Substance Use Therapists in Saint Louis, MO
Grief, loss, and trauma change everything: routines, relationships, identity, the future you thought you were building. I help people who are living with loss, struggling with life transitions, trauma, anxiety, caregiving, parenting, addiction, and more. Many of my clients are exhausted from "being strong" and the pressures of holding it all together for others. Whether you’ve lost a partner, a parent, a child, a dream, a job, or even a sense of who you are, you deserve a space where you don’t have to pretend you’re okay.
Grief, loss, and trauma change everything: routines, relationships, identity, the future you thought you were building. I help people who are living with loss, struggling with life transitions, trauma, anxiety, caregiving, parenting, addiction, and more. Many of my clients are exhausted from "being strong" and the pressures of holding it all together for others. Whether you’ve lost a partner, a parent, a child, a dream, a job, or even a sense of who you are, you deserve a space where you don’t have to pretend you’re okay.
I enjoy working with clients surrounding substance use, trauma, LGBTQ+-identity exploration, anxiety, depression, life transitions, and more.
Part of being human is the inevitability of encountering difficulty. Most of us accept this quite easily, but it is harder for us to accept *ourselves* while we face that difficulty! So many of our experiences in our families and our culture train us to ignore or get rid of our emotions, so space or compassion for ourselves seem next to impossible. Together and with mutual vulnerability and creativity, my heartfelt wish is to effectively nurture and challenge you, and to help you discover resources within and without to meet your experiences with strength, clarity, and hope.
I enjoy working with clients surrounding substance use, trauma, LGBTQ+-identity exploration, anxiety, depression, life transitions, and more.
Part of being human is the inevitability of encountering difficulty. Most of us accept this quite easily, but it is harder for us to accept *ourselves* while we face that difficulty! So many of our experiences in our families and our culture train us to ignore or get rid of our emotions, so space or compassion for ourselves seem next to impossible. Together and with mutual vulnerability and creativity, my heartfelt wish is to effectively nurture and challenge you, and to help you discover resources within and without to meet your experiences with strength, clarity, and hope.
I'm not the therapist you see in movies. I drink too much Diet Coke and my office has power recliners. I look you in the eye when I ask the hard questions and I cuss a little. Laughter and humor are tools for healing and sometimes I do that too loud. I know if I’m not real, I can’t expect you to be either. It's important to me that I create a space you can be exactly who you are. A place you can become better equipped to navigate a world that feels emotionally unsafe. Being confident and calm in your body is your birthright and I believe, wholeheartedly, in your ability to heal.
I'm not the therapist you see in movies. I drink too much Diet Coke and my office has power recliners. I look you in the eye when I ask the hard questions and I cuss a little. Laughter and humor are tools for healing and sometimes I do that too loud. I know if I’m not real, I can’t expect you to be either. It's important to me that I create a space you can be exactly who you are. A place you can become better equipped to navigate a world that feels emotionally unsafe. Being confident and calm in your body is your birthright and I believe, wholeheartedly, in your ability to heal.
Here are areas I help people with most often: anxiety & stress, depression, couples counseling (Gottman Method), trauma (Brainspotting), career counseling & life design, substance use & addiction, men's issues, life transitions, anger, mindfulness, and grief.
I take an active, experiential approach. That means I’m a collaborator, offering a caring, external point of view to help in your process of figuring out what you think & feel, want & need. It also means we’re finding ways you can grow and make changes outside of session because talk can only get us so far - we also have to put what we learn into action.
Here are areas I help people with most often: anxiety & stress, depression, couples counseling (Gottman Method), trauma (Brainspotting), career counseling & life design, substance use & addiction, men's issues, life transitions, anger, mindfulness, and grief.
I take an active, experiential approach. That means I’m a collaborator, offering a caring, external point of view to help in your process of figuring out what you think & feel, want & need. It also means we’re finding ways you can grow and make changes outside of session because talk can only get us so far - we also have to put what we learn into action.
I enjoy helping people work through substance use, anxiety, depression, mood disorders, relationship issues, self esteem, stress, and life transitions.
I offer counseling to anyone over the age of 18. My goal is to provide a space where you can share your experiences and feel heard. My ideal client is someone who is wanting to be the best version of themselves and who is willing to put in the work to get there, but perhaps is feeling a little stuck. If that's the case, I will gladly join you, helping you to process your emotions, identify your goals, and understand how to keep moving forward in your journey. I will provide a safe space for you to be authentically you, and I will encourage you, help guide you, and be transparent with you during the process.
I enjoy helping people work through substance use, anxiety, depression, mood disorders, relationship issues, self esteem, stress, and life transitions.
I offer counseling to anyone over the age of 18. My goal is to provide a space where you can share your experiences and feel heard. My ideal client is someone who is wanting to be the best version of themselves and who is willing to put in the work to get there, but perhaps is feeling a little stuck. If that's the case, I will gladly join you, helping you to process your emotions, identify your goals, and understand how to keep moving forward in your journey. I will provide a safe space for you to be authentically you, and I will encourage you, help guide you, and be transparent with you during the process.
People have been telling you to "talk to someone" for a while. Even if you knew who to talk to you, you don't know what to say. Everybody seems to have an opinion about you, but nobody asks what you think. That trauma you don't want to talk about keeps you up at night. You're using substances and nobody knows. The littlest things seem to set you off and you end up saying or doing things you wish later you hadn't. Being a teenager is hard. Being a parent is much harder than you thought it would be. Your relationships seem to be on the brink. You feel alone and nobody really knows you. Something's got to change. But how?
People have been telling you to "talk to someone" for a while. Even if you knew who to talk to you, you don't know what to say. Everybody seems to have an opinion about you, but nobody asks what you think. That trauma you don't want to talk about keeps you up at night. You're using substances and nobody knows. The littlest things seem to set you off and you end up saying or doing things you wish later you hadn't. Being a teenager is hard. Being a parent is much harder than you thought it would be. Your relationships seem to be on the brink. You feel alone and nobody really knows you. Something's got to change. But how?
My background and specialty is primarily in mental health and substance use.
Navigating through this life can be a whirlwind of emotion! As someone who went through my own mental health and recovery journey, I know how important it can be to have the right support in place to help you navigate through life's rollercoaster. Please schedule a free 10 minute phone consult with me. I will respond within 24 business hours. If I can't help you, I will be sure to provide you with referrals!
My background and specialty is primarily in mental health and substance use.
Navigating through this life can be a whirlwind of emotion! As someone who went through my own mental health and recovery journey, I know how important it can be to have the right support in place to help you navigate through life's rollercoaster. Please schedule a free 10 minute phone consult with me. I will respond within 24 business hours. If I can't help you, I will be sure to provide you with referrals!
I also use a supportive, nonjudgemental harm reduction model to help reduce the negative consequences of substance use or video misuse.
I understand what it's like to be bound by a substance or behavior such as porn or social media and trying to make better choices with it. You may be using cannabis, alcohol or "scrolling" and don’t want to stop but you want to be able to manage it better or be more productive or even have people leave you alone about it but making these changes aren’t coming as easily as you hoped it would. This process can very shaming and cause feelings of inadequacy or weakness and you’ve been trying to control and manage this all by yourself. In addition, I also work with a variety of other mental or emotional issues and concerns.
I also use a supportive, nonjudgemental harm reduction model to help reduce the negative consequences of substance use or video misuse.
I understand what it's like to be bound by a substance or behavior such as porn or social media and trying to make better choices with it. You may be using cannabis, alcohol or "scrolling" and don’t want to stop but you want to be able to manage it better or be more productive or even have people leave you alone about it but making these changes aren’t coming as easily as you hoped it would. This process can very shaming and cause feelings of inadequacy or weakness and you’ve been trying to control and manage this all by yourself. In addition, I also work with a variety of other mental or emotional issues and concerns.
I offer a broad and deep set of trainings which in a very practical way help people grow: emotionally, behaviorally, spiritually. Potential
clients will find evidence based methods, flexibility of approach, and a willingness to listen collaboratively.
The goals that we develop together will feel sensible, clear, doable, and exciting. This is a very active therapy. From all my learnings I have developed my own form of psychotherapy
I offer a broad and deep set of trainings which in a very practical way help people grow: emotionally, behaviorally, spiritually. Potential
clients will find evidence based methods, flexibility of approach, and a willingness to listen collaboratively.
The goals that we develop together will feel sensible, clear, doable, and exciting. This is a very active therapy. From all my learnings I have developed my own form of psychotherapy
Welcome! I would love the opportunity to start this counseling process with you. Maybe you are struggling with your own internal emotions or thoughts. Maybe you are acting in a way that doesn't feel right and you want to break some patterns. Maybe your relationships with friends, family, kids is not what you want. I seek to provide a safe nonjudgemental space to find hope and work towards freedom and healing.
Welcome! I would love the opportunity to start this counseling process with you. Maybe you are struggling with your own internal emotions or thoughts. Maybe you are acting in a way that doesn't feel right and you want to break some patterns. Maybe your relationships with friends, family, kids is not what you want. I seek to provide a safe nonjudgemental space to find hope and work towards freedom and healing.
Hello, I'm Steven Buchheit I'm a Licensed Professional Counselor with over 20 years of experience dedicated to guiding people toward healing and personal growth. My ideal client is someone who is motivated to heal and desires to cultivate presence in their life. I enjoy working with individuals & couples seeking to deepen self-awareness and enhance relationships, both with themselves & others. Through a compassionate somatic approach I seek to help my clients find a deep sense of connection. People of all genders and sexual orientations are welcome.
Hello, I'm Steven Buchheit I'm a Licensed Professional Counselor with over 20 years of experience dedicated to guiding people toward healing and personal growth. My ideal client is someone who is motivated to heal and desires to cultivate presence in their life. I enjoy working with individuals & couples seeking to deepen self-awareness and enhance relationships, both with themselves & others. Through a compassionate somatic approach I seek to help my clients find a deep sense of connection. People of all genders and sexual orientations are welcome.
Tired of feeling unseen in therapy? You’re not broken—you’re overcoming. As a culturally affirming therapist, I help Black and Brown professionals, creatives, and survivors heal from anxiety, trauma, addiction, and self-doubt. Your healing isn’t one-size-fits-all, and your story deserves to be understood. Let’s break cycles, build confidence, and reclaim your power. Therapy should empower you, not erase you. You don’t have to do this alone. The first step starts here—let’s walk this path together. Remember, you belong here!
Tired of feeling unseen in therapy? You’re not broken—you’re overcoming. As a culturally affirming therapist, I help Black and Brown professionals, creatives, and survivors heal from anxiety, trauma, addiction, and self-doubt. Your healing isn’t one-size-fits-all, and your story deserves to be understood. Let’s break cycles, build confidence, and reclaim your power. Therapy should empower you, not erase you. You don’t have to do this alone. The first step starts here—let’s walk this path together. Remember, you belong here!
Are you struggling with Substance Use (SUD) or Alcohol Use Disorders (AUD)?
My goal as a provider is to work alongside your therapeutic team to form a comprehensive plan to support your long term success. With programs ranging from medically monitored detox and inpatient residential treatment to outpatient services and medication management, we meet you where you're at in your recovery journey.
Are you struggling with Substance Use (SUD) or Alcohol Use Disorders (AUD)?
My goal as a provider is to work alongside your therapeutic team to form a comprehensive plan to support your long term success. With programs ranging from medically monitored detox and inpatient residential treatment to outpatient services and medication management, we meet you where you're at in your recovery journey.
You do not have to navigate substance use fears alone.
Together we slow down the emotional whirlwind and find stability again. I help families and partners understand relapse cycles and relationship strain while building skills for better communication, stronger boundaries, and emotional steadiness. We focus on staying connected in ways that support recovery while prioritizing your peace.
You do not have to navigate substance use fears alone.
Together we slow down the emotional whirlwind and find stability again. I help families and partners understand relapse cycles and relationship strain while building skills for better communication, stronger boundaries, and emotional steadiness. We focus on staying connected in ways that support recovery while prioritizing your peace.
Are you struggling with Substance Use or Alcohol Use Disorders?
With programs ranging from medically monitored detox and inpatient residential treatment to outpatient services and medication-assisted treatments, we are equipped to support you in every step of your recovery journey. My goal as your therapist is to provide you with the highest level of care, empathy, and support to help you navigate your recovery journey.
Are you struggling with Substance Use or Alcohol Use Disorders?
With programs ranging from medically monitored detox and inpatient residential treatment to outpatient services and medication-assisted treatments, we are equipped to support you in every step of your recovery journey. My goal as your therapist is to provide you with the highest level of care, empathy, and support to help you navigate your recovery journey.
I specialize in working with adults, young adults, and adolescent (14+) with a variety of issues, including trauma, PTSD, substance use disorder, intellectual disabilities, anxiety, depression, ADHD, stress management, and improving self-esteem.
I have a passion for mental health and wellness! I have experience in trauma informed care, using evidence-based therapy modalities, including Cognitive-Behavioral Therapy, Eye Movement Desensitization and Reprocessing Therapy (EMDR), Narrative Therapy, Motivational Interviewing, Somatics, Mindfulness, and more.
I specialize in working with adults, young adults, and adolescent (14+) with a variety of issues, including trauma, PTSD, substance use disorder, intellectual disabilities, anxiety, depression, ADHD, stress management, and improving self-esteem.
I have a passion for mental health and wellness! I have experience in trauma informed care, using evidence-based therapy modalities, including Cognitive-Behavioral Therapy, Eye Movement Desensitization and Reprocessing Therapy (EMDR), Narrative Therapy, Motivational Interviewing, Somatics, Mindfulness, and more.
Are you a first responder, veteran, or someone who has experienced trauma, struggling with PTSD, addiction, anxiety, or relationship issues? Do you seek a safe, non-judgmental space to heal and develop effective coping strategies? Together, we’ll work toward your mental and emotional well-being, better coping skills, and healthier relationships. I offer a holistic, supportive approach tailored to your needs, helping you regain control and move forward with confidence. Take the brave step toward healing today—I’m here to guide you every step of the way.
Are you a first responder, veteran, or someone who has experienced trauma, struggling with PTSD, addiction, anxiety, or relationship issues? Do you seek a safe, non-judgmental space to heal and develop effective coping strategies? Together, we’ll work toward your mental and emotional well-being, better coping skills, and healthier relationships. I offer a holistic, supportive approach tailored to your needs, helping you regain control and move forward with confidence. Take the brave step toward healing today—I’m here to guide you every step of the way.
Sometimes you can feel like you are all alone in life. Like no one can understand the deep internal pain you are feeling and you don’t know what to do. You may feel hopeless, stuck, thinking life will never get better… This is a common theme among many of the clients who walk through my door. There is a great need for a place where they can feel safe, secure, and validated. I believe I am able to provide this for my clients. A place where you can truly feel understood, a haven where you don’t have to feel so alone. My top priority is providing individualistic compassionate care.
Sometimes you can feel like you are all alone in life. Like no one can understand the deep internal pain you are feeling and you don’t know what to do. You may feel hopeless, stuck, thinking life will never get better… This is a common theme among many of the clients who walk through my door. There is a great need for a place where they can feel safe, secure, and validated. I believe I am able to provide this for my clients. A place where you can truly feel understood, a haven where you don’t have to feel so alone. My top priority is providing individualistic compassionate care.
Are you struggling with Substance Use or Alcohol Use Disorders?
With programs ranging from medically monitored detox and inpatient residential treatment to outpatient services and medication-assisted treatments, we are equipped to support you in every step of your recovery journey. My goal as your therapist is to provide you with the highest level of care, empathy, and support to help you navigate your recovery journey.
Are you struggling with Substance Use or Alcohol Use Disorders?
With programs ranging from medically monitored detox and inpatient residential treatment to outpatient services and medication-assisted treatments, we are equipped to support you in every step of your recovery journey. My goal as your therapist is to provide you with the highest level of care, empathy, and support to help you navigate your recovery journey.
My clients come in carrying anxiety that won't quiet down, relationships that feel stuck, or trauma that's been easier to avoid than face. Some are going through big life changes. Others have been managing symptoms for years and are finally ready to try something different. With 20 years in mental health, I've sat with people through just about every version of hard. I work with individuals, couples, and families virtually across Missouri. My practice is a space where all of who you are is welcome, whether that includes your faith, your identity, or both.
My clients come in carrying anxiety that won't quiet down, relationships that feel stuck, or trauma that's been easier to avoid than face. Some are going through big life changes. Others have been managing symptoms for years and are finally ready to try something different. With 20 years in mental health, I've sat with people through just about every version of hard. I work with individuals, couples, and families virtually across Missouri. My practice is a space where all of who you are is welcome, whether that includes your faith, your identity, or both.
See more therapy options for Saint Louis
Nearby Substance Use Therapists Searches for Saint Louis
- Affton
- Brentwood
- Clayton
- Kirkwood
- Ladue
- Maplewood
- Olivette
- Overland
- Richmond Heights
- Sappington
- University City
- Webster Groves
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.