Nation’s Best – We Can Help (800) 789-1605

Our Blog

Find More Resources To Help The Ones You Love

QUEER & AUTISTIC: EIGHT TOPICS TO EXPLORE (AND QUESTIONS TO ASK) WHEN SEEKING REAL HELP

Families come to me in all kinds of seasons, from crisis, confusion, or exhaustion, to fierce love and determination. They don’t call because life is easy. They call because they’re holding a lot trying to figure out how to help someone they love who’s been misunderstood, underserved, or pushed to the edges of systems that were never built with them in mind.

When a loved one is both queer and autistic, the stakes get higher. So does the need for care that actually fits. The wrong provider can cause real harm, while the right one can change the entire trajectory.

I’ve lived this journey and learned from a few angles as an interventionist, as a brother in long-term recovery, and as someone who has been on the receiving end of people showing up when I needed them most. And what I know, without question, is this:

Treatment isn’t a handoff, it’s a powerful partnership.

Families don’t lose their voice when someone starts getting help. In fact, their voices matter even more. You have every right to ask bold, kind, direct questions. You have a responsibility to slow things down, gather real information, and feel your way into the right decision.

Below are questions I encourage families to ask when evaluating any program for a loved one who is suffering from addiction or mental health complications who also has the layered complexity of being queer and autistic searching for safety. These questions aren’t meant to “test” a program, they’re meant to reveal it.

One more truth I’ve learned the hard way: some programs are amazing at marketing and talking about themselves while being terrible at care. Others do beautiful, profound healing work but don’t know how to talk about it. 

Your job isn’t to be impressed, but to be informed. You know your loved one better than any brochure ever will and this is your time to step up and advocate, investigate and be thoughtful about the choices being made for your loved one.

LGBTQ+ AFFIRMING CARE

Safety starts with being seen. Your loved one’s identity should never be treated as a side note; it’s part of how they move through the world. When your loved one walks through the doors of a treatment program, their identity shouldn’t be sidelined. Being queer isn’t a sidebar; being autistic isn’t a footnote. These are core coordinates on the map of how they move through the world, how they read a room, regulate emotion, process shame, and experience belonging. 

An LGBTQ-affirming program understands that safety includes psychological shelter. It’s about staff who don’t flinch at pronouns, peers who don’t poke or pry, and policies that protect dignity as fiercely as they promote recovery. For someone who has spent a lifetime masking, code-switching, or bracing for bias, affirmation is a life raft. When identity is honored rather than ignored, nervous systems can finally exhale. And when someone feels safe enough to be real, not just compliant, the real work of recovery can begin.

So, when you are interviewing a treatment program, ask this:

  • Are staff trained in supporting transgender, queer, and neurodivergent clients, not just “friendly” toward them?
  • How are roommate pairings handled?
  • Can you request gender-affirming housing arrangements?
  • Are there gender-neutral bathrooms and showers?

Dignity isn’t a luxury. It’s a requirement. Programs that serve queer, autistic clients well do so on purpose, not by accident.

 

AUTISM-SPECIFIC SUPPORT & SKILL BUILDING

Thriving doesn’t happen by wishing for it. It’s built, brick by deliberate brick. For autistic individuals in addiction treatment, support requires thoughtful design and real-world strategy. Autism-specific intervention care goes beyond asking staff to “be patient” and instead equips them to be purposeful. Understanding sensory sensitivities before they become shutdowns, recognizing communication differences before they’re mislabeled as resistance, and teaching concrete coping skills that actually translate outside the therapy room is paramount to success.

These expectations build skills without shaming symptoms. Predictable schedules, clear expectations, and explicit instruction aren’t special treatment, they translate into building confidence, which allows room for recovery to blossom. When treatment programs replace vague encouragement with practical tools, they stop hoping someone will adapt and start helping them succeed. 

When strategy replaces guesswork, progress stops being accidental and starts being attainable.

Autism support isn’t just about patience, it’s about strategy. 

Ask this:

  • What skills do you actually teach? Skills that are going to be important for your loved one:
    • Executive functioning
    • Communication
    • Job readiness
    • Independent living
  • How is the material delivered? Learning styles matter, and so does information delivery:
    • Groups
    • One-on-one coaching
    • Affirming therapy
    • Real-world practice
  • Is there support for the things that act as a compass through their life? Things like:
    • Emotional regulation
    • Social cues and communication
    • Problem solving
    • Daily living skills like cooking, budgeting, and cleaning

The right program builds scaffolding, not walls, and provides life-long learning opportunities.

 

MENTAL HEALTH, MEDICAL & CLINICAL SUPPORT

The mind and body don’t live in separate houses, they share the same walls! And when one system shorts out, the whole place flickers. For many queer autistic young adults, depression, anxiety, trauma, and the daily weight of identity stress aren’t passing notions, they are the foundation of every thought and feeling.

These aren’t side notes to addiction, they’re often the score beneath it. A truly capable treatment program knows this and integrates psychiatric care, trauma-informed therapy, and medical oversight with the same seriousness it gives sobriety itself. That means clinicians who understand how autism camouflages distress, how minority stress compounds shame, and how untreated mental health conditions can quietly sabotage recovery. 

Medication management isn’t rushed or reactive; therapy isn’t one-size-fits-all. The goal is stabilization with nuance; care with context. When mental health intervention, medical, and clinical support work hand-in-hand, we stop asking someone to compartmentalize their pain and start helping them heal as a whole, complicated, courageous human being.

Ask this:

  • Are therapists or case managers on site?
  • How many therapy sessions happen each week?
  • Is medication management available?
  • Do you collaborate with outside providers including gender-affirming medical teams?

Connection is good care. Fragmentation or avoidance is a warning sign.

 

DAILY STRUCTURE & EXPECTATIONS

Rhythm creates regulation. Repetition creates safety. 

For autistic individuals, especially those navigating recovery, daily structure is restorative. A solid treatment program understands that predictability lowers anxiety and that clear expectations reduce the cognitive load of constantly guessing what comes next. 

Less about rigid rules, this is about reliable rhythms that help nervous systems settle and focus. Effective treatment meets someone where they actually are, then builds from there with intention. Consistent routines, transparent rules, and advance notice of change turns chaos into something manageable. And when the day makes sense, the work becomes possible.

Ask this:

  • What does a typical day look like?
  • How much independence is expected?
  • How much and what kind of support is built in?
  • Is inclusion primary, secondary, or an after thought?

Clarity reduces anxiety for both the client and the family.

 

HOUSING & PHYSICAL ENVIRONMENT

Environment is intervention. Space is never neutral, it’s either helping regulate the nervous system or quietly overwhelming it. Light matters. Noise matters. Predictability matters. Safety matters. A treatment program can have the best clinicians in the world, but if the environment is chaotic, crowded, or overloads the senses, recovery becomes an uphill climb. 

Thoughtful housing considers more than square footage; it considers stimulation. Softer lighting instead of fluorescent glare. Reasonable noise levels instead of constant commotion. Clear boundaries instead of surprise disruptions. When physical spaces are designed with intention, they send a powerful message: you don’t have to be on guard here. And when someone doesn’t have to fight their environment, they finally have the bandwidth to focus on healing.

Ask this:

  • What is the housing setup?
    • Shared rooms?
    • Private rooms?
    • Apartment-style?
  • Are gender-affirming housing options available?
  • Are meals, supplies, and transportation included?
  • Are staff present 24/7?
  • Are animals allowed? Because sometimes an animal isn’t a pet, but a regulation tool.

The goal is comfort that supports growth, not simply survival.

 

SOCIAL & COMMUNITY INTEGRATION

Belonging heals in ways no worksheet ever could. It’s paramount to know exactly what programs are available. Connection isn’t just something nice to have in recovery, it is a non-negotiable. Community can be both medicine and minefield, which is why it’s paramount to know exactly what programs are available and how they actually function day to day. 

Real integration is intentional inclusion. It’s spaces where differences are understood, not just tolerated, where peers are educated, staff intervene when needed, and no one is shamed for needing distance or structure. A healthy community offers choice, consent, and clarity on when to engage, how to opt out, and where support lives when things get complicated. When people feel they belong without having to perform, compare, or contort themselves, isolation loosens its grip. 

And in recovery, that sense of “I’m not alone here” can be as powerful as any clinical tool.

Ask this:

  • Are there community outings?
  • Volunteer opportunities?
  • Job coaching?
  • Employment support?
  • College navigation?

Many folks are carrying deep wounds of exclusion, isolation and abandonment. You’re looking for a place that actively repairs that, not one that ignores or perpetuates it.

 

FAMILY INVOLVEMENT

Healing is a team sport. Families don’t need to be perfect. They need to be included. 

Recovery doesn’t happen in isolation, and families don’t need to be perfect, just included. Family involvement can be a powerful stabilizer when it’s handled with care, education, and intention. The right treatment program doesn’t blame families or bench them; it brings them into the process with clarity and compassion. That means teaching loved ones how autism shows up under stress, how identity affirmation affects nervous system safety, and how well-meaning missteps can unintentionally derail progress. 

Inclusion creates alignment. Alignment creates consistency. And when families learn how to support recovery without trying to control it, healing stops being a solo act and becomes a shared, sustainable effort.

Ask this:

  • How often do you communicate with families?
  • How is that communication structured?
  • How are families involved in treatment planning?
  • How often can your loved one communicate with you?

Good programs won’t gatekeep. They invite families in and teach them how to show up in better ways by teaching boundaries, codependency, independence, recovery tools and more. They replace secrecy with education, giving families a shared language instead of shared blame. 

When everyone understands their role and their limits, support becomes steadier, healthier, and far more effective.

 

TRANSPARENCY & TOURING

You deserve to see what you’re signing up for. Up close, in daylight, and without a sales pitch buzzing in your ear. Transparency is a baseline requirement. Ethical programs welcome questions, encourage tours, and answer directly, even when the answers aren’t pretty or polished. They’ll show you the living spaces, explain how rules are enforced, introduce you to staff, and walk you through what a real day looks like.

Surprises can feel like betrayals, and a trustworthy program understands that informed consent is a process. When a facility is willing to open its doors and tell the truth about how it operates, it signals something essential: respect. And respect is where safe, sustainable recovery begins.

Ask this:

  • Can I tour the residence?
  • Can I observe a group or skills session?
  • Can I meet staff and, when appropriate, other residents?

Programs that do good work aren’t afraid of your eyes or your questions.

 

BOTTOM LINE (AND A LITTLE HOPE)

Your job isn’t to be an expert. It isn’t to be a detective. It’s to be an advocate. Advocacy starts with information. And like people, programs have personalities. Some will be right for your loved one. Some won’t. And that’s okay.

The right place won’t dodge your questions. It won’t rush or pressure you. It w

The right fit will honor your loved one’s identity instead of trying to iron it out of them. It will explain not just what they do, but why they do it and how they adapt when someone doesn’t fit the mold. Because queer autistic individuals don’t need to be fixed; they need to be supported in ways that actually work for their nervous systems.

I tell families this often because I’ve lived it from both sides. I’ve watched what happens when people are finally met with respect instead of resistance or cookie-cutter treatment programs.

When the environment is right, people rise. They learn. They recover. When it isn’t, even the most motivated person will retreat, shut down, or disappear because survival takes precedence over growth.

Ask boldly. Advocate lovingly. Trust your instincts. There are places that honor your loved one’s identity, wiring, voice, and future and they’re absolutely worth finding.

Read More
What Is an Intervention for Autism | Intervention.com

What Is an Intervention for Autism?

When a child or loved one is diagnosed with autism, families often feel both hopeful and overwhelmed. They may ask questions like, ‘What is an intervention for autism?‘ What are the goals? Which approaches are most effective?

At Change Institute, we guide families through difficult decisions around interventions, care management, and supportive services. While our work is best known for its compassionate interventions in addiction and recovery, our Breakfree Method applies across all areas where families seek change: it is invitational, evidence-based, and rooted in compassion.

Below, we’ll explore the most common questions about autism interventions, highlight practical approaches, and offer insight into how supportive, family-centered guidance can make all the difference.

 

What Is an Intervention for Autism?

An intervention for autism might include a structured assessment or testing, therapy, or an approach designed to help those on the spectrum improve communication, social skills, learning, or daily living abilities.

Interventions are not one-size-fits-all. Every child or adult with autism has unique strengths and challenges. The most effective programs are individualized, evidence-based, and supported by family involvement. The value of early intervention cannot be overstated with someone who is neurodivergent or autistic, so be on the lookout for signs and symptoms to cue the help.

At Change Institute, we emphasize an invitational approach, meaning support is offered with dignity and inclusion, not confrontation or pressure. This ensures that intervention leads with respect for each person and the family system, however that looks.

 

What Are the 3 Types of Interventions Used With Autism?

Families often hear about various therapy models and wonder which ones are most effective. Broadly, the three main types of autism interventions include:

1. Behavioral Interventions

  • Applied Behavior Analysis (ABA) is the most well-known.

  • Focuses on reinforcing positive behaviors and reducing harmful or limiting behaviors.

  • Backed by decades of research, but it should always be adapted to the individual.

2. Developmental Interventions

  • These focus on supporting natural learning and relationship-building.

  • Examples: DIR/Floortime, Relationship Development Intervention (RDI).

  • Emphasize interaction, emotional connection, and developmental milestones.

3. Educational Interventions

Change Institute perspective: Families often need help navigating these options, identifying the right fit, and creating a plan that supports the whole household.

 

What Are Developmental Interventions for Autism?

Developmental interventions focus on helping a child build skills in communication, play, and relationships through natural interactions. Instead of teaching isolated skills, these interventions consider the whole child and their progress across multiple milestones.

Examples include:

DIR/Floortime

Parents and therapists join the child in play to encourage social and emotional growth.

RDI (Relationship Development Intervention)

Focuses on flexible thinking and building authentic social connections.

Speech and occupational therapy often incorporate developmental strategies to support communication and daily life skills.

At Change Institute, we appreciate how these approaches align with our philosophy: “Hope is a strategy. Love is a plan.” Interventions rooted in connection and compassion can be transformative.

 

What Are Intervention Goals for Autism?

The goals of autism intervention vary by individual but generally include:

Improved communication

Building verbal, nonverbal, or assisted communication skills.

Social development

Learning to interact, share, and build relationships.

Independence in daily life

Skills like dressing, eating, and personal hygiene.

Reducing behaviors that limit growth

Such as self-injury, aggression, or repetitive actions.

Enhancing learning

Supporting academic and problem-solving skills.

Above all, intervention goals should promote dignity, independence, and quality of life. Families deserve to feel empowered, not overwhelmed, by the process.

 

What Is the Best Early Intervention for Autism?

Research indicates that early intervention, initiated as soon as a diagnosis is made —typically before age 3 — yields the most favorable long-term outcomes. The “best” intervention depends on the one being helped, but common evidence-based early interventions include:

Early Start Denver Model (ESDM)

A play-based, relationship-focused approach has been shown to improve language and cognitive skills.

ABA (Applied Behavior Analysis)

When adapted with sensitivity and compassion, it can help children develop communication and reduce limiting behaviors.

Parent training programs

Equip families with tools to reinforce progress at home.

Brad Lamm often says, “We don’t take no for an answer to help and support — lovingly.” Applied here, it means families never need to feel powerless; there are always opportunities to invite growth, healing, and connection.

 

What Is the Most Effective Intervention for Autism?

There isn’t a single intervention that works for every person with autism. However, the most effective programs share common traits:

  • Evidence-based

  • Individualized to the person’s strengths and needs

  • Involving family and caregivers

  • Focused on long-term skill-building, not short-term fixes

Many studies highlight ABA as one of the most effective interventions when adapted with compassion. However, equally important are developmental and family-based approaches, which ensure the person is supported holistically.

At Change Institute, our role is to help families cut through the noise, align on values, and choose pathways that honor the dignity of their loved ones.

 

Which Intervention for Autism Is Considered Most Effective?

Among experts, intensive, individualized programs that start early are considered most effective. This can include ABA combined with speech therapy, occupational therapy, and developmental play models.

But here’s the key: the most effective intervention is the one that matches the individual’s needs and the family’s capacity. A compassionate plan with realistic, achievable goals leads to sustainable progress.

Change Institute helps families develop exactly that, a roadmap for intervention that balances clinical evidence with lived experience.

 

When to Seek Professional Guidance

Parents often ask: “How do I know if I need professional help?” Signs include:

  • Feeling overwhelmed by choices and recommendations

  • Struggling to coordinate between schools, therapists, and doctors

  • Needing support for family dynamics and stress related to care

  • Wanting to avoid outdated, shame-based approaches

That’s where Brad Lamm and Change Institute come in. Our Recovery Care Management services help families build sustainable plans with clarity, compassion, and confidence.

 

How Change Institute Supports Families

While the Change Institute is nationally recognized for its interventions in addiction and behavioral health, our Breakfree Method principles apply to all forms of crisis and care navigation, including autism interventions.

Here’s how we support families:

Case Management

Coordinating services, providers, and resources.

Family Coaching

Teaching families tools to manage stress and support their loved ones.

Professional Consulting

Helping families choose programs and interventions aligned with their values.

Workshops & Training

Building capacity for long-term resilience.

Our message is simple: families don’t have to do this alone. Compassionate, invitational guidance changes everything.

 

Final Thoughts — Invitation, Not Confrontation

So, what is an intervention for autism? It’s a structured way to support growth, communication, and independence. The most effective programs are individualized, evidence-based, and rooted in compassion.

At Change Institute, we believe interventions should never be about control or confrontation. They should be about invitation: inviting families into clarity, inviting individuals into connection, and inviting hope into the process.

If you’re navigating the world of autism interventions, you don’t have to figure it out alone. Brad Lamm and Change Institute are here to guide you.

Schedule a Complimentary Consultation with Change Institute to learn more about recovery coaching and compassionate interventions.

Explore Brad Lamm’s books and video library for practical, hope-filled tools.

Sign up here to receive a free excerpt of “How to Help Someone You Love” by Brad Lamm.

Read More
what to do after a heavy meal | Intervention.com

What to Do After a Heavy Meal?

More. More. More. We’ve all been there – whether it’s a holiday feast, a birthday celebration, or simply an indulgent dinner that went a little off the rails. Sometimes we eat more than our bodies really need, and for most Americans today, this is reflected in the struggle, as health standards classify more than 75% as overweight or obese. This stat reinforces how the holiday meal isn’t the only one that leads to overindulgence.

If you are on a track for less, rather than more, the good news is that one heavy meal (or even a weekend of overeating) won’t ruin one’s health goals. In fact, what you do after can matter more than the meal itself.

At Change Institute, led by author, interventionist, and recovery expert Brad Lamm, food choices should be approached with eyes wide open, which includes compassion, not shame. Surrendering to the present moment is key to making a plan for what’s next. We get it. 

Being in a bigger body is how most of us live if you’re in the USA, where 74% are either overweight or medically considered obese. Instead of punishing, practice the practical. 

What’s that mean? It means pulling supportive levers that help your body and mind feel better, while building a healthier long-term relationship with food.

 

Understanding what to do after a heavy meal: Feeling After Overeating

A binge, or heavy meal, often leaves you feeling sluggish, bloated, or even guilty. That’s because your digestive system is working overtime to process excess volume, including the calories, salt, and fat. Physically, your body may need more water and time to restore balance. Emotionally, the discomfort may stem from negative self-talk or a sense of “failing” to achieve your health goals.

At Change Institute, we consider food as something connected in innate ways to mood. This is science. This is human nature. This is our baseline for thinking how we eat reflects how we practice the notion of MORE. We have clients who understand the difference between physical fullness and emotional eating, while others hold little insight into this topic. Look, how we feed ourselves is a first thought for many of us, and it reflects how we operate in the ways we self-soothe and feed our feelings – not just our bodies.

Sometimes we eat to celebrate. Sometimes it’s stress, boredom, or sadness. Sometimes it is a symptom of an eating disorder. Recognizing the difference is the first step in breaking free from cycles of compulsive overeating and binge eating.

 

Will 2 Days of Overeating Ruin My Plan?

Here’s the short answer: No. Two days of overeating will not ruin a plan. And if you’re still using the word “diet” in place of “plan,” consider an edit. It matters how we communicate with ourselves, others, and even our family pets about our need to feed.

Some great news: your body and metabolism are resilient. Long-term health is built on consistency over time – that is, days, months, and years, not isolated moments. If you’ve been nourishing yourself well most of the time, a weekend of rich food won’t erase your progress.

As Brad Lamm says, “Hope is a strategy. Love is a plan.” When it comes to health and food, the plan isn’t perfection — it’s compassion. Instead of self-punishing with extreme exercise or restrictive dieting after a period of overindulgence, shift your mindset to “more good, less suffering.” Focus on the things in life that support your well-being, rather than dwelling on what you think you did “wrong.” 

 

Practical Steps to Take After an Episode of Binge Eating

Need to know what to do after a heavy meal? Here are simple, effective ways to support your body without guilt or extremes:

1. Hydrate with Water (not all the other stuff with fake colors & flavors)

Drinking water helps your digestive system process food, which can also help reduce bloating. Skip sugary sodas or alcohol, which can make discomfort worse. A glass of warm water with lemon can be especially soothing.

2. Practice Gentle Movement

A thoughtful walk, light yoga, or restorative stretching helps digestion and prevents the sluggish “food coma” feeling. 

At Change Institute, we emphasize gentle, supportive activity instead of punishing workouts. Think movement that feels good, not movement designed to “burn off” calories.

3. Prioritize Sleep & Recovery

Lack of sleep makes it harder for your body to regulate hunger hormones and cravings. Getting quality rest after overeating helps restore balance and improves your mood the next day.

4. Avoid Quick Fixes or Punishment

Crash diets, laxatives, or extreme exercise after overeating only make things worse. Instead, return to balanced meals, fiber-rich foods, and hydration. 

Brad often reminds families and clients: lasting change comes from compassion, not control.

 

The Emotional Side of Overeating

Sometimes the most challenging part of overeating isn’t the physical discomfort; it’s the guilt that follows. 

Many people fall into a cycle: overeating → guilt → restriction → overeating again.

At Change Institute, our invitational approach to recovery teaches that shame is never the solution. Instead, food decisions should be seen as part of a larger journey of self-care. Overeating happens to everyone; what matters is how you respond afterward.

Brad Lamm’s Breakfree Method helps families and individuals reframe their habits around food, substances, and behaviors through invitation, not confrontation. That same principle applies here: invite yourself into a kinder, more supportive relationship with food.

 

When Occasional Overeating Becomes a Pattern

Occasional overeating is regular. But if you notice that heavy meals are becoming a coping mechanism for stress, loneliness, or grief, it may be time to get support. Warning signs of a potential eating disorder include:

  • Frequently eating past comfort despite not being hungry

  • Using food to numb emotions or avoid stress

  • Repeated cycles of binging and guilt

  • Feeling powerless or “out of control” around food

If this resonates with you or a loved one, professional guidance can help. Brad Lamm and the team at Change Institute specialize in compassionate interventions and coaching that address not just the food itself, but the emotions and behaviors behind it.

 

How Change Institute Can Help

Change Institute is the nation’s leading crisis intervention and recovery care management agency. 

Beyond substance use, we also help families and individuals shift patterns of food, body image, and emotional coping. Here’s how:

Professional Interventions

Compassionate, invitational interventions that address harmful cycles, whether around food, substances, or relationships.

Recovery Case Management

Ongoing, structured support for building healthy habits and making sustainable changes.

Coaching Companion Program

One-on-one coaching designed to help clients navigate challenges, including overeating and emotional eating.

Family Support & Classes

Six-month programs that give families tools to shift dynamics and build healthier relationships.

BreakFree Intervention Skills Training (BIST)

Training for professionals, coaches, and clinicians who want to guide others using evidence-based intervention methods.

Brad Lamm’s reputation as a trusted leader – from his books and national media appearances to his role mentoring future interventionists – makes Change Institute a beacon of hope for families who feel stuck in cycles of suffering.

 

Final Thoughts — It’s Easier Than You Think

So, what to do after a heavy meal? Drink water, move your body gently, rest, and — most importantly — let go of guilt. One meal, or even two days of overeating, won’t ruin your diet. What matters most is how you treat yourself afterward.

At Change Institute, we help people see that lasting health is built on compassion, connection, and evidence-based strategies – not shame or punishment.

Schedule a No-Cost Consultation with Change Institute to learn more about recovery coaching and compassionate interventions.

Explore Brad Lamm’s books and video library for practical, hope-filled tools.

Sign up here to receive a sample section of “How to Help Someone You Love” by Brad Lamm.

Read More
how to stop an eating addiction | Intervention.com

How to Stop an Eating Addiction

For many, food is more than fuel, it becomes a source of comfort, distraction, or control. But when eating shifts into compulsion, individuals may find themselves asking: How can I stop an eating addiction? This struggle, often invisible to others, can feel overwhelming and isolating.

At Change Institute, founded by renowned interventionist Brad Lamm, we believe that eating addiction is not simply a matter of willpower. It is a behavioral health condition that requires compassion, strategy, and support. This guide explores how to recognize eating addiction, practical steps toward recovery, and the specialized treatment approaches, including addressing serious conditions such as Diabulimia, that make long-term healing possible.

What Is an Eating Addiction?

Eating addiction, sometimes referred to as disordered eating or food addiction, describes a compulsive relationship with food. Unlike occasional overeating, it is marked by persistent cravings, loss of control, and repeated failed attempts to stop.

Scientific research has shown that foods high in sugar, fat, and salt can stimulate the brain’s reward pathways in the same way addictive substances do. Over time, this leads to tolerance, dependence, and emotional reliance on food.

Common characteristics of eating addiction include:

  • Eating large amounts when not physically hungry
  • Eating in secret or hiding food
  • Feeling guilt, shame, or hopelessness about eating habits
  • Using food as a coping mechanism for stress, anxiety, or trauma

At Change Institute, we view these patterns through both a clinical and compassionate lens. As Brad Lamm emphasizes, “It’s not about broken people—it’s about broken patterns that can be healed.”

Signs and Symptoms

Recognizing eating addiction is the first step toward recovery. While the condition may look different for each person, some common signs include:

  • Behavioral patterns: Binge eating, emotional eating, or grazing throughout the day without awareness.
  • Emotional signs: Anxiety, depression, or guilt connected to food choices and patterns.
  • Physical consequences: Weight fluctuations, fatigue, digestive issues, or metabolic problems.
  • Social impact: Withdrawing from friends or avoiding social gatherings where food is present.

Understanding these signs allows families and loved ones to intervene early and with empathy.

Why Does Eating Addiction Develop?

There is no single cause of eating addiction. Instead, it arises from a combination of biological, psychological, and environmental influences.

  • Biological: Genetic predispositions and brain chemistry can make certain individuals more vulnerable to food dependency.
  • Psychological: Unresolved trauma, depression, or anxiety often fuel compulsive eating behaviors.
  • Environmental: Easy access to processed foods, cultural norms around eating, and advertising play a powerful role.
  • Family influence: Early modeling of food behaviors, secrecy, or using food as a reward can set patterns that carry into adulthood.

At Change Institute, treatment begins by identifying not just the symptoms, but the deeper roots of why eating addiction develops.

How to Stop an Eating Addiction?

Stopping an eating addiction begins with acknowledging that the cycle is not a personal weakness; it is a complex behavioral health challenge that requires structure and support.

  1. Build awareness. Journaling food intake, moods, and triggers can help connect the dots between emotion and eating.
     2. Practice mindful eating. Slow down, eliminate distractions, and tune in to hunger and fullness cues.
     3. Create structured meals. Establish regular eating times with balanced nutrition to avoid the cycle of restriction and bingeing.
     4. Develop new coping strategies. Replace emotional eating with healthier outlets such as walking, journaling, or connecting with supportive people.
     5. Seek professional help. Individual therapy, nutritional counseling, or outpatient programs provide accountability and healing strategies.

At Change Institute, Brad Lamm and his team use a family-first invitational intervention model that helps our clients feel supported rather than shamed, creating a more effective path toward recovery.

How to Overcome Eating Addiction?

Overcoming eating addiction is a long-term process that blends medical, psychological, and social support. While stopping an addictive pattern is the first step, overcoming it requires sustainable change.

Therapeutic approaches:

  • Cognitive Behavioral Therapy (CBT): Identifies and reshapes destructive thought patterns about food.
  • Dialectical Behavior Therapy (DBT): Strengthens emotional regulation and distress tolerance.
  • Acceptance & Commitment Therapy (ACT): Encourages living in alignment with personal values instead of compulsions.

Community and accountability:

  • Group therapy or peer support provides shared understanding and reduces isolation.
  • Family involvement ensures long-term changes are supported at home.

Lifestyle adjustments:

  • Consistent exercise, adequate sleep, and stress management all reinforce recovery.
  • Nutrition counseling helps individuals learn how to fuel their body without fear or guilt.

Brad Lamm often emphasizes that recovery is not about perfection but progress: “We don’t expect a straight line; we expect commitment to keep moving forward, even when we stumble on setbacks.”

What Is the Treatment for Diabulimia?

Diabulimia is a dangerous and life-threatening condition where individuals with type 1 diabetes deliberately restrict insulin use to control weight. This can result in severe complications, including diabetic ketoacidosis, organ damage, or death.

Treatment requires an integrated and multidisciplinary approach:

  1. Medical stabilization: Endocrinologists work to safely restore insulin use and monitor blood sugar.
  2. Nutritional therapy: Specialized dietitians help rebuild a balanced relationship with food and insulin.
  3. Psychological support: CBT, DBT, and trauma-informed therapy address the emotional drivers of insulin restriction.
  4. Family education: Loved ones learn how to support recovery without enabling dangerous patterns.
  5. Ongoing care: Outpatient programs or structured support ensure long-term adherence and relapse prevention.

At Change Institute, Brad Lamm’s intervention model has been adapted to help families lovingly confront Diabulimia. By combining medical oversight with behavioral health expertise, recovery becomes not just possible—but sustainable.

The Role of Families in Recovery

Families play a powerful role in both the development and the recovery of eating addiction. Too often, loved ones enable destructive patterns without realizing it. At Change Institute, families are invited to participate in the healing process by participating in our six-month Family ClassTM.

Through guided interventions and education sessions, families learn:

  • How to set healthy boundaries
  • How to stop enabling behaviors
  • How to communicate supportively rather than with judgment

Contact us Today! 

Eating addiction can feel overwhelming, but it is treatable. With compassionate care, evidence-based therapies, and the family-first approach pioneered by Brad Lamm, lasting recovery is possible.

For those facing the compounded challenges of Diabulimia, specialized treatment is essential. Change Institute’s integrated approach provides hope and healing for individuals and families alike.

If you or someone you love is struggling, remember: you are not alone, and help is available. Recovery is not only possible, it begins with the first step. Contact us today to learn more! 

 

Read More
How to fix eating habits | Intervention.com

How to Fix Eating Habits

Food is fundamental, but for many, eating habits are tangled up with emotions, stress, trauma, and control. At Change Institute, under the guidance of Brad Lamm, a leading expert on disordered eating and recovery, we help people develop an informed, more compassionate relationship with food.

Food is not just fuel for the body; it often serves a much deeper emotional purpose. For many people, eating is closely tied to feelings of comfort, control, reward, or even self-punishment. What may appear to be simple habits around food often reflect complex emotional patterns shaped by stress, trauma, family dynamics, or unmet needs.

Some individuals experience binge episodes following periods of stress or emotional overwhelm, using food as a way to self-soothe. Others may find themselves grazing throughout the day rather than eating structured meals, not out of physical hunger but as a response to boredom, anxiety, or discomfort. 

Skipping meals, especially early in the day, and then overeating later is another typical pattern that can emerge from a mix of guilt, control, and body image struggles. Still others may eat in secret or late at night, feeling ashamed or embarrassed about their food behaviors.

 

Take Steps Towards Improvement

At Change Institute, we help clients recognize that these patterns are not about willpower or discipline; they are rooted in emotion and experience. By identifying the emotional drivers behind eating behaviors, individuals can begin to untangle their relationship with food and move toward choices that are grounded in care, awareness, and self-compassion.

Food can serve as a substitute for unmet needs, and healing requires more than a change in your diet.Learn more about this emotional connection through our Addiction & Recovery Services.

 

Step 1: Awareness Through Tracking

Before making any changes, it’s important to develop a clear understanding of your current eating habits and how they connect to your emotions and daily life. This first step is about observing patterns without judgment and approaching yourself with kindness. Awareness creates the foundation for meaningful change by revealing the triggers and rhythms that influence your relationship with food.

Start with curiosity, not judgment.

  • Is late night stress eating common?
  • Do meals fall apart after skipping breakfast?
  • Do my moods swing after sugary snacks?

 

Step 2: Rebuild Structure with Kindness

After becoming aware of your eating patterns, the next important phase is to gently reintroduce structure into your routine. This isn’t about strict rules or deprivation, but about creating a supportive framework that your body and mind can rely on. Small, consistent changes provide a foundation for balance and reduce the chaos that often fuels unhealthy habits.

Rigid diets often fail because they are difficult to maintain. Instead, start with gentle structure:

  • Regular meals and snacks to stabilize hunger
  • Balanced macronutrients for energy control
  • Hydration as hunger replacement
  • Sleep support to regulate appetite

Small consistency beats big restrictions. If you’re struggling to set a sustainable rhythm, we invite you to learn about our Behavioral Change Programs.

 

Step 3: Emotional Connection to Food

Beyond habits and nutrition lies the emotional story behind your relationship with food. To create lasting change, it’s essential to explore how emotions, memories, and beliefs influence eating behaviors. Understanding these connections opens the door to healing and empowerment.

True change means exploring why food is used:

  • Guilt or shame around certain foods
  • Hiding eating or feeling “out of control”
  • Feeling “numb” after emotional eating

Find out how our Invitation to Change model helps families and individuals transform emotional connections to food.

 

Step 4: Leverage Your Environment

Our surroundings shape our behavior in powerful, often unconscious ways. To support healthier eating habits, it’s critical to create an environment that makes good choices easier and more natural. Small adjustments to your physical space can have a big impact on daily routines.

Habits follow cues. Make your environment support change:

  • Stock the kitchen with whole foods and use clear storage containers
  • Create regular shopping routines
  • Separate eating from screen time
  • Use smaller plates and proper portions

Step 5: Bring in Support

Sustainable change is rarely achieved alone. Building a network of support helps reinforce progress, provides accountability, and offers encouragement through challenges. Whether it’s professional guidance, peer connections, or family involvement, support plays a crucial role in recovery.

  • Coaching around eating and body image
  • Peer groups for shared accountability
  • Family inclusion, when helpful
  • Professional support, for deeper issues

 

How It Ties to Mental Health & Recovery

Eating habits and mental health are intimately intertwined, each influencing the other in profound ways. During the recovery process, many individuals find themselves turning to food as a source of comfort, control, or stability in the face of emotional turmoil, life crises, or daily stress. Food can serve as a coping mechanism—sometimes offering comfort, other times causing harm—shaping not only our physical health, but also our emotional well-being and self-esteem.

At Change Institute, we recognize that recovery is not just about addressing a single symptom or behavior. Instead, it is a holistic journey that involves healing the whole person. That’s why we integrate support for eating habits into our broader disordered eating, mental health and addiction recovery services. When we address eating behaviors alongside mental health challenges, we create a more cohesive, effective treatment plan that honors the complex ways these issues interact. Mental health can sound scary, but it speaks to how our mind and emotions can get tangled in our routines, self-care, and self-esteem.

By helping clients build healthier relationships with food, we support improved mood regulation, increased energy, and greater self-care capacity, all of which contribute to a stronger foundation for sustained recovery. Addressing eating patterns is not a separate or secondary goal; it is a vital part of restoring balance, resilience, and hope in the recovery journey.

Learn how our comprehensive Addiction Recovery services address eating, substance use, and emotional healing together. Brad Lamm’s invitation-based philosophy holds that help begins with an invitation, not enforcement.

Everything is rooted in Brad Lamm’s Breakfree Intervention method, an invitation-based healing ethos that you can learn more about here.

 

Contact Us Today For a Brighter Tomorrow!

The path to healthier eating begins with understanding, not restriction. Let Change Institute stand with you, compassionately guiding change, one mindful meal at a time.


Contact us for a confidential consultation today and take your first step toward a balanced, supported, and nourishing life.

 

Read More
What is the ACT Intervention for Mental Health?

What is the ACT Intervention for Mental Health?

When someone is struggling with long-term mental health challenges such as depression, anxiety, trauma, or even co-occurring substance use, traditional talk therapy often falls short. At Change Institute, led by renowned interventionist Brad Lamm, we emphasize the life-changing potential of Acceptance and Commitment Therapy (ACT) as a tool for healing and transformation.

ACT is more than a therapeutic technique; it’s a powerful framework that helps individuals break free from avoidance, accept difficult emotions, and move toward a life rooted in purpose and values. For families navigating mental health crises, ACT offers a meaningful, evidence-based path forward that aligns with our family-first intervention model.

Understanding ACT: A Modern Therapeutic Approach

Acceptance and Commitment Therapy is an evidence-based psychotherapy that teaches individuals to accept what’s outside their control while committing to actions that enrich their lives. Rather than trying to “fix” or eliminate painful thoughts and feelings, ACT encourages clients to notice, accept, and relate to them in new, healthier ways.

At Change Institute, we find that ACT often resonates with those who feel stuck in cycles of self-blame, emotional reactivity, or avoidance. ACT helps people create space between themselves and their distress while committing to choices that reflect their core values.

What Makes ACT Unique?

Unlike traditional therapies that prioritize symptom reduction alone, ACT is deeply focused on psychological flexibility, the ability to stay present, even in discomfort, and choose actions aligned with a client’s values.

 

The six core processes of ACT include:

  • Acceptance: Opening up to difficult thoughts and feelings instead of resisting them.
  • Cognitive Defusion: Learning to step back from unhelpful thoughts.
  • Being Present: Focusing on the here and now.
  • Self-as-Context: Recognizing that you are more than your thoughts or emotions.
  • Values: Clarifying what truly matters to you.
  • Committed Action: Taking meaningful steps guided by those values.

These tools make ACT especially useful for those dealing with anxiety, depression, PTSD, substance use, and disordered eating; common challenges in families we support at Change Institute.

Why ACT Resonates with Brad Lamm’s Breakfree Intervention Model

At Change Institute, we’re committed to holistic, family-inclusive intervention. ACT fits naturally within this invitational method of intervention because it:

  • Encourages mindfulness and presence during high-stress moments.
  • Builds resilience in the face of emotional triggers.
  • Supports value-based decision-making essential during and after intervention.
  • Promotes acceptance and compassion, both self-directed and toward loved ones.

Brad Lamm, our founder, often teaches that connection is the treatment. ACT reinforces that connection not just to others, but to oneself and one’s purpose. It helps clients move forward, even in the face of doubt, pain, or uncertainty.

 

The Role of Families in ACT-Informed Recovery

Even though ACT is an individual therapy, families play a vital role in reinforcing its principles outside the therapy room. At Change Institute, we empower families to:

  • Understand how avoidance and fear-based behavior shows up in loved ones.
  • Practice supportive, value-driven communication.
  • Recognize emotional triggers and respond with compassion.
  • Use ACT principles themselves for self-care and boundary setting.

In fact, many of the same ACT tools we teach clients like values clarification and acceptance are used in our Breakfree Intervention Skills Training to support loved ones.

Who Benefits from Acceptance and Commitment Therapy

Acceptance and Commitment Therapy can be especially helpful for individuals who:

  • Struggle with anxiety, depression, or trauma
  • Feel “stuck” despite years of therapy or self-help
  • Use avoidance to cope with distress (e.g., substance use, isolation, overworking)
  • Experience negative self-talk, shame, or perfectionism
  • Want a more values-driven life but don’t know where to start

ACT has also shown effectiveness in helping those with co-occurring disorders and those in recovery from substance use making it a natural complement to intervention and behavioral change work.

 

What to Expect from ACT

ACT isn’t about eliminating symptoms overnight. It’s about developing new skills to relate differently to those symptoms and to oneself. Over time, clients learn to:

  • Respond rather than react to emotional pain
  • Take purposeful steps aligned with their values
  • Reduce suffering by loosening the grip of harmful thoughts
  • Reconnect with areas of life that fuel meaningful relationships, creativity, health, and beyond

Our team at Change Institute helps guide families and clients through this process, often as a follow-up to intervention or alongside other supportive services like coaching and group work.

How Change Institute Supports ACT Integration

Whether someone is already engaged in therapy or just starting to explore options, we help families understand and apply ACT principles to support their loved one’s healing. Our services include:

  • Clinical consultation and referrals to ACT-informed providers
  • Family coaching and support during and after intervention
  • Values-based planning for long-term recovery goals
  • Ongoing education in ACT principles through workshops and training

By combining ACT with our relational, spiritually grounded intervention methods, we help individuals and families find their way forward one small, meaningful action at a time.

Contact Us Today to Learn More!

To explore ACT and family-based mental health support, contact us here at Change Institute. Whether it’s coordinating referrals, coaching through the process, or integrating ACT with family-first intervention strategies, we’re here for your journey.

 

Read More
What is Early Intervention | Intervention.com

What is Early Intervention?

When you notice subtle shifts in behavior, withdrawal, emotional ups and downs, and minor substance experimentation, you may find yourself weighing the answers to the question: Is this the sign of something bigger? At Change Institute, led by Brad Lamm, we believe in acting early and not labeling, but rather recognizing and responding..

Early intervention is a compassionate and strategic response to emerging challenges before they escalate into crises. It is widely supported by evidence and is applied in various contexts, including mental health, substance use, developmental, and behavioral issues.

 

What is Early Intervention?

Early intervention means recognizing and addressing the first signs of mental distress or behavioral changes before they evolve into more serious, deeper-rooted issues. It’s a proactive approach that acknowledges how mental health struggles often begin with subtle shifts that, if left unaddressed, can spiral into chaos and chronic conditions. 

At Change Institute, early intervention is one of the most effective tools for prevention, especially when families, educators, and peers are empowered to notice and respond effectively.

Warning signs may be easy to overlook at first, from social withdrawal, sudden mood swings, to a noticeable drop in school or work performance. Some individuals may begin experimenting with substances, engaging in reckless behavior, or expressing feelings of hopelessness. Others may struggle with sleep disruption, anxiety, or emotional outbursts that seem out of character.

By stepping in early, whether through a supportive conversation, school-based services, outpatient care, or family-led interventions, you have a prime opportunity to interrupt the cycle before it spirals.

At Change Institute, our team helps families and professionals recognize early signs and signals, encouraging thoughtful, compassionate action. The sooner help is offered, the more empowered your loved one can be in recovery.

Why Early Intervention Works

Supported by public health and clinical research, early intervention:

  • Reduces the need for hospitalization or crisis care
  • Improves long-term physical and mental outcomes
  • Enhances social, academic, and vocational success
  • Strengthens family resilience and adaptability

This proactive level of care is at the core of our philosophy.

Pillars of Early Intervention

The first step in early intervention is learning to recognize the subtle changes that often signal something more significant. This includes shifts in mood, withdrawal from friends or activities, declining performance at school or work, and increased irritability or sadness. Families often hesitate to speak up, fearing they might be overreacting or misreading a situation.

At Change Institute, we teach that it’s always better to lean in with curiosity and care, rather than shy away in fear. Recognizing these early warning signs with empathy, not blame, opens the door to meaningful dialogue and early support, which can prevent more serious issues from developing.

We believe that an intervention needs to be custom-crafted to the loved one’s developmental stage to be truly effective. For minors and young adults, this might mean peer mentoring, coaching, and motivational interviewing, which can help build trust and keep them engaged in the process. For adults, early support may include access to workplace mental health resources, stress management tools, and regular check-ins to stay connected. 

At every stage of life, the goal is to meet people where they are and provide care that fits their unique challenges and capacities.

Mental health doesn’t exist in a vacuum. Strong outcomes are built on strong relationships within families, schools, communities, and workplaces. Early intervention is most effective when it involves the voices that matter, the iTeam, as we call it, who are the family, friends, mentors, and even the institutions that surround your loved one.. 

Whether it’s a teacher offering encouragement, a parent modeling healthy coping skills, or a workplace offering accommodations, these networks form a safety net that fosters stability and resilience. At Change Institute, we mobilize these networks as active participants in the healing process, ensuring no one faces these challenges alone.


Life Stage-Specific Examples

 

  • Teens (13–19): Risk-taking, low mood, substance experimentation: school-based counseling and coaching can interrupt trajectories.
  • Young Adults (20–29): Burnout, isolation, mild substance use: brief therapy or wellness coaching restores balance.
  • Adults: Early signs of depression, alcohol use, caregiving stress: family intervention and constructive conversations become change agents..

What Families Often Mistake

A common refrain we hear is, “I didn’t want to overreact.” But too often, that hesitation becomes the very spark that ignites a crisis. At Change Institute—and in Brad’s trainings—we urge families to:

  • Trust their instincts
  • Use neutral language: “Can we talk?” followed by neutral observation statements of what you’ve seen that causes concern.
  • Choose supportive, low-pressure conversations.
  • Recognizing earlier is always better.

Why Brad Lamm Champions Early Intervention

Brad Lamm has long been a leading voice in the movement toward proactive, compassionate care. He emphasizes that the earlier we connect with someone in distress, the greater the chances of meaningful, lasting change. 

Rather than waiting for a full-blown crisis to take hold, Brad advocates for stepping in early with empathy, structure, and support. He believes that early connection is not just helpful but foundational to long-term healing.

Through his signature Breakfree methodology, taught in our BreakFree Intervention Skills Training, Brad equips professionals and peers with the tools to transform concern into action. 

This approach turns casual worry or unspoken tension into purposeful, supportive conversations that lay the groundwork for recovery. By identifying warning signs early and engaging with love and clarity, families can shift from reacting in panic to responding with intention, all while casting aside shame and blame.

Early intervention, in Brad’s model, is not about confrontation or control; it’s about creating a bridge between someone’s current pain and their potential for growth and recovery. At Change Institute, we integrate this philosophy into everything we do, helping families move from fear and confusion into confident, collaborative support. 

 

Take the First Step Today

If you’re noticing subtle shifts in a teen, partner, or yourself, it’s time to reach out. Early intervention means hope and prevention.

Contact Change Institute today for a confidential consultation. We’ll help you determine the right level of support and walk with you side by side—before signs become symptoms.

 

Read More
What are the 3 types of interventions

What Are the Three Types of Drug Prevention Interventions?

When it comes to protecting individuals and families from the harm of substance use, prevention is everything. At Change Institute, real change starts with understanding that drug prevention interventions are not one-size-fits-all—they are dynamic, layered approaches that work best when tailored to the unique risks, settings, and stages of a person’s life.

Whether you’re a concerned parent, educator, employer, or health professional, knowing the types of drug prevention interventions—and how they work—can empower you to act with intention and confidence. These strategies are more than just educational campaigns or school programs. They are proven frameworks that help communities lower risk and promote healthier choices across all age groups.

In this guide, we’ll break down the three main types of prevention interventions—primary, secondary, and tertiary—and show how each plays a vital role in reducing substance misuse and supporting long-term recovery. 

Understanding Drug Prevention as a Public Health Strategy

Before we get into the three types, it’s essential to understand prevention as a continuum. Drug prevention isn’t just about stopping people from ever trying substances (though that’s part of it). It’s also about reducing harm, spotting early warning signs, and building recovery support for those already struggling.

The Substance Abuse and Mental Health Services Administration outlines prevention as a layered effort—something that can be delivered in schools, homes, workplaces, and healthcare settings. At Change Institute, we apply this holistic model through personalized family interventions, coaching, and behavioral support, particularly when loved ones are on the verge of a crisis.

Let’s explore each type of prevention and its practical implications in real life. These approaches not only address the three types of drug prevention interventions but also help clarify what the primary prevention of drug addiction is in a family or community context.

1. Primary Prevention: Reducing Risk Before It Starts 

Primary prevention aims to stop substance use before it ever begins. These are the strategies most people associate with drug education or anti-drug messaging. However, when done correctly, primary prevention is far more than that. It involves teaching life skills, promoting emotional well-being, and helping people—especially young people—develop healthy decision-making patterns.

At Change Institute, we often engage in primary prevention through family education, teaching parents and caregivers how to talk to teens about drug use in realistic, age-appropriate ways. Instead of using scare tactics, we employ evidence-based tools to foster open communication, build trust, and reduce curiosity-driven experimentation.

Examples of Primary Prevention:

  • School-based programs that teach coping skills and substance refusal techniques
  • Parent workshops and family education about adolescent brain development
  • Community campaigns that promote healthy lifestyles and emotional regulation
  • Peer mentoring or leadership programs in youth groups

Primary prevention addresses the core question: What is the primary prevention of drug addiction? It’s about building protective factors early, before a crisis takes hold.

In our intervention planning process, we help families recognize when their role can shift from a reactive to a proactive one. Even if a loved one isn’t currently using drugs, early conversations and boundary-setting can play a powerful preventive role.

2. Secondary Prevention: Identifying Early Warning Signs

Secondary prevention is all about early intervention. At this stage, someone might already be experimenting with substances or showing behaviors that put them at higher risk, but they haven’t yet developed addictive patterns.

This is the space where brief interventions and screenings make a critical difference. For example, when a college student begins drinking heavily but hasn’t yet “lost control”, a focused, one-on-one conversation using motivational interviewing can help them rethink their choices.

We use these same techniques at Change Institute when working with families who notice early red flags: missing work, lying about drinking, or sudden personality changes. Our brief intervention services are specifically designed to meet people at this tipping point—where the right conversation can truly change the outcome.

Components of Secondary Prevention:

  • Early detection through screening tools like SBIRT (Screening, Brief Intervention, and Referral to Treatment)
  • Targeted conversations that increase self-awareness and motivation
  • Short-term counseling or coaching to disrupt harmful patterns
  • Referrals to outpatient services or therapy when needed

With support from trained interventionists and evidence-based tools, you can help your loved one avoid escalating to more serious substance use.

3. Tertiary Prevention: Supporting Recovery and Preventing Relapse

By the time we reach tertiary prevention, substance use has already become a serious issue. This level of prevention is focused on treatment, recovery support, and relapse prevention. It’s about minimizing the long-term effects of addiction, restoring functionality, and helping individuals rebuild their lives in meaningful ways.

At Change Institute, our on-site drug intervention services often fall into this category—especially when a loved one is already in active addiction. Our work doesn’t end when someone enters treatment. In fact, much of our energy is devoted to helping families stay involved during recovery, set healthy boundaries, and support relapse prevention, through our Family Class program.

 

 Why This Model Matters

These three types of prevention—primary, secondary, and tertiary—are not isolated steps. They work best when seen as a spectrum of care that adapts to where someone is on their journey. 

In our experience, what matters most is timing, compassion, and follow-through. Prevention doesn’t just happen in classrooms or hospitals. It happens in living rooms, around kitchen tables, and during tough conversations at work or school.

That’s why our model at Change Institute is built around high-impact services that meet families where they are—physically and emotionally. Whether you’re having a first conversation about drinking or planning a full addiction intervention, we’re here to help you take that next step.

 

How Prevention Supports the Whole Family

Drug prevention doesn’t just help individuals—it protects the entire family system. When a loved one struggles with substance use, everyone feels the effects. That’s why each type of prevention also includes education and support for spouses, siblings, parents, and even friends.

We often say, “The opposite of addiction isn’t just sobriety—it’s connection.” That connection begins with prevention. Families that talk openly about addiction, get trained in intervention strategies, and support recovery as a shared process are more likely to see lasting change.

 

When Should You Act?

If you’re wondering whether it’s too soon—or too late—to intervene, we want to reassure you: the time to act is always now. Prevention works best before addiction sets in, but even late-stage intervention is life-saving. Whether you’re experiencing early warning signs or living with a daily crisis, there is support available.

We encourage you to start with a free consultation with our team. We’ll help you identify where your loved one is on the prevention spectrum and recommend a path forward that respects your family’s needs, budget, and emotional bandwidth.

 

Take the First Step with Change Institute

Whether you’re trying to prevent a child from experimenting with drugs, help a spouse reevaluate their alcohol use, or support a sibling through long-term recovery, you don’t have to do it alone.

At Change Institute, we bring prevention, intervention, and recovery into focus. Our team, led by renowned interventionist Brad Lamm, has helped thousands of families reclaim hope and move forward with strength.

We provide:

  • Affordable, on-site intervention services nationwide
  • Brief interventions and secondary prevention support
  • Ongoing coaching and Family Class family education
  • Partnerships with trusted treatment providers across the country

Ready to learn more about how prevention can work for your family?

 

Contact us today to speak with a care coordinator or schedule a free consultation.

Read More
Family Support in Drug Interventions

What Are the 5 Ds of Intervention?

At Change Institute, we believe that compassionate, real-time support is key to long-term healing. When a loved one is struggling with addiction, eating disorders, or mental health challenges, it can feel overwhelming to know how to help. That’s where intervention strategies come in—not just as dramatic turning points, but as structured, thoughtful processes that open the door to hope. One widely used framework is the “5 Ds of Intervention”—a practical, empowering model designed to guide families, friends, and professionals through moments of need.

Understanding the 5 Ds of Intervention

The “5 Ds” stand for Direct, Distract, Delegate, Delay, and Document. These steps were originally developed within the context of bystander intervention—often used in situations involving bullying, harassment, or potential violence—but they’re also useful in the realm of substance abuse, disordered eating, and mental health crises. Each “D” offers a different approach to intervening safely and effectively.

1. Direct 

Direct action involves confronting the situation head-on. This might mean expressing concern to a friend misusing drugs or alcohol or stepping in when someone is being verbally or emotionally abusive. It’s important to stay calm and non-confrontational. This “D” aligns with the idea of setting clear boundaries and taking ownership of your voice—a core principle in both addiction recovery and advocacy.

2. Distract 

Distraction is a less confrontational strategy that can diffuse a tense situation. For example, if someone at a party is visibly impaired, suggesting a change of environment or starting a different activity can de-escalate potential harm. This subtle form of redirection often works well with individuals who may react defensively to direct confrontation.

3. Delegate 

Sometimes, the safest or most effective option is to get help from someone else. Delegating might mean involving a mental health professional, addiction specialist, or trusted authority figure. It speaks directly to the heart of team-based intervention models and answers the broader question: What are the grounds of intervention? The answer lies in community support. 

4. Delay 

If immediate intervention isn’t safe or possible, waiting for the right time is key. The “Delay” strategy encourages checking in with the person later, when the environment is calmer and emotions have settled. This approach is especially helpful in high-stakes situations, including when dealing with co-occurring conditions like depression or severe anxiety.

5. Document

Documentation is often overlooked but incredibly powerful. Keeping notes or records of troubling behavior can help when seeking professional help, legal support, or medical treatment. In addiction and eating disorder cases, for example, tracking patterns can provide vital context for treatment planning. The documentation process aligns with trauma-informed approaches and tools like the brown bag method used in medical and psychiatric screenings.

 

How the 5 Ds Relate to Addiction and Mental Health Care

Understanding intervention models like the 5 Ds isn’t just academic—it’s deeply personal. That support often starts small. Mindfulness-based interventions, such as helping a loved one learn how to practice mindful eating or introducing healthy routines, are part of achieving long-term change. Intervention is rarely one moment—it’s a continuum of care.

This also ties into inpatient and outpatient treatment models. For example, the 3-hour rule inpatient rehab refers to the requirement that patients engage in at least three hours of therapeutic activity per day—an essential standard in intensive recovery programs.

 

The 5 Ds and Family-Based Prevention Models

These principles also tie into larger frameworks of prevention.

  1. Primary prevention of drug addiction includes efforts to stop substance use before it starts (education, community programs).
  2. Secondary prevention targets those at risk (brief interventions, school counseling).
  3. Tertiary prevention focuses on treatment and relapse prevention.

Intervention Doesn’t End With One Step

At Change Institute, we guide families through every step—from crisis to stability. 

When used thoughtfully, frameworks like the 5 Ds remind us that support is always possible. Whether you’re wondering how to speak up, when to call for help, or how to keep going, we’re here to help you take the next right step.

Ready to Act? Let’s Build a Plan Together

If someone you love is struggling, you don’t have to figure it out alone. From understanding the 5 Ds of intervention to developing a comprehensive care plan, we guide you every step of the way. Contact us today. Let’s create a path forward—together.

 

Read More