Bad boy Charlie Sheen was at it again Tuesday morning, found naked and intoxicated in a totally trashed New York City hotel room with a women identified as a hooker.

Radar Online reported that cocaine was the problem, while TMZ said Sheen became violent and the woman locked herself in the bathroom and called security for protection. His publicist reported that Charlie had an “adverse allergic reaction to some medication and was taken to the hospital." Hmmmm….who should we believe? (And while we’re thinking about it, where do celebrities find these “publicists," is there a factory somewhere pumping them out?)

Remember, this is the same guy who drunkenly held a knife to the throat of his then-wife, Brooke Mueller, less than a year ago. For that conviction he received no jail time (surprised?), but did get to stay at celebrity-friendly Promises Rehab in Malibu (Sound familiar? Think Lindsay Lohan). Sheen remains on probation for that episode.

Here’s the deal: I’ve seen/treated every type of drug addict and alcoholic imaginable. There are stereotypes like the happy drunks, the marijuana stoners, the psychotic PCP abusers, the strung out crackheads and lowlife heroin addicts. But there are many folks that do these drugs in the quiet of their own home and don’t represent a threat to anyone or anything except for their own health and well-being.

In fact, many alcoholics and drug abusers will never have a problem with the law and never receive notoriety. A cushy rehab facility where they learn about addiction and sobriety is perfect for them.

But the rules MUST be different for those that drink or drug and endanger another’s life through threats or violence or irresponsibility. Ruining one’s own health via substance abuse is one thing, but in a case like Charlie Sheen’s, the violence and life threatening action that follows his high is quite another.

Sending him to another rehab facility with no jail time and no consequences for his actions will not make the problem go away. It would be like sweeping a burning cinder under the rug, pretending the problem was out of site and out of mind. This guy may really hurt someone, even kill someone in an intoxicated state if this is not addressed. Rehab is not enough, not this time!

Oh, and one more thing, if Charlie wasn’t a rich, famous, movie star would we even be having this discussion? Of course not, he would already be in jail.

Dr. Dale Archer is a psychiatrist and Distinguished Fellow of The American Psychiatric Association. He  specializes in analyzing and understanding human behavior across a wide variety of fields and is a frequent guest on FoxNews.com's "The Strategy Room." For more, visit his website: Dr.DaleArcher.com.