Questions? Call now! 410.853.7691

Understand Addiction with The Bergand Group

Frequently Asked Questions

Addiction is best defined as substance dependence. People with an addiction to a particular substance (i.e. alcohol, illegal and/or prescription drugs) cannot control their use of that substance. Even if they are aware of the consequences, they will continue to use the substance to the point where they cannot stop themselves and will continue to suffer its effects regardless. Alcohol abuse, heroin addiction, and other types of drug abuse constitute some of the most serious addictions.

The signs and symptoms of addiction manifest in different ways, depending on a variety of factors. The individual his or her self is a factor; personality, genetics, and living circumstances can all play a role. The substance being used is also a factor; certain drug addictions might produce different results than alcohol abuse, and so on. There are, nevertheless, several signs that you should look out for that might indication an addiction, and that could necessitate an intervention to prompt the addict towards addiction recovery.

  • The user is secretive and often only uses his/her substance of choice when alone.
  • The user becomes increasingly solitary and does not participate in social gatherings/activities.
  • The user gives up past favorite hobbies, sports, or other activities in favor of using.
  • The user experiences relationship problems.
  • The user denies any dependence on a substance and claims to be able to stop using whenever he or she chooses to.
  • The user participates in increasingly risky behavior to ensure they can have access to their substance of choice.
  • The user initially resists any form of intervention or confrontation about their drug use.
  • The user develops illnesses associated with prolonged use of a particular substance.
  • The user may “black out” or forget large stretches of time (common with alcohol abuse).
  • The user becomes careless with his/her overall health and hygiene; it is no longer a priority.
  • The user experiences withdrawal symptoms when he/she does not have enough of the substance in his/her body.
  • Withdrawal symptoms include moodiness, cravings, anger, frustration, bitterness, aggression, and depression. A detox program may be the best answer to withdrawal issues.

Rehabilitation is often referred to as drug rehab or drug treatment, and is the next step to take after an initial intervention with an addict. The goal of rehabilitation is to provide help for those who suffer from an addiction. In and of itself, rehabilitation is a broad category and encompasses both medical and therapeutic methods for treating substance dependence. Your drug rehab or alcohol rehab program can be completed in a hospital, and inpatient facility, or through outpatient therapy and treatment, though studies have shown that no matter what the setting, the longer a patient remains involved in rehabilitation, the more likely he/she will have long-term success with addiction recovery.

If you exhibit or your family member/friend exhibits the symptoms of addiction, this is the right time to seek treatment. If you are unable to successfully and reasonably maintain control over your life (or know someone who cannot) then treatment is the best and only solution, following an intervention. A professional addiction specialist (counselor, psychologist/psychiatrist, etc.) will be able to provide insight on the situation and determine what the best course of action for treatment is. One way to encourage a family member or friend towards addiction recovery is through an intervention.

An intervention is a gathering of people close to an addict, whether they are family members, friends, community members, colleagues, spouses or significant others, etc., to discuss with the addict the effect their addiction and resultant behavior has had on everyone’s lives. An intervention can be a helpful motivator because it shows the person suffering from the addiction the negative consequences of their actions as they affect their loved ones. This new perspective often is the catalyst needed for the addict to seek out a detox program and drug or alcohol rehab.

Whether it is treatment for a heroin addiction, prescription drug abuse, alcohol abuse, or any other kind of addiction, the duration of a drug rehab program depends largely on the setting in which it is held. Regardless, it is important to participate in your drug treatment program for as long as your addiction specialist deems necessary. Those who do not complete their treatment program run a much higher risk of relapsing, or falling back into their addictive patterns of behavior. Addiction recovery can be a lengthy process from the intervention to the final stages, and so patience and perseverance will go a long way towards determining success. There are many benefits to opting for outpatient treatment versus inpatient rehab as your drug treatment program. Because outpatient programs do not require you to live in a specific facility, they allow you to maintain your normal life, including your job, while being treated. At the Bergand Group, we believe that you can develop the strong support system you need to recover through our intensive outpatient treatment and group therapy sessions. You can overcome your addiction while still benefiting from the normalcy of a consistent living situation, and you will have access to all of the people essential to your recovery, including counselors, medical professionals, therapists, and legal professionals.

Not only can they, but your family should be involved in the rehabilitation process, even past the initial intervention. Having the support and encouragement of your family is a vital element that can markedly increase your chances of successful recovery. Because addictions can often run in families, or rather, there is a higher likelihood of someone developing an addiction if a member of his/her family has one, having open discussions about addiction within the family can break these harmful patterns. Family therapy, an important component of outpatient drug treatment, sessions can sometimes help patients discover underlying motivations of their addictions; family involvement in rehabilitation can lead to an overall healthier family dynamic, from which everyone benefits.

The Bergand Group accepts most major insurances, as well as privately paying clients. Treating addiction is a matter of healthcare, and so insurance companies partner with healthcare providers to provide their clients with the solutions they need to make full, successful recoveries.

Baltimore Suboxone treatment specialists at The Bergand Group know that truly overcoming an addiction is a lengthy process. People suffering from an addiction cannot quit overnight, and the medically-assisted treatment known as Suboxone treatment allows patients to transition to a state of sobriety by limiting withdrawal symptoms and staving off cravings for their drug of choice. Suboxone itself is a medication that is geared towards helping addicts overcome opioid addiction.

The Affordable Care Act, or “Obamacare,” does address the issue of drug treatment programs in its mandatory mental health care benefits. This list of benefits accounts for behavioral health treatment, counseling, and therapy having to do with your drug/alcohol treatment program.

The Bergand Group helps with all drug addictions, from alcohol abuse to heroin addiction to prescription drug help and more. Our alcohol treatment and drug treatment programs are among the best in Maryland.

Types of Addictions and Their Signs

No matter what kind of substance an individual abuses, all forms of addiction are equally serious and require treatment. However, the different types of addictions can have varying effects on an individual, and these can manifest in different ways. Here are some of the most common types of addictions and the signs that indicate them.

Alcohol abuse and alcoholism are two different forms of alcohol addiction. Alcohol abuse, which is a serious substance abuse problem in its own right, is often a precursor to alcoholism; the distinction is that with alcoholism, the abuser has a dependence on alcohol and can no longer impose limits on their drinking and subsequent behaviors. Alcohol abusers develop patterns of drinking, such as drinking when stressed, that can easily spiral out of control and have a decidedly negative impact on their day-to-day lives and relationships. Alcohol abusers may drink when or immediately before driving, drink while on medication, or drink to the extent that they neglect their responsibilities. Because of the repeated nature of their drinking, alcohol abusers can often fall victim to alcoholism.


Alcoholics, unlike alcohol abusers, advance to the point where they no longer have any control whatsoever over their drinking; it becomes not only a mental but a physical impulse in the manner of a true addiction. Their tolerance for alcohol is much higher than that of a non-addict, and consequently they find that they need to drink more and more in order to achieve the same level of intoxication. Alcoholics also demonstrate withdrawal symptoms after consuming alcohol, and they combat these symptoms by drinking more. Sweating, shakiness, anxiety, nausea, insomnia, depression, headaches, and fatigue are all some of the withdrawal symptoms an alcoholic might display. As with any addiction, an alcoholic may feel a powerful desire to end their destructive behaviors but is unable to without proper rehabilitation and treatment.

Opiate addiction is strongly tied to physical pain. The prescription painkillers that are opiate-based, including Oxycontin, Morphine, and Oxycodone, all have potential risks associated with their continued use. Opiate addiction results when, after repeated opiate use, nerve receptors build up a sort of “immunity” to the drug’s effects and consequently need higher and higher doses to achieve any change in sensation. Opiates become your body’s only source of pain relief, and therefore a physical and mental addiction to them is formed. Because of the severe physical dependency an opiate addict develops on the drugs, opiate addictions need to be treated with rigorous and sustained rehabilitation programs. This type of addiction is classified as a neurological disease.


The signs of opiate addiction are not always immediately obvious to an observer. Very often, an opiate addict will seem lethargic and excessively drowsy. Both weight loss and weight gain are also associated with opiate addiction, and which one is experienced is dependent on the individual. When an addict is in withdrawal from an opiate, the symptoms are similar to those of withdrawal from other drugs: anxiety, nausea, sweating, insomnia, aches and pains, and agitation. During opiate detox, the first stage of an opiate addiction treatment program, these symptoms can be extremely uncomfortable but are not life-threatening, so it is vital that a detox program is overseen by medical professionals from a drug rehabilitation facility. To combat the pain that comes with opiate withdrawal, some rehabilitation programs utilize replacement medications, such as Suboxone, to treat pain in a safe, controlled manner.

Cocaine is a highly addictive drug that can be either snorted, injected, or smoked. Those who abuse cocaine become addicted to the sensations associated with the drug’s use; it is a stimulant and often initially gives users a sense of energy and euphoria. But that same stimulating effect is what causes so many health risks, including elevated heart rate, increased body temperature, and increased blood pressure, which can all lead to heart attack, stroke, and seizure. Cocaine can pose these serious health risks to any user, whether a long-time addict or a first-time user, though any continued use does of course elevate the chances of developing an addiction.


Unlike some drugs, cocaine does not force the user to become physically dependent. Though users may experience some withdrawal pains after coming down from their “high,” the addiction to cocaine is a largely mental one. The positive psychological associations that addicts have with the sensations the drug induces are what create the barrier between use and treatment. Consequently, the focus of a cocaine addiction rehabilitation program will most often center on changing the mindset of the addict and helping them overcome the strength of their cravings. In their withdrawal, cocaine addicts most typically suffer from psychological symptoms, including anxiety, panic attacks, restlessness, and depression, though they can feel physical symptoms, such as headaches, as well. Inpatient rehabilitation programs are most often recommended to those suffering from a cocaine addiction; the constant supervision and support of this kind of environment can help them to overcome the mental and emotional ties to the drug.

Even though prescription medications undergo testing and quality checks to ensure that they are safe to use, improper use of prescription pills can lead to abuse and addiction of these drugs. The inherent danger in prescription pill use is that, because they are most often initially supplied by a medical professional, people trust that it will be safe to use these drugs as legitimate forms of treatment for pains, disorders, and diseases. However, if abused or obtained from a disreputable source, prescription pills can pose a major threat to users. Drugs such as Xanax, Valium, Oxycontin, Codeine, and amphetamines are all prescription drugs that have been associated with misuse and abuse.


Prescription pill addictions result most often from the improper consumption of a prescription drug. Taking more pills than necessary, crushing or breaking open pills, combining prescription pills with over the counter pills, or taking the pills in a way other than directed can increase your risk of developing a prescription pill addiction. Because there are a wide variety of prescription pills to which you can develop an addiction, an individual’s addiction may present in a number of different ways, depending on the type of pill. Regardless of the exact nature of their addiction, the addict must seek professional medical help in order to overcome their dependence on prescription pills. A rehabilitation program can oversee detox and withdrawal processes, as well as provide therapeutic resources so that addicts can come to understand the causes behind their addiction and the path they must take towards recovery.

Heroin, as a potent narcotic, poses severe health threats. Heroin dependence is among the most difficult kinds of addiction to treat because both a powerful physical and psychological reliance on the drug develops through continued use. The withdrawal symptoms associated with heroin can occur mere hours after the last use of the drug, and in order to avoid the extreme pain and physical discomfort, addicts become caught in a cycle of using over and over to “beat” their withdrawal. Among other things, withdrawal from heroin can subject addicts to muscle pain, bone pain, abdominal cramps, vomiting, sweating, and extreme agitation.


The signs of heroin addiction can be very pronounced, particularly because there may be physical markers, such as track marks and wounds at the sight of injection. Aside from needle marks, additional signs of a heroin addiction might also be fatigue, lack of awareness (of self-image, hygiene, consequences of one’s actions, etc.), disorientation, vomiting, labored breathing, depression/suicidal thoughts, and slurred speech. Because heroin addiction is extremely physically and mentally destructive, seeking proper treatment is key in order to set an addict on the road to recovery. Heroin detox is the first step of most rehabilitation programs; through detox, the addict will work to overcome the physical dependence on heroin. This must happen first before they can successfully approach the deeper, psychological ties that they feel towards their addiction. These issues can be addressed through therapy and counseling; a combination of all these aspects of rehabilitation can help those suffering to overcome their heroin addiction.

Types of Drug and Alcohol Treatment and Rehabilitation

In order to help addicts successfully overcome their substance abuse and dependence, there are a variety of treatment options available. To determine the best course of action for you or your loved one, it is best to consult with one of our medical professionals who knows how these different treatment programs work and knows which one would be well-suited for an individual’s addiction and lifestyle. Here are the types of rehabilitation programs that treatment facilities utilize to help their patients.

Detox is often the first step in a continuous journey towards recovery. Through a detox program, an addict stops using their substance of choice, sometimes aided by replacement medications that lessen withdrawal symptoms, in order to overcome the immediate, physical dependency they have on that substance. Detox programs must be overseen by medical professionals at a qualified rehabilitation center so that patients can be monitored throughout their withdrawal. Some drug addictions can result in particularly painful or risky withdrawals because of the potency of the drug, and so detoxing in a controlled environment is the key to preventing any potential health issues that could arise.


Detox treatment differs depending on the type and amount of drug an individual has been using. Your rehab specialists will be able to tailor your detox program so that it targets your physical recovery and prepares you for the next stages of treatment.

Outpatient treatment programs share the same goal of inpatient treatment programs: to get their patients well. The key difference, of course, is that while an inpatient program takes place inside a single, regulated facility, outpatient treatment programs allow patients the opportunity to seek counseling and medical care while still living at home. It has been said that outpatient treatment programs require a different level of commitment on the part of the individual, as they have the ability to potentially revisit sites and people associated with their addiction. However, through consistent and effective counseling and treatment, an addict can overcome their addiction in an outpatient setting just as they would in inpatient treatment.


Many patients opt for outpatient treatment in order to benefit from the opportunity to stay with their families and at their job throughout their recovery. The routine of day-to-day life facilitates, for some, a sense of control and allows them to overcome their addiction by focusing on the positive aspects of their lifestyle.

Intensive outpatient treatment programs combine the responsibilities of an inpatient program with the lifestyle flexibility of an outpatient program. In intensive outpatient treatment, a patient begins the process of recovery as they would in any case, with a detox program. In most cases, intensive outpatient programs begin with higher levels of accountability on the part of the patient; there will be daily “check-ins” so that the facility can monitor the patient’s progress in person, without progressing to a full-fledged inpatient program. Once the initial stages of treatment (during which patients are highly susceptible to relapse) are completed, the patient is given more independence in their recovery process, though they still undergo the same counseling and treatment that those in either an inpatient or outpatient program would.


Many patients opt for intensive outpatient treatment programs in order to benefit from the structure it offers alongside the independence to live a life outside of the treatment center. For some, this combination of factors makes this type of rehabilitation an ideal choice.

Inpatient programs, also known as residential treatment programs, are entered into voluntarily by patients looking to overcome their addictions in a structured, safe environment. Inpatient treatment is the preferred choice for those with addictions to highly addictive and destructive drugs, such as heroin, or to patients who have attempted other forms of treatment and relapsed. The typical inpatient program offers an intensive schedule that involves daily treatment, therapy, and educational sessions that work to get at the psychological core of an addiction. One of the main benefits of an inpatient treatment program is that the individual is completely separated from any negative influences or associations that might have either spurred their drug use or given them access to drugs in their daily life.


Many patients opt for inpatient treatment in order to benefit from the sense of community that develops. With the support of fellow recovering addicts, counselors, and medical staff, working towards recovery can be successful with inpatient rehabilitation.

Addressing each patient’s individual needs

Our Services

Intensive Outpatient Programs (IOP)

At the Bergand Group, our focus is on the treatment of chemical dependency, substance abuse, and co-occurring disorders.

General and Addiction Psychiatry

The Bergand Group provides addiction psychiatry for individuals dealing with alcohol and substance abuse problems that co-occur with psychiatric disorders.

Outpatient Detox/Withdraw Symptom Management

Drug and alcohol detox guides patients through their withdrawal period with medical supervision.

DUI/DWI Educational Programs

The Bergand Group offers DUI/DWI educational programs for individuals that have been issued a DUI or DWI in the state of Maryland.

Group Therapy

Addiction, as with many other mental disorders, is often best treated in a group format, especially in the early recovery and treatment process.

Medication Management

The Bergand Group has a drug free/abstinence philosophy as the foundation to addiction treatment.

Psychoeducational Programs

Keep up with The Bergand Group for special psychoeducational educational programs, which are often conducted by our nationally known educators.

Relapse Prevention

The Bergand Group provides support throughout the entire recovery process for our clients.

Offices in Baltimore and Harford County

Convenient Locations

Baltimore County Office

Harford County Office

Help is Just a Call, or Click, Away!

Scroll to Top

Get Help Now!