The paradox of control: The discovery of a drug that enables the user to control his or her experience will cause the user to lose control of his or her drug use.

Once an individual comes to depend upon a drug for pleasure or relief, controlling drug intake becomes deceptively difficult. Conventional treatment for substance use disorders is based on the medical model in which the user is assigned the passive patient role, while the effective agent of change is the treatment provider. The patient is encouraged to admit powerlessness over the problem and to turn it over to a higher power [Deity, treatment provider, self-help group]. This treatment model is quite expensive and surprisingly ineffective, and most program graduate relapse within a year..

Over the past 30 years Dr. Bill Dubin has accompanied thousands of individuals on their passage from chemical dependence to good outcome. The collaborative treatment strategy that emerged from his work with high-functioning substance users is less expensive, rigid, and demeaning than are group programs. Most importantly, for many users – especially college educated individualists – developing the skills and faculties to cope with high-risk situations is a better strategy than depending on an external source of control to free you from dependence.

Escaping this addictive trap so that you can follow your path of greatest advantage rather than yield in the direction of least resistance is perhaps the most important and difficult challenge of adulthood: Success will make you stronger, failure may destroy you. There are many free resources on this web site; please take advantage of them.

To help determine whether a 12-Step treatment program or a change strategy based on enhancing your ability to cope with stress and temptation is a better match for you, please take The Treatment Matching Test. This confidential assessment is scored on your computer and is available at no charge. If you find that our self-directed approach matches your attributes, you may begin your passage to good outcome by assessing your current vulnerabilities using the Trap Detector. Use these results to guide your way through the materials available on this web site, or to discuss with one of our clinicians online.  The Trap Detector is a quick self-test that is scored on your computer and reveals which of the 6 addictive traps is most critical for you. You may then use this self-guided approach independently by following the appropriate links or in collaboration with Dr. Dubin via chat, email, or phone. (Clients who live in Austin or the Central Texas area have the option of a face-to-face collaboration).  For information please call us at: (512) 343-8307.

If you find this approach to be well matched with your attributes and circumstances, you are likely to respond well to our treatment methods.  Our self-guided treatment and relapse prevention manual: The Path of Greatest Advantage is available in paperback and e-book formats.

For a FREE 8 minute audio description of our model of addiction and its treatment, please click here.