Alcohol Use Therapists in Highlands, NC

Photo of Dana E Mills, Licensed Professional Counselor in Highlands, NC
Dana E Mills
Licensed Professional Counselor, LCMHC, LCAS, CCS
Verified Verified
1 Endorsed
Highlands, NC 28741
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
Everyone faces difficulties in life at some point and can use discreet, compassionate, non-judgemental support to develop strategies to manage and overcome those difficulties. No single therapeutic approach can treat every individual. I believe that recovery and improvement are possible for everyone. Therapy helps find solutions that foster a sense of personal empowerment to make choices in your own recovery. My therapeutic approach focuses on an individual's strengths to engage in their life. Learn skills to help manage and treat anxiety, depression, mood and personality disorders, substance use issues, and trauma resolution.
(828) 634-4378 View (828) 634-4378

More Therapists Nearby

Photo of Deborah L Rasso, Counselor in Highlands, NC
Deborah L Rasso
Counselor, MS, LMHC, MCAP, NCC, LCMHC
Verified Verified
Otto, NC 28763  (Online Only)
Every new day is a chance to change your life. My job as a counselor is to help you make the change in your life that will bring you to a better place. Whether you are struggling with anxiety, depression, relationship issues or having problems with adjustment to any new life situation, things can get better with help through counseling. I have a special fondness for working with people who struggle with addictions (drug, alcohol, gambling, eating, etc). Addictions are a coping skill that can be replaced with more healthy choices. Working together we will find a better way!
Every new day is a chance to change your life. My job as a counselor is to help you make the change in your life that will bring you to a better place. Whether you are struggling with anxiety, depression, relationship issues or having problems with adjustment to any new life situation, things can get better with help through counseling. I have a special fondness for working with people who struggle with addictions (drug, alcohol, gambling, eating, etc). Addictions are a coping skill that can be replaced with more healthy choices. Working together we will find a better way!
(561) 308-4774 View (561) 308-4774

Online Therapists

Photo of Denise C Johnson, Licensed Clinical Mental Health Counselor in Highlands, NC
Denise C Johnson
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, LPC, CCMHC, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
I have dedicated my professional career to supporting adult women struggling with alcohol use, anxiety, low self-worth, and life transitions.
Have you ever said “ I will never drink again” only to find yourself drinking again? Do you find yourself hiding bottles? Going to different stores each day to buy alcohol? Does your drinking cause shame and guilt? Are you feeling isolated, alone, misunderstood? Are you stuck in the same patterns of behavior? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, then you have made the right choice by being here. Together we can work to help equip you with the necessary tools to help you face and overcome your challenges.
I have dedicated my professional career to supporting adult women struggling with alcohol use, anxiety, low self-worth, and life transitions.
Have you ever said “ I will never drink again” only to find yourself drinking again? Do you find yourself hiding bottles? Going to different stores each day to buy alcohol? Does your drinking cause shame and guilt? Are you feeling isolated, alone, misunderstood? Are you stuck in the same patterns of behavior? Have you tried to solve the problems in your life on your own and realized you need help from someone else? If you answered yes to any of these questions, then you have made the right choice by being here. Together we can work to help equip you with the necessary tools to help you face and overcome your challenges.
(828) 332-5298 View (828) 332-5298
Photo of Bill Lane, Counselor in Highlands, NC
Bill Lane
Counselor, EdS, MAC, CSAT
Verified Verified
Asheville, NC 28804
I specialize in trauma resolution therapy: my practice focuses on resolving painful issues from the past that keep you stuck in repetitive cycles of negative behaviors. Do you ever ask your self "Why can't I just stop doing that?" or "Why do I keep attracting the same negative people in my life, over and over again?" I provide an atmosphere of safety and attuned communication where we are able to address both conscious and unconscious issues in order to uncouple traumatic events that have overwhelmed the mind and body, allowing healing to occur.
I specialize in trauma resolution therapy: my practice focuses on resolving painful issues from the past that keep you stuck in repetitive cycles of negative behaviors. Do you ever ask your self "Why can't I just stop doing that?" or "Why do I keep attracting the same negative people in my life, over and over again?" I provide an atmosphere of safety and attuned communication where we are able to address both conscious and unconscious issues in order to uncouple traumatic events that have overwhelmed the mind and body, allowing healing to occur.
(404) 492-6684 View (404) 492-6684
Photo of Dona Menz, Lic Clinical Mental Health Counselor Supervisor in Highlands, NC
Dona Menz
Lic Clinical Mental Health Counselor Supervisor, MS, LCMHCS , LCAS
Verified Verified
Asheville, NC 28801
Waitlist for new clients
Are you ready to heal old conditioning and live a life of conscious awareness? Do you practice presence and find life’s challenges, internal and external, derail your experience of oneness and wholeness? Often difficult feelings and thoughts contain the seeds to grow the full expression of our consciousness, our true nature. Traditional and non-traditional therapeutic modalities worked for me and can work for you in healing old conditioned thinking and fears to move through this challenging time and live life from your natural state. Your challenges are here for you not against you, a beacon to guide you home.
Are you ready to heal old conditioning and live a life of conscious awareness? Do you practice presence and find life’s challenges, internal and external, derail your experience of oneness and wholeness? Often difficult feelings and thoughts contain the seeds to grow the full expression of our consciousness, our true nature. Traditional and non-traditional therapeutic modalities worked for me and can work for you in healing old conditioned thinking and fears to move through this challenging time and live life from your natural state. Your challenges are here for you not against you, a beacon to guide you home.
(828) 575-5024 View (828) 575-5024
Photo of Angela Buchanan, Clinical Social Work/Therapist in Highlands, NC
Angela Buchanan
Clinical Social Work/Therapist, LCSW-A, LCAS
Verified Verified
2 Endorsed
Hendersonville, NC 28791
Life is full, complicated, amazing and sometimes we get a curve ball thrown our way. Though each of us possess the tools and wisdom of healing, it is during those curve balls that we need someone to point out our strength and resilience. As a counselor, I am that someone with a bag of tools to help. You decide where we go, what you want out of counseling, and choose what tools you will use. Those times may come from parenting, substance use, hurting those we love, burn out, anxiety, transition, the world around us, not being able to be who we fully are, and questioning life.
Life is full, complicated, amazing and sometimes we get a curve ball thrown our way. Though each of us possess the tools and wisdom of healing, it is during those curve balls that we need someone to point out our strength and resilience. As a counselor, I am that someone with a bag of tools to help. You decide where we go, what you want out of counseling, and choose what tools you will use. Those times may come from parenting, substance use, hurting those we love, burn out, anxiety, transition, the world around us, not being able to be who we fully are, and questioning life.
(828) 414-2982 View (828) 414-2982
Photo of Matt Fuenfhausen, Licensed Clinical Mental Health Counselor in Highlands, NC
Matt Fuenfhausen
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCSI
Verified Verified
1 Endorsed
Asheville, NC 28803
I live and practice by a radical notion: Being heard by another heals us, not just emotionally but intellectually and physically as well. “Heard” isn't simply conversing with peers, sharing memories with loved ones, or listening to a friend’s embarrassing anecdote. Being heard is to be recognized and validated, not just verbally but through another’s objective presence: “I see you. I hear you. I am holding this space just for you, not in spite of what you think of as failures or short-comings rather, because of your innate, complicated humanity with all its joy and sorrow, glory and shame, accomplishment and frustration.
I live and practice by a radical notion: Being heard by another heals us, not just emotionally but intellectually and physically as well. “Heard” isn't simply conversing with peers, sharing memories with loved ones, or listening to a friend’s embarrassing anecdote. Being heard is to be recognized and validated, not just verbally but through another’s objective presence: “I see you. I hear you. I am holding this space just for you, not in spite of what you think of as failures or short-comings rather, because of your innate, complicated humanity with all its joy and sorrow, glory and shame, accomplishment and frustration.
(828) 330-8626 View (828) 330-8626
Photo of Abby Hearne, Clinical Social Work/Therapist in Highlands, NC
Abby Hearne
Clinical Social Work/Therapist, MSW, LCSWA, LCASA
Verified Verified
2 Endorsed
Asheville, NC 28803
Waitlist for new clients
Tell me if this sounds like you: You are beginning to recognize patterns that are harmful to you, maybe unhealthy relationship dynamics, ways you abandon yourself and your needs in order to meet the needs of others, a pattern of constantly being let down by yourself and a lack of ability to advocate for your own needs, negative self-talk? You can see these patterns, but you don't know how to stop them from repeating over again. If you are in a space of being ready to start choosing yourself and prioritizing your own care, we may be a great fit to do this work together, as a team. I love supporting this process.
Tell me if this sounds like you: You are beginning to recognize patterns that are harmful to you, maybe unhealthy relationship dynamics, ways you abandon yourself and your needs in order to meet the needs of others, a pattern of constantly being let down by yourself and a lack of ability to advocate for your own needs, negative self-talk? You can see these patterns, but you don't know how to stop them from repeating over again. If you are in a space of being ready to start choosing yourself and prioritizing your own care, we may be a great fit to do this work together, as a team. I love supporting this process.
(828) 471-4575 View (828) 471-4575
Photo of Katherine Therrell, Licensed Professional Counselor in Highlands, NC
Katherine Therrell
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
3 Endorsed
Arden, NC 28704
My clients are adults, adolescents, and children who need help coping with anxiety, depression, anger, trauma, abuse, educational/employment situations, family dynamics, or other problems impacting their mental health. Though I practice Cognative Behavioral Therapy, I employ a variety of methods including "talk therapy", EMDR, sand therapy, and play therapy, depending upon individual need. I strive to provide unconditional acceptance and support to my clients as they work to achieve their counseling goals. I accept Medicaid and most private insurance.
My clients are adults, adolescents, and children who need help coping with anxiety, depression, anger, trauma, abuse, educational/employment situations, family dynamics, or other problems impacting their mental health. Though I practice Cognative Behavioral Therapy, I employ a variety of methods including "talk therapy", EMDR, sand therapy, and play therapy, depending upon individual need. I strive to provide unconditional acceptance and support to my clients as they work to achieve their counseling goals. I accept Medicaid and most private insurance.
(828) 565-1925 View (828) 565-1925
Photo of Mollie M. Pleetanino, Psychologist in Highlands, NC
Mollie M. Pleetanino
Psychologist, PsyD
Verified Verified
1 Endorsed
Weaverville, NC 28787  (Online Only)
Waitlist for new clients
The journey towards loving ourselves can be painful and confusing. Whether you are dealing with daily stress, historical trauma, or challenging life transitions, I am here to support you. I specialize in helping people navigate addictions, mood disorders, traumatic stress, and psychedelic medicine use by helping them to explore their patterns and cultivate greater meaning in their lives. My therapy takes a nonjudgmental, spiritually oriented focus. Through guiding my clients to approach themselves in more open and honest ways, I help them uncover their core needs so that they may lead lives that feel vibrant and fulfilling.
The journey towards loving ourselves can be painful and confusing. Whether you are dealing with daily stress, historical trauma, or challenging life transitions, I am here to support you. I specialize in helping people navigate addictions, mood disorders, traumatic stress, and psychedelic medicine use by helping them to explore their patterns and cultivate greater meaning in their lives. My therapy takes a nonjudgmental, spiritually oriented focus. Through guiding my clients to approach themselves in more open and honest ways, I help them uncover their core needs so that they may lead lives that feel vibrant and fulfilling.
(415) 702-4796 View (415) 702-4796
Bo Hess
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
Asheville, NC 28801
"We are all just walking each other home." - Rumi Hello, I am Bo. I am a licensed psychotherapist, licensed clinical addiction specialist, and psychiatric social worker. Thank you for considering me as your clinician. I understand it is difficult to reach out for help. Right now, you may be navigating feelings of shame, embarrassment, and anger. I want you to know, I have been there too, in the middle of the storm, darkness all around. Sometimes in life and in our relationships we all can become "stuck".
"We are all just walking each other home." - Rumi Hello, I am Bo. I am a licensed psychotherapist, licensed clinical addiction specialist, and psychiatric social worker. Thank you for considering me as your clinician. I understand it is difficult to reach out for help. Right now, you may be navigating feelings of shame, embarrassment, and anger. I want you to know, I have been there too, in the middle of the storm, darkness all around. Sometimes in life and in our relationships we all can become "stuck".
(828) 759-5354 View (828) 759-5354
Photo of Flowstate Therapy, Clinical Social Work/Therapist in Highlands, NC
Flowstate Therapy
Clinical Social Work/Therapist, LCSWA, LCAS
Verified Verified
1 Endorsed
Asheville, NC 28803
I know it is a challenge finding a therapist to fit your individual needs and the process can be exhausting. So I wanted to say thank you for putting in the effort for yourself and looking at my profile. I work with a variety of mental health disorders ranging from anxiety and depression, to substance use, to severe and persistent mental illness. I believe that each client deep down has their own answers and I work partner with and empower each client to find their true self. I incorporate a variety of modalities ranging from Internal Family Systems to Cognitive Behavioral Therapy to help clients explore and achieve their goals.
I know it is a challenge finding a therapist to fit your individual needs and the process can be exhausting. So I wanted to say thank you for putting in the effort for yourself and looking at my profile. I work with a variety of mental health disorders ranging from anxiety and depression, to substance use, to severe and persistent mental illness. I believe that each client deep down has their own answers and I work partner with and empower each client to find their true self. I incorporate a variety of modalities ranging from Internal Family Systems to Cognitive Behavioral Therapy to help clients explore and achieve their goals.
(828) 360-8251 View (828) 360-8251
Photo of Sean Jarman, Lic Clinical Mental Health Counselor Supervisor in Highlands, NC
Sean Jarman
Lic Clinical Mental Health Counselor Supervisor, MEd, LCMHCS, CPC, CLP
Verified Verified
Asheville, NC 28803
Life not working for you? Are you dealing with issues that are causing emotional pain and suffering in your life? I can help you! These issues might include Anger, Anxiety, Depression, Addiction, Post Traumatic Stress Disorder, ADHD and Divorce. With my 30 years of experience, I can help you find VALUE in your life again. My practice includes EMDR and Low Energy Neurofeedback (LENS): This provides direct treatment to unblock suppression in the brain's bio-electrical system. This is brief and non-invasive. THE RESET FOR YOUR BRAIN!! Check out www.ochslabs.com I Also provide supervision for LCMHCA's.
Life not working for you? Are you dealing with issues that are causing emotional pain and suffering in your life? I can help you! These issues might include Anger, Anxiety, Depression, Addiction, Post Traumatic Stress Disorder, ADHD and Divorce. With my 30 years of experience, I can help you find VALUE in your life again. My practice includes EMDR and Low Energy Neurofeedback (LENS): This provides direct treatment to unblock suppression in the brain's bio-electrical system. This is brief and non-invasive. THE RESET FOR YOUR BRAIN!! Check out www.ochslabs.com I Also provide supervision for LCMHCA's.
(828) 395-4094 View (828) 395-4094
Photo of Hunter Waldrop, Clinical Social Work/Therapist in Highlands, NC
Hunter Waldrop
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hendersonville, NC 28791
Change can be difficult. Therapy provides support as you adapt to life's countless changes and curveballs. As a clinical social worker, I have spent time working alongside teens, young adults, and adults as they work through issues varying from hospitalization to exploring substance use and its effects on daily life, behavioral issues, and family conflict. I draw extensively from Maslow's hierarchy of needs and help clients explore their immediate basic needs and safety while addressing love and belonging, self-esteem, and spiritual aspects of daily life.
Change can be difficult. Therapy provides support as you adapt to life's countless changes and curveballs. As a clinical social worker, I have spent time working alongside teens, young adults, and adults as they work through issues varying from hospitalization to exploring substance use and its effects on daily life, behavioral issues, and family conflict. I draw extensively from Maslow's hierarchy of needs and help clients explore their immediate basic needs and safety while addressing love and belonging, self-esteem, and spiritual aspects of daily life.
(828) 622-4797 View (828) 622-4797
Photo of Mountain Wellness Therapy, PLLC, Clinical Social Work/Therapist in Highlands, NC
Mountain Wellness Therapy, PLLC
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Sylva, NC 28779
Waitlist for new clients
Everyone goes through hard times. Whether this is your first time, or it feels like it has been a lifetime, I specialize in helping adults who have found various challenges like anxiety and depression, substance use, or trauma (often a combination) to be sources of distress and suffering. I come from a place of understanding, not judgment. Being able to feel safe, heard, and understood are important parts of creating positive change and healing. I partner with you to create the goals you want to see come from our work together, and I use evidenced based methods to help you move forward in those directions.
Everyone goes through hard times. Whether this is your first time, or it feels like it has been a lifetime, I specialize in helping adults who have found various challenges like anxiety and depression, substance use, or trauma (often a combination) to be sources of distress and suffering. I come from a place of understanding, not judgment. Being able to feel safe, heard, and understood are important parts of creating positive change and healing. I partner with you to create the goals you want to see come from our work together, and I use evidenced based methods to help you move forward in those directions.
(828) 268-3768 View (828) 268-3768
Photo of Asheville Counseling & Wellness Center, Licensed Clinical Mental Health Counselor in Highlands, NC
Asheville Counseling & Wellness Center
Licensed Clinical Mental Health Counselor, MS, LPC, BCN, CCMHC
Verified Verified
1 Endorsed
Asheville, NC 28803
The staff and clinicians at Asheville Counseling & Wellness Center are dedicated to improving the quality of life of our Clients. We offer a multitude of treatment modalities in order to provide the best care possible. Our clients can expect to receive effective and efficient treatments, while we provide the best possible client/clinician experience. Our focus is helping the public achieve health, healing and well-being. We look forward to working with you and your family.
The staff and clinicians at Asheville Counseling & Wellness Center are dedicated to improving the quality of life of our Clients. We offer a multitude of treatment modalities in order to provide the best care possible. Our clients can expect to receive effective and efficient treatments, while we provide the best possible client/clinician experience. Our focus is helping the public achieve health, healing and well-being. We look forward to working with you and your family.
(828) 482-0346 View (828) 482-0346
Photo of Jillian Beth Foster, Clinical Social Work/Therapist in Highlands, NC
Jillian Beth Foster
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
2 Endorsed
Asheville, NC 28803
I offer individual, couples and family Psychotherapy and Life Coaching. I would like to join with you in creating a life that brings you as much joy as possible, and to help you remove the barriers that have blocked your heart from flowing. It is my passion to create a safe space for you to experience deep heart, mind and soul healing. I would like to join together with you to tune in and trust your natural instincts, the wisdom of your organism, to flow into a more free, joyful, fulfilling, authentic, wildly wonderful existence as a human being that you were uniquely born to live.
I offer individual, couples and family Psychotherapy and Life Coaching. I would like to join with you in creating a life that brings you as much joy as possible, and to help you remove the barriers that have blocked your heart from flowing. It is my passion to create a safe space for you to experience deep heart, mind and soul healing. I would like to join together with you to tune in and trust your natural instincts, the wisdom of your organism, to flow into a more free, joyful, fulfilling, authentic, wildly wonderful existence as a human being that you were uniquely born to live.
(828) 743-8366 View (828) 743-8366
Photo of Josh Stone, Counselor in Highlands, NC
Josh Stone
Counselor, MEd , LCMHC-A, NCC
Verified Verified
1 Endorsed
Asheville, NC 28803
There is no need to struggle alone, and yet we often do. Our suffering may appear in many different forms, from depression and anxiety, to relationship issues, substance use and more. It’s time to shed this idea that “we have to have it all together” and allow ourselves be human for a moment. In this honest space, my clients tend to become more in touch with their authentic selves and establish beliefs, values, narratives and take steps towards a more fulfilling and meaningful life.
There is no need to struggle alone, and yet we often do. Our suffering may appear in many different forms, from depression and anxiety, to relationship issues, substance use and more. It’s time to shed this idea that “we have to have it all together” and allow ourselves be human for a moment. In this honest space, my clients tend to become more in touch with their authentic selves and establish beliefs, values, narratives and take steps towards a more fulfilling and meaningful life.
(828) 800-9401 View (828) 800-9401
Photo of Scott McCulloch, Lic Clinical Mental Health Counselor Associate in Highlands, NC
Scott McCulloch
Lic Clinical Mental Health Counselor Associate, LCMHCA, LCASA, MA, MFA
Verified Verified
2 Endorsed
Asheville, NC 28801
I enjoy working with men and women in recovery to support long-term sobriety and emotional health. The process of rebuilding your relationships and your life can seem tedious and difficult but it is absolutely possible and worth it. I also support people in long term sobriety and who want to explore deeper layers in their lives around trauma, attachment, family of origin issues, and finding meaning and purpose. Finally, I love to work with creatives, artists and makers who want to realize their potential.
I enjoy working with men and women in recovery to support long-term sobriety and emotional health. The process of rebuilding your relationships and your life can seem tedious and difficult but it is absolutely possible and worth it. I also support people in long term sobriety and who want to explore deeper layers in their lives around trauma, attachment, family of origin issues, and finding meaning and purpose. Finally, I love to work with creatives, artists and makers who want to realize their potential.
(828) 537-4747 View (828) 537-4747
Photo of Paula Ulrich, Art Therapist in Highlands, NC
Paula Ulrich
Art Therapist, LCMHC, LCAS, ATR-BC
Verified Verified
3 Endorsed
Black Mountain, NC 28711
Your grief is welcome here. When someone you love dies, your life shifts drastically. Every type of grief has the potential to be life disrupting, but grief experienced after suicide, overdose, or other traumatic loss can be particularly challenging. You may feel: shock, confusion, doubt, crushing pain, heartbreak, loneliness, despair, anxiety, overwhelm, anger, guilt, and isolation. Your life has been turned upside down in an instant. You feel lost. You don’t know who you are anymore, but you know you won’t be the same. You’re looking for a guide. Someone who gets it and can handle what you’ve got going on.
Your grief is welcome here. When someone you love dies, your life shifts drastically. Every type of grief has the potential to be life disrupting, but grief experienced after suicide, overdose, or other traumatic loss can be particularly challenging. You may feel: shock, confusion, doubt, crushing pain, heartbreak, loneliness, despair, anxiety, overwhelm, anger, guilt, and isolation. Your life has been turned upside down in an instant. You feel lost. You don’t know who you are anymore, but you know you won’t be the same. You’re looking for a guide. Someone who gets it and can handle what you’ve got going on.
(828) 415-6028 View (828) 415-6028

See more therapy options for Highlands

Alcohol Use Therapists

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.