In this episode of Now Serving Therapy, host Dalton Huckaby sits down with licensed marriage and family therapist and Izzo Therapy supervisor Joe Gutierrez to explore the realities of substance use disorders.

Together, they break down what substance use disorder actually means, why the language has shifted away from “addiction,” and how brain chemistry, environment, and genetics all play a role. Joe brings both clinical insight and his experience as a supervisor at Izzo Therapy, offering a deeper look into how these patterns show up in real therapeutic work.

This conversation challenges common myths — including the idea that recovery requires hitting rock bottom or that substance use is simply a lack of willpower. They also discuss the growing dangers of fentanyl, how it is often unknowingly mixed into substances, and what preventative measures can help reduce harm.

The episode highlights the importance of early intervention, integrated treatment for co-occurring disorders like anxiety, depression, and PTSD, and why individualized care is essential for long-term support.

Whether you’re navigating this personally, supporting someone you care about, or looking to better understand, this episode offers grounded, compassionate insight into a topic that affects people across all walks of life.