Substance Use Therapists in Boston, MA
Whether you're struggling with depression, anxiety, substance use recovery, or men’s issues such as stress, identity, and relationship concerns, I am here to support you.
My goal is to create a compassionate and supportive space where you feel heard, valued, and empowered to pursue your personal goals. Together, we will navigate immediate challenges, build lasting resilience, and enhance your emotional well-being—laying the foundation for a brighter, more fulfilling future.
Whether you're struggling with depression, anxiety, substance use recovery, or men’s issues such as stress, identity, and relationship concerns, I am here to support you.
My goal is to create a compassionate and supportive space where you feel heard, valued, and empowered to pursue your personal goals. Together, we will navigate immediate challenges, build lasting resilience, and enhance your emotional well-being—laying the foundation for a brighter, more fulfilling future.
Other services include Substance Use and Trauma Therapy remotely in Maine, Massachusetts & New Hampshire.
ECH Counseling & Wellness specializes in providing convenient, confidential, and compassionate telehealth mental health services to adults and adolescents in Massachusetts. We offer a wide range of services including therapy for depression, anxiety, addiction, and trauma. Additionally, we conduct RMV Substance Use Evaluations with Risk of Recidivism asse
Other services include Substance Use and Trauma Therapy remotely in Maine, Massachusetts & New Hampshire.
ECH Counseling & Wellness specializes in providing convenient, confidential, and compassionate telehealth mental health services to adults and adolescents in Massachusetts. We offer a wide range of services including therapy for depression, anxiety, addiction, and trauma. Additionally, we conduct RMV Substance Use Evaluations with Risk of Recidivism asse
Madeline Lessing
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
I utilize harm reduction when addressing behavioral health, substance use, or sex work, to prioritize self-determination, nonjudgement, and access to an array of options with the goal of uprooting internalized stigma.
It is difficult to grow and heal when we are constantly viewing ourselves as a problem. Using the narrative method, I encourage individuals to create their own narratives, understand the picture of their life, and trust in themselves and their inherent worth. My practice centers individual and communal strengths as key to healing and transformation.
Using approachability, active listening, and integrity, I support people to focus on their goals, show up for themselves, and utilize interdependence to grow and adapt. I work well with individuals who seek to reflect, flail, fail, celebrate, cry, process, and be, without judgement.
I utilize harm reduction when addressing behavioral health, substance use, or sex work, to prioritize self-determination, nonjudgement, and access to an array of options with the goal of uprooting internalized stigma.
It is difficult to grow and heal when we are constantly viewing ourselves as a problem. Using the narrative method, I encourage individuals to create their own narratives, understand the picture of their life, and trust in themselves and their inherent worth. My practice centers individual and communal strengths as key to healing and transformation.
Using approachability, active listening, and integrity, I support people to focus on their goals, show up for themselves, and utilize interdependence to grow and adapt. I work well with individuals who seek to reflect, flail, fail, celebrate, cry, process, and be, without judgement.
I have experience working with a wide variety of clients with diverse needs and am especially passionate about helping those experiencing substance use disorder, anxiety, depression, women’s issues, and LGBTQIA+ related issues.
I believe that the more you know and understand yourself, the easier it is to set and work toward goals that help you experience long-term fulfillment.
I have experience working with a wide variety of clients with diverse needs and am especially passionate about helping those experiencing substance use disorder, anxiety, depression, women’s issues, and LGBTQIA+ related issues.
I believe that the more you know and understand yourself, the easier it is to set and work toward goals that help you experience long-term fulfillment.
If you or someone you love has been struggling with alcohol or substance use I can help you build skills to cope with your emotions.
Have you not felt like yourself anymore? If you are experiencing sadness, anger, anxiety, using substances more than before, relationship or communication troubles, work issues, coping with a loss or a family member with addiction issues or other life stressors I want to help you feel better. In our therapy sessions I will teach you new coping strategies for your concerns and express yourself effectively. I will help you learn more about yourself and your strengths to build your self confidence and achieve your life goals.
If you or someone you love has been struggling with alcohol or substance use I can help you build skills to cope with your emotions.
Have you not felt like yourself anymore? If you are experiencing sadness, anger, anxiety, using substances more than before, relationship or communication troubles, work issues, coping with a loss or a family member with addiction issues or other life stressors I want to help you feel better. In our therapy sessions I will teach you new coping strategies for your concerns and express yourself effectively. I will help you learn more about yourself and your strengths to build your self confidence and achieve your life goals.
It is absolutely an honor and our passion to treat those who struggle with mental health issues such as Eating Disorders, Substance Use, trauma, depression, anxiety, family conflict, relationship issues and associated disorders.
Offering over 25 years of experience in treating disordered eating/eating disorders, substance use disorders, trauma, mood disorders, ADHD, family conflict and relationship issues, we value and honor diversity, autonomy and inclusivity. This is a safe space to begin or continue your healing. We are all healing from something!
It is absolutely an honor and our passion to treat those who struggle with mental health issues such as Eating Disorders, Substance Use, trauma, depression, anxiety, family conflict, relationship issues and associated disorders.
Offering over 25 years of experience in treating disordered eating/eating disorders, substance use disorders, trauma, mood disorders, ADHD, family conflict and relationship issues, we value and honor diversity, autonomy and inclusivity. This is a safe space to begin or continue your healing. We are all healing from something!
My practice focuses on treating Obsessive-Compulsive Disorder (OCD), Anxiety, Depression, and Substance Use.
I work with clients aged 5 or older. I see individuals with a wide range of ages and presenting concerns. However, I primarily treat OCD, anxiety, depression, and substance use. I specialize in Cognitive Behavioral Therapy (CBT), Exposure & Response Prevention (ERP), Acceptance & Commitment Therapy (ACT), and Motivational Interviewing (MI).
My practice focuses on treating Obsessive-Compulsive Disorder (OCD), Anxiety, Depression, and Substance Use.
I work with clients aged 5 or older. I see individuals with a wide range of ages and presenting concerns. However, I primarily treat OCD, anxiety, depression, and substance use. I specialize in Cognitive Behavioral Therapy (CBT), Exposure & Response Prevention (ERP), Acceptance & Commitment Therapy (ACT), and Motivational Interviewing (MI).
I support with counseling of substance use, abuse, addiction(s), and mental health support.
As of 1/1/25, accepting NEW clients for day and afternoon sessions, please email me to set up an intake session today! I have been working in the field of mental health and addiction treatment for over a decade. I can support those that are sober curious, looking to decrease use, and/or exploring or maintaining complete abstinence. I like to meet people where they are at and will support you with an individual, person-centered, treatment plan to help with your short-term and long-term goals.
I support with counseling of substance use, abuse, addiction(s), and mental health support.
As of 1/1/25, accepting NEW clients for day and afternoon sessions, please email me to set up an intake session today! I have been working in the field of mental health and addiction treatment for over a decade. I can support those that are sober curious, looking to decrease use, and/or exploring or maintaining complete abstinence. I like to meet people where they are at and will support you with an individual, person-centered, treatment plan to help with your short-term and long-term goals.
My practice over the years has focused on working with individuals who are struggling with anxiety, depression, recovery from substance use and trauma, life transitions and identity issues.
Are you struggling with anxiety or fear of failure. Have experienced painful struggles in the past that are preventing you from feeling content in your life. I have helped people over the years achieve their goal of living a fuller, more authentic life by creating a safe environment that supports exploration and growth. I am licensed in Massachusetts, Connecticut, and New York State.
My practice over the years has focused on working with individuals who are struggling with anxiety, depression, recovery from substance use and trauma, life transitions and identity issues.
Are you struggling with anxiety or fear of failure. Have experienced painful struggles in the past that are preventing you from feeling content in your life. I have helped people over the years achieve their goal of living a fuller, more authentic life by creating a safe environment that supports exploration and growth. I am licensed in Massachusetts, Connecticut, and New York State.
I am a bicultural and bilingual (English and Spanish) psychologist with areas of specialization and interest in high-stress occupations, substance use, anxiety, stress management, living in sync with your values, and relationship issues both personally and professionally.
My training in evidence-based practices and experience with teaching and research inform how I tailor treatment in individual and couples therapy. I use my skills in Motivational Interviewing (MI) and Emotionally Focused Therapy (EFCT, EFIT) to collaborate with clients and help them succeed in making progress that is tangible, transformative, and lasting.
I am a bicultural and bilingual (English and Spanish) psychologist with areas of specialization and interest in high-stress occupations, substance use, anxiety, stress management, living in sync with your values, and relationship issues both personally and professionally.
My training in evidence-based practices and experience with teaching and research inform how I tailor treatment in individual and couples therapy. I use my skills in Motivational Interviewing (MI) and Emotionally Focused Therapy (EFCT, EFIT) to collaborate with clients and help them succeed in making progress that is tangible, transformative, and lasting.
Facing substance use and mental health concerns alone can be confusing, isolating, and frustrating.
I specialize in working with people on their alcohol and drug use concerns and addictions. I am experienced with treating anxiety, depression, grief, and other mental health challenges using a trauma-informed, strengths-based model. I collaborate with clients in therapy to discover their personal truths, listen to their inner wisdom, and find their unique path toward healing. I strive to provide a safe, non-judgmental space for people to explore themselves in and to learn the strategies that help them to best overcome their life-challenges. I practice from personal foundation of spirituality and mindfulness.
Facing substance use and mental health concerns alone can be confusing, isolating, and frustrating.
I specialize in working with people on their alcohol and drug use concerns and addictions. I am experienced with treating anxiety, depression, grief, and other mental health challenges using a trauma-informed, strengths-based model. I collaborate with clients in therapy to discover their personal truths, listen to their inner wisdom, and find their unique path toward healing. I strive to provide a safe, non-judgmental space for people to explore themselves in and to learn the strategies that help them to best overcome their life-challenges. I practice from personal foundation of spirituality and mindfulness.
Meet Our Substance Use Therapists
I enjoy working with people who are struggling with substance use, whether they are just beginning to question their use and habits or they have experienced chronic relapse and feel hopeless.
One of my skills is listening to a complicated situation and working alongside the client to help untangle it. I do not shy away from self-harm or thoughts of suicide because these are all common themes on the journey to healing and recovery. I encourage honesty and candid conversations because shame loses power when stories are told in safe spaces.
I enjoy working with people who are struggling with substance use, whether they are just beginning to question their use and habits or they have experienced chronic relapse and feel hopeless.
One of my skills is listening to a complicated situation and working alongside the client to help untangle it. I do not shy away from self-harm or thoughts of suicide because these are all common themes on the journey to healing and recovery. I encourage honesty and candid conversations because shame loses power when stories are told in safe spaces.
I offer treatment for anxiety, depression, stress, PTSD/ trauma, grief, substance use, and relationship issues.
Maybe you find yourself at a crossroads where you don't know what direction to go. Perhaps you lost hope and find yourself questioning your own self-worth and purpose in life. You want to be happy, but the storms in your life don't let you take a breath, and you get tired.
I offer treatment for anxiety, depression, stress, PTSD/ trauma, grief, substance use, and relationship issues.
Maybe you find yourself at a crossroads where you don't know what direction to go. Perhaps you lost hope and find yourself questioning your own self-worth and purpose in life. You want to be happy, but the storms in your life don't let you take a breath, and you get tired.
I frequently help clients manage anxiety, self-esteem issues, relationship challenges, workplace or school stress, burnout, ADHD, trauma, and substance use.
As a therapist, I offer a safe and compassionate environment for clients. My trauma-informed approach integrates yoga-based mindfulness and somatic healing with a range of modalities, including CBT, psychodynamic therapy, and DBT. I am also trained in the Gottman method for couples therapy.
I frequently help clients manage anxiety, self-esteem issues, relationship challenges, workplace or school stress, burnout, ADHD, trauma, and substance use.
As a therapist, I offer a safe and compassionate environment for clients. My trauma-informed approach integrates yoga-based mindfulness and somatic healing with a range of modalities, including CBT, psychodynamic therapy, and DBT. I am also trained in the Gottman method for couples therapy.
With 15+ years of experience in the mental health field and extensive training in multiple modalities, I work with adults with anxiety, depression, and substance use.
Hello and welcome! I'm so glad you're here. Whether you're experiencing existential anxiety about the state of the world and current politics, haven't been intimate with your partner/spouse in way too long, or are in the early stages of recovery, I'm here for you.
With 15+ years of experience in the mental health field and extensive training in multiple modalities, I work with adults with anxiety, depression, and substance use.
Hello and welcome! I'm so glad you're here. Whether you're experiencing existential anxiety about the state of the world and current politics, haven't been intimate with your partner/spouse in way too long, or are in the early stages of recovery, I'm here for you.
I specialize in treating anxiety, depression, substance use, and interpersonal relationships.
I strive to create a safe, supportive and nonjudgmental environment where clients can feel heard as they work towards their goals. I am committed to empowering clients to navigate life’s challenges with greater resilience and confidence. I believe that every individual possesses the capacity for change and growth, even in the face of overwhelming emotions or circumstances. My approach is collaborative, compassionate and grounded in the understanding that each client’s journey is unique and their own.
I specialize in treating anxiety, depression, substance use, and interpersonal relationships.
I strive to create a safe, supportive and nonjudgmental environment where clients can feel heard as they work towards their goals. I am committed to empowering clients to navigate life’s challenges with greater resilience and confidence. I believe that every individual possesses the capacity for change and growth, even in the face of overwhelming emotions or circumstances. My approach is collaborative, compassionate and grounded in the understanding that each client’s journey is unique and their own.
I specialize in treating individuals with eating disorders and substance use disorders but have experience in a breadth of other specialties as well.
I have 7 years of experience working at the residential level of care for the treatment of eating disorders. I formerly ran several therapeutic groups weekly, including movement/dance based therapy, Acceptance and Commitment Therapy (ACT), and media literacy. I particularly enjoy working with adolescents and young adults and doing meaningful family work.
I specialize in treating individuals with eating disorders and substance use disorders but have experience in a breadth of other specialties as well.
I have 7 years of experience working at the residential level of care for the treatment of eating disorders. I formerly ran several therapeutic groups weekly, including movement/dance based therapy, Acceptance and Commitment Therapy (ACT), and media literacy. I particularly enjoy working with adolescents and young adults and doing meaningful family work.
I support clients facing challenges such as depression, anxiety, trauma, prenatal and postpartum depression, and substance use.
In our sessions, I provide a safe, inclusive space where you can feel comfortable sharing your thoughts and feelings. I’m a social person who enjoys hiking, traveling, and exploring creativity through stand-up comedy and improv. My warmth and humor help create a relaxed environment where you can feel at ease while we work through your challenges.
I support clients facing challenges such as depression, anxiety, trauma, prenatal and postpartum depression, and substance use.
In our sessions, I provide a safe, inclusive space where you can feel comfortable sharing your thoughts and feelings. I’m a social person who enjoys hiking, traveling, and exploring creativity through stand-up comedy and improv. My warmth and humor help create a relaxed environment where you can feel at ease while we work through your challenges.
She works with either civilians or veterans who are interested in an evidence based approach to managing anxiety and/or depression, substance use disorders, trauma and other stressor disorders, or racial identity/other cultural issues.
Broadly, her clinical specialties include anxiety disorders and trauma related conditions, cognitive behavioral therapy, substance abuse disorders, and culturally responsive care.
She works with either civilians or veterans who are interested in an evidence based approach to managing anxiety and/or depression, substance use disorders, trauma and other stressor disorders, or racial identity/other cultural issues.
Broadly, her clinical specialties include anxiety disorders and trauma related conditions, cognitive behavioral therapy, substance abuse disorders, and culturally responsive care.
I work primarily with adults who are experiencing difficulties with symptoms of anxiety and depression, life transitions, and adults struggling with problematic substance use.
If you are feeling stuck in unwanted patterns of thought or behavior, it can be helpful to have a professional provide some reflection, feedback, and guidance to help you make the progress you're looking for. As a clinically licensed social worker, I am skilled at providing supportive, individualized therapy to adults struggling with emotional distress, difficult life changes and overall well-being. My approach is client-centered and solution-focused. I believe that my role in the therapeutic change process is to provide honest reflection, guidance and insight.
I work primarily with adults who are experiencing difficulties with symptoms of anxiety and depression, life transitions, and adults struggling with problematic substance use.
If you are feeling stuck in unwanted patterns of thought or behavior, it can be helpful to have a professional provide some reflection, feedback, and guidance to help you make the progress you're looking for. As a clinically licensed social worker, I am skilled at providing supportive, individualized therapy to adults struggling with emotional distress, difficult life changes and overall well-being. My approach is client-centered and solution-focused. I believe that my role in the therapeutic change process is to provide honest reflection, guidance and insight.
See more therapy options for Boston
Nearby Substance Use Therapists Searches for Boston
- Allston
- Brighton
- Brookline
- Brookline Village
- Cambridge
- Chelsea
- Dorchester
- Everett
- Jamaica Plain
- Roxbury
- Somerville
- South Boston
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.