Substance Use Therapists in Sacramento, CA

Whether you’re navigating a loved one’s substance use or your own, you might find yourself asking, what now?
The support I offer blends my clinical expertise in substance use and trauma with my own lived experience. This unique combination allows me to walk with you, not above you, in a space where you feel empowered to create meaningful change aligned with the goals that matter most to you.
Whether you’re navigating a loved one’s substance use or your own, you might find yourself asking, what now?
The support I offer blends my clinical expertise in substance use and trauma with my own lived experience. This unique combination allows me to walk with you, not above you, in a space where you feel empowered to create meaningful change aligned with the goals that matter most to you.

In our lives we experience painful feelings, and at times we may feel off-balance and lost. You may find that this is a time of more acute emotional suffering and that your existing coping strategies are not holding you. I offer compassionate support and tools to help you identify both immediate and sustaining antidotes to your current struggle. I use a holistic approach to helping my clients, which may include a combination of Cognitive-Behavioral Therapy, Buddhist-oriented psychology, mindfulness, and trauma-informed approaches. For Sacramento-area physicians I am contracted with SSVMS to provide up to six no-cost sessions.
In our lives we experience painful feelings, and at times we may feel off-balance and lost. You may find that this is a time of more acute emotional suffering and that your existing coping strategies are not holding you. I offer compassionate support and tools to help you identify both immediate and sustaining antidotes to your current struggle. I use a holistic approach to helping my clients, which may include a combination of Cognitive-Behavioral Therapy, Buddhist-oriented psychology, mindfulness, and trauma-informed approaches. For Sacramento-area physicians I am contracted with SSVMS to provide up to six no-cost sessions.

I am currently only offering return to duty and substance use assessments. Please visit www.americanriverwellnessrecovery.com for more info.
I am currently only offering return to duty and substance use assessments. Please visit www.americanriverwellnessrecovery.com for more info.

For many people, standard 12 step-dominated substance use treatment does not work.
Harm reduction is a philosophy which meets you where you are rather than imposing rigid demands. My name is Jeremy Prillwitz, and I’m a Licensed Advanced Alcohol and Drug Counselor (LAADC). I have worked as a harm reduction-based counselor for the past ten years. My expertise is evidence-based treatment, but YOU are the expert on your life.
For many people, standard 12 step-dominated substance use treatment does not work.
Harm reduction is a philosophy which meets you where you are rather than imposing rigid demands. My name is Jeremy Prillwitz, and I’m a Licensed Advanced Alcohol and Drug Counselor (LAADC). I have worked as a harm reduction-based counselor for the past ten years. My expertise is evidence-based treatment, but YOU are the expert on your life.

I have over 18 years of experience in helping adults, teens, and families that have been affected by alcohol and other substance use.
Have you or a loved one struggled with alcohol or drug dependency? Allow me to help you on your journey to recovery. At Life Steps Consulting, we know that life is full of different transitions, which can be broken down into a series of steps. When you are struggling with substance abuse, movement through the transitional steps halts, causing you to fall into unhealthy life cycles, which impact your career goals, relationships, physical and mental health. I can help you get back on track. I not only have studied the disease of alcohol and drug addiction, but I have been there and I know how you feel.
I have over 18 years of experience in helping adults, teens, and families that have been affected by alcohol and other substance use.
Have you or a loved one struggled with alcohol or drug dependency? Allow me to help you on your journey to recovery. At Life Steps Consulting, we know that life is full of different transitions, which can be broken down into a series of steps. When you are struggling with substance abuse, movement through the transitional steps halts, causing you to fall into unhealthy life cycles, which impact your career goals, relationships, physical and mental health. I can help you get back on track. I not only have studied the disease of alcohol and drug addiction, but I have been there and I know how you feel.

I’m a Licensed Clinical Social Worker with over 20 years of experience guiding clients through anxiety, depression, relationship challenges, career transitions, and substance use disorders.
I offer a safe, judgment-free space to explore challenging emotions and situations. Utilizing proven clinical methods, I’ll help you build practical strategies, gain clarity, and develop effective coping skills to navigate life’s hurdles confidently.
I’m a Licensed Clinical Social Worker with over 20 years of experience guiding clients through anxiety, depression, relationship challenges, career transitions, and substance use disorders.
I offer a safe, judgment-free space to explore challenging emotions and situations. Utilizing proven clinical methods, I’ll help you build practical strategies, gain clarity, and develop effective coping skills to navigate life’s hurdles confidently.

I typically work with clients struggling with substance use, anxiety, depression, and trauma history.
I create a comfortable environment for each person I work with where there is no judgment, only hope. I am approachable and relatable and create a client-centered experience with goals focused on improvement. I will be your biggest cheerleader.
I typically work with clients struggling with substance use, anxiety, depression, and trauma history.
I create a comfortable environment for each person I work with where there is no judgment, only hope. I am approachable and relatable and create a client-centered experience with goals focused on improvement. I will be your biggest cheerleader.

I have extensive experience working with issues of anxiety, depression, stress management, racial trauma, post traumatic stress, relationship conflict, navigating toxic work environments, sexuality and gender, and substance use issues.
Are you experiencing issues related to stress, anxiety, depression, loss of identity, trauma, or lack of confidence? Are these issues causing you to neglect your own self-care, misuse substances, and/or isolate from family and friends? Do you need support with navigating personal or professional relationships? Are you exploring your sexual or gender identity? Managing a major life transition or preparing for one? These are the times when therapy can be helpful. We can work together to identify your goals, improve your quality of life, and develop a strong sense of self in the process.
I have extensive experience working with issues of anxiety, depression, stress management, racial trauma, post traumatic stress, relationship conflict, navigating toxic work environments, sexuality and gender, and substance use issues.
Are you experiencing issues related to stress, anxiety, depression, loss of identity, trauma, or lack of confidence? Are these issues causing you to neglect your own self-care, misuse substances, and/or isolate from family and friends? Do you need support with navigating personal or professional relationships? Are you exploring your sexual or gender identity? Managing a major life transition or preparing for one? These are the times when therapy can be helpful. We can work together to identify your goals, improve your quality of life, and develop a strong sense of self in the process.

I've worked in the substance use sector, school districts, non-profits, and the private sector.
I'm a therapist with Octave and Evernorth Behavioral Care Group. Octave is a mental health practice providing high-quality care covered by multiple insurances. Evernorth Behavioral Care Group is a behavioral health provider group in-network with Cigna Healthcare and Evernorth. For my availability, please reach out to Octave’s team by emailing or calling.
I've worked in the substance use sector, school districts, non-profits, and the private sector.
I'm a therapist with Octave and Evernorth Behavioral Care Group. Octave is a mental health practice providing high-quality care covered by multiple insurances. Evernorth Behavioral Care Group is a behavioral health provider group in-network with Cigna Healthcare and Evernorth. For my availability, please reach out to Octave’s team by emailing or calling.

Substance use, compulsive behavior, and patterns in our relationships can leave us feeling stuck and disconnected.
Dr. Spalding is a licensed psychologist and addiction specialist with over 10 years of experience providing mental health and recovery services in the San Francisco Bay Area. Her specialties include substance use, codependency, co-occurring conditions, impacts of minority stress, LGBTQIA+ populations, and the unique recovery needs of young adults.
Substance use, compulsive behavior, and patterns in our relationships can leave us feeling stuck and disconnected.
Dr. Spalding is a licensed psychologist and addiction specialist with over 10 years of experience providing mental health and recovery services in the San Francisco Bay Area. Her specialties include substance use, codependency, co-occurring conditions, impacts of minority stress, LGBTQIA+ populations, and the unique recovery needs of young adults.

I use a combination of Trauma-focused Cognitive Behavioral Therapy (TF-CBT), Person-centered, and Strengths-based therapy to treat individuals dealing with complex trauma, substance use disorders, depression, and anxiety.
My style and approach tend to fit adolescents and adults coping with stress, overcoming traumatic experiences, and managing life’s demands related to school, work, and relationships. These experiences can include Post-traumatic Stress Disorder (PTSD), depression, anxiety, suicidal ideation, and co-occurring substance use disorders.
I use a combination of Trauma-focused Cognitive Behavioral Therapy (TF-CBT), Person-centered, and Strengths-based therapy to treat individuals dealing with complex trauma, substance use disorders, depression, and anxiety.
My style and approach tend to fit adolescents and adults coping with stress, overcoming traumatic experiences, and managing life’s demands related to school, work, and relationships. These experiences can include Post-traumatic Stress Disorder (PTSD), depression, anxiety, suicidal ideation, and co-occurring substance use disorders.

I have worked with individuals, families, couples, people with substance use challenges, as well as parties involved in relationships where intimate partner violence has occurred, or parties dealing with end-of-life issues and grief.
My approach to therapy includes a combination of modalities, including cognitive behavioral therapy, solution-focused (short-term) therapy, systemic therapy, and other modalities that may best meet your needs.
I have worked with individuals, families, couples, people with substance use challenges, as well as parties involved in relationships where intimate partner violence has occurred, or parties dealing with end-of-life issues and grief.
My approach to therapy includes a combination of modalities, including cognitive behavioral therapy, solution-focused (short-term) therapy, systemic therapy, and other modalities that may best meet your needs.

I am a Licensed Clinical Social Worker with over 15 years of experience providing care and support to people struggling with chronic pain, substance use, grief, depression and anxiety.
I utilize Pain Reprocessing Therapy (PRT) and Acceptance and Commitment Therapy (ACT) to help people experiencing chronic pain difficulties. I hold a special affinity for people who have gone astray seeking relief through inebriation.
I am a Licensed Clinical Social Worker with over 15 years of experience providing care and support to people struggling with chronic pain, substance use, grief, depression and anxiety.
I utilize Pain Reprocessing Therapy (PRT) and Acceptance and Commitment Therapy (ACT) to help people experiencing chronic pain difficulties. I hold a special affinity for people who have gone astray seeking relief through inebriation.

I help clients to reduce intense emotions like depression or anxiety, improve relationships, and tackle problem behaviors, such as substance use.
I am a therapist at Octave, a behavioral health practice creating a new standard for mental health care that’s both high-quality and accessible. To learn more about my availability, please reach out to our Client Experience team by emailing or calling.
I help clients to reduce intense emotions like depression or anxiety, improve relationships, and tackle problem behaviors, such as substance use.
I am a therapist at Octave, a behavioral health practice creating a new standard for mental health care that’s both high-quality and accessible. To learn more about my availability, please reach out to our Client Experience team by emailing or calling.

I'm here to create a lighthearted space for clients to unpack various areas in life such as childhood adversities, generational trauma, relationships, grief, traumatic events, substance use, and family dynamics, among other significant areas.
Therapy can be most effective when you identify the challenged life experiences and utilize specific coping skills to move forward. My approach to goal setting with clients is to validate your reality, define what you want to accomplish during this time, and track your progress.
I'm here to create a lighthearted space for clients to unpack various areas in life such as childhood adversities, generational trauma, relationships, grief, traumatic events, substance use, and family dynamics, among other significant areas.
Therapy can be most effective when you identify the challenged life experiences and utilize specific coping skills to move forward. My approach to goal setting with clients is to validate your reality, define what you want to accomplish during this time, and track your progress.

Don't wait for a better time, delays in treating active Substance Use can have catastrophic results.
High functioning but questioning your relationship with alcohol or drug use? Concerned friends, family, or employer? Checking into a program may create additional stress and even be unnecessary. Whether you're struggling with a recent event or an ongoing situation, I encourage a thoughtful personalized approach. I specialize in harm reduction and moderation management, so if your drinking is problematic but not "alcoholic", this may be right for you. Ambulatory opiate detox and out of state or criminal justice assessment services available. Confidentiality is assured with a discrete private office or secure video sessions.
Don't wait for a better time, delays in treating active Substance Use can have catastrophic results.
High functioning but questioning your relationship with alcohol or drug use? Concerned friends, family, or employer? Checking into a program may create additional stress and even be unnecessary. Whether you're struggling with a recent event or an ongoing situation, I encourage a thoughtful personalized approach. I specialize in harm reduction and moderation management, so if your drinking is problematic but not "alcoholic", this may be right for you. Ambulatory opiate detox and out of state or criminal justice assessment services available. Confidentiality is assured with a discrete private office or secure video sessions.

I’ve been fortunate to work with people from a variety of backgrounds, including clients with a history of trauma, substance use, depression, and anxiety disorders, applying my training and expertise to help clients improve their quality of life in both individual and group therapy settings.
I believe in working collaboratively to create a safe environment for clients to explore treatment goals and promote healing. Above all, my aim is to help my clients feel secure as they discover the unique tools that will help to improve their overall well-being. I incorporate an integrative, person-centered approach to work with my clients and explore goals for therapy. By utilizing evidence-based practices such as Cognitive Behavior Therapy (CBT) and Dialectal Behavior Therapy (DBT), I am able to enhance skill-building and improve emotion regulation, distress tolerance, and interpersonal effectiveness.
I’ve been fortunate to work with people from a variety of backgrounds, including clients with a history of trauma, substance use, depression, and anxiety disorders, applying my training and expertise to help clients improve their quality of life in both individual and group therapy settings.
I believe in working collaboratively to create a safe environment for clients to explore treatment goals and promote healing. Above all, my aim is to help my clients feel secure as they discover the unique tools that will help to improve their overall well-being. I incorporate an integrative, person-centered approach to work with my clients and explore goals for therapy. By utilizing evidence-based practices such as Cognitive Behavior Therapy (CBT) and Dialectal Behavior Therapy (DBT), I am able to enhance skill-building and improve emotion regulation, distress tolerance, and interpersonal effectiveness.

I specialize in treating clients with acute or chronic illness or pain, substance use, anxiety, trauma, grief, life transitions, and existential concerns.
Hello and welcome! I am an Associate Marriage and Family Therapist currently meeting with clients in person, online and outdoors. I am also a Registered Nurse, a Certified Forest Therapy Guide, and a Poetry Therapy facilitator. I draw upon the energy and skills of all of these healing practices in order to offer clients a wide variety of perspectives and experiences. My approach to therapy is warm and down-to-earth. I believe that therapy is, at its core, a conversation that can open our hearts. Through this conversation we create a relationship that has the potential to inspire growth, insight, and change.
I specialize in treating clients with acute or chronic illness or pain, substance use, anxiety, trauma, grief, life transitions, and existential concerns.
Hello and welcome! I am an Associate Marriage and Family Therapist currently meeting with clients in person, online and outdoors. I am also a Registered Nurse, a Certified Forest Therapy Guide, and a Poetry Therapy facilitator. I draw upon the energy and skills of all of these healing practices in order to offer clients a wide variety of perspectives and experiences. My approach to therapy is warm and down-to-earth. I believe that therapy is, at its core, a conversation that can open our hearts. Through this conversation we create a relationship that has the potential to inspire growth, insight, and change.

I am also skilled in working with individuals who struggle with substance use, conduct disorders, and academic challenges.
With over 15 years of experience I am well equipped to help you work through past or present trauma, manage a crisis, or cope with strong emotions. I also have specialized training and experience working with LGBTQQIA identified individuals with expertise in work with transgender, genderqueer, non-binary, and gender diverse youth and adults.
I am also skilled in working with individuals who struggle with substance use, conduct disorders, and academic challenges.
With over 15 years of experience I am well equipped to help you work through past or present trauma, manage a crisis, or cope with strong emotions. I also have specialized training and experience working with LGBTQQIA identified individuals with expertise in work with transgender, genderqueer, non-binary, and gender diverse youth and adults.

I possess extensive experience assisting men navigating challenges related to addictions, including but not limited to, addressing unwanted sexual behaviors, alcohol consumption, illicit substance use, fixation on performance, workaholism, co-dependency dynamics, struggles with assertiveness, as well as issues surrounding identity and self-worth.
My approach is rooted in fostering emotional intelligence. I believe understanding your emotions is a powerful key to unlocking what you truly value. Through personalized sessions, we'll work together to explore your emotions, helping you gain clarity and mastery over them. Newfound insight will empower you to make informed choices that align with your goals
I possess extensive experience assisting men navigating challenges related to addictions, including but not limited to, addressing unwanted sexual behaviors, alcohol consumption, illicit substance use, fixation on performance, workaholism, co-dependency dynamics, struggles with assertiveness, as well as issues surrounding identity and self-worth.
My approach is rooted in fostering emotional intelligence. I believe understanding your emotions is a powerful key to unlocking what you truly value. Through personalized sessions, we'll work together to explore your emotions, helping you gain clarity and mastery over them. Newfound insight will empower you to make informed choices that align with your goals
See more therapy options for Sacramento
Nearby Substance Use Therapists Searches for Sacramento
- Antelope
- Carmichael
- Citrus Heights
- Davis
- Elk Grove
- Fair Oaks
- Gold River
- North Highlands
- Orangevale
- Rancho Cordova
- West Sacramento
- Woodland
Substance Use Therapists
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, counselors, 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.