Substance Use Counselling in Exeter

Photo of Adam Smith, Psychotherapist, UKCP Trainee
Adam Smith
Psychotherapist, UKCP Trainee
Serves Area
My own journey to becoming a therapist began with the need to make sense of my own situations and self. The beliefs I had about myself and the world as I saw it, and the beliefs I had about how the world saw me. I bring lived experience of managing mental challenges and addictions. I understand that our unique life experiences shape how we think, feel, and relate to the world and one another. Amazing things unfold when humans, together, face the problems of living with openness and kindness and without pressure to perform. This is the essence of therapy.
My own journey to becoming a therapist began with the need to make sense of my own situations and self. The beliefs I had about myself and the world as I saw it, and the beliefs I had about how the world saw me. I bring lived experience of managing mental challenges and addictions. I understand that our unique life experiences shape how we think, feel, and relate to the world and one another. Amazing things unfold when humans, together, face the problems of living with openness and kindness and without pressure to perform. This is the essence of therapy.
01736 808738 View 01736 808738
Photo of Paula Dishman, Psychotherapist, MSc, MUKCP
Paula Dishman
Psychotherapist, MSc, MUKCP
Exeter EX1
I am a very experienced and fully qualified psychotherapist, counsellor and supervisor based in both central Exeter and Broadclyst. I am accredited by the UKCP and hold an Msc in TA psychotherapy. With many years experience, I provide a confidential, and impartial space where you can talk about difficult thoughts or emotional issues. I specialise in working with my clients to improve their quality of life and relationships. My role in offering both counselling and psychotherapy is to help you make sense of what you are experiencing, develop the skills to know and accept yourself and to make changes that are right for you.
I am a very experienced and fully qualified psychotherapist, counsellor and supervisor based in both central Exeter and Broadclyst. I am accredited by the UKCP and hold an Msc in TA psychotherapy. With many years experience, I provide a confidential, and impartial space where you can talk about difficult thoughts or emotional issues. I specialise in working with my clients to improve their quality of life and relationships. My role in offering both counselling and psychotherapy is to help you make sense of what you are experiencing, develop the skills to know and accept yourself and to make changes that are right for you.
01392 531566 View 01392 531566
Photo of Renee Norris - Renee Norris Counselling, 1-2-1, Couples & 13+, Counsellor, MBACP
Clients generally come to me when they are struggling with some aspect of their emotions, thoughts or behaviour. My aim is to help my client with accepting or changing some aspect of these three areas. Every client comes with unique issues and from my seat I view the issues as one, "a block in the road to wellness". I am keenly aware that all clients come with individual goals and I am here to help. Many of my clients use the phrase “I just want to feel better". This is my hope for everyone who engages with me in therapy. “TO FEEL BETTER” I offer confidentiality, openness and transparency at all times.
Clients generally come to me when they are struggling with some aspect of their emotions, thoughts or behaviour. My aim is to help my client with accepting or changing some aspect of these three areas. Every client comes with unique issues and from my seat I view the issues as one, "a block in the road to wellness". I am keenly aware that all clients come with individual goals and I am here to help. Many of my clients use the phrase “I just want to feel better". This is my hope for everyone who engages with me in therapy. “TO FEEL BETTER” I offer confidentiality, openness and transparency at all times.
01392 531578 View 01392 531578
Photo of Virginia Bell, Psychologist, PsychD, HCPC - Clin. Psych.
Virginia Bell
Psychologist, PsychD, HCPC - Clin. Psych.
Exeter EX1
Clinical Psychologist offering online therapy for adults seeking support with trauma, emotional difficulties, unhealthy relationship patterns, and overall wellbeing. I provide a warm, collaborative, and non-judgemental space to help clients better understand themselves, process difficult experiences, and create meaningful change. My work is trauma-informed and focused on understanding how past experiences can shape current thoughts, emotions, relationships, and coping strategies
Clinical Psychologist offering online therapy for adults seeking support with trauma, emotional difficulties, unhealthy relationship patterns, and overall wellbeing. I provide a warm, collaborative, and non-judgemental space to help clients better understand themselves, process difficult experiences, and create meaningful change. My work is trauma-informed and focused on understanding how past experiences can shape current thoughts, emotions, relationships, and coping strategies
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Photo of Finn Buchanan, Counsellor, UKCP Trainee
Finn Buchanan
Counsellor, UKCP Trainee
2 Endorsed
Exeter EX4
The move towards seeking therapy is a big step, and one that can quite easily become daunting. There are numerous modalities, acronyms and approaches; finding the right one for you can be difficult. I aim to simplify this with my clients, by providing a grounded and present listening ear, backed up my the theory I have studied. As we get to know each other the approach you are looking for will generally become clearer. My training as an Integrative practitioner means I can draw upon various modalities, which I have found to be very helpful for 'meeting' the client exactly where they are at.
The move towards seeking therapy is a big step, and one that can quite easily become daunting. There are numerous modalities, acronyms and approaches; finding the right one for you can be difficult. I aim to simplify this with my clients, by providing a grounded and present listening ear, backed up my the theory I have studied. As we get to know each other the approach you are looking for will generally become clearer. My training as an Integrative practitioner means I can draw upon various modalities, which I have found to be very helpful for 'meeting' the client exactly where they are at.
0117 463 7129 View 0117 463 7129
Photo of George Petrou, Counsellor, MBACP Accred
George Petrou
Counsellor, MBACP Accred
Exeter EX4
I'm a relational integrative therapist meaning, the relationship is the therapy. It also means I use different types of therapy to meet your needs because, you are unique. Integrative therapy helps you become a more integrated whole person, better able to experience the entire range of your behaviour, emotions and thoughts as well as improving your relationship with yourself and others. Neuroplasticity continues throughout the lifespan which means that change and improvement in the way we feel is always possible and therapy is the best way to achieve this.
I'm a relational integrative therapist meaning, the relationship is the therapy. It also means I use different types of therapy to meet your needs because, you are unique. Integrative therapy helps you become a more integrated whole person, better able to experience the entire range of your behaviour, emotions and thoughts as well as improving your relationship with yourself and others. Neuroplasticity continues throughout the lifespan which means that change and improvement in the way we feel is always possible and therapy is the best way to achieve this.
01392 321107 View 01392 321107
Photo of Andrea Trotman, Counsellor, MBACP
Andrea Trotman
Counsellor, MBACP
1 Endorsed
Exeter EX1
Feeling overwhelmed, emotionally exhausted, or struggling to cope with daily life? I work with adults navigating ADHD, neurodiversity, addiction, anxiety, overwhelm, emotional regulation difficulties, and late diagnosis. Many clients come to me feeling stuck, misunderstood, burnt out, or unsure where to start. Using a supportive, trauma-informed, and ADHD-informed approach, I offer counselling and coaching to help clients better understand themselves, build on their strengths, and develop practical strategies for moving forward. Online and central Exeter sessions available.
Feeling overwhelmed, emotionally exhausted, or struggling to cope with daily life? I work with adults navigating ADHD, neurodiversity, addiction, anxiety, overwhelm, emotional regulation difficulties, and late diagnosis. Many clients come to me feeling stuck, misunderstood, burnt out, or unsure where to start. Using a supportive, trauma-informed, and ADHD-informed approach, I offer counselling and coaching to help clients better understand themselves, build on their strengths, and develop practical strategies for moving forward. Online and central Exeter sessions available.
01392 321857 View 01392 321857
Photo of Debbie Lavinchi - Two's-Talking Counselling & Supervision Service, Counsellor, MBACP
My name is Debbie and I am a registered therapist with BACP and NCPS. I offer counselling face to face, online or via a telephone service. I work with person/s over the age of eight years old. I can help you with stress, anxiety/depression, anger, bereavement, relationships, abuse and couple's therapy. I understand you want to see a therapist as soon as you make that decision to do so. I will validate your feelings and i will acknowledge how distressing you are experiencing your life right now. I want to help you and I aim to see you within 7 working days. My goal is to get you to where you want to be.
My name is Debbie and I am a registered therapist with BACP and NCPS. I offer counselling face to face, online or via a telephone service. I work with person/s over the age of eight years old. I can help you with stress, anxiety/depression, anger, bereavement, relationships, abuse and couple's therapy. I understand you want to see a therapist as soon as you make that decision to do so. I will validate your feelings and i will acknowledge how distressing you are experiencing your life right now. I want to help you and I aim to see you within 7 working days. My goal is to get you to where you want to be.
01392 690620 View 01392 690620
Photo of Jenny Liggins, Counsellor, MA, MBACP
Jenny Liggins
Counsellor, MA, MBACP
Online Only
All of us need to find resilience at times of stress, or just to deal with day to day issues that may cause us anxiety and impact on the quality of our lives. Life events such as bereavement or change affect us in different ways with no simple, right solutions. I offer a way to share and resolve issues within a non-judgemental therapeutic relationship.
All of us need to find resilience at times of stress, or just to deal with day to day issues that may cause us anxiety and impact on the quality of our lives. Life events such as bereavement or change affect us in different ways with no simple, right solutions. I offer a way to share and resolve issues within a non-judgemental therapeutic relationship.
01392 537148 View 01392 537148
Photo of Emil Fiederle, Psychotherapist, UKCP Trainee
Emil Fiederle
Psychotherapist, UKCP Trainee
2 Endorsed
Exeter EX4
I am a senior trainee psychotherapist offering individual psychotherapy from my practice in Exeter. I’m currently completing a Postgraduate Diploma in Mindfulness-based Core Process Psychotherapy. This approach uses mindfulness to help us slow down and connect with our present-moment experience - whether that’s challenging, joyful, or somewhere in between. By becoming more present, we can explore what we’re really feeling in our minds, bodies, and relationships. With the above in mind, my aim is to offer a safe, supportive space where you can bring whatever is arising for you.
I am a senior trainee psychotherapist offering individual psychotherapy from my practice in Exeter. I’m currently completing a Postgraduate Diploma in Mindfulness-based Core Process Psychotherapy. This approach uses mindfulness to help us slow down and connect with our present-moment experience - whether that’s challenging, joyful, or somewhere in between. By becoming more present, we can explore what we’re really feeling in our minds, bodies, and relationships. With the above in mind, my aim is to offer a safe, supportive space where you can bring whatever is arising for you.
01392 321048 View 01392 321048
Photo of Heather Beveridge, Counsellor, MSc, MNCPS Acc.
Heather Beveridge
Counsellor, MSc, MNCPS Acc.
Exeter EX1
Is your life overwhelming? Is your mental health suffering?Do you feel that you need to offload and share whatever difficulties you may be facing? Are you are looking for a counsellor or psychotherapist that actively listens and understands? I am an experienced mental health practitioners and here to help. Sometimes children and young people get stuck and need a little help too. I also have a great deal of experience working with children and young people. When your child is struggling, trying to get help can feel an impossible task. I offer creative therapy without the stress of a long waiting list.
Is your life overwhelming? Is your mental health suffering?Do you feel that you need to offload and share whatever difficulties you may be facing? Are you are looking for a counsellor or psychotherapist that actively listens and understands? I am an experienced mental health practitioners and here to help. Sometimes children and young people get stuck and need a little help too. I also have a great deal of experience working with children and young people. When your child is struggling, trying to get help can feel an impossible task. I offer creative therapy without the stress of a long waiting list.
01392 321603 View 01392 321603
Photo of Dr Jennifer Mbanu, Psychologist, HCPC - Clin. Psych.
Dr Jennifer Mbanu
Psychologist, HCPC - Clin. Psych.
Online Only
I offer compassionate, trauma-informed support for personal growth. I'll support you to recognise the ways in which trauma is impacting the ways you relate to yourself and others, and to also uncover new strengths and pathways for meaningful personal growth beyond the challenges you've experienced. I have often found that understanding people's diagnoses and symptoms as responses to what they have lived through is valuable in helping them shed the self-blame they might carry. Often, people find themselves stuck in cycles of behaviour that no longer serve them, yet feel at a loss for how to make meaningful change.
I offer compassionate, trauma-informed support for personal growth. I'll support you to recognise the ways in which trauma is impacting the ways you relate to yourself and others, and to also uncover new strengths and pathways for meaningful personal growth beyond the challenges you've experienced. I have often found that understanding people's diagnoses and symptoms as responses to what they have lived through is valuable in helping them shed the self-blame they might carry. Often, people find themselves stuck in cycles of behaviour that no longer serve them, yet feel at a loss for how to make meaningful change.
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Photo of Dr Laura S de Graaff, Psychotherapist, PhD, ACP
Dr Laura S de Graaff
Psychotherapist, PhD, ACP
1 Endorsed
Exeter EX4
I am a psychodynamic psychotherapist, specialising in work with infants, children and young people up to the age of 25; often alongside their parents or family. I work with a wide range of difficulties, offering evidence-based treatments through parent-child work, individual sessions, and parent-led work to improve emotional resilience, daily functioning, relationships, confidence and happiness. I work by attuning to individual needs, utilising play, exploration, and talk, at your pace to develop a shared understanding and approach to long-term improvement on personal goals through weekly 50 minute sessions, in Exeter.
I am a psychodynamic psychotherapist, specialising in work with infants, children and young people up to the age of 25; often alongside their parents or family. I work with a wide range of difficulties, offering evidence-based treatments through parent-child work, individual sessions, and parent-led work to improve emotional resilience, daily functioning, relationships, confidence and happiness. I work by attuning to individual needs, utilising play, exploration, and talk, at your pace to develop a shared understanding and approach to long-term improvement on personal goals through weekly 50 minute sessions, in Exeter.
01392 542473 View 01392 542473
Photo of Laura Jayne Sollis, Counsellor, MBACP
Laura Jayne Sollis
Counsellor, MBACP
Online Only
Do you feel stuck,anxious or overwhelmed?Maybe you're struggling with worry, low confidence or self esteem and it's impacting your life,leaving you feeling isolated and alone. It can be difficult to open up to friends or family for fear we may burden them or they will worry too much about us.This is were counselling can help,talking to someone who is there for you with compassion and judgement can make all the difference,I truly believe that a supportive,trusting counselling relationship is essential in helping you move towards the life you want.
Do you feel stuck,anxious or overwhelmed?Maybe you're struggling with worry, low confidence or self esteem and it's impacting your life,leaving you feeling isolated and alone. It can be difficult to open up to friends or family for fear we may burden them or they will worry too much about us.This is were counselling can help,talking to someone who is there for you with compassion and judgement can make all the difference,I truly believe that a supportive,trusting counselling relationship is essential in helping you move towards the life you want.
01363 720245 View 01363 720245
Photo of Bear Burns, Counsellor, MBACP
Bear Burns
Counsellor, MBACP
1 Endorsed
Exeter EX2
I offer a warm, informal and grounded presence where you'll be empowered to safely explore the issues affecting you right now. As an integrative therapist, I bring multiple therapeutic approaches to our sessions with down to earth realness, and gentle understanding.
I offer a warm, informal and grounded presence where you'll be empowered to safely explore the issues affecting you right now. As an integrative therapist, I bring multiple therapeutic approaches to our sessions with down to earth realness, and gentle understanding.
01647 403913 View 01647 403913
Photo of Charlotte Mizen, Psychotherapist, MSc, BPC
Charlotte Mizen
Psychotherapist, MSc, BPC
Exeter EX4
We all experience difficult and painful times in life which sometimes feel too hard or overwhelming to manage alone. I have trained and worked as a counsellor and latterly as a psychotherapist with over ten years of clinical experience in private practice, a local therapeutic institution, and as an honorary psychotherapist in the NHS. Depression, anxiety, stress, loss and separation are some of the more difficult issues we come up against in life which can seriously impact the way we live our lives. My approach is psychoanalytically oriented with a focus on increasing self understanding and deepening insight into emotional issues
We all experience difficult and painful times in life which sometimes feel too hard or overwhelming to manage alone. I have trained and worked as a counsellor and latterly as a psychotherapist with over ten years of clinical experience in private practice, a local therapeutic institution, and as an honorary psychotherapist in the NHS. Depression, anxiety, stress, loss and separation are some of the more difficult issues we come up against in life which can seriously impact the way we live our lives. My approach is psychoanalytically oriented with a focus on increasing self understanding and deepening insight into emotional issues
01392 573820 View 01392 573820
Photo of Tash Thomas-Still, Counsellor, MBACP
Tash Thomas-Still
Counsellor, MBACP
1 Endorsed
Exeter EX4
You may feel weighed down by trauma, grief, anxiety, or the impact of painful experiences that feel too heavy to carry alone. Perhaps you’re a survivor of abuse or violence, living with chronic illness, or struggling with relationships and self-worth. You may long for relief, understanding, and a supportive space where every part of you is accepted. Maybe you want to make sense of your story, process difficult memories, or discover new ways of coping. Together, we can explore your experiences, honour your strengths, and move toward clarity, resilience, renewed hope, and meaningful new possibilities for the future.
You may feel weighed down by trauma, grief, anxiety, or the impact of painful experiences that feel too heavy to carry alone. Perhaps you’re a survivor of abuse or violence, living with chronic illness, or struggling with relationships and self-worth. You may long for relief, understanding, and a supportive space where every part of you is accepted. Maybe you want to make sense of your story, process difficult memories, or discover new ways of coping. Together, we can explore your experiences, honour your strengths, and move toward clarity, resilience, renewed hope, and meaningful new possibilities for the future.
01392 542868 View 01392 542868
Photo of Anne Mattock, Counsellor, BACP
Anne Mattock
Counsellor, BACP
Exeter EX4
Are you struggling to make sense of your world, finding it difficult to get through your day? Do you feel out of step with everyone else? Are feeling alone and not sure what to do next? Have you had traumatic experiences that affect your present life? Do you have a feeling of impending doom that makes you wake up anxious? Do you want to self harm or end your life? Can you only manage by using drugs or alcohol? Do you have no one to understand or that you can talk to? Are you and your partner having problems connecting with and understanding each other. Do you need help to improve your communication and get back on the same page.
Are you struggling to make sense of your world, finding it difficult to get through your day? Do you feel out of step with everyone else? Are feeling alone and not sure what to do next? Have you had traumatic experiences that affect your present life? Do you have a feeling of impending doom that makes you wake up anxious? Do you want to self harm or end your life? Can you only manage by using drugs or alcohol? Do you have no one to understand or that you can talk to? Are you and your partner having problems connecting with and understanding each other. Do you need help to improve your communication and get back on the same page.
01392 321150 View 01392 321150
Photo of Helen Inman, Counsellor, MBACP
Helen Inman
Counsellor, MBACP
Exeter EX1
My clients are at the heart of every session, creating a welcoming, safe and relaxed atmosphere where communication can flow freely and openly. The most important thing is that you are comfortable, at ease and feel able to talk. I aim to help you see your challenges more clearly and to face the problems with less anxiety and tension. It can be an opportunity to think and speak your truth without fear of judgement. I am trained to incorporate techniques associated with Cognitive Behavioural Therapy, Gestalt Therapy, Guided Visualisation, Psycho-dynamic Therapy and Transactional Analysis amongst others into my work.
My clients are at the heart of every session, creating a welcoming, safe and relaxed atmosphere where communication can flow freely and openly. The most important thing is that you are comfortable, at ease and feel able to talk. I aim to help you see your challenges more clearly and to face the problems with less anxiety and tension. It can be an opportunity to think and speak your truth without fear of judgement. I am trained to incorporate techniques associated with Cognitive Behavioural Therapy, Gestalt Therapy, Guided Visualisation, Psycho-dynamic Therapy and Transactional Analysis amongst others into my work.
01458 552341 View 01458 552341
Photo of James Lilly - James Lilly Counselling, Counsellor, MBACP
James Lilly Counselling
Counsellor, MBACP
Online Only
Hi and welcome to something a bit different. Im an Integrative therapist with a Solutions-Focused approach. This means I integrate a variety of theories specific to a client's needs with a focus on finding tangible, workable solutions to problems. After years in Private practice, I noticed an increasing demand from clients looking for shorter-term, more intense therapy, to help quickly identify the route cause of their problems, understand how they are affecting their everyday lives and answer the question 'what can I do about it?, to help clients break free of the shackles holding them back from reaching their true potential.
Hi and welcome to something a bit different. Im an Integrative therapist with a Solutions-Focused approach. This means I integrate a variety of theories specific to a client's needs with a focus on finding tangible, workable solutions to problems. After years in Private practice, I noticed an increasing demand from clients looking for shorter-term, more intense therapy, to help quickly identify the route cause of their problems, understand how they are affecting their everyday lives and answer the question 'what can I do about it?, to help clients break free of the shackles holding them back from reaching their true potential.
01387 213653 View 01387 213653

See more therapy options for Exeter

Substance Use Counsellors
How do substance and drug recovery or rehabilitation programs work?
In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counsellors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.

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 substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.

Are there specific medications for substance and drug use?
There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.