Substance Use Disorders
Substance use disorders can affect every area of life, including your physical health, emotional well-being, relationships, career, and overall quality of life. Many individuals who struggle with alcohol or drug use also experience mental health conditions such as depression, anxiety, PTSD, bipolar disorder, or ADHD. When these conditions occur together, they are known as co-occurring disorders or a dual diagnosis.
At CK Wellness, PLLC, we provide compassionate, evidence-based psychiatric care for adolescents (16+), adults, and seniors living with substance use disorders and co-occurring mental health conditions. Our experienced providers, Dr. Krishnaswamy Gajaraj, MD, MBBS, DPM, and Shirnett Khorran-Gajaraj, MPH, MSN, APRN, PMHNP-BC, develop individualized treatment plans that address both mental health and substance use concerns to support long-term recovery.
We proudly offer mental health services in Hingham, MA, including in-person visits in Hingham, MA and telehealth services in Hingham, MA (virtual and telephone appointments) for eligible patients throughout Massachusetts.
A Substance Use Disorder (SUD) is a medical condition in which the repeated use of alcohol or drugs causes significant problems in daily life, health, work, school, or relationships. It is not a lack of willpower or a personal failure. Like many chronic health conditions, substance use disorders require appropriate evaluation, treatment, and ongoing support.
Recovery looks different for every individual, and early intervention can improve long-term outcomes.
A dual diagnosis means a person is living with both a substance use disorder and a mental health condition at the same time. Common co-occurring mental health conditions include:
Treating both conditions together is important because untreated mental health symptoms may contribute to continued substance use, while substance use can worsen psychiatric symptoms.
Symptoms vary depending on the substance involved and the individual’s circumstances. Common signs include:
If substance use is affecting your health or daily life, seeking professional help is an important first step.
At CK Wellness, PLLC, we provide psychiatric evaluation and ongoing management for individuals with substance use disorders and co-occurring mental health conditions. When additional services are needed, we coordinate care with other healthcare professionals or specialty treatment programs to support comprehensive care.
When clinically appropriate, our providers offer medication management to help address co-occurring psychiatric conditions and support symptom stabilization. Medication recommendations are based on each individual’s needs and medical history.
We begin with a detailed assessment of your mental health symptoms, medical history, substance use history, current medications, and overall well-being.
This evaluation helps us understand how substance use and mental health may be affecting one another.
If specialized addiction treatment, counseling, or community-based recovery services are appropriate, we can collaborate with other healthcare providers as part of your overall treatment plan.
Recovery is a long-term process. We provide regular follow-up appointments to monitor your mental health, evaluate treatment effectiveness, and adjust your care plan as needed.
Patients throughout Massachusetts choose CK Wellness because we provide individualized psychiatric care in a respectful, supportive environment.
Our practice offers:
We proudly provide trusted psychiatric care services in MA, helping patients manage complex mental health conditions with personalized care.
Dr. K. Gajaraj has more than 50 years of experience treating a wide range of psychiatric conditions affecting adults and older adults. His extensive expertise allows him to develop thoughtful, individualized treatment plans for patients experiencing sleep disturbances related to mental health conditions.
Shirnett Khorran-Gajaraj is a board-certified Psychiatric Mental Health Nurse Practitioner committed to providing compassionate psychiatric care. She partners with patients to create personalized treatment plans that support healthier sleep, emotional wellness, and improved quality of life.
Together, our providers offer trusted psychiatrist services in Hingham, MA, delivering compassionate care focused on long-term wellness.
We make psychiatric care accessible and convenient.
CK Wellness offers:
Our flexible care options allow patients to continue receiving ongoing psychiatric support while meeting their individual needs.









A dual diagnosis means a person has both a substance use disorder and a mental health condition, such as depression, anxiety, PTSD, bipolar disorder, or ADHD. Treating both conditions together often leads to better outcomes.
Yes. Our providers offer medication management for appropriate psychiatric conditions and monitor treatment regularly to support your overall mental health.
Yes. We provide secure virtual and telephone psychiatric appointments for eligible patients throughout Massachusetts, as well as in-person visits in Hingham.
Yes. When appropriate, we collaborate with primary care physicians, therapists, and specialty treatment programs to help ensure coordinated care.
If substance use or co-occurring mental health symptoms are affecting your life, compassionate professional care is available.
At CK Wellness, PLLC, we provide personalized mental health services in Hingham, MA, helping adolescents, adults, and seniors receive comprehensive psychiatric care tailored to their individual needs.
Whether you prefer in-person visits in Hingham, MA or telehealth services throughout Massachusetts, our experienced providers are here to support your mental health and recovery journey.
Contact CK Wellness, PLLC today to schedule your psychiatric evaluation and learn how personalized care can help you move forward.
We are committed to delivering exceptional psychiatric care with compassion, respect, and expertise.
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