Hi Paul,
Paul, I'm really glad to see you back. You're right that it gets worse, and it will continue to worsen unless you put a stop to it. It's that simple and that hard.
Talking to your dr and detoxing could be a good start, but it's staying stopped that is the hard part. That's where you have to make big changes in your life, your friends, what you do in your spare time, where you hangout, all that stuff. I hope you are ready to commit.