If you or a loved one are struggling with addiction or mental health, we can help. Request a call.
If you or a loved one are struggling with addiction or mental health, we can help. Request a call.
It can be confusing to hear alcohol addiction described as a disease when drinking begins with a decision. If you can choose whether to have a drink, why might it become so hard to stop?
The short answer is that alcohol use disorder is a recognized medical condition. Drinking involves choices, but repeated alcohol use can affect the brain and make those choices harder to carry out. Genetics, life experiences, mental health, and a person’s environment can also shape their risk. Calling it a disease does not mean change is impossible. It means the struggle deserves understanding and effective care, not blame
If you’re trying to make sense of your own drinking, you don’t need to settle the terminology before asking for help. You can also learn about alcohol addiction treatment at Lion Heart Behavioral Health when you’re ready to explore what support might look like.
“Alcoholism” is a familiar word, but clinicians generally use alcohol use disorder (AUD). AUD describes a pattern of drinking that becomes difficult to control despite its effects on a person’s health or life. It can be mild, moderate, or severe. Someone does not have to drink every day or lose their job to have a problem worth addressing.
The disease model helps explain why a person may sincerely intend to cut back, then find themselves drinking again. Alcohol can change systems involved in reward, stress, and decision-making. Those changes interact with the person’s circumstances; they do not tell the whole story on their own.
This is also why “just use more willpower” is rarely useful advice. A person’s efforts matter, but they may need support to change a pattern that has become deeply reinforced. Treatment can help them understand that pattern, develop different responses, and make changes they can sustain.
There is no single path from drinking to AUD. Some people notice alcohol gradually taking up more space in their lives. Others begin drinking heavily during a period of stress and find that the pattern continues after the circumstances change.
Alcohol can initially feel rewarding or offer temporary relief from uncomfortable feelings. With repeated use, the brain adapts. A person may find themselves drinking less for pleasure and more to manage cravings, stress, or the discomfort of not drinking. These changes can make it difficult to follow through on a decision to stop, even when the person sees what alcohol is costing them.
That does not mean everyone who drinks heavily develops AUD. Risk differs from person to person, and so does the course of the condition. The useful question is whether alcohol has become harder to manage in your life.
Genes play a meaningful role, but they do not determine anyone’s future. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) estimates that genetics account for about half of a person’s risk of developing AUD. Environment and experiences matter too, including exposure to alcohol, stress, trauma, and other health concerns. A family history of alcohol problems may be a reason to pay closer attention to your drinking. It is not a prediction that you will develop the same problem. Likewise, people without a family history can develop AUD. Learn more about what causes alcoholism, including genetic, psychological, and environmental risk factors.
Yes. AUD exists on a spectrum. Clinicians use established criteria to assess whether it is present and, if so, whether it is mild, moderate, or severe. This matters because a person can need help well before their drinking resembles the most severe examples they have seen.
You may still be going to work, caring for your family, and keeping appointments while privately worrying about how much you drink. Your concern is worth taking seriously even if no one around you has noticed.
People sometimes resist the word “disease” because it can sound as though drinking is entirely outside a person’s control. Others resist the word “choice” because it overlooks how difficult stopping can become. Both reactions make sense.
A person may make decisions about drinking while also living with a condition that affects cravings, habits, and their ability to follow through on intentions. Recognizing AUD as a medical condition does not erase responsibility or agency. It gives us a better way to understand why someone might need support to make the change they want.
The label can be helpful if it replaces shame with curiosity: What is happening, and what would help me respond differently? If the label does not feel helpful to you, that is okay. You can still talk with someone about your drinking and decide what you want to do next.
AUD is assessed using clinical criteria, but you may recognize the experience in ordinary moments before you ever speak with a clinician. For example:
These questions reflect several of the signs clinicians consider when assessing AUD. They are prompts for reflection, not a way to diagnose yourself from a webpage. A health professional can help you understand what is happening and what kind of support, if any, would fit.
You also do not need to answer “yes” to every question. Alcohol problems do not all look alike, and waiting for an unmistakable crisis can mean waiting longer than you need to.
Thinking of alcohol use disorder as a disease can change how we approach the problem. If someone is struggling to control their drinking, the response should go beyond telling them to try harder. Effective care looks at their drinking pattern, physical health, mental health, circumstances, and goals.
Treatment for AUD may include behavioral therapy, medication, mutual support, or a combination of approaches. The right plan varies by person. Medication can be an option in AUD care generally, though whether it is appropriate and where to receive it are questions for a qualified medical professional.
At Lion Heart Behavioral Health, structured outpatient treatment can provide therapy and ongoing support for people working to change their relationship with alcohol. An assessment can help determine whether that is an appropriate next step or whether someone first needs medical care for withdrawal or another concern. You do not have to choose a program for yourself before having that conversation.
If you have been drinking heavily and think you may experience withdrawal, speak with a medical professional before stopping abruptly. Alcohol withdrawal can sometimes be dangerous.
Alcohol use disorder is a diagnosable condition listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is also understood as a medical condition involving the brain, behavior, and other aspects of health. These descriptions are compatible; they describe different parts of a complex condition.
People can recover from AUD and make lasting changes in their drinking. Because the condition and its course vary, “cured” can be less useful than talking about recovery, remission, and what helps someone maintain the changes they want. Needing further support at some point does not erase earlier progress.
Neither explanation is complete on its own. Genetics can affect risk, while a person’s experiences, environment, and drinking patterns also matter. Choices remain part of recovery, but AUD can make acting on those choices more difficult.
Both terms have been used to describe alcohol problems, but they can mean different things to different people. Clinicians now use alcohol use disorder as a clearer diagnosis that ranges from mild to severe. You do not need to decide which older label fits before speaking with a professional.
Maybe “disease” helps you understand your experience. Maybe you are still unsure about the word. Either way, if drinking has become harder to control or is affecting your life, that is enough reason to talk it through.
Call Lion Heart Behavioral Health at (774) 341-4502 to discuss your concerns and possible next steps. You can also verify your insurance if you are considering treatment.
Tom believes that meaningful change begins with feeling heard, respected, and genuinely understood. His therapeutic approach is grounded in compassion, authenticity, and trauma-informed care, creating a safe, supportive, and judgment-free environment where clients feel empowered to explore challenges, build resilience, and move toward lasting healing.
As a Licensed Alcohol and Drug Counselor II (LADC II), Tom has experience working with individuals facing a wide range of mental health and substance use concerns across multiple levels of care. He is passionate about helping clients recognize their strengths while developing practical tools to navigate life’s challenges with greater confidence, emotional awareness, and self-compassion. Tom views therapy as a collaborative partnership, tailoring his approach to meet each person’s unique experiences, goals, and values.
Currently pursuing a Master of Science in Clinical Mental Health Counseling at Bay Path University with a concentration in Trauma-Informed Care, Tom is committed to continually expanding his clinical knowledge and providing evidence-based, culturally responsive care. He has a particular passion for working with LGBTQ+ individuals, supporting men’s mental health, and helping adolescents and young adults navigate anxiety, depression, trauma, life transitions, and identity development.
Known for his calm presence, genuine empathy, and approachable style, Tom strives to foster meaningful therapeutic relationships built on trust, respect, and collaboration. He believes that healing occurs when individuals feel accepted for who they are while being encouraged to discover who they can become.
Outside of the therapy room, Tom enjoys spending time with family and friends, camping, weightlifting, and staying active. He believes that maintaining balance, practicing self-care, and prioritizing overall wellness enhances his ability to support others as they pursue healthier, more fulfilling lives.
Arielle is a compassionate mental health clinician who believes that meaningful change begins with feeling safe, heard, and genuinely understood. As a Licensed Certified Social Worker (LCSW), she is dedicated to creating a welcoming, collaborative therapeutic environment where clients feel empowered to explore their experiences, build on their strengths, and move toward lasting emotional wellness.
Arielle’s approach is rooted in authenticity, empathy, and trust. She believes the therapeutic relationship serves as the foundation for growth and strives to balance compassion with thoughtful accountability. By helping clients recognize patterns, deepen self-awareness, and develop practical coping strategies, she supports individuals in creating meaningful, sustainable change both inside and outside of the therapy room.
Working collaboratively with each client, Arielle tailors treatment to meet their unique needs, values, and goals. She has experience supporting individuals navigating anxiety, depression, stress, and major life transitions, meeting clients where they are while encouraging growth at a pace that feels both supportive and achievable. Her person-centered approach emphasizes resilience, self-compassion, and empowering clients to develop the confidence and skills needed to navigate life’s challenges.
Arielle earned her Master’s degree from Salem State University and completed her undergraduate education at The Pennsylvania State University. She is passionate about helping individuals discover their strengths, cultivate resilience, and create fulfilling lives built on hope, healing, and personal growth.
Jill is a dedicated behavioral health clinician who believes that healing begins when individuals feel truly seen, heard, and accepted for who they are. Since beginning her career in behavioral health in 2015, she has been honored to support children, adolescents, adults, and families through some of life’s most challenging moments. Her diverse clinical experience has reinforced her belief that meaningful and lasting change begins with genuine connection, compassion, and a therapeutic relationship built on trust.
Throughout her career, Jill has served in a variety of clinical roles, including high school intervention specialist, family specialist and outreach worker, program clinician in a children’s emergency residence, and Partial Hospitalization Program (PHP) clinician before joining Lion Heart Behavioral Health in 2026. These experiences have provided her with a broad understanding of the unique challenges individuals and families face across the lifespan while strengthening her commitment to providing personalized, client-centered care.
Jill earned her Master of Science in Psychology with dual specializations in Educational and Counseling Psychology from Capella University and her Bachelor of Science in Criminal Justice with a concentration in Forensic Psychology from Kaplan University. Her therapeutic approach is grounded in Cognitive Behavioral Therapy (CBT), integrating evidence-based interventions with warmth, authenticity, and genuine curiosity about each client’s unique experiences.
Known for her compassionate and approachable style, Jill creates a welcoming, nonjudgmental environment where clients feel safe exploring challenges, identifying strengths, and developing practical skills to navigate life’s obstacles. She recognizes the courage it takes to seek support and considers it a privilege to walk alongside individuals as they build resilience, foster self-understanding, and work toward meaningful, lasting recovery.
Jill is passionate about helping every client leave therapy feeling empowered, supported, and hopeful. She believes that with the right support, meaningful change is always possible and is committed to helping individuals discover the confidence and resilience needed to create fulfilling, purpose-driven lives.
Kevin brings a unique combination of professional expertise, lived experience, and genuine compassion to his work as a therapist. Since beginning his own recovery journey in 2016, he has remained committed to helping others discover that lasting recovery is not only possible, but transformative. His personal experiences have shaped his deep understanding of addiction, resilience, and the courage it takes to create meaningful change.
Over the past seven years, Kevin has dedicated his career to working with individuals navigating substance use disorders and recovery. He earned his Licensed Alcohol and Drug Counselor II (LADC II) credential in 2024, further strengthening his clinical knowledge and commitment to evidence-based care. Clients appreciate Kevin’s authenticity, empathy, and ability to build trust through genuine connection. His approach is grounded in the belief that every individual possesses the strength and capacity for growth, regardless of where they are in their recovery journey.
Kevin’s work is driven by a passion for empowering others to rediscover hope, develop confidence, and build fulfilling lives in recovery. He recognizes that healing extends beyond sobriety and focuses on helping clients develop the tools, insight, and resilience needed for long-term success.
Outside of the therapy room, Kevin is a devoted husband, father, brother, son, and friend. He has also been deeply involved in music throughout his life, performing as a lead vocalist with local bands for more than 30 years. His love of music, combined with his personal and professional experiences, allows him to connect with people from all walks of life in an authentic and meaningful way.
Kevin believes that some of life’s greatest challenges can become the foundation for purpose, healing, and personal transformation. His warmth, humility, and unwavering commitment to those he serves make him a trusted guide for individuals seeking lasting recovery and a renewed sense of hope.
Nicole brings nearly a decade of experience in substance use disorder treatment, having worked across multiple levels of care since 2015. With a background in psychology and extensive experience supporting individuals throughout their recovery journeys, she has developed a compassionate, person-centered approach that recognizes there is no single path to healing. Nicole believes that every individual’s lived experience is unique and deserving of respect, understanding, and individualized care.
Throughout her career, Nicole has been dedicated to helping clients move beyond symptom management by exploring the underlying patterns that contribute to substance use. She works collaboratively with individuals to strengthen emotional regulation, develop effective coping strategies, and build the insight and resilience necessary to support long-term recovery. Her therapeutic approach considers the whole person, recognizing the powerful connection between thoughts, emotions, behaviors, relationships, and life experiences.
Known for her calm presence, genuine empathy, and ability to foster meaningful therapeutic relationships, Nicole creates a safe and supportive environment where clients feel empowered to explore challenges, celebrate progress, and embrace lasting change. She is passionate about helping individuals discover their strengths, restore hope, and build lives that reflect their values and recovery goals.
Nicole believes recovery is about more than achieving sobriety—it is about creating a fulfilling, balanced life built on self-awareness, resilience, and purpose. She is committed to walking alongside each client as they navigate the challenges of recovery while helping them develop the confidence and skills needed to sustain meaningful, lifelong change.
Emily is a Licensed Certified Social Worker (LCSW) dedicated to helping individuals navigate mental health challenges, substance use disorders, and the path toward lasting recovery. She earned her Master of Social Work, with a Certificate in Trauma Practice, from Simmons University in 2024 and has continued to expand her clinical expertise through advanced training in co-occurring disorders and evidence-based treatment. Emily completed a Substance Use Disorders Certificate in Assessment and Treatment Strategies with Teens and Adults through Bridgewater State University and is currently pursuing a Certificate in Substance Abuse Counseling at Bristol Community College to further strengthen her clinical knowledge and specialized skills.
Emily’s therapeutic approach is grounded in Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), integrating practical, evidence-based interventions with genuine compassion and collaboration. She works alongside clients to better understand the relationship between their thoughts, emotions, and behaviors while helping them develop healthier coping strategies, strengthen emotional regulation, and create meaningful, sustainable change. Emily believes that healing begins with feeling understood, and she is committed to creating a safe, supportive environment where every individual feels empowered to grow at their own pace.
Known for her warmth, authenticity, and positive energy, Emily quickly builds strong therapeutic relationships founded on trust, respect, and encouragement. She is passionate about helping clients recognize their strengths, overcome life’s challenges, and move toward lives that are aligned with their values and goals.
Outside of the therapy room, Emily is an accomplished lacrosse coach at both the club and collegiate levels. Having played competitively throughout high school and college, she enjoys mentoring athletes and helping them develop confidence, resilience, and leadership skills that extend far beyond the field. In her free time, Emily enjoys reading and creating diamond art, finding creativity and balance through these hobbies.
Emily believes that growth is possible for everyone and is honored to walk alongside clients as they build resilience, discover hope, and create lasting change.
Amanda Campbell, MSN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based psychiatric care to adults experiencing a wide range of mental health and co-occurring conditions.
Amanda provides comprehensive psychiatric evaluations, medication management, and ongoing treatment planning as part of a multidisciplinary team. She believes in partnering with patients through shared decision-making, recognizing that each individual’s experiences, goals, and recovery journey are unique.
Amanda is committed to fostering a safe, supportive, and nonjudgmental therapeutic environment where patients feel heard and respected. She emphasizes evidence-based treatment, patient education, and practical strategies that empower individuals to build resilience, improve daily functioning, and achieve lasting mental wellness.
Nicole Hunter serves as Program Director with a leadership style rooted in authenticity, compassion, and lived experience. She has been in recovery from substance use for several years, and while recovery is the foundation of the life she has built, it is far more than something in her past—it continues to shape who she is, how she leads, and why she is so deeply passionate about helping others find their own path forward.
Nicole remembers what it felt like to walk into treatment, unsure of what life could look like on the other side. She also understands that recovery isn’t something we simply “graduate” from. Even years later, there are seasons when we need to reconnect with the tools, principles, and support that keep us grounded. Having experienced her own mental health challenges alongside recovery, she understands that healing is rarely one-dimensional. This perspective allows her to genuinely relate to individuals navigating both substance use and mental health, meeting them with empathy instead of judgment and hope instead of shame.
For Nicole, this work has never been just a career—it is deeply personal. Her passion comes from walking alongside people who are making one of the hardest and bravest decisions of their lives: choosing to rebuild. She believes there is something incredibly powerful about witnessing someone begin to believe in themselves again, often before they are able to see their own potential. Being trusted to share in that journey is something she never takes for granted.
Nicole believes every person deserves to feel seen, heard, and valued—not for who they might become someday, but for who they are the moment they walk through the door. No two clients are the same, and she is committed to ensuring treatment reflects the unique strengths, challenges, goals, and experiences of each individual. She believes healing happens through individualized care, genuine connection, and creating an environment where people feel safe enough to be honest and supported enough to grow.
Nicole’s clinical philosophy combines evidence-based practices with the belief that the therapeutic relationship itself is one of the most powerful tools for change. Throughout her years working in behavioral health across a variety of clinical and leadership roles, she has developed a flexible, person-centered approach that meets individuals where they are while empowering them to discover where they are capable of going. She celebrates every step forward, knowing that meaningful progress is often made through small, consistent victories rather than dramatic breakthroughs.
Whether she is supporting clients or leading the multidisciplinary team at the program, Nicole lives by the principle of unconditional positive regard. She believes people grow when they feel respected, challenged, supported, and genuinely believed in. She strives to create a culture where clients and staff alike feel empowered to learn, take healthy risks, and recognize their own strengths.
Above all, Nicole believes that recovery is possible, healing is possible, and that every person deserves individualized care, unwavering respect, and the opportunity to build a life they are proud of. Her goal is simple: to help create a space where people feel safe enough to be honest, supported enough to grow, and empowered enough to realize that lasting change is within reach.
Bill Abbate brings more than 16 years of experience in the substance use disorder field, along with over 17 years of sustained recovery, providing him with a unique combination of professional expertise and lived experience. Throughout his career, Bill has remained deeply committed to helping individuals and families discover hope, healing, and lasting recovery through compassionate, person-centered care.
Beginning his career as a Recovery Aide, Bill gained invaluable hands-on experience across the continuum of addiction treatment, developing a comprehensive understanding of the challenges individuals face at every stage of recovery. His dedication, leadership, and passion for serving others have guided his progression into his current role as Director of Patient & Family Services.
At Lion Heart Behavioral Health, Bill leads the Patient and Family Services Department, overseeing the Family Support and Recovery Coaching Program. He is responsible for developing and coordinating recovery coaching services, supporting and training family coaches, and ensuring patients and their loved ones receive consistent, evidence-informed care throughout the recovery process. Bill believes that lasting recovery extends beyond the individual and that empowering families is an essential component of long-term healing.
Bill holds credentials as a Licensed Alcohol and Drug Counselor II (LADC II), Certified Addiction Recovery Coach (CARC), and National Certified Peer Recovery Support Specialist (NCPRSS). His leadership style blends clinical best practices with the power of lived experience, allowing him to build authentic relationships while fostering resilience, accountability, and hope among both patients and staff.
Known for his warmth, authenticity, and unwavering commitment to the recovery community, Bill is passionate about helping individuals recognize that recovery is not only possible—it can become a foundation for a fulfilling and purpose-driven life.
Outside of his professional role, Bill remains actively involved in recovery communities and enjoys attending recovery-focused events across the country. When he’s not supporting others, he enjoys traveling, motorcycling, surfing, and snowboarding. He is also a proud father who values family, connection, and living a life rooted in gratitude and service.
From the beginning of her career, Liz Forgue-McRae has believed that the best leaders are coaches first.
Her passion for helping others began long before entering the counseling profession as a competitive swim coach and manager at the YMCA, where she coached and mentored nearly 200 swimmers. Known for her unwavering encouragement and enthusiasm, Liz spent years helping young athletes push beyond perceived limitations, celebrate accomplishments, and develop confidence both in and out of the water. That same philosophy continues to shape her leadership and clinical approach today.
Liz earned her Bachelor of Arts in Philosophy from the University of Massachusetts Dartmouth before completing her Master of Arts in Mental Health Counseling at Bridgewater State University. She is a Licensed Mental Health Counselor in both Massachusetts and Rhode Island and is a Certified Clinical Supervisor through the Massachusetts Mental Health Counselors Association (MAMHCA).
With more than a decade of experience across the behavioral healthcare continuum, Liz has provided leadership and clinical services within inpatient, outpatient, partial hospitalization (PHP), intensive outpatient (IOP), and community-based treatment settings. Her professional experience includes program development, clinical supervision, staff training, compliance and quality improvement, and multidisciplinary leadership.
Liz has extensive experience working with first responders, active-duty service members, veterans, healthcare professionals, and individuals navigating co-occurring mental health and substance use disorders. She is passionate about creating environments where individuals feel supported, empowered, and equipped to achieve lasting recovery and personal growth.
As Clinical Director, Liz is dedicated to fostering a culture of clinical excellence through compassionate leadership, evidence-based treatment, and meaningful collaboration. She believes exceptional care begins with exceptional teams and is committed to mentoring clinicians while ensuring every client receives high-quality, individualized treatment.
Whether leading a clinical team, developing innovative programming, or supporting individuals through life’s most difficult challenges, Liz remains guided by the same principle that first inspired her career: helping people recognize their strengths, overcome obstacles, and realize their full potential.
