![]() Alcohol Awareness Month: When Drinking Becomes a Medical Issue, Not a Willpower ProblemEvolution Medicine PC marks Alcohol Awareness Month by addressing the neurobiological roots of alcohol use disorder—and how an integrative addiction psychiatry approach produces more complete recovery.
"The popular narrative around alcohol use disorder is still dominated by ideas of willpower, moral failing, or a lack of commitment to sobriety," says Dr. Sonya Lazarevic, double board-certified in General Psychiatry and Addiction Psychiatry at Evolution Medicine. "The science tells a different story. Alcohol use disorder involves measurable changes to brain reward pathways, neuroinflammation, gut microbiome disruption, nutritional depletion, and—very often—unresolved trauma. Treating only the behavior without addressing these layers leaves patients unnecessarily vulnerable to relapse." At Evolution Medicine, alcohol use disorder is evaluated and treated with the clinical rigor it demands. The practice offers evidence-based medication-assisted treatment to reduce cravings and support neurological stabilization. Functional medicine testing identifies the nutritional deficiencies— Trauma-informed psychotherapy with Dr. Shuki Cohen, PhD, addresses the psychological dimensions that frequently underlie substance use, including adverse childhood experiences, relational trauma, and the self-medication of undiagnosed mood disorders. Nutritional psychiatry with Helaine Polanco, MS, supports gut restoration and metabolic recovery as part of a comprehensive healing protocol. "We often see patients who have been sober for months— still feel terrible," Dr. Lazarevic notes. "That's not a failure of sobriety, it's a signal that the biological restoration work hasn't been completed. Addressing inflammation, nutrition, and gut health in the post-acute recovery phase changes quality of life significantly." Evolution Medicine welcomes patients and referring clinicians seeking a more complete approach to alcohol use disorder treatment. The practice serves New York City, the New York Metro area patients in person and via telepsychiatry. To schedule a consultation, visit www.evo-md.com or call (212) 924-2871. End
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