Addiction Therapists in Portland, OR

See all therapists in Portland
Photo of Jeffrey C. Peyton, Licensed Professional Counselor in Portland, OR
Jeffrey C. Peyton
Licensed Professional Counselor, LPC, NCC, CADC-II
Verified Verified
Portland, OR 97202
I am an experienced addictions counselor, and view substance use as only one aspect of an individual.
As an experienced adolescent therapist, I am passionate about helping teens and young adults figure out who they are, who they want to be, and the barriers keeping them from realizing these goals. I have assisted hundreds of adolescents through academic challenges, anxiety, depression, emotional dysregulation, substance use, ADHD, traumatic experiences, social anxiety and divorce. We work together to develop healthy ways to manage our emotional life, identify strengths which can support self-confidence and motivation, and learn to trust we are worthy of the love and connection we want in our relationships.
I am an experienced addictions counselor, and view substance use as only one aspect of an individual.
As an experienced adolescent therapist, I am passionate about helping teens and young adults figure out who they are, who they want to be, and the barriers keeping them from realizing these goals. I have assisted hundreds of adolescents through academic challenges, anxiety, depression, emotional dysregulation, substance use, ADHD, traumatic experiences, social anxiety and divorce. We work together to develop healthy ways to manage our emotional life, identify strengths which can support self-confidence and motivation, and learn to trust we are worthy of the love and connection we want in our relationships.
(503) 406-1557 View (503) 406-1557
Photo of Caleb Abrams in Portland, OR
Caleb Abrams
CSAT, CCTP, CLC, MA
Verified Verified
1 Endorsed
Portland, OR 97232  (Online Only)
Caleb is Certified in the Treatment of Sexual Addiction, is a Certified Clinical Trauma Professional, Ordained Minister, Certified Life Coach, with a Masters of Psychology in Counseling and a Bachelors of Arts in Psychology. Caleb specializes in helping men work through sex addiction but provides counseling services for all kinds of addictions. He also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
Caleb is Certified in the Treatment of Sexual Addiction, is a Certified Clinical Trauma Professional, Ordained Minister, Certified Life Coach, with a Masters of Psychology in Counseling and a Bachelors of Arts in Psychology. Caleb specializes in helping men work through sex addiction but provides counseling services for all kinds of addictions. He also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
(207) 259-4977 View (207) 259-4977
Photo of Mary Kevin Holdeman, Licensed Professional Counselor in Portland, OR
Mary Kevin Holdeman
Licensed Professional Counselor, MA, LPC, CADCII
Verified Verified
Portland, OR 97232  (Online Only)
Waitlist for new clients
After spending over a decade working at a world renowned substance use treatment center, I feel confident in helping you address addiction and compulsive behaviors as well as related challenges such as grief, unresolved trauma, anxiety, and depression.
I have found that I work best with people wanting to honor their positive assets while making changes that will support new goals. Those feeling stuck, ready to dive deep, willing to do work outside of our sessions to create change in their lives. While my approach is gentle and respectful, I am ready to help you face your concerns frankly and honestly. I consider our therapeutic relationship to be the most important factor in our work together.
After spending over a decade working at a world renowned substance use treatment center, I feel confident in helping you address addiction and compulsive behaviors as well as related challenges such as grief, unresolved trauma, anxiety, and depression.
I have found that I work best with people wanting to honor their positive assets while making changes that will support new goals. Those feeling stuck, ready to dive deep, willing to do work outside of our sessions to create change in their lives. While my approach is gentle and respectful, I am ready to help you face your concerns frankly and honestly. I consider our therapeutic relationship to be the most important factor in our work together.
(503) 406-4826 View (503) 406-4826
Photo of Danielle Marie Koller, Clinical Social Work Associate in Portland, OR
Danielle Marie Koller
Clinical Social Work Associate, CSWA
Verified Verified
Portland, OR 97214  (Online Only)
I find fulfillment in supporting individuals recovering from substance use and addressing codependency.
I believe in the profound impact our environment has on us, and in return, the influence we wield on the world. My career has been dedicated to supporting vulnerable populations through trauma-informed care and a strengths-based approach. As an advocate for individuals and families, including neurodivergent youth and those with developmental disabilities, I bring a holistic, compassionate, and inclusive perspective to therapy. Together, we can explore relationships, cope with life changes, foster personal growth, process trauma, manage stress, address addictions, or enhance overall well-being.
I find fulfillment in supporting individuals recovering from substance use and addressing codependency.
I believe in the profound impact our environment has on us, and in return, the influence we wield on the world. My career has been dedicated to supporting vulnerable populations through trauma-informed care and a strengths-based approach. As an advocate for individuals and families, including neurodivergent youth and those with developmental disabilities, I bring a holistic, compassionate, and inclusive perspective to therapy. Together, we can explore relationships, cope with life changes, foster personal growth, process trauma, manage stress, address addictions, or enhance overall well-being.
(971) 265-8470 View (971) 265-8470
Photo of Ivy Holistic Wellness, PLLC, Drug & Alcohol Counselor in Portland, OR
Ivy Holistic Wellness, PLLC
Drug & Alcohol Counselor, MSc, LCDC, CADC II
Verified Verified
Portland, OR 97214  (Online Only)
I specialize in working with individuals who have struggled with substance use and/or has been diagnosed with a substance use disorder, and in need of continued care (step down from treatment).
Ideal for those in active recovery, 30+ days sober, and are seeking continued care. Our goal is to empower individuals to live a more conscious/balanced lifestyle by ensuring that clients have the tools to incorporate a holistic approach to wellness and sobriety.
I specialize in working with individuals who have struggled with substance use and/or has been diagnosed with a substance use disorder, and in need of continued care (step down from treatment).
Ideal for those in active recovery, 30+ days sober, and are seeking continued care. Our goal is to empower individuals to live a more conscious/balanced lifestyle by ensuring that clients have the tools to incorporate a holistic approach to wellness and sobriety.
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Photo of Debbie Bensching, Clinical Social Work/Therapist in Portland, OR
Debbie Bensching
Clinical Social Work/Therapist, LCSW, ACSW, MSWAC, LICSW
Verified Verified
1 Endorsed
Portland, OR 97205
Waitlist for new clients
I guide the process to work through problems to enhance performance in activities of daily living in work, relationships, recreation & professional settings. Problem areas include difficulties with relationships: marriage / domestic partner, parent-child, divorce/ separation, parenting, anxiety, depression, self-esteem, anger, grief & loss, women's issues, habit disorders, addictions recovery: drugs, alcohol, food; ACOA, family members effected by addiction, trauma: post traumatic stress, rape, abuse (physical, emotional, sexual), and dissociative disorders. Also work with difficulties with sleep, relaxation, or under performing.
I guide the process to work through problems to enhance performance in activities of daily living in work, relationships, recreation & professional settings. Problem areas include difficulties with relationships: marriage / domestic partner, parent-child, divorce/ separation, parenting, anxiety, depression, self-esteem, anger, grief & loss, women's issues, habit disorders, addictions recovery: drugs, alcohol, food; ACOA, family members effected by addiction, trauma: post traumatic stress, rape, abuse (physical, emotional, sexual), and dissociative disorders. Also work with difficulties with sleep, relaxation, or under performing.
(503) 406-3624 View (503) 406-3624
Photo of Paula Emerick, Marriage & Family Therapist in Portland, OR
Paula Emerick
Marriage & Family Therapist, LMFT, CADC I
Verified Verified
Portland, OR 97214  (Online Only)
Waitlist for new clients
My specialties include addiction and recovery, relationship dynamics (couples, poly, open, kink), LGBTQIAA identity, family of origin, SPMI, sex work, and healing from trauma.
I believe the most important parts of therapy are trust and collaboration. You'll know immediately if the therapist is right for you. If you don't feel it, keep looking. There's a lot of us therapists out here and your time and self-work are important! Additionally, at our most vulnerable times in life, we need someone who will hold a safe space for us to approach our edges - the parts of us we tend to avoid or neglect. Addressing our 'issues' is intensely brave and can also be terrifying! I commend you for embarking on this journey and invite you to call me if my words resonate with your needs.
My specialties include addiction and recovery, relationship dynamics (couples, poly, open, kink), LGBTQIAA identity, family of origin, SPMI, sex work, and healing from trauma.
I believe the most important parts of therapy are trust and collaboration. You'll know immediately if the therapist is right for you. If you don't feel it, keep looking. There's a lot of us therapists out here and your time and self-work are important! Additionally, at our most vulnerable times in life, we need someone who will hold a safe space for us to approach our edges - the parts of us we tend to avoid or neglect. Addressing our 'issues' is intensely brave and can also be terrifying! I commend you for embarking on this journey and invite you to call me if my words resonate with your needs.
(971) 260-4121 View (971) 260-4121
Photo of Matt Matteini, Clinical Social Work/Therapist in Portland, OR
Matt Matteini
Clinical Social Work/Therapist, MPH, LCSW
Verified Verified
2 Endorsed
Portland, OR 97215
As a certified public health professional, my approach is unique in that it is informed personally by my engagement with the recovery community, academically by my background in public health, and professionally by my experience working with active duty military to treat trauma, loss, and addiction.
I work with clients seeking meaningful change. To recover authenticity, connection, and purpose back into life's experience. We work together to manage the impact of past events. More importantly, we find ways to transcend them in the present, building on character strengths to find life balance. Since working with my first client, my clinical approach has evolved to focus more on the mind-body connection. This dual approach is known as Somatic (experiential) therapy, and can often be more engaging than traditional talk therapy alone. Your recovery should be a highly individualized experience. Please visit my website for details!
As a certified public health professional, my approach is unique in that it is informed personally by my engagement with the recovery community, academically by my background in public health, and professionally by my experience working with active duty military to treat trauma, loss, and addiction.
I work with clients seeking meaningful change. To recover authenticity, connection, and purpose back into life's experience. We work together to manage the impact of past events. More importantly, we find ways to transcend them in the present, building on character strengths to find life balance. Since working with my first client, my clinical approach has evolved to focus more on the mind-body connection. This dual approach is known as Somatic (experiential) therapy, and can often be more engaging than traditional talk therapy alone. Your recovery should be a highly individualized experience. Please visit my website for details!
(503) 374-1882 View (503) 374-1882
Photo of Daniel McClure, Professional Counselor Associate in Portland, OR
Daniel McClure
Professional Counselor Associate, MA
Verified Verified
Portland, OR 97215
Whether you are new to counseling or looking to engage in this meaningful work again I am here to support you. My ideal clients are open to collaboratively building a personal healing space and therapeutic relationship founded on authenticity, empathy, kindness, respect, and unconditional acceptance. Whether you are struggling with depression, anxiety, behavioral issues, addiction, grief, or trauma, I am focused on providing a holistic approach to meet you where you are at and travel a path based on your strengths and goals at the pace that is right for you. I center warmth and compassion and am intentional with gentle directness.
Whether you are new to counseling or looking to engage in this meaningful work again I am here to support you. My ideal clients are open to collaboratively building a personal healing space and therapeutic relationship founded on authenticity, empathy, kindness, respect, and unconditional acceptance. Whether you are struggling with depression, anxiety, behavioral issues, addiction, grief, or trauma, I am focused on providing a holistic approach to meet you where you are at and travel a path based on your strengths and goals at the pace that is right for you. I center warmth and compassion and am intentional with gentle directness.
(503) 662-9448 View (503) 662-9448
Photo of Sherrilynn Blanton, Clinical Social Work Associate in Portland, OR
Sherrilynn Blanton
Clinical Social Work Associate, CSWA, MSW, CADCIII, QMHP
Verified Verified
Portland, OR 97211
I have worked with women, men and adolescents/teens with addiction issues.
As your therapist, I am here to listen, support and work collaboratively with you through your journey as you discover your strengths and develop a sense of hope and motivation to take action to improve your life situation, utilizing the resources within and around you. My experience, education and knowledge has afforded me the opportunity to work with you who have experienced trauma, depression, anxiety, domestic violence, family conflict, couples counseling, relationship issues, etc.. I will use various treatment models that will help you to reach your desired goals.
I have worked with women, men and adolescents/teens with addiction issues.
As your therapist, I am here to listen, support and work collaboratively with you through your journey as you discover your strengths and develop a sense of hope and motivation to take action to improve your life situation, utilizing the resources within and around you. My experience, education and knowledge has afforded me the opportunity to work with you who have experienced trauma, depression, anxiety, domestic violence, family conflict, couples counseling, relationship issues, etc.. I will use various treatment models that will help you to reach your desired goals.
(971) 233-3830 View (971) 233-3830
Photo of Joanne Baum, Clinical Social Work/Therapist in Portland, OR
Joanne Baum
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Portland, OR 97204  (Online Only)
I partner with you to explore options and heal whatever is getting in your way & keeping you uncomfortably stuck. Our goal is to have you live the life you want to live, how you want to live it. I'm available for TeleHealth Sessions throughout Florida. If you want to tackle issues such as: Addiction, Codependency, Trauma, Sexuality, Unmanageable Stress and Anxiety, Gambling, ADD/ADHD, Feeling Intimidated by a Life Transition, Feeling Stuck, or wanting to make Personal or Career Changes, we can work together to meet your needs. I use Brainspotting, talk therapies, & a variety of treatment methods like CBT, MI, & DBT with you.
I partner with you to explore options and heal whatever is getting in your way & keeping you uncomfortably stuck. Our goal is to have you live the life you want to live, how you want to live it. I'm available for TeleHealth Sessions throughout Florida. If you want to tackle issues such as: Addiction, Codependency, Trauma, Sexuality, Unmanageable Stress and Anxiety, Gambling, ADD/ADHD, Feeling Intimidated by a Life Transition, Feeling Stuck, or wanting to make Personal or Career Changes, we can work together to meet your needs. I use Brainspotting, talk therapies, & a variety of treatment methods like CBT, MI, & DBT with you.
(971) 286-5071 View (971) 286-5071
Photo of Ryan Leiderman, Licensed Professional Counselor in Portland, OR
Ryan Leiderman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97214  (Online Only)
Now accepting new clients. I help people seeking greater peace, joy, and clarity in their lives. I have experience helping adults and adolescents dealing with struggles like anxiety, depression, substance misuse, existential concerns, and relationship problems. If you are new to counseling or returning to the path, I congratulate you on taking this step and welcome you to contact me for a free 15 minute consultation.
Now accepting new clients. I help people seeking greater peace, joy, and clarity in their lives. I have experience helping adults and adolescents dealing with struggles like anxiety, depression, substance misuse, existential concerns, and relationship problems. If you are new to counseling or returning to the path, I congratulate you on taking this step and welcome you to contact me for a free 15 minute consultation.
(503) 713-6871 View (503) 713-6871
Photo of Anna Lisa Couturier, Clinical Social Work/Therapist in Portland, OR
Anna Lisa Couturier
Clinical Social Work/Therapist, LCSW, CADCI
Verified Verified
2 Endorsed
Portland, OR 97232
Waitlist for new clients
I am certified to treat substance abuse as well as mental health issues.
My approach to counseling is centered on building a relationship with youth and families, adults, and couples that is based on dignity and mutual respect. I attempt to create an atmosphere of cooperation and equality in counseling, based on the belief that clients are the experts on their own lives and experiences, and that this expertise can be utilized in the process of making change. I believe compassion and authenticity are essential to forging a strong therapeutic relationship.
I am certified to treat substance abuse as well as mental health issues.
My approach to counseling is centered on building a relationship with youth and families, adults, and couples that is based on dignity and mutual respect. I attempt to create an atmosphere of cooperation and equality in counseling, based on the belief that clients are the experts on their own lives and experiences, and that this expertise can be utilized in the process of making change. I believe compassion and authenticity are essential to forging a strong therapeutic relationship.
(503) 451-6068 View (503) 451-6068
Photo of Larry Venaska, Clinical Social Work/Therapist in Portland, OR
Larry Venaska
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97211
I have extensive experience treating addictions including process addictions (sex addiction, gambling, co-dependency, emotional eating) and substance abuse and specialize in family issues and conflict resolution.
Are you feeling stuck, overwhelmed or hopeless? Can't get your needs met to your satisfaction? Do you find one or more areas of your life to be unfullfilling such as romantic relationship, work, parenting, extended family? Do you have legal or financial struggles or relationship conflicts that affect your mood significantly? I draw on a variety of therapeutic approaches, experience in working with past clients and personal experience to collaborate with you in creating the best healing environment specific for you.
I have extensive experience treating addictions including process addictions (sex addiction, gambling, co-dependency, emotional eating) and substance abuse and specialize in family issues and conflict resolution.
Are you feeling stuck, overwhelmed or hopeless? Can't get your needs met to your satisfaction? Do you find one or more areas of your life to be unfullfilling such as romantic relationship, work, parenting, extended family? Do you have legal or financial struggles or relationship conflicts that affect your mood significantly? I draw on a variety of therapeutic approaches, experience in working with past clients and personal experience to collaborate with you in creating the best healing environment specific for you.
(971) 205-2892 View (971) 205-2892
Photo of Robbie Bahl in Portland, OR
Robbie Bahl
MD
Verified Verified
1 Endorsed
Portland, OR 97202
Bahl has been formally trained in Addiction Medicine in the university setting.
At Shanti, we provide comprehensive mental health treatment. We specialize in dual diagnosis treatment for mental health issues and addiction. Our TMS therapy program treats depression in our clients using a new and unique technology. Robbie Bahl, MD is our medical director. He is a dual Board Certified medical physician, specializing in Addiction Medicine and Family Medicine. He performs Suboxone and Buprenorphine Inductions and Maintenance, Chronic Pain, Opioid Dependence, Alcohol Dependence, Vivitrol/Sublocade Injections, and TMS therapy for depression. We have a team of MDs, NPs, and therapists to work to for your wellness.
Bahl has been formally trained in Addiction Medicine in the university setting.
At Shanti, we provide comprehensive mental health treatment. We specialize in dual diagnosis treatment for mental health issues and addiction. Our TMS therapy program treats depression in our clients using a new and unique technology. Robbie Bahl, MD is our medical director. He is a dual Board Certified medical physician, specializing in Addiction Medicine and Family Medicine. He performs Suboxone and Buprenorphine Inductions and Maintenance, Chronic Pain, Opioid Dependence, Alcohol Dependence, Vivitrol/Sublocade Injections, and TMS therapy for depression. We have a team of MDs, NPs, and therapists to work to for your wellness.
(503) 743-7966 View (503) 743-7966
Photo of Stephanie Podasca, Licensed Professional Counselor in Portland, OR
Stephanie Podasca
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Portland, OR 97217  (Online Only)
Waitlist for new clients
I am here to help you overcome difficult experiences, connect to your authentic self, and find freedom so that you can build the life you truly want. I work with adults who are struggling with trauma-related emotional, relational, and behavioral issues such as anxiety, addiction, and relationship issues. The clients who have the best outcomes with me are open to exploring their difficult emotional patterns, behaviors, and relationships and are willing to try new things in and outside of our sessions. My ideal client wants to connect with a real person, reconnect to their mind and body and ultimately expand their coping tool kit!
I am here to help you overcome difficult experiences, connect to your authentic self, and find freedom so that you can build the life you truly want. I work with adults who are struggling with trauma-related emotional, relational, and behavioral issues such as anxiety, addiction, and relationship issues. The clients who have the best outcomes with me are open to exploring their difficult emotional patterns, behaviors, and relationships and are willing to try new things in and outside of our sessions. My ideal client wants to connect with a real person, reconnect to their mind and body and ultimately expand their coping tool kit!
(971) 206-6443 View (971) 206-6443
Photo of Willamette Wellness Center, Licensed Professional Counselor in Portland, OR
Willamette Wellness Center
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Portland, OR 97229  (Online Only)
WWC now has psychiatric medication services available for OR and WA! WWC is a group of mental health clinicians living in, and serving the states of Oregon and Washington. We have a wide range of specialties including medication management, eating disorders, substance abuse, LGBTQ+ and trans support, post partum work, bariatric surgery letters, psychedelic psychotherapy, PTSD/C-PTSD therapy, veteran/BIPOC/marginalized community support, pornography/sex addiction, sex therapy and many others. View our therapists and book today at www.wwcpdx.com
WWC now has psychiatric medication services available for OR and WA! WWC is a group of mental health clinicians living in, and serving the states of Oregon and Washington. We have a wide range of specialties including medication management, eating disorders, substance abuse, LGBTQ+ and trans support, post partum work, bariatric surgery letters, psychedelic psychotherapy, PTSD/C-PTSD therapy, veteran/BIPOC/marginalized community support, pornography/sex addiction, sex therapy and many others. View our therapists and book today at www.wwcpdx.com
(971) 803-4515 View (971) 803-4515
Photo of Katheryn Cordova Jimenez, Clinical Social Work/Therapist in Portland, OR
Katheryn Cordova Jimenez
Clinical Social Work/Therapist, LCSW, CADC I
Verified Verified
Portland, OR 97220  (Online Only)
I have been working with pre-teens, teens, and young adults for the past 12 years. I provide individual and family therapy for both mental health and substance use concerns to teens and young adults. I use a strengths-based and trauma informed approach that is grounded in anti-racism.
I have been working with pre-teens, teens, and young adults for the past 12 years. I provide individual and family therapy for both mental health and substance use concerns to teens and young adults. I use a strengths-based and trauma informed approach that is grounded in anti-racism.
(503) 563-8111 View (503) 563-8111
Photo of Joseph Bonnell, Licensed Professional Counselor in Portland, OR
Joseph Bonnell
Licensed Professional Counselor, MS, LPC, CRC, CADCIII
Verified Verified
Portland, OR 97230
Waitlist for new clients
I am a therapist and clinical supervisor based in Portland, OR. Some areas I have experience in include disability, chronic illness, queer and trans folks, gender affirming care, various forms of neurodiversity, trauma, oppression, navigating social services - both as clients and workers, and substance use. I am grateful to have had a career working where I have worked with a diverse group of people on a wide range of issues and I hope this trend continues. At this time, I work with adults and teens. If you think I could be a good fit for you, or have additional questions, please reach out. I am happy to offer free consultations.
I am a therapist and clinical supervisor based in Portland, OR. Some areas I have experience in include disability, chronic illness, queer and trans folks, gender affirming care, various forms of neurodiversity, trauma, oppression, navigating social services - both as clients and workers, and substance use. I am grateful to have had a career working where I have worked with a diverse group of people on a wide range of issues and I hope this trend continues. At this time, I work with adults and teens. If you think I could be a good fit for you, or have additional questions, please reach out. I am happy to offer free consultations.
(503) 966-2873 View (503) 966-2873
Photo of Elizabeth Wallace, Licensed Professional Counselor in Portland, OR
Elizabeth Wallace
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97219  (Online Only)
I use elements of SFT and CBT and have additional training in addiction/dual diagnosis treatment, Gottman couples therapy, DBT and EMDR.
Hello! I specialize in couples/sex, addictions, and trauma/anxiety. I take Cigna, Aetna and Optum insurance. I have been helping adults and couples reach their goals for 19 years. I'm here for those that want to free themselves from old patterns, be they traumatic events, anxiety attacks, destructive patterns, infidelity, issues with sex, or unhelpful styles of communication. I'm known for being an active participant, open-minded and direct. I also love using my great sense of humor, when appropriate. I'm casual. Cussing in sessions welcome!
I use elements of SFT and CBT and have additional training in addiction/dual diagnosis treatment, Gottman couples therapy, DBT and EMDR.
Hello! I specialize in couples/sex, addictions, and trauma/anxiety. I take Cigna, Aetna and Optum insurance. I have been helping adults and couples reach their goals for 19 years. I'm here for those that want to free themselves from old patterns, be they traumatic events, anxiety attacks, destructive patterns, infidelity, issues with sex, or unhelpful styles of communication. I'm known for being an active participant, open-minded and direct. I also love using my great sense of humor, when appropriate. I'm casual. Cussing in sessions welcome!
(503) 470-7009 View (503) 470-7009

Addiction Therapists

What is the best therapy for addiction?

Addiction treatment will be tailored to the individual. People seeking help for addiction—whether with a psychotherapist, in an outpatient clinic, or in a residential program—should expect to engage in multiple types of treatments, sometimes including medication. For anyone recovering from addiction, avoiding situations in which one has typically used a substance is essential, as is the support of close connections. Since substance use disorders tend to co-occur with underlying mental health conditions such as anxiety or depression, those must also be addressed as part of any recovery plan.

How long does therapy for addiction take?

There is no set timeline for recovery from addiction. Patients and their families should expect the work to last several months, if not longer. Residential treatment programs may be based on a stay of 30, 60, or 90 days, with continuing work after release, but only about 1 percent of people are treated in such facilities. Ceasing use is just the first step; therapy to help maintain abstinence and effect behavior change must follow. The process of recovery, neuroscience has shown, involves brain cells recovering the capacity to respond to natural sources of reward and restore control over the impulse to use. Another definition of recovery is restoring voluntary control over one’s substance use and retaking all of one’s previous responsibilities.

How effective is drug addiction treatment?

Substance use disorders are treatable and remission is achievable for many who seek recovery; by some estimates, more than three-quarters of people who become addicted to alcohol or drugs recover. But that success rarely occurs quickly or on a set timeline; relapse is not only common, but many therapists and clinicians view it as a normal part of the process—not always a sign that a person has returned to addiction, but a signal that their treatment should be adjusted to help them regain control. Overall, research suggests, five years after the end of substance use, one’s risk of relapse is no greater than that of others who had not faced addiction. Other experts believe that complete abstinence is not the only measure of recovery, and that, through effective treatment, many people can learn to control their use.

How can you get addiction treatment for someone?

The most important factor in recovery from addiction is widely understood to be an individual’s commitment to change. For that reason,“interventions” in which friends and family gather to urge or force someone to begin immediate treatment often backfire; even when such efforts do lead someone to begin treatment, they may be less likely to stay than those who are self-driven. Still, family members can play an important role in supporting an individual who seeks help and can take part in family therapy as one element of a loved one’s treatment.