenia
  • Depression
  • Anxiety
  • Obsessive-Compulsive Disorder (OCD)
  • Bipolar Disorder
  • Posttraumatic stress (PTSD)
  • Eating Disorders

It’s important to note that while these mental health issues are often associated with substance abuse, they do not always present alongside drug and alcohol addiction.

Treatment for Dual Diagnosis

Dual diagnosis cases are very complex in nature and require different treatment styles. Typically speaking, there are four types of treatment:

Partial Treatment

This model refers to treating the primary mental health issue alone, but not the concurring substance abuse concerns.

Sequential Treatment

This approach treats the mental health issue first, then addresses the addiction after.

Parallel Treatment 

This treatment focuses on addressing both the mental health concern and addiction at the same time, though separately and using different care providers.

Integrated Treatment

As the name suggests, this model has the individual receiving mental health and addiction treatment concurrently, under a unified and robust treatment program. This program can be in an outpatient setting or in a rehab facility.

It can be very difficult for the person struggling with a substance abuse issue and mental health issue, or their family members, to determine the best course of treatment. It is recommended that you initially work with a licensed therapist who can accurately diagnose you and recommend the right course of treatment.

If you’d like to speak with someone, please get in touch with me. I’d be more than happy to discuss how I can help your journey back to health and well-being.

SOURCES:

  • https://www.goodtherapy.org/learn-about-therapy/issues/dual-diagnosis
  • https://www.addictioncenter.com/addiction/dual-diagnosis/
  • https://www.psychologytoday.com/us/blog/the-anatomy-addiction/201110/what-is-dual-diagnosis

Filed Under: Addiction, mental health

September 19, 2021 by Alan Zupka

Signs Your Partner Is Addicted To Pornography

All addictions negatively impact a relationship, and pornography addiction is certainly no exception. The adult entertainment industry generates billions of dollars annually, and with an estimated 40 million Americans visiting porn sites regularly, pornography addiction is a problem for many families.

With an estimated 28% of women viewing online pornography versus 72% of men, pornography addiction isn’t a problem specific to men; women can also become addicted. If you’re concerned that your partner has developed an addiction to pornography, here are some signs to look out for.

They spend a lot of time on the internet

The porn addict will spend hours, and sometimes even days, online viewing pornography. If your spouse spends an increasing amount of time alone, either with a phone, laptop or tablet, they may be developing an obsession with pornography.

They’re critical of you

Porn stars are typically young and attractive, often times surgically enhanced. The more your partner watches pornography, the more negatively you may be compared to the models They are watching. Porn addicts tend to objectify their partner, and as your spouse spends increasing amounts of time watching porn, they may start to become critical of your body.

Unusual spending activity

Checking your bank or credit card statements, you may find unexpected or unexplained charges. Adult entertainment websites will often mask the charges to benefit the confidentiality of their customers, so you may have to do a Google search or make some phone calls to uncover the source of the charges.

Your sex life has changed

When someone is addicted to pornography, they may no longer have the drive or desire to maintain a sex life with their partner. Conversely, some addicts become more demanding. They may want to engage in acts you’re not comfortable with. As a person becomes more and more addicted to pornography, they will have to watch increasingly unusual material. This may result in your partner becoming more rough or aggressive.

So what can you do if you suspect your partner is addicted to porn?

First, know that their addiction is not your fault. People become addicted as a way of coping with unwanted feelings and emotions, or as a way to avoid real life stress or difficulties.

Second, seek support from trusted loved ones and find a therapist who can help you both on the road to recovery.

Is your relationship suffering because of pornography addiction? A trained, licensed mental health professional can help. Call my office today and let’s set up an appointment to talk.

Filed Under: Addiction

September 12, 2021 by Alan Zupka

Celebrating National Recovery Month

September is National Recovery Month, a time dedicated to spreading awareness about the benefits of substance abuse treatment and mental health services, which can help many suffering in our society lead better lives. For over 30 years, the Substance Abuse and Mental Health Services Administration (SAMHSA) has been educating the public on the value of investing in themselves and the community as a whole.

If you or a loved one have been affected by substance addiction or mental health illness, here are some ways you can celebrate National Recovery Month:

Help Spread the Word

The National Recovery Month website offers banners, logos and flyers you can print and circulate throughout your community, helping to raise awareness.

Support

Contact your local recovery center and see if they will be holding any events that you can attend.

Share Your Personal Story

There are numerous ways you can share your own story and inspire and empower others. You might want to speak at a local event or write about your story on your blog or Facebook page. Sharing your story about recovery from addiction or mental health illness provides others with hope and the affirmation they are not alone.

Host Your Own Event

On the SAMHSA website, you will find many different recovery events that you may want to consider hosting. For instance, there are walks and rallies that are always great for drawing a crowd and spreading important messages.

Say Thank You

This month is a great time to reflect and show gratitude to the people who have helped you in your recovery. You can say thanks to yourself, your network of family and friends, and the professionals that supported you along the way.

Recovery is never “done.’ It is a lifelong commitment and process. If you’d like to find a therapist who can help you continue to recover and reach your true potential, please reach out to me. 

SOURCES:

  • https://www.recoverymonth.gov/
  • https://www.ridgefieldrecovery.com/blog/how-to-celebrate-national-recovery-month/
  • https://novarecoverycenter.com/recovery/how-to-celebrate-national-recovery-month/

Filed Under: Addiction, recovery

  • 1
  • 2
  • 3
  • …
  • 6
  • Next Page »

Alan Zupka

Alan Zupka | Counselor | LGBTQ Community | Orlando, FL

(407) 986-2888
alan@azupkacounseling.com

Orlando, FL 32803

"Be proud of who you are and not ashamed of how others see you."
--Anonymous

Contact

Send A Message

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Office Hours

Tuesday through Thursday from 11:00 am - 7:00 pm, and Friday and Saturday from 11:00 am - 4:30 pm
Request An Appointment
Proud Member of TherapyDen
  • Facebook

Find Our Office

"More will be revealed."
-- Anonymous

Contact Information

Orlando, FL 32803

(407) 986-2888
alan@azupkacounseling.com

A Therapist Website by Brighter Vision | Privacy Policy