Treating an Addiction

When a Disability is Present

Treating an Addiction

When a Disability is Present

Addiction and Disabilities

The term disability encompasses a wide range of diagnosis, but generally, a disability is considered a condition that limits participation in one or more major life activity. A disability can be physical, emotional or intellectual. You can become disabled after an accident, from a disease, or have a disability since birth. Regardless of how the disability occurred, treatment for addiction must address the limitations present because of the disability. When you can receive addiction treatment that puts all your needs first, you can heal from your addiction and live a sober life.

Categories of Disabilities

Categorizing disabilities can be challenging. As an example, hearing loss and how it affects each person who has a hearing loss can be different from person to person. The loss can be mild or complete. The individual may have an easy time coping, or they may struggle to manage from day to day. Each type of disability has a range of severity and people react differently to similar circumstances. Disabilities are generally organized into six categories.

Developmental disabilities 

These are disabilities that generally begin while in the womb, but can also manifest after an illness or injury. Cerebral palsy and hearing loss are considered developmental disabilities, although there are crossovers as learning disabilities can also be considered developmental. 

Mental illness 

Programs for dual diagnosis treatment are specific for individuals who need addiction treatment and who also have a mental health diagnosis to treat. 

Learning disabilities 

When the learning process is inhibited, a learning disability is generally identified. Children and adults with a learning disability can have a problem processing new information, reading or understanding complex information. 

Physical disabilities 

Limitations caused by a physical, mechanical inability to perform an activity are considered physical disabilities. Traumatic brain injuries, allergies, asthma, cancer, and many more physical ailments can all be considered a disability that changes your life. 

Sensory disabilities 

A sensory disability is when one of the senses of touch, taste, sight, smell, hearing doesn’t work correctly. The person uses the remaining senses to gather information. 

Intellectual disabilities 

Intellectual disabilities interfere with a person’s overall IQ, can inhibit speech, and can make taking care of yourself nearly impossible. Intellectual disabilities can occur at birth, or because of an accident, illness or injury. 

Dual Diagnosis

Programs designated as dual-diagnosis provide addiction treatment for individuals who have a mental health diagnosis along with addiction. Dual-diagnosis treatment allows the client to focus on both the addiction and underlying mental health needs at the same time. This is an effective treatment for individuals who need support for mental health needs and don’t want to ignore their mental health to focus on addiction treatment. 

Why People With Disabilities Use Substances 

There are many reasons why people with disabilities turn to drugs or alcohol. Similar to many others, they may use substances as a way to cope with the stress of everyday life. An inability to participate in normal activities can make a person with a disability feel left out. “As with a need to fit-in and a history of trauma, mental health problems are also implicated in increased risk for problematic substance use in the Intellectual disability (ID) population.”, according to a report by the National Library of Medicine. 1“People with ID have higher rates of mental health problems than the general population”. Cognitive issues can make it hard to learn effective pill management or about the dangerous effects of drugs or alcohol. Pain medication treatment and pill management after an accident can be challenging and, at times, can lead to an addiction, compounding the situation of living with a disability. 

When you take into consideration the wide variety of ailments that are considered a disability, many people have some type of disability as a diagnosis. While limitations created by the disability may be minimal, there are others where the limitations can be so significant that the individual struggles to get through each day. 

According to Disabled World, “For people who experience forms of disabilities, the process of recovering from addiction is complicated by barriers that simply do not exist for others. Attempts to recover from an addiction to a substance can be greatly hindered by issues associated with physical or mental disabilities.”

The Signs of Alcohol or Drug Abuse Among Those with Disabilities 

If you are concerned about a loved one who is disabled and believe they may need treatment for alcohol or drug abuse, it’s important to look for signs that they need help. Signs of addiction in anyone includes: 

A lack of interest 

Lack of interest in normal activities that the person usually enjoys is always a red flag. For a disabled person, it is important to rule out any physical or emotional reasons for the lack of interest that don’t include addiction first. 

Additional difficulty 

A difficulty with cognition, such as confusion, or trouble with regular tasks. 

Isolation and a change in attitude 

You might discover that a loved one wants to be alone all the time or is angry and hostile. 

For those with a disability, the signs of substance abuse can also indicate a flare-up in the condition that is causing pain, confusion, or other symptoms to manifest. It is necessary to rule out any medical issues first to determine if substance abuse is the real problem. People who have a disability struggle with addiction at higher rates than the general public, but it is still necessary to rule out any medical reason for the symptoms before trying to address an addiction problem. 

Addiction Treatment for People with a Disability 

Addiction treatment for those with a disability must be empathetic and address the needs associated with the disability to ensure that the addiction treatment is successful. There are often barriers to treatment for those that are disabled, and overcoming those barriers can mean receiving additional help before addiction treatment begins. Some individuals may not have the ability to understand that addiction treatment is necessary. Others with a disability may not be able to make the decision to go to treatment. Financial barriers often exist, and this generally means finding a treatment program that accepts the individual’s health insurance plan. 

Addiction treatment that is understanding, professional and compassionate is important for everyone, but especially for those who are also trying to overcome addiction with a disability. It’s hard enough living with a disability and managing the day to day life. When disability is compounded by an addiction, it’s time for a treatment program that will help the individual safely withdraw from substances. 

Safe Sobriety Begins with Supervised Detox 

Withdrawal symptoms from substances can manifest as symptoms of the disability. Withdrawal can cause anxiety, depression, shaking, nervousness, agitation and more. For a person with a disability, the withdrawal process can feel as though a disability is getting out of control. The symptoms of withdrawal must be managed with care or the client will not feel safe during the withdrawal process. Withdrawal at home is less successful because people frequently use the substance in order to stop the symptoms of withdrawal.  

Developing a Treatment Plan 

Once detox is complete, the individual with the disability, just like many others in recovery, will have to work for long-term success. While in detox, it’s important for recovery to work closely with a counselor to develop an individualized treatment plan. This can be hard for some individuals with disabilities, but it is a vital piece to treatment. A treatment plan is developed to create a clear picture of what is going on in the client’s life and how the addiction is going to be addressed. Goals are established and success towards completing the goals will be measured. For a person with a serious disability, the goals created by the counselor and individual should be easy to understand. 

Treatment after detox can include time spent in a residential treatment facility for further education and routine building. If an individual has a physical or emotional disability, accommodations can be made by the facility at varying levels. For those with a disability, it is necessary to be clear about any accommodations that are necessary. A reputable treatment facility can manage to accommodate people who need physical or additional emotional support while trying to work through an addiction. 

Aftercare Planning With a Disability 

Living with a disability can feel isolating and cause stress while trying to simply live day to day. For an individual with a disability, relapse prevention is all about learning how to live without substances and replacing substance abuse with healthier activities. To decrease isolation, 12-step meetings are an opportunity in the community to socialize and engage with others who are working on sobriety. In addition, weekly individual therapy is always recommended to have a neutral person out in the community as support. 

If learning is a barrier, breaking down the information about addiction may be necessary. If an individual with an intellectual disability doesn’t understand the harm they are causing to their body by using drugs or alcohol, it is necessary to try to reach the individual in a variety of different ways. For those who depend on care from others, careful monitoring may be necessary to keep the individual safe. 

It’s not easy to live with a disability, and drug or alcohol addiction can only make the disability worse. An individual with a disability is at a high risk of danger while using substances and getting treatment is vital to long-term health. Those with disabilities already need additional support in order to participate in society. When compounded by substance use, the need for treatment couldn’t be greater.   

Dr. Venice Sanchez


Clinical Outreach Specialist, Europe Division

Dr. Sanchez works closely with Truvida Recovery patients regarding substance abuse and related mental illnesses and creates a supportive, cooperative and informed therapeutic environment. Her areas of expertise include Substance Dependence, Dual Diagnosis, Depression, Bipolar Disorder, Schizophrenia, Generalized anxiety disorder, Panic Disorder, Bereavement, Acute stress disorder, and more. Ms Sanchez has extensive training with experts in the field of Substance Abuse, and mood and thought disorders underlying the substance use. She received a Bachelor’s degree from University of California, Los Angeles and Medical Degree from Michigan State University College of Human Medicine. She continues training at the UC Irvine Psychiatry Residency Program and has been recognized with the Outstanding Resident of the Year Award.

Jaime Askew


Clinical Director

Ms. Askew is a Licensed Marriage and Family Therapist and Licensed Professional Clinical Counselor who has been working in the field treating substance abuse and mental health issues for over twenty years.  She obtained a Master’s degree in Clinical Psychology, with an emphasis in Marriage, Family, & Child Counseling from Pepperdine University and was among the first to obtain the LPCC license in the state of California.  She has been providing clinical supervision and training to interns, conducting workshops, and is a certified Trauma therapy trainer.  Her areas of expertise include working with legal issues, court ordered treatment, family preservation, trauma therapy, cognitive behavior therapy, family systems, social skills training, play therapy, and career/ vocational counseling.  Her passion is in advocating for at risk populations, holistic healing, and treating the underlying, core issues to help individuals achieve their maximum potential and happiness.  Jaime’s extensive experience and passionate leadership is of extreme importance to the overall TruVida clinical program, and her hands-on guidance of our clinical team insures that each patient is receiving optimal therapeutic treatment and care.

John Biroc

Consulting Psychologist

Dr. Biroc has a broad base of mental health and addiction recovery training and experience. He has supervised and taught therapists in various methodologies of effectively working with groups and individuals during therapy. He created and set up new group structures and trained staff in understanding the challenges of addiction recovery. He also helped develop curricula in Sociodrama and Psychodrama. Dr. Biroc is devoted to breaking paradigms that prevent progress in the path to lasting recovery. He is a member of the Nat’l Association of Marriage and Family therapists, and has a Ph.D. degree in Psychology, and a M.S. degree in Counseling from USC.

Dr. Nader Siahdohoni

Consulting Psychologist


Dr. Nader is one our esteemed consulting Psychologists who provides our Clients with various breakthrough therapy’s that focus the functional systems including neurons, neurotransmitters, and certain brain waves that enable the way we think, behave, move, feel, and maintain homeostasis. Such therapy’s include NeuroMax neurofeedback, the state of art integrated technology in Neurofeedback, combinations of wireless Electroencephalogram (EEG), real time brain mapping and a unique and exceptional neuropathway therapy called “Visual Concentration Attention Therapy (VCAT)”. Dr Nader graduated from Walden University.

Tiffany Agra


LMFT #103693

Ms. Agra is a Cognitive Behavioral Therapist, who has been working with individuals, couples, families, and groups for the past seven years. Her other therapeutic approaches include Narrative Therapy, Family Systems Theory, Psychodynamic dream interpretation, and Gestalt Psychology. She has also been a Guest Speaker at other organizations. This unique background has made her effective at helping clients overcome the grip of substance addiction. Tiffany obtained two Bachelor’s degrees from the University of California, Davis, and her Master’s degree from the California State University, Long Beach. She has worked for both the county of Orange and Riverside, helping those who struggle with addiction and mental illness. In addition to providing evidenced-based approaches to the clinical program at Truvida Recovery, she brings her compassion as a fellow addict in recovery; living proof that we do get better!

Deborah Wieland


MS, LMFT #96864

Ms. Wieland is an Eclectic EMDR Therapist, using R-TEP and G-TEP, and specializes in several modalities in treating Substance Use issues, Dual Diagnosis, Complex Trauma, and Severe Mental illness. Deborah also provides several types of therapy such as Psychodynamic, Rogerian, CBT, DBT, IFS, PICT, MI, Grief Recovery, Sand Tray, and Attachment Theory to help her patients achieve mental wellness and a sober lifestyle.

She has worked with Psychiatric Hospitals providing crisis interventions and psychotherapy to those struggling with substance abuse issues, mental health issues, and domestic violence. She completed her undergraduate and graduate studies at Vanguard University of Southern California. She has a Bachelor of Arts in Psychology, Summa Cum Laude and a Master of Science in Clinical Psychology. She is currently completing her Doctoral studies in Clinical Psychology at Cal Southern University. Deborah is an active member of EMDRIA, California Association Marriage Family Therapist (CAMFT), American Association of Christian Counselors (AACC), and Psi Chi International Honors Society of Psychology.

Ashley McLaughlin

LMFT Therapist

Ms. McLaughlin is a Licensed Marriage and Family Therapist specializing in EMDR therapy. She brings over ten years of experience working in the field of addiction to the Truvida Team. She obtained a Master’s degree in Clinical Psychology, with an emphasis in Marriage and Family Therapy from Pepperdine University and has two Bachelor’s degrees in Psychology and Economics from University of California, San Diego. Ms. McLaughlin was trained in EMDR in 2013 and since has been helping individuals process through past traumatic experiences that have contributed to current struggles with substance abuse and mental health symptoms. Her extensive experience and passion for this field has helped guide individuals through the process of recovery in order to experience freedom from their past and a hope for their future.

Travis Taylor



Mr. Taylor is a Licensed Marriage and Family Therapist specializing in  Drug Abuse & Addiction,  PTSD, Anxiety, Bipolar Disorder, Borderline Personality, Codependency, Coping Skills, Depression, Dual Diagnosis. Taylor uses an integrative approach geared towards understanding self, specifically what drives one’s thoughts and behaviors. He excels in helping patients identify automatic thoughts that lead to specific feelings and undesired actions. Another useful approach stems from understanding how thoughts and behaviors are fueled by former messages that have been consistently reinforced. Travis has over 6 years of therapeutic practice and obtained a Master’s degree at Vanguard University.

Kat Johnson

AOD Counselor, Group Facilitator

With almost 10 years experience working at treatment centers, Kat Johnson shares her wisdom and passion for balanced living, creative writing, and meditation and how each plays a role in early recovery and beyond. Certified as a CADC II, and supported by a bachelors in psychology, Kat’s infectious energy brings her groups to life. She is grateful for every opportunity to spread health and wellness.

Emily Mayot

LCSW Therapist

Ms. Mayot is a licensed clinical social worker specializing in anxiety, depression, transitions, trauma, grief/loss and substance abuse. She has earned a bachelor in psychology from Cal State University Fullerton, and a master in social work at University of Southern California (USC). Emily has been trained in but not limited to CBT, CPT, Motivational Interviewing, and EMDR. Her experience stems from inpatient treatment centers, inpatient psychiatric hospitals, and outpatient community mental health.

Her style is compassionate, non-judgmental, down-to-earth, flexible and organized. The approach she takes is to meet you where you are at in the present moment and time. This creates more understanding and a strong collaboration in creating/accomplishing goals.

Lesley Richards

AOD Counselor, Interventionist

Ms. Richards began in this field of healthcare as a volunteer for substance abuse treatment centers and worked her way up from there. Lesley has dedicated her life to helping the suffering addict. It is her strong belief that everyone deserves to have the opportunity to have a safe and sober life.  She is very compassionate about her work as an addiction counselor, and has a strong commitment in helping patients struggling with addiction in developing healthy coping mechanisms, and developing new positive behavioral habits.  Her Group counseling sessions are highly sought after within the TruVida program.  Lesley is a Certified Alcohol and Drug Counselor (CADC), National Certified Intervention Professional (NCIP), Nationally Certified Recovery Coach (NCRC), and is a member of the California Consortium of Addiction programs (CCAP), as well as the International Association of Addiction Professionals.

Christine Green

Treatment Facilitator

Christine Green is a certified personal trainer, and yoga instructor. Ms. Green is dedicated to helping patients struggling with substance abuse transform their lives through a consciousness-based approach to body-in-motion fitness.

Christine passionately shares her 18 years experience with our clients by sharing her specialized Yoga & Energy Healing Program, which she has developed over the past 8 years of working directly with addicts and alcoholics. Her Yoga program facilitates integration of all the layers of life – environmental, physical, emotional, psychological, and spiritual with the primary initial goal of overcoming withdrawal symptoms and cravings from drug and alcohol dependency. TruVida is fortunate to have her as part of the team.

Allison Goode

Art in Recovery Counselor

Allison Goode is a lifelong resident of Laguna Beach and professional artist for over 15 years, and has developed a very successful and trans-formative Art in Recovery program in treatment facilities through out California. Her passion for the fine arts and helping others recover from substance abuse addiction is contagious. Allison has a unique ability to connect with clients through the creative process helping clients set positive goals for their recovery. Ms. Goode has studied Fine Art and Graphic Design at Laguna College of Art and Design, is a certified RADT1 technician, and is currently completing her CCAPP certification program.

Thomas Mladinich

Admissions Manager

Mr. Mladinich’s hard work ethic and dedication make him a key part of the TruVida team. Tom’s ability to connect and relate with others have allowed him to excel as admissions manager. His personal experience has allowed him to proudly serve those in need of recovery from addiction. Tom is eager to work with our clients and provide the experience, strength and hope that they need to find success in recovery.

Willie Sanchez

Operations Manager

Mr. Sanchez is a self-motivated professional with a positive attitude. He is actively involved in a 12 step fellowship. He effectively contributes to each Patient with their struggles with addiction. Willie is RADT1 certified counselor and has been educated at Long Beach City College.

Jose Flores

Program Manager

Mr. Flores is a highly motivated and hardworking team member with TruVida. He has several years of experience working in treatment helping individuals get back on track, achieving a lot of great results. He brings problem solving skills and experience to use everyday, and is proud and passionate about his profession as a RADT-I program manager.

Dr. Mitchell Naficy

Medical Doctor

Medical Director

Dr. Naficy is a Board Certified Family Physician with over 25 years of clinical experience. In 1985, he graduated from Rutgers University with a B.A. in Microbiology and French Literature. In 1990, he received his Medical Doctor degree, and in 1991 completed his post graduate training at the University of Southern California Medical Center. In 1998, he completed his residency at the University of California, Irvine Medical Center.

Dr. Naficy style of patient care involves caring for the person as a whole, rather than just treating a particular symptom or illness. Dr. Naficy has extensive experience in treating the physiological aspects of addiction detox and is highly respected in the field by both his colleagues and patients.

Sound Bath Therapy

Truvida’s sound bath treatment is a very effective experiential therapy that uplifts one’s body, mind and soul. Our certified Sound Healer plays crystal singing bowls as well as the gongs to stimulate various chakra centers.

For more than 50,000 years, sound has been used to heal, and motivate the human soul.  During a sound bath or sound healing session, one’s brain waves & breathing become regulated and synchronized, producing a deep sense of peace & well being. Bathing in sacred sound allows us to powerfully resonate with frequencies that allow us to balance & heal on all levels.

Sound therapy allows professionals to tackle addiction at a brainwave level, thus making it much easier for patients to achieve a meditative state and come to terms with their problems. Sound Therapy redresses imbalances on every level of physiologic functioning and plays a positive and powerful role in the treatment of virtually any medical disorder.

Substance Abuse can also lead to the development of a co-occurring condition (or vice versa) and cleansing the body of a substance isn’t always enough for a complete and lasting recovery. Patients must also address the physiological and emotional issues that may have led to the destructive behavior in the first place.

Evidence shows that the outcomes of sound therapy are extremely positive and beneficial to patients’ behavior, especially when doctors pair them with other scientific methods, such as individual therapy, behavioral therapy, and so on.

Natural Benefits Of Sound Therapy:

TruVida’s Sound Therapy is performed by Andrew Hubbard who is a certified Sound Bath practitioner and conducted multiple college level studies in Sound Therapy and Music theory.

Robert (Bobby) Nicholl

Admissions and Interventions

Bobby has spent over 15 years in the development and operations of several residential treatment centers in California. He is a Certified National Drug & Alcohol Interventionist, as well as a Registered Addiction Specialist. Mr. Nicholl is personally involved in Celebrate Recovery at Saddleback Church, Lake Forest, California. He says, “It’s the best thing that’s ever happened to him.” As Bobby says: “I’ve recently learned what really matters the most in life: God, my relationships, and my integrity. There is nothing more important!”

“If you have a hole in your life and your very inner being (your soul) feels empty and hungry? Then welcome, to Celebrate Hope, you’re at the right place for healing and restoration of mind, body, and spirit; we will provide you with a dignified setting and surround you with loving people. You’re going to get everything you need and even some of your wants while Celebrating Hope. Everywhere you look you’re surrounded by people who believe in you and believe you have what it takes to recover, heal, and be WHOLE. We believe in and love you because He (God) first believed in and loved us.” From day one, Bobby has focused treatment services on “What is in the best interest of the client?” With that in mind, the treatment team develops individualized treatment plans with each client’s specific needs in mind.

Charlie Grooms

Christian Pastor

Pastor Charlie leads our Christ – centered addiction treatment program dealing with men and women who are seeking restoration from drug and alcohol addiction through our Lord Jesus Christ. Our program is based entirely on the Word of God, the Bible, and all counsel originates from it. Our experience has been that with a solid grounding in the Bible and good Christian living skills, numerous men and women have been able to become productive, vital members of their community. Our primary focus is to establish, or strengthen, a relationship with our Lord Jesus Christ. Jesus is the only way to experience true freedom from the bondage of the sin of addiction

Charlie is originally from Columbus, Ohio where he attended a Christian college and then traveled across the country to California to continue his education at Bethel School of Ministry and graduated in 2015. Charlie has conducted interviews with TBN and other nation wide radio stations.

Michael Rosales

Case Manager – Christian Minister

Bio coming soon!

Dr. Ryan Wright

Psychiatrist, M.D.

Dr. Wright is a Board Certified Psychiatrist and a Board Certified Addiction Medicine Specialist currently practicing in Newport Beach, CA. He provides general psychiatric services for adult patients who are experiencing symptoms of depression, anxiety disorders, bipolar disorder, or thought disorders. For every new patient, Dr. Wright provides a comprehensive initial psychiatric assessment, and offers subsequent mental health treatment including medication management and individual psychotherapy.

Kim Brassett

LMFT Therapist

Ms. Kim Brassett is a Licensed Marriage and Family Therapist. She brings over 7 years of experience to the Truvida Team, and is EMDR Therapist. Her style is warm, supportive & positive and her philosophy is healing happens when the therapeutic relationship is collaborative, honest, compassionate, respectful and caring. She comes from a place of personal experience and a genuine desire to help make a significant improvement in the lives of the people with whom she works with. She provides a unique therapeutic approach to treat a wide variety of conditions including addiction & recovery, anxiety disorders, mood disorders, sexual abuse, trauma, grief and loss, relationship issues and life transitions. Kim works with clients from various cultures and backgrounds as well as all ages, and strives to create a supportive, safe environment where one can share their experiences, emotions, challenges.

Leah Dean

LMFT Therapist

Ms. Leah Dean is a Licensed Marriage and Family Therapist and is Certified in Dual Disorders. She brings over ten years of experience to the TruVida Team. Her therapies concentrate on Drug and Alcohol abuse/use, grief and loss, blended families, Dual Diagnosis, divorce recovery, Parent/Child Conflicts, grief and loss, interpersonal relationships, stress management, and Gay & Lesbian issues. Her goal it that each of her clients enrich their personal and relational growth as well as enhance their emotional healing. She utilizes Cognitive Behavioral Therapy (CBT) and believes that mind, body and spirit are essential components to healing. Her Psychotherapy provides the ceremonial time/space for honoring one’s movement thru important life passages. Leah utilize the 12-Step program/concepts to help deal with the difficult issues of drug and alcohol abuse/use, and incorporates spirituality as well as self actualization, and mindlfullness.