Active addiction describes the period when a substance use disorder is driving repeated use despite clear harm. It reflects lasting changes in the brain that affect reward, motivation, and self-control. 1 This guide explains what active addiction looks like, why it can develop, and practical steps individuals and families can take to find safe, evidence-based … Read more
Addiction often follows identifiable stages that reflect changing behaviors, brain adaptations, and levels of risk. Knowing these stages helps families and clinicians choose the right response at the right time. This article walks through the common phases of substance use, explains how tolerance and dependence speed progression, highlights the signs that indicate a formal substance … Read more
Does percocet cause depression? In many cases, yes. This guide explores the connection between percocet use and mental health, breaking down how the drug influences brain chemistry and emotional well-being. You’ll discover the signs of depression to watch for, the risk factors that increase vulnerability, and the treatment options available for those affected. Key Takeaways … Read more
Confused by myths about alcohol abuse? This article debunks common misconceptions and provides clear facts to help you understand the reality of alcohol abuse. Read on to separate fact from fiction. Key Takeaways Moderate drinking can pose risks, and social drinkers are not exempt from developing alcohol-related problems. Tolerance to alcohol does not protect against … Read more
Alcoholism significantly alters brain function, causing both short-term impairments and lasting brain damage. It disrupts the brain’s communication pathways, interferes with information processing, and can lead to chronic neurological disorders over time. Young people face particular risks, as alcohol use can affect the developing brain, leading to problems with memory, learning, and emotional regulation. In … Read more
What leads people to consume alcohol? In this post, we will explore the major factors that drive alcohol use, including psychological struggles, social influences, genetic predispositions, and environmental triggers. Understanding these underlying causes is key to recognizing patterns of misuse and finding healthier ways to cope. By shedding light on why people drink, we can … Read more
Can alcoholics ever drink again? Usually not. The risk of relapse is significant. This article delves into why complete sobriety is crucial and the challenges of moderate drinking for alcoholics. Key Takeaways For most recovering alcoholics, attempting to drink again poses significant risks and can lead to relapse. Complete abstinence is generally recommended as the … Read more
Understanding the Influence of Heredity on Alcohol Use Is alcoholism genetic? Studies 1 confirm that genetics significantly impacts the likelihood of developing alcohol use disorder. This article will explain the specific genes involved, their role in alcohol metabolism, and how genetics and environment interact to influence alcoholism risk. Key Takeaways Alcohol use disorder is influenced … Read more
Dr. Salah Alrakawi brings over 30 years of expertise in clinical medicine, academia, and administration. He is dual board-certified in Internal Medicine and Addiction Medicine, reflecting his deep commitment to providing comprehensive, patient-centered care.
Currently serving as the Medical Director at Charles River Recovery, Dr. Alrakawi also holds roles as an Attending Physician in the Department of General Internal Medicine at Brigham and Women’s Hospital, Atrius Health, and the Massachusetts Alcohol and Substance Abuse Center (MASAC). His multifaceted work underscores his dedication to advancing both the treatment of addiction and general internal medicine.
Dr. Alrakawi earned his medical degree from Damascus University and completed his Internal Medicine residency at Woodhull Medical Center. He is also a valued member of the teaching faculty at Harvard Medical School, where he helps shape the next generation of physicians.
Throughout his career, Dr. Alrakawi has been recognized with numerous awards and honors from the Massachusetts Department of Public Health, Tufts University School of Medicine, Tufts Medical Center, Lemuel Shattuck Hospital, and Brigham and Women’s Hospital, highlighting his contributions to public health, education, and patient care.
Beyond his professional endeavors, Dr. Alrakawi is an avid traveler who enjoys hiking, playing soccer, and immersing himself in diverse cultures around the world.
Steven Barry holds a B.A. in Economics from Bates College with extensive professional experience in both financial and municipal management. In his role as Director of Outreach, Steve leads the Charles River team in fostering relationships across the recovery community, local cities and towns, labor partners, and serving as a general resource for anyone seeking help.
Steve’s Charles River Why – “Anything I have ever done in my professional career has been rooted in helping people. There is no more direct correlate to that end than assisting people find their path to reclaim their life from the grips of addiction”.
