Dr. Matthew Paldy, PhD, LP

Psychotherapy, Psychoanalysis, Counseling

Addiction Treatment in NYC: Restoring the Self

Addiction often develops when the sense of self feels strained, fragmented, or overwhelmed. From a depth-oriented perspective, substance use and compulsive behaviors are attempts to create stability, regulate emotion, or numb the pain of feeling misunderstood or alone. While these strategies may bring temporary relief, they ultimately deepen distress and interfere with living a cohesive, meaningful life. In my practice, we look beyond symptom control to understand the inner experience that makes addiction feel necessary.

Understanding the Defensive Function of Addiction

Recovery involves more than addressing physical dependence. It requires understanding the emotional realities that drive the behavior—such as unresolved conflict, trauma, chronic stress, or deep self-doubt. Through a Self-Psychological lens, addiction is viewed as an effort to self-soothe when internal emotional support feels insufficient. By addressing these roots, we build healthier ways of coping and the resilience needed for lasting recovery.

The Selfobject Function of Addiction

Substances and compulsive behaviors often serve as substitute selfobjects—external attempts to stabilize an inner world that feels empty, fragile, or overstimulated. Our work focuses on understanding and repairing these patterns:

A Reflection on Progress

"It's not about being perfect; it's about making progress."

The Path to Recovery: Our Therapeutic Approach

Recovery is a process of self-discovery and growth. Our work focuses on building a more grounded, authentic, and fulfilling life:

1. Creating a Safe Relational Space

Therapy offers consistent empathy and attunement. This safe environment allows you to explore your story without fear of judgment, helping you understand how addiction took hold.

2. Turning Pain into Insight

By working through the emotions and experiences beneath addictive patterns, pain can be transformed into understanding and choice. This creates greater freedom from automatic, compulsive reactions.

3. Strengthening Self-Cohesion

As your sense of self becomes more stable and integrated, the pull toward addictive behaviors often lessens. We focus on developing emotional grounding and resilience.

4. Sustainable Healing and Stability

The goal is lasting change. By addressing the deeper needs of the self, recovery becomes more than stopping a behavior—it becomes a shift in how you experience yourself and your life.