Alcohol Use Therapists in St Thomas, ON

Photo of Standpoint Counselling., Clinical Social Work/Therapist in St Thomas, ON
Standpoint Counselling.
Clinical Social Work/Therapist, MSW, RSW
Verified Verified
1 Endorsed
St Thomas, ON N5R
As a Christian Therapist with specialized training in psychotherapy, I have seen men and women of faith struggle with anxiety, depression, relational conflicts, PTSD, addictions, etc. I've heard them question God’s love and presence in their lives. There is no denying that life can get messy sometimes! However, one thing I have come to know as true, as a Christian and in my almost 20 years of working with people is that, "The Lord uses Everything in our lives to bring about His purposes." Let's look at Jonah for example; we read that the Lord 'caused' a large fish to swallow him after he attempted to run away from his calling.
As a Christian Therapist with specialized training in psychotherapy, I have seen men and women of faith struggle with anxiety, depression, relational conflicts, PTSD, addictions, etc. I've heard them question God’s love and presence in their lives. There is no denying that life can get messy sometimes! However, one thing I have come to know as true, as a Christian and in my almost 20 years of working with people is that, "The Lord uses Everything in our lives to bring about His purposes." Let's look at Jonah for example; we read that the Lord 'caused' a large fish to swallow him after he attempted to run away from his calling.
(226) 796-5742 View (226) 796-5742
Photo of Larissa Emmons, Registered Social Worker in St Thomas, ON
Larissa Emmons
Registered Social Worker, MSW, BSW, RSW
Verified Verified
3 Endorsed
St Thomas, ON N5P  (Online Only)
Waitlist for new clients
I help people struggling with anxiety/depression develop strategies to help them feel even 1% better/less stressed day by day. Client's have told me that thinking about their wellness journey in these smaller 1% steps is less overwhelming. Those 1%'s will start to add up! I am easy to talk to and down to earth. If you aren't sure what happens in therapy, give me a call! I would be happy to explain the process to you. The consultation is a great time to do a quick "vibe check" to see if we click and if you like my approach. If I am not the right fit for you, I will help connect you to someone who can help you!
I help people struggling with anxiety/depression develop strategies to help them feel even 1% better/less stressed day by day. Client's have told me that thinking about their wellness journey in these smaller 1% steps is less overwhelming. Those 1%'s will start to add up! I am easy to talk to and down to earth. If you aren't sure what happens in therapy, give me a call! I would be happy to explain the process to you. The consultation is a great time to do a quick "vibe check" to see if we click and if you like my approach. If I am not the right fit for you, I will help connect you to someone who can help you!
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Photo of Amanda Hindley, RN Psychotherapist, Psychiatric Nurse in St Thomas, ON
Amanda Hindley, RN Psychotherapist
Psychiatric Nurse, RN, BScN
Verified Verified
St Thomas, ON N5R
Everyone has worse days, and it is okay not to know what to do or how to make a change in your life. I am here to help you find the light when you feel stuck in darkness. Like a light post, I will help guide you with compassion, non-judgment, and care to a place where your pain is transformed into peace. I have been working with people in the most difficult times of their lives for 15 years. Whether you are struggling with depression, anxiety, your relationship, your peers/parents, your health, your body, trauma, intimacy, substance or behavioral addictions, I am here to help you create change in the direction you want.
Everyone has worse days, and it is okay not to know what to do or how to make a change in your life. I am here to help you find the light when you feel stuck in darkness. Like a light post, I will help guide you with compassion, non-judgment, and care to a place where your pain is transformed into peace. I have been working with people in the most difficult times of their lives for 15 years. Whether you are struggling with depression, anxiety, your relationship, your peers/parents, your health, your body, trauma, intimacy, substance or behavioral addictions, I am here to help you create change in the direction you want.
(226) 770-4102 View (226) 770-4102
Photo of Counselling For Men, Registered Social Worker in St Thomas, ON
Counselling For Men
Registered Social Worker, MSW, RSW
Verified Verified
1 Endorsed
St Thomas, ON N5P
Most of us men have been taught that we have to manage things by ourselves. To hide our feelings. Or we don't have feelings. Guess what that leads to? Anger, irritability, relationship issues, work problems, and trouble connecting with our kids, friends, and partners. Maybe drinking too much and checking out, too. Or cheating on our partner, because it's easier than trying to figure out what's going on at home. Maybe you don't even realize how bad things have gotten until your partner tells you that you "can't communicate", you're messing up, and now you have no idea what to do and you're defensive and confused.
Most of us men have been taught that we have to manage things by ourselves. To hide our feelings. Or we don't have feelings. Guess what that leads to? Anger, irritability, relationship issues, work problems, and trouble connecting with our kids, friends, and partners. Maybe drinking too much and checking out, too. Or cheating on our partner, because it's easier than trying to figure out what's going on at home. Maybe you don't even realize how bad things have gotten until your partner tells you that you "can't communicate", you're messing up, and now you have no idea what to do and you're defensive and confused.
(226) 457-2074 View (226) 457-2074
Photo of Nima Abbaspour, Registered Psychotherapist in St Thomas, ON
Nima Abbaspour
Registered Psychotherapist, RP(Q MA
Verified Verified
St Thomas, ON N5R  (Online Only)
Are you struggling with depression, anxiety, grief? Did you grow up in a family that couldn't offer you emotional support due to immigration issues, substance abuse or other factors? Sometimes you feel lost, confused, that you don't belong? Perhaps your religious background was a factor in your feeling alone, lost or shameful and you feel also the weight of your BIPOC experience. You worked hard, and succeeded in many areas but still feel challenged by life and relationships. You may also be neurodivergent (Autistic, ADHD). If that's you, I have the training and experience to help you.
Are you struggling with depression, anxiety, grief? Did you grow up in a family that couldn't offer you emotional support due to immigration issues, substance abuse or other factors? Sometimes you feel lost, confused, that you don't belong? Perhaps your religious background was a factor in your feeling alone, lost or shameful and you feel also the weight of your BIPOC experience. You worked hard, and succeeded in many areas but still feel challenged by life and relationships. You may also be neurodivergent (Autistic, ADHD). If that's you, I have the training and experience to help you.
(226) 640-4852 View (226) 640-4852
Photo of Tim Kelly, Registered Social Worker in St Thomas, ON
Tim Kelly
Registered Social Worker, BA, MSW, RSW
Verified Verified
1 Endorsed
St Thomas, ON N5P
Sometimes men are great at pretending everything's fine – even when life is falling apart. Trying to carry the weight of the world all by yourself is a sure path to depression, anger issues, self-medicating, lashing out, and increased stress and physical symptoms. Whether you're trying to figure out what your partner wants (what does she mean by "communicate better" anyway?), or you're needing to talk through personal, work, or family issues, I can help you get to a better place. If you're worried that you're the only one, don't. There is literally nothing you can tell me that I haven't heard or worked with before.
Sometimes men are great at pretending everything's fine – even when life is falling apart. Trying to carry the weight of the world all by yourself is a sure path to depression, anger issues, self-medicating, lashing out, and increased stress and physical symptoms. Whether you're trying to figure out what your partner wants (what does she mean by "communicate better" anyway?), or you're needing to talk through personal, work, or family issues, I can help you get to a better place. If you're worried that you're the only one, don't. There is literally nothing you can tell me that I haven't heard or worked with before.
(226) 240-4236 View (226) 240-4236
Photo of Brianne Bennett, Registered Social Worker in St Thomas, ON
Brianne Bennett
Registered Social Worker, CYW, BApsych, BSW, RSW
Verified Verified
1 Endorsed
St Thomas, ON N5R
I have been working in the Social Work field since 2010. For the first 2 years, I assisted those who struggled primarily with their mental health. From 2012 up until early 2019, I specialized in addictions of both youth and adults. Lastly, since 2016, I have provided private counseling supporting a variety of ages and presenting concerns. Issues range from anxiety, as the most prominent, to grief, couples, bullying and more. Social Workers are trained with various techniques in order to relieve their clients of whichever burden they may be carrying. It is my passion to listen and help develop a plan to move forward in your life.
I have been working in the Social Work field since 2010. For the first 2 years, I assisted those who struggled primarily with their mental health. From 2012 up until early 2019, I specialized in addictions of both youth and adults. Lastly, since 2016, I have provided private counseling supporting a variety of ages and presenting concerns. Issues range from anxiety, as the most prominent, to grief, couples, bullying and more. Social Workers are trained with various techniques in order to relieve their clients of whichever burden they may be carrying. It is my passion to listen and help develop a plan to move forward in your life.
(519) 900-7069 View (519) 900-7069
Photo of TMK Counselling & Psychotherapy Services, Registered Social Worker in St Thomas, ON
TMK Counselling & Psychotherapy Services
Registered Social Worker, BSW(H), MSW, RSW, CHyp
Verified Verified
St Thomas, ON N5R
Anxiety? Depression? Overwhelmed? Trauma? I empower individuals & couples to overcome personal issues & stressful life events by providing hope, support & therapeutic guidance using clinically proven interventions. I'm a Psychotherapist/Registered Social Worker with 20 yrs. experience who provides mental health counselling & psychotherapy. Unhealthy relationships, poor coping skills & negative life experiences can contribute to both emotional & physical distress. Hence, I offer various therapies tailored specifically to the client. Telephone, online counselling & Life Coaching as well as in-person is available. TMKCounselling.com
Anxiety? Depression? Overwhelmed? Trauma? I empower individuals & couples to overcome personal issues & stressful life events by providing hope, support & therapeutic guidance using clinically proven interventions. I'm a Psychotherapist/Registered Social Worker with 20 yrs. experience who provides mental health counselling & psychotherapy. Unhealthy relationships, poor coping skills & negative life experiences can contribute to both emotional & physical distress. Hence, I offer various therapies tailored specifically to the client. Telephone, online counselling & Life Coaching as well as in-person is available. TMKCounselling.com
(226) 406-5131 View (226) 406-5131
Photo of Chris Chmielewski, Registered Social Worker in St Thomas, ON
Chris Chmielewski
Registered Social Worker, MA, MSW, RSW
Verified Verified
2 Endorsed
St Thomas, ON N5R
My background holds 40yr of extensive practice experience and continued learning. Expertise:all relationship concerns; recovery/healing from emotional hurts, losses, trauma. Such events, if in early years, can instill persistent insecurity, fears, loneliness and grief, causing troubled close relationships and inner-life: Restricting our core resilient nature where we keep strong potentials to be more open, creative, confident, realistic/effective persons. Mainly treat “self-regulation” problems: Social anxiety, shame/guilt, anger, depression; Overdependencies; Intimacy-sexuality, Communication; Identity-Personality issues;Selfcare.
My background holds 40yr of extensive practice experience and continued learning. Expertise:all relationship concerns; recovery/healing from emotional hurts, losses, trauma. Such events, if in early years, can instill persistent insecurity, fears, loneliness and grief, causing troubled close relationships and inner-life: Restricting our core resilient nature where we keep strong potentials to be more open, creative, confident, realistic/effective persons. Mainly treat “self-regulation” problems: Social anxiety, shame/guilt, anger, depression; Overdependencies; Intimacy-sexuality, Communication; Identity-Personality issues;Selfcare.
(226) 400-1834 View (226) 400-1834
Photo of Peter Dikih Counselling Services, Registered Psychotherapist in St Thomas, ON
Peter Dikih Counselling Services
Registered Psychotherapist, HBSc, MEd, RP
Verified Verified
1 Endorsed
St Thomas, ON N5R
I have provided psychotherapy, counselling and coaching since 1996. I have worked with a diverse population with many types of issues and challenges. My passion is helping individuals, couples and families to thrive; and helping leaders and organizations to excel. I provide a safe and confidential place where problems can be shared, solutions identified, barriers overcome, progress achieved and success celebrated. I primarily use client-centered, solution-focused and cognitive behavioural approaches.
I have provided psychotherapy, counselling and coaching since 1996. I have worked with a diverse population with many types of issues and challenges. My passion is helping individuals, couples and families to thrive; and helping leaders and organizations to excel. I provide a safe and confidential place where problems can be shared, solutions identified, barriers overcome, progress achieved and success celebrated. I primarily use client-centered, solution-focused and cognitive behavioural approaches.
(855) 297-8219 View (855) 297-8219
Photo of Ontario Trauma Therapy- Jordan, Registered Social Worker in St Thomas, ON
Ontario Trauma Therapy- Jordan
Registered Social Worker, BSW, MPA, MSW, RSW
Verified Verified
4 Endorsed
St Thomas, ON N5P
Trauma & painful early life experiences can get in the way of being able to enjoy our lives today.If you are suffering from PTSD, childhood trauma, persistent anxiety or depression, relationship breakdown or chronic stress, I can help. I am a trauma specialist and will help you to rebuild your life. I have extensive experience with First Responders, including physicians, and I will help you to feel safe and heard. First responders are seen ASAP. If you want to experience profound change, healthy relationships & trauma healing, I can help. Healing from trauma and a whole new outlook on yourself and your life are possible.
Trauma & painful early life experiences can get in the way of being able to enjoy our lives today.If you are suffering from PTSD, childhood trauma, persistent anxiety or depression, relationship breakdown or chronic stress, I can help. I am a trauma specialist and will help you to rebuild your life. I have extensive experience with First Responders, including physicians, and I will help you to feel safe and heard. First responders are seen ASAP. If you want to experience profound change, healthy relationships & trauma healing, I can help. Healing from trauma and a whole new outlook on yourself and your life are possible.
(226) 641-6635 View (226) 641-6635
Photo of Charles Skeete, Registered Social Worker in St Thomas, ON
Charles Skeete
Registered Social Worker, MSW, RSW, MTS , BCC, NPSA
Verified Verified
1 Endorsed
St Thomas, ON N5P
At Alpha Optimal Living Inc. we support real people with real needs. Life as we know it can be overwhelming, Work, children, parents, studies, and relationships can be fulfilling when going well, but can be a source of stress and difficulty when challenges arise. Here at Alpha, we help you address the root cause of the things that get in the way of you achieving your preferred future. We help with addictions, trauma, anxiety, depression, stress, relationships and a need for direction and focus in your life
At Alpha Optimal Living Inc. we support real people with real needs. Life as we know it can be overwhelming, Work, children, parents, studies, and relationships can be fulfilling when going well, but can be a source of stress and difficulty when challenges arise. Here at Alpha, we help you address the root cause of the things that get in the way of you achieving your preferred future. We help with addictions, trauma, anxiety, depression, stress, relationships and a need for direction and focus in your life
(226) 741-0422 View (226) 741-0422
Photo of Jacob Sombrutzki, Counsellor in St Thomas, ON
Jacob Sombrutzki
Counsellor, MACP, RCC
Verified Verified
1 Endorsed
St Thomas, ON N5P
Are you struggling with daily life, goals, or your relationship with yourself or others? Do fear, anxiety, low self-worth, setting boundaries, or anger hold you back? I offer a collaborative, non-judgmental approach focused on helping you rediscover your self-worth and innate ability to navigate life's challenges. With a background in addiction treatment and a diverse upbringing, I integrate Eastern philosophy and spirituality into my practice. I presently exclusively offer online sessions while working closely with a dedicated team at Strength Counselling Services.
Are you struggling with daily life, goals, or your relationship with yourself or others? Do fear, anxiety, low self-worth, setting boundaries, or anger hold you back? I offer a collaborative, non-judgmental approach focused on helping you rediscover your self-worth and innate ability to navigate life's challenges. With a background in addiction treatment and a diverse upbringing, I integrate Eastern philosophy and spirituality into my practice. I presently exclusively offer online sessions while working closely with a dedicated team at Strength Counselling Services.
(343) 500-7295 View (343) 500-7295
Photo of Lauren Giugno, Registered Psychotherapist in St Thomas, ON
Lauren Giugno
Registered Psychotherapist, MA , RP, CCC
Verified Verified
5 Endorsed
St Thomas, ON N5P
As human beings we may feel lost/stuck due to painful or challenging life experiences. This can impact our ability to live our lives fully. I am passionate about working with individuals who have concerns around stress, anxiety, depression, self-esteem, trauma, relationships, grief, and life transitions/work-life balance. Support may look different for each person, while some may want to focus on building coping strategies, others may seek a deeper healing process. One of our first steps will be building awareness of your needs, the change you want in your life and identifying your goals to make this change possible.
As human beings we may feel lost/stuck due to painful or challenging life experiences. This can impact our ability to live our lives fully. I am passionate about working with individuals who have concerns around stress, anxiety, depression, self-esteem, trauma, relationships, grief, and life transitions/work-life balance. Support may look different for each person, while some may want to focus on building coping strategies, others may seek a deeper healing process. One of our first steps will be building awareness of your needs, the change you want in your life and identifying your goals to make this change possible.
(226) 796-6299 View (226) 796-6299
Photo of Sheila Dawn Larocque, Registered Psychotherapist (Qualifying) in St Thomas, ON
Sheila Dawn Larocque
Registered Psychotherapist (Qualifying), MA
Verified Verified
1 Endorsed
St Thomas, ON N5P
Do you ever wonder why you struggle to feel happy? Or notice feelings of resentment? Do you feel overwhelmed with roles, responsibilities, and a to-do list? And underwhelmed with life? You want to feel grateful for what you have. You want to make yourself a priority, but somehow, what you want doesn't seem to matter. You are not alone. Managing self-care, the dynamics of relationships, parenting, and a professional life can easily feel out of balance. Add medical stress, a child with special needs, co-parenting challenges, and/or workplace stress. Perhaps you notice anxiety, fear, or repetitive patterns that you long to change.
Do you ever wonder why you struggle to feel happy? Or notice feelings of resentment? Do you feel overwhelmed with roles, responsibilities, and a to-do list? And underwhelmed with life? You want to feel grateful for what you have. You want to make yourself a priority, but somehow, what you want doesn't seem to matter. You are not alone. Managing self-care, the dynamics of relationships, parenting, and a professional life can easily feel out of balance. Add medical stress, a child with special needs, co-parenting challenges, and/or workplace stress. Perhaps you notice anxiety, fear, or repetitive patterns that you long to change.
(226) 829-5447 View (226) 829-5447
Photo of Dakota Grass, Registered Social Worker in St Thomas, ON
Dakota Grass
Registered Social Worker, BSW, RSW, RP(Q)
Verified Verified
2 Endorsed
St Thomas, ON N5P
I offer emotion-focused psychotherapy with individuals who have experienced relational trauma to assist in processing core emotions. I also work with couples who have experienced trauma and experience difficulties communicating effectively with each other. I offer substance use counselling related to exploring change, harm reduction, abstinence, and relapse prevention strategies. I am passionate about working with LGBTQIA+ individuals and thoroughly enjoy working with youth and young adults. I offer services through Blueprint Counselling, a London-based private practice.
I offer emotion-focused psychotherapy with individuals who have experienced relational trauma to assist in processing core emotions. I also work with couples who have experienced trauma and experience difficulties communicating effectively with each other. I offer substance use counselling related to exploring change, harm reduction, abstinence, and relapse prevention strategies. I am passionate about working with LGBTQIA+ individuals and thoroughly enjoy working with youth and young adults. I offer services through Blueprint Counselling, a London-based private practice.
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Photo of London Centre for Trauma Therapy, Registered Social Worker in St Thomas, ON
London Centre for Trauma Therapy
Registered Social Worker, BSW, MSW, RSW, RP-Q, RP
Verified Verified
2 Endorsed
St Thomas, ON N5R
The LCTT is an award-winning psychotherapy clinic. We understand your pain- depression, anxiety, stress, overwhelm. We know you're tired of living the same old story, that you want to move on from the past but don't know how. When your parenting, relationships and happiness are all suffering, you need change and you need help. It is so frustrating when you wonder, "what is wrong with me?!" or- you know what's wrong, but have no idea how to change. Maybe the ways you have tried before have failed you, or only lasted a little while. Take a breath- you're in the right spot and we are going to help you transform.
The LCTT is an award-winning psychotherapy clinic. We understand your pain- depression, anxiety, stress, overwhelm. We know you're tired of living the same old story, that you want to move on from the past but don't know how. When your parenting, relationships and happiness are all suffering, you need change and you need help. It is so frustrating when you wonder, "what is wrong with me?!" or- you know what's wrong, but have no idea how to change. Maybe the ways you have tried before have failed you, or only lasted a little while. Take a breath- you're in the right spot and we are going to help you transform.
(226) 400-3856 View (226) 400-3856
Photo of Ann E Eaves, Registered Psychotherapist in St Thomas, ON
Ann E Eaves
Registered Psychotherapist, RP, BA
Verified Verified
1 Endorsed
St Thomas, ON N5P
Everything that we do is a habit that developed based on our experiences in the past. From the moment we are born, we learn how to be in this world and how to be a person. When we are struggling or suffering, and some things are hard and challenging in our lives, whether it is anxiety, depression, trauma or addiction, or things we wish we could change, it’s because we've learned a way of being that is now a habit that can be hard to change. But we are whole, exactly as we are! The changes we make are in how we relate to the experiences and events in our lives and, most importantly, to ourselves.
Everything that we do is a habit that developed based on our experiences in the past. From the moment we are born, we learn how to be in this world and how to be a person. When we are struggling or suffering, and some things are hard and challenging in our lives, whether it is anxiety, depression, trauma or addiction, or things we wish we could change, it’s because we've learned a way of being that is now a habit that can be hard to change. But we are whole, exactly as we are! The changes we make are in how we relate to the experiences and events in our lives and, most importantly, to ourselves.
(226) 798-0909 View (226) 798-0909
Photo of Richard Lyke, RP, RMFT, Registered Psychotherapist in St Thomas, ON
Richard Lyke, RP, RMFT
Registered Psychotherapist, RP, RMFT
Verified Verified
St Thomas, ON N5P  (Online Only)
Not accepting new clients
I help clients identify and work toward their specific goals to address a wide range of issues, including; anxiety, depression, addictions, life transitions, personal and work-related stress, relationship conflict and distress, separation, reconciliation, relationship building, and recovery from childhood and adult trauma. My approach is confidential, friendly and non-judgmental; facilitating happier, healthier, more engaged, relaxed and satisfying lives. I provide psychotherapy and counseling for people of all sexual orientations and cultural backgrounds, couples and families.
I help clients identify and work toward their specific goals to address a wide range of issues, including; anxiety, depression, addictions, life transitions, personal and work-related stress, relationship conflict and distress, separation, reconciliation, relationship building, and recovery from childhood and adult trauma. My approach is confidential, friendly and non-judgmental; facilitating happier, healthier, more engaged, relaxed and satisfying lives. I provide psychotherapy and counseling for people of all sexual orientations and cultural backgrounds, couples and families.
(226) 771-5302 View (226) 771-5302
Photo of Kelly Appleby Counselling and Psychotherapy, Registered Social Worker in St Thomas, ON
Kelly Appleby Counselling and Psychotherapy
Registered Social Worker, MSW, RSW
Verified Verified
St Thomas, ON N5P
Not accepting new clients
Life isn’t always easy. It can be hard, painful and even traumatic at times. Trauma and difficult life experiences can create challenges in many areas of life - it’s not uncommon to struggle with managing thoughts and emotions, relationships, and responsibilities. We do our best to lean on past ways of coping to help us through, and sometimes must acknowledge when more help is needed. Whether you struggle with emotional issues (anxiety, depression, PTSD, anger, low self-esteem), addiction, grief and loss, or relationship/family issues, I would welcome the opportunity to support your desire for authentic personal growth and healing.
Life isn’t always easy. It can be hard, painful and even traumatic at times. Trauma and difficult life experiences can create challenges in many areas of life - it’s not uncommon to struggle with managing thoughts and emotions, relationships, and responsibilities. We do our best to lean on past ways of coping to help us through, and sometimes must acknowledge when more help is needed. Whether you struggle with emotional issues (anxiety, depression, PTSD, anger, low self-esteem), addiction, grief and loss, or relationship/family issues, I would welcome the opportunity to support your desire for authentic personal growth and healing.
(226) 640-5262 View (226) 640-5262

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Alcohol Use Counsellors

Are there specific medications for alcohol use?

There are oral medications approved to treat alcohol use disorder—such as disulfiram, acamprosate, and naltrexone, which also comes in an injectable form. These medications do help people reduce their drinking as well as avoid the problem of relapse. Naltrexone helps reduce cravings, disulfiram can make a person feel sick when they drink, and acamprosate may help ease symptoms like poor sleep and anxious feelings.

How do alcohol recovery or rehabilitation programs work?

In inpatient programs, individuals live in a facility with other patients in recovery; in outpatient programs,individuals live at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff can also include people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other tools for recovery.

How do 12-step programs combined with psychotherapy work?

Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.

How does harm reduction combined with psychotherapy work?

According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for alcohol use reduce the amount of alcohol they intake. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.