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Help for me · Alpine, Utah

I’m Using Alcohol or Drugs to Cope With Trauma

Tell a qualified provider that trauma and substance use both need attention. You can start by describing present-day difficulties rather than recounting traumatic events in detail. Ask how the program supports safety, choice, and coordinated treatment at a pace appropriate to your needs.

Prepared by Alpine Recovery Lodge · October 18, 2026 · For adults and families

Begin with what is happening now

You might notice that substances have become part of how you handle difficult memories, fear, sleep, or feeling overwhelmed. You can describe that pattern in simple terms: “When this feeling comes up, I use, and afterward I struggle with these consequences.”

Trauma and substance use can be connected, but a guide cannot determine your diagnosis or treatment plan. A qualified assessment should consider both concerns along with your health, safety, and current supports.

You can ask about the process before telling your story

Ask the provider what information is needed for an initial assessment, why it is needed, and who will see it. Tell them if a question feels overwhelming or you need a break.

“I want help with both trauma and substance use. I’m not ready to describe everything that happened. Can we start with what is making daily life difficult?”

This is sample wording you can adapt. You do not need to use clinical language to explain that you want a more manageable conversation.

Questions to ask about trauma-related care

  1. How do you assess trauma-related needs alongside substance use?
  2. Who provides trauma treatment, and what are their qualifications?
  3. How do we decide when a particular therapy is appropriate?
  4. What choices do I have about participation and sharing personal details?
  5. How do you respond if I become overwhelmed during a session?
  6. How will medical, psychiatric, and addiction services communicate?

Do not assume that every therapy listed on a website is appropriate immediately or available in every program. Ask how recommendations are individualized.

Prepare a present-day needs list

  • Situations or times of day when you struggle most.
  • What substances you use, how often, and concerns about stopping.
  • Current sleep, mood, concentration, and relationship difficulties.
  • What helps you feel more supported and what makes appointments harder.
  • People or providers you would like involved, with your permission.

You can bring the list instead of trying to explain everything from memory. If there is ongoing danger in your living environment, tell a qualified professional so safety can be addressed.

Exploring treatment at Alpine

Review dual diagnosis care and therapy options. Ask admissions how Alpine’s adult programs assess your needs and what services would be available for your specific situation.

Discuss withdrawal concerns with a medical professional before attempting to stop substances on your own. If you need services outside Alpine’s scope, ask how an appropriate referral and transition would be arranged.

Common questions

Do I have to tell my story in a group?

Ask the program directly about group expectations, privacy, and your choices. Tell the team what you are comfortable sharing and ask how concerns are handled.

Should I choose a specific trauma therapy myself?

You can ask about therapies that interest you, but discuss appropriateness, timing, and alternatives with a qualified clinician.

Can I seek care without a PTSD diagnosis?

Yes. Describe your concerns and request an assessment. A clinician can evaluate symptoms and explain appropriate options.

When to seek emergency help

Call 911 for immediate danger or a medical emergency, including trouble breathing, inability to wake someone, or seizures. Do not wait for an admissions form or callback. If you may act on thoughts of harming yourself or cannot keep yourself safe, seek emergency care now.

Start with a conversation

Tell Alpine admissions what is happening and what you need help arranging. Ask about assessment, program fit, scheduling, and costs before making a decision.

Admission depends on individual assessment, availability, and applicable benefit or authorization requirements. This guide is educational and does not replace individualized medical or mental health care.