Substance Use Counselling in London
Are you struggling with alcohol or substance use, behavioural addictions, pornography use, or compulsive sexual behaviours that feel increasingly hard to control?
Sessions are individually tailored, drawing on psychodynamic insight, relapse-prevention strategies, and, where helpful, art psychotherapy techniques. This integrative approach offers a safe and effective space to explore patterns, strengthen coping skills, and move toward deeper understanding, sustainable change, and lasting recovery.
Are you struggling with alcohol or substance use, behavioural addictions, pornography use, or compulsive sexual behaviours that feel increasingly hard to control?
Sessions are individually tailored, drawing on psychodynamic insight, relapse-prevention strategies, and, where helpful, art psychotherapy techniques. This integrative approach offers a safe and effective space to explore patterns, strengthen coping skills, and move toward deeper understanding, sustainable change, and lasting recovery.
Sometimes it’s hard to find our place in the world and we feel broken, lost or alone. These feelings often lie at the root of anxiety, depression, addiction, shame, and other issues. The antidote is connection. •••
Hi, I’m Steve. I’m a fully qualified and MBACP registered integrative counsellor. I have practised as a counsellor for over 10 years, with over 30 years working in health and social care, including as a clinical manager, lecturer and addiction treatment program manager. I work theraputically with anger, shame, addiction, depression, anxiety, stress, bereavement, spiritual concerns, relationship problems and other issues.
Sometimes it’s hard to find our place in the world and we feel broken, lost or alone. These feelings often lie at the root of anxiety, depression, addiction, shame, and other issues. The antidote is connection. •••
Hi, I’m Steve. I’m a fully qualified and MBACP registered integrative counsellor. I have practised as a counsellor for over 10 years, with over 30 years working in health and social care, including as a clinical manager, lecturer and addiction treatment program manager. I work theraputically with anger, shame, addiction, depression, anxiety, stress, bereavement, spiritual concerns, relationship problems and other issues.
Welcome! I'm Fiona, a qualified and experienced therapist specialising in working with adults, couples, young people and children. My goal is to help individuals navigate life’s challenges and find a path to well-being. I offer a compassionate, non-judgmental space where you can safely explore your thoughts, feelings, and experiences at your own pace. I understand that everyone’s journey is unique, and I tailor my approach to meet your specific needs. Whether you're grappling with anxiety, depression, relationship difficulties, or simply feeling stuck, I'm here to support you in gaining clarity and achieving personal growth.
Welcome! I'm Fiona, a qualified and experienced therapist specialising in working with adults, couples, young people and children. My goal is to help individuals navigate life’s challenges and find a path to well-being. I offer a compassionate, non-judgmental space where you can safely explore your thoughts, feelings, and experiences at your own pace. I understand that everyone’s journey is unique, and I tailor my approach to meet your specific needs. Whether you're grappling with anxiety, depression, relationship difficulties, or simply feeling stuck, I'm here to support you in gaining clarity and achieving personal growth.
I am an experienced psychotherapist in private practise, as well as teaching faculty on foundation and advanced counselling courses in Exeter, UK.
I firmly believe that we are fundamentally relational beings, ones that need security, understanding & care above all else. Real change comes not from trying to fix thinking patterns, self-concepts or the past, but in shifting relational dynamics in the here and now and finding new ways of being with another. This is what I focus on in therapy with my clients,
I am an experienced psychotherapist in private practise, as well as teaching faculty on foundation and advanced counselling courses in Exeter, UK.
I firmly believe that we are fundamentally relational beings, ones that need security, understanding & care above all else. Real change comes not from trying to fix thinking patterns, self-concepts or the past, but in shifting relational dynamics in the here and now and finding new ways of being with another. This is what I focus on in therapy with my clients,
I am a professional addiction recovery coach and therapist. I specialise in helping individuals help themselves within their journey. If you're thinking about change, feeling lost where you are now, or looking to recharge in the long term, I'm here to support you. Recovery is a period of change. It's not a destination but a process, and whatever stage you're at, support is available. My approach combines my own lived experience with professional training and qualifications. This means I understand both the emotional and practical challenges you're facing.
I am a professional addiction recovery coach and therapist. I specialise in helping individuals help themselves within their journey. If you're thinking about change, feeling lost where you are now, or looking to recharge in the long term, I'm here to support you. Recovery is a period of change. It's not a destination but a process, and whatever stage you're at, support is available. My approach combines my own lived experience with professional training and qualifications. This means I understand both the emotional and practical challenges you're facing.
Hello and welcome. My name is Katherine Coates and I am a qualified Person Centred therapist. My journey to become a qualified counsellor started after I entered therapy myself so am well aware of how terrifying taking the first steps in asking for help can be. Therefore, I aim to offer a safe space where you feel accepted and valued enough that you can reveal your vulnerabilities without fear of judgement.
Hello and welcome. My name is Katherine Coates and I am a qualified Person Centred therapist. My journey to become a qualified counsellor started after I entered therapy myself so am well aware of how terrifying taking the first steps in asking for help can be. Therefore, I aim to offer a safe space where you feel accepted and valued enough that you can reveal your vulnerabilities without fear of judgement.
She works clinically in the NHS treating substance use disorder and co-occurring mental health disorders.
Gemma believes that two of the most important elements to effective psychological treatment is feeling safe and being able to trust your therapist. Therefore, her priority is to offer a therapeutic approach and space that remains patient-centred, warm and non-judgemental throughout your treatment with her. She will work collaboratively with you to understand your specific needs, your current difficulties and what keeps these difficulties going. Drawing on your strengths and the current evidence-base to help design a treatment plan that creates meaningful change and meets your specific goals.
She works clinically in the NHS treating substance use disorder and co-occurring mental health disorders.
Gemma believes that two of the most important elements to effective psychological treatment is feeling safe and being able to trust your therapist. Therefore, her priority is to offer a therapeutic approach and space that remains patient-centred, warm and non-judgemental throughout your treatment with her. She will work collaboratively with you to understand your specific needs, your current difficulties and what keeps these difficulties going. Drawing on your strengths and the current evidence-base to help design a treatment plan that creates meaningful change and meets your specific goals.
The people I work with come from dysfunctional families where their needs, physical or emotional, were neglected or abused. This may result in addictions, and relationships difficulties. Codependents might try to support another or others while lacking the support they themselves need. A client wrote about our work together: "Yveline really helped me look at things that were holding me back in my life, & in a supportive way, helped me process them and understand how they impacted my life. I didn't know how much I needed this till I made a breakthrough and things made sense. I feel much better, with a clearer vision of my future."
The people I work with come from dysfunctional families where their needs, physical or emotional, were neglected or abused. This may result in addictions, and relationships difficulties. Codependents might try to support another or others while lacking the support they themselves need. A client wrote about our work together: "Yveline really helped me look at things that were holding me back in my life, & in a supportive way, helped me process them and understand how they impacted my life. I didn't know how much I needed this till I made a breakthrough and things made sense. I feel much better, with a clearer vision of my future."
Even if everything seems fine from the outside, do you sometimes feel restless, anxious, or exhausted? Sleepless nights, overwhelming emotions, sudden anger, or feeling stuck in unhealthy cycles are often reflections of past experiences showing up in the present. Many of the clients I work with don’t always call what they’ve been through “trauma,” yet they describe feeling its effects every single day. Have you ever stopped at some point in your life and asked yourself, “Do I have to keep going like this?”
Even if everything seems fine from the outside, do you sometimes feel restless, anxious, or exhausted? Sleepless nights, overwhelming emotions, sudden anger, or feeling stuck in unhealthy cycles are often reflections of past experiences showing up in the present. Many of the clients I work with don’t always call what they’ve been through “trauma,” yet they describe feeling its effects every single day. Have you ever stopped at some point in your life and asked yourself, “Do I have to keep going like this?”
Hello, my name is Austin and I work as an integrative therapist worldwide via internet platforms including Skype and Zoom. I’ve received lots of therapy over the years when I have been struggling to cope with difficult situations and also when seeking to understand myself a bit better, it really helped. If you are going through a similar stage in life and are looking for someone to talk to in complete confidence, without judgment and at a pace that suits you then I can help.
Hello, my name is Austin and I work as an integrative therapist worldwide via internet platforms including Skype and Zoom. I’ve received lots of therapy over the years when I have been struggling to cope with difficult situations and also when seeking to understand myself a bit better, it really helped. If you are going through a similar stage in life and are looking for someone to talk to in complete confidence, without judgment and at a pace that suits you then I can help.
I am understanding, patient, empathetic, friendly and I have good listening skills. During counselling sessions, I understands my clients’ thoughts and emotions, as well as ongoing issues that they may be having through an integrative approach. This is done by facilitating them to replace negative thoughts with positive thoughts which would in turn help them to feel and act positively. I also help the client to identify their strengths and weaknesses. My aim to build independence, empowerment and self-love in my clients.
I am understanding, patient, empathetic, friendly and I have good listening skills. During counselling sessions, I understands my clients’ thoughts and emotions, as well as ongoing issues that they may be having through an integrative approach. This is done by facilitating them to replace negative thoughts with positive thoughts which would in turn help them to feel and act positively. I also help the client to identify their strengths and weaknesses. My aim to build independence, empowerment and self-love in my clients.
Is there something troubling you? Something upsetting you? Something making you sad, anxious, angry, fearful, lonely or unheard? Have you lost someone you love or lost direction? Or is it something inside that you can’t fathom out, but is affecting your life? These feelings and many others are ones we all face during our lives and when they remain unaddressed they can lead to anxiety, depression, addiction, relationship problems, work issues, loss of self-confidence and self-esteem, or simply a feeling of being stuck. The good news is that therapy can help you explore one's issues you in a safe, caring and confidential space.
Is there something troubling you? Something upsetting you? Something making you sad, anxious, angry, fearful, lonely or unheard? Have you lost someone you love or lost direction? Or is it something inside that you can’t fathom out, but is affecting your life? These feelings and many others are ones we all face during our lives and when they remain unaddressed they can lead to anxiety, depression, addiction, relationship problems, work issues, loss of self-confidence and self-esteem, or simply a feeling of being stuck. The good news is that therapy can help you explore one's issues you in a safe, caring and confidential space.
Specialising in anxiety, stress, depression, addiction, anger, trauma, relationships, life stage challenges, sexuality issues, and neurodiversity.
I have worked with a wide variety of diverse clients on issues ranging from exploring and expressing identity, cultural challenges, polyamory, kink, body image and issues around race, gender, sexuality and masculinity.
I was previously an entrepreneur, coach and business director and also work with people who are facing challenges around meaning, purpose and direction in life.
I work with adults and young people. I also offer therapy in Urdu and Hindi.
Specialising in anxiety, stress, depression, addiction, anger, trauma, relationships, life stage challenges, sexuality issues, and neurodiversity.
I have worked with a wide variety of diverse clients on issues ranging from exploring and expressing identity, cultural challenges, polyamory, kink, body image and issues around race, gender, sexuality and masculinity.
I was previously an entrepreneur, coach and business director and also work with people who are facing challenges around meaning, purpose and direction in life.
I work with adults and young people. I also offer therapy in Urdu and Hindi.
Hello there and welcome to my profile. Clients are always welcome to bring any issue to therapy, no matter how big or small they may feel it is and would like support with their issue. They have a desire for change. They've come to therapy because they would like to explore, understand themselves better, their issue and the emotions surrounding it. To process what is or has happened. To make a real lasting impact. I offer a competitive rate because I truly believe that therapy should be as accessible as possible.
Hello there and welcome to my profile. Clients are always welcome to bring any issue to therapy, no matter how big or small they may feel it is and would like support with their issue. They have a desire for change. They've come to therapy because they would like to explore, understand themselves better, their issue and the emotions surrounding it. To process what is or has happened. To make a real lasting impact. I offer a competitive rate because I truly believe that therapy should be as accessible as possible.
I am great at supporting people to grow and heal, to access the most fully functioning version of themselves.
You may have a difficult past, problems in the present or fear about the future. You'll need to feel safe to speak about deep feelings and it can take a little time for this trust to develop. It will help if you are willing to be kind to yourself and to explore ways to say the things that feel most difficult or scary.
It can be useful to try to be curious about yourself, to notice and name thoughts and feelings as they arise, I will engage with care and without judgment.
I am great at supporting people to grow and heal, to access the most fully functioning version of themselves.
You may have a difficult past, problems in the present or fear about the future. You'll need to feel safe to speak about deep feelings and it can take a little time for this trust to develop. It will help if you are willing to be kind to yourself and to explore ways to say the things that feel most difficult or scary.
It can be useful to try to be curious about yourself, to notice and name thoughts and feelings as they arise, I will engage with care and without judgment.
I am a counsellor and psychotherapist who is interested in helping clients find a sense of meaning and purpose in their lives, coping with anxiety and depression and helping them find more fulfilling relationships. I enjoy working with people who feel like 'outsiders', and also have a wealth of experience in working with addictions and integrating disturbing experiences - including clients who want to integrate experiences with psychedelic substances, or have recovered from psychosis. I am also interested in working with people who have been in relationships which have been abusive, helping them to learn to move forward into new more healthy relationships.
I am a counsellor and psychotherapist who is interested in helping clients find a sense of meaning and purpose in their lives, coping with anxiety and depression and helping them find more fulfilling relationships. I enjoy working with people who feel like 'outsiders', and also have a wealth of experience in working with addictions and integrating disturbing experiences - including clients who want to integrate experiences with psychedelic substances, or have recovered from psychosis. I am also interested in working with people who have been in relationships which have been abusive, helping them to learn to move forward into new more healthy relationships.
I understand that seeking help can be a difficult decision and I believe that everyone deserves to live a fulfilling and meaningful life which I am committed to assisting you achieve. I am here to help you on your journey towards self-discovery, healing and personal transformation and together we can work towards creating a life that is aligned with your values, goals and aspirations.
I understand that seeking help can be a difficult decision and I believe that everyone deserves to live a fulfilling and meaningful life which I am committed to assisting you achieve. I am here to help you on your journey towards self-discovery, healing and personal transformation and together we can work towards creating a life that is aligned with your values, goals and aspirations.
Are you struggling with addiction, out of control sexual behaviour or compulsivity? Are your behaviours spiralling out of control and you are fearful of what this may cost you? Are you facing relationship issues, fears about your sexual health and safety, work issues, anxiety, depression, trauma or legal action?
As a UKCP registered Psychotherapist and COSRT accredited Clinical Sexologist I have specialised for 14 years in compulsive sexual behaviour, substance misuse and complex mental health concerns, helping my clients toward a path of recovery, rebuilding self esteem, healthy behaviours and better relationships.
Are you struggling with addiction, out of control sexual behaviour or compulsivity? Are your behaviours spiralling out of control and you are fearful of what this may cost you? Are you facing relationship issues, fears about your sexual health and safety, work issues, anxiety, depression, trauma or legal action?
As a UKCP registered Psychotherapist and COSRT accredited Clinical Sexologist I have specialised for 14 years in compulsive sexual behaviour, substance misuse and complex mental health concerns, helping my clients toward a path of recovery, rebuilding self esteem, healthy behaviours and better relationships.
People often come to me when they are feeling stuck, overwhelmed, or disconnected. They may be facing difficulties in their relationships, going through major life changes, struggling with complex emotional pain, looking to better understand themselves and experience greater stability and emotional well-being in their life.
People often come to me when they are feeling stuck, overwhelmed, or disconnected. They may be facing difficulties in their relationships, going through major life changes, struggling with complex emotional pain, looking to better understand themselves and experience greater stability and emotional well-being in their life.
I often work with people who are coming to terms with past trauma, or who are unsatisfied with their lives. Perhaps you find yourself repeating the same patterns over and over, or perhaps you struggle to identify and express your feelings.
I offer an open minded space to think together and understand what is happening for you, and how you might go about changing things. I am interested in the ways in which our environment affects us, and pay attention to the impact of class, racialisation, disability, migration status, gender, etc.
I work with all kinds of people, including lgbtq+ people, and I am trans affirmative.
I often work with people who are coming to terms with past trauma, or who are unsatisfied with their lives. Perhaps you find yourself repeating the same patterns over and over, or perhaps you struggle to identify and express your feelings.
I offer an open minded space to think together and understand what is happening for you, and how you might go about changing things. I am interested in the ways in which our environment affects us, and pay attention to the impact of class, racialisation, disability, migration status, gender, etc.
I work with all kinds of people, including lgbtq+ people, and I am trans affirmative.
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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.