Psychiatry

Substance Use Disorders

Substance use disorders are complex conditions that require professional, non-judgemental care. Dr Nel offers comprehensive assessment and treatment for alcohol, prescription drug, and illicit substance use disorders. We address the underlying mental health factors that often drive addiction, provide medication-assisted treatment where appropriate, and develop robust relapse prevention strategies. Recovery is possible, and we are here to walk that journey with you.

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Psychiatry

What to Expect

  • A non-judgemental, confidential assessment of your substance use patterns and history
  • Screening for co-occurring mental health conditions (dual diagnosis)
  • A clear explanation of the treatment options available to you
  • Medication-assisted treatment (MAT) where clinically appropriate — e.g., naltrexone, acamprosate, or buprenorphine
  • Development of a personalised relapse prevention plan
  • Referral to rehabilitation facilities, support groups, or psychotherapy as needed
Substance Use Disorders
Areas Covered

Conditions We Treat

Alcohol use disorder and dependence
Cannabis use disorder
Stimulant use disorders (methamphetamine, cocaine)
Opioid use disorder and prescription painkiller dependence
Benzodiazepine dependence
Nicotine dependence and smoking cessation
Dual diagnosis — substance use with co-occurring mental illness
Our Process

How It Works

1

Assessment & Diagnosis

A thorough evaluation of substance use patterns, severity, withdrawal risk, and co-occurring mental health conditions.

2

Stabilisation

Acute management of withdrawal symptoms, medically supervised detoxification support, and stabilisation of mental health symptoms.

3

Treatment & Therapy

Ongoing medication management, referral for individual or group therapy, and engagement with support networks and rehabilitation programmes.

4

Relapse Prevention

Development of a long-term relapse prevention plan, ongoing psychiatric monitoring, and connection to community support resources.

Benefits

Why Choose This Service

Treatment by Dr Nel addressing both addiction and underlying mental health conditions
Evidence-based medication-assisted treatment to reduce cravings and prevent relapse
Holistic approach addressing biological, psychological, and social factors
Coordination with rehabilitation centres, psychologists, and support networks
Ongoing outpatient support for sustained recovery
FAQ

Common Questions About Substance Use Disorders

Yes. Substance use disorders are recognised psychiatric conditions involving changes in brain chemistry and reward pathways. They are not a moral failing. Effective treatment is available and recovery is achievable with the right support.
We provide outpatient psychiatric assessment, medication management, and relapse prevention. For patients requiring inpatient detoxification or rehabilitation, we refer to reputable facilities in Gauteng and coordinate your ongoing psychiatric care.
We welcome family members seeking guidance. While the affected person ultimately needs to engage in treatment, we can advise you on how to approach the situation, when to seek help, and what resources are available.
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