Substance Use Therapists in Pittsburgh, PA

I specialize in working with adults navigating and healing from eating disorders, substance use, trauma, and complex trauma.
My therapeutic orientation is client-centered, strength-based, and holistic, tailoring my approach to meet your unique needs. I utilize EMDR regularly in sessions and also incorporate a variety of other therapeutic approaches including attachment-based therapies, parts work, polyvagal theory, motivational interviewing, and DBT/CBT.
I specialize in working with adults navigating and healing from eating disorders, substance use, trauma, and complex trauma.
My therapeutic orientation is client-centered, strength-based, and holistic, tailoring my approach to meet your unique needs. I utilize EMDR regularly in sessions and also incorporate a variety of other therapeutic approaches including attachment-based therapies, parts work, polyvagal theory, motivational interviewing, and DBT/CBT.

Whether you're navigating a major life transition, feeling overwhelmed by anxiety or depression, struggling with substance use or OCD, or simply looking to understand yourself more deeply, I'm here to support you on your journey.
You can expect me to partner with you to find the most effective approaches for your goals. I support clients in developing changes in their thinking, emotions, and behaviors through evidence-based therapies like Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure with Response Prevention (ERP), and Motivational Interviewing.
Whether you're navigating a major life transition, feeling overwhelmed by anxiety or depression, struggling with substance use or OCD, or simply looking to understand yourself more deeply, I'm here to support you on your journey.
You can expect me to partner with you to find the most effective approaches for your goals. I support clients in developing changes in their thinking, emotions, and behaviors through evidence-based therapies like Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Exposure with Response Prevention (ERP), and Motivational Interviewing.

These young adults may struggle with moving forward due to unresolved childhood trauma, or an individual may struggle to establish better boundaries within their interpersonal/intimate relationships, or even an individual struggling to meet their goals due to a substance use disorder they are facing.
Each individual is the expert in their own life. Therefore, I will always meet you where you are in your healing journey. I lead with a person-centered approach, allowing the patient to remain autonomous and provide a safe space for self-exploration. I also assist with understanding the meaning of issues or concerns presented through existentialism.
These young adults may struggle with moving forward due to unresolved childhood trauma, or an individual may struggle to establish better boundaries within their interpersonal/intimate relationships, or even an individual struggling to meet their goals due to a substance use disorder they are facing.
Each individual is the expert in their own life. Therefore, I will always meet you where you are in your healing journey. I lead with a person-centered approach, allowing the patient to remain autonomous and provide a safe space for self-exploration. I also assist with understanding the meaning of issues or concerns presented through existentialism.

I specialize in Substance Use, Anxiety, & Grief.
Leah utilizes an eclectic approach to therapy which allows her to see the individuals needs of each person she is working with.
I specialize in Substance Use, Anxiety, & Grief.
Leah utilizes an eclectic approach to therapy which allows her to see the individuals needs of each person she is working with.

My specialty areas include trauma-informed care, mental health well-being, substance use disorders, and marriage & family counseling.
When people feel weighed down by the heaviness that seems to consume them, providing a sense of space and reconstruction that allows a shift to occur is vital. In that shift, I hope to provide a supportive environment where they will feel that weight move and become the foundation on which they can rebuild their life. This heaviness is a unilateral condition experienced by all human beings. The secret is to create a skillset that permits the transition from weight being carried to weight being conquered. In my opinion, there is no ideal client, however, there is a blueprint of individual success for everyone.
My specialty areas include trauma-informed care, mental health well-being, substance use disorders, and marriage & family counseling.
When people feel weighed down by the heaviness that seems to consume them, providing a sense of space and reconstruction that allows a shift to occur is vital. In that shift, I hope to provide a supportive environment where they will feel that weight move and become the foundation on which they can rebuild their life. This heaviness is a unilateral condition experienced by all human beings. The secret is to create a skillset that permits the transition from weight being carried to weight being conquered. In my opinion, there is no ideal client, however, there is a blueprint of individual success for everyone.

I specialize in working with children, adolescents, adults, and families who struggle with eating disorders, substance use disorders, trauma, depression, anxiety, and personality disorders.
My ideal client would be someone motivated to engage in motivational interviewing and change work.
I specialize in working with children, adolescents, adults, and families who struggle with eating disorders, substance use disorders, trauma, depression, anxiety, and personality disorders.
My ideal client would be someone motivated to engage in motivational interviewing and change work.

I am a certified coach specializing in substance use recovery, ADHD, and grief education for individuals and families.
I will help you find and use your strengths, overcome obstacles and create the life you want and deserve.
I am a certified coach specializing in substance use recovery, ADHD, and grief education for individuals and families.
I will help you find and use your strengths, overcome obstacles and create the life you want and deserve.

Michele Thomas, MA, CADC, LPC | Online Therapy
Licensed Professional Counselor, MA, CADC, LPC
Online Only
If you’ve been feeling stuck in cycles that no longer serve you — whether that’s anxiety, low self-worth, or challenges related to substance use — you’re not alone.
I offer a space that’s compassionate, nonjudgmental, and focused on helping you regain your sense of control and confidence. I draw from evidence-based approaches like Cognitive Behavioral Therapy (CBT) and Rational Emotive Therapy (RET) to help you challenge unhelpful thought patterns, develop healthier coping skills, and reconnect with your strengths.
If you’ve been feeling stuck in cycles that no longer serve you — whether that’s anxiety, low self-worth, or challenges related to substance use — you’re not alone.
I offer a space that’s compassionate, nonjudgmental, and focused on helping you regain your sense of control and confidence. I draw from evidence-based approaches like Cognitive Behavioral Therapy (CBT) and Rational Emotive Therapy (RET) to help you challenge unhelpful thought patterns, develop healthier coping skills, and reconnect with your strengths.

I'm a licensed professional counselor at New Beginnings Virtual Counseling LLC specializing in providing grief therapy, trauma therapy, and substance use therapy for teens and adults.
I collaboratively use cognitive-behavioral, mindfulness, motivational interviewing, and somatic therapies to treat you as the whole, multidimensional person you are! We will explore all aspects of your identity, process current, and any past events to help you to fully heal, grow, and progress in many positive, and new directions in your life.
I'm a licensed professional counselor at New Beginnings Virtual Counseling LLC specializing in providing grief therapy, trauma therapy, and substance use therapy for teens and adults.
I collaboratively use cognitive-behavioral, mindfulness, motivational interviewing, and somatic therapies to treat you as the whole, multidimensional person you are! We will explore all aspects of your identity, process current, and any past events to help you to fully heal, grow, and progress in many positive, and new directions in your life.

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!

I have experience working with substance use disorders, behavioral addictions, anxiety, depression, trauma, first responders, personality disorders, and mood disorders.
I am so glad you are taking the next step for your mental health and wellness! My job is to listen; offering compassion, empathy, and coping skills, while at the same time, challenge you to get out of your comfort zone! Together we will examine your inner most thoughts, feelings, and fears. We will set realistic goals and work together at your own pace, to create change you can feel proud of.
I have experience working with substance use disorders, behavioral addictions, anxiety, depression, trauma, first responders, personality disorders, and mood disorders.
I am so glad you are taking the next step for your mental health and wellness! My job is to listen; offering compassion, empathy, and coping skills, while at the same time, challenge you to get out of your comfort zone! Together we will examine your inner most thoughts, feelings, and fears. We will set realistic goals and work together at your own pace, to create change you can feel proud of.

Ivan Vega
Licensed Mental Health Counselor, LMHC-FL, LPC-PA, NCC, CAADC, CCTP-II
Online Only
Waitlist for new clients
Whether you're struggling with trauma, substance use, or both, I am here to provide support.
Do you feel like your past is holding you hostage? When coupled together—trauma and addiction can seem like an endless loop, keeping you trapped in a cycle of guilt, shame, and fear. Desperate and heavy-laden, many suffer in silence and despair. Don't let that be you! You don't have to do this alone, nor depend on alcohol or drugs to self-medicate or alter your reality. Stop surviving and start living.
Whether you're struggling with trauma, substance use, or both, I am here to provide support.
Do you feel like your past is holding you hostage? When coupled together—trauma and addiction can seem like an endless loop, keeping you trapped in a cycle of guilt, shame, and fear. Desperate and heavy-laden, many suffer in silence and despair. Don't let that be you! You don't have to do this alone, nor depend on alcohol or drugs to self-medicate or alter your reality. Stop surviving and start living.

I have experience working with individuals struggling with grief and loss, trauma, depression, anxiety, self-harm, sexual issues, addiction, and life transitions. I currently practice in a private practice setting in Ohio. Prior to moving into private practice, I worked in an outpatient substance-use treatment facility and also have experience in a university setting providing mental health services to college students.
I have experience working with individuals struggling with grief and loss, trauma, depression, anxiety, self-harm, sexual issues, addiction, and life transitions. I currently practice in a private practice setting in Ohio. Prior to moving into private practice, I worked in an outpatient substance-use treatment facility and also have experience in a university setting providing mental health services to college students.

I work with adults and teens navigating obsessive-compulsive (OCD), trauma, and addiction / substance use, blending cognitive and somatic therapies including EMDR, IFS, ICBT, and ERP.
I work with individuals seeking a compassionate space for introspection and healing. You may feel overwhelmed by life’s challenges or past experiences, but you also bring unique strengths and perspectives. My approach honors your individuality, helping you uncover insights and foster meaningful growth along your journey.
I work with adults and teens navigating obsessive-compulsive (OCD), trauma, and addiction / substance use, blending cognitive and somatic therapies including EMDR, IFS, ICBT, and ERP.
I work with individuals seeking a compassionate space for introspection and healing. You may feel overwhelmed by life’s challenges or past experiences, but you also bring unique strengths and perspectives. My approach honors your individuality, helping you uncover insights and foster meaningful growth along your journey.

They can lead to various addictions that include substance use, sex, social media, relationships, gambling, and more.
I am a Certified Sex Addiction Therapist (CSAT) and Certified Gambling Counselor (ICGC-I), and I have received extensive training and experience in treating compulsive behaviors and trauma. Mindfulness, IFS, EMDR, and Relapse Prevention are common elements to our sessions.
They can lead to various addictions that include substance use, sex, social media, relationships, gambling, and more.
I am a Certified Sex Addiction Therapist (CSAT) and Certified Gambling Counselor (ICGC-I), and I have received extensive training and experience in treating compulsive behaviors and trauma. Mindfulness, IFS, EMDR, and Relapse Prevention are common elements to our sessions.

I specialize in anxiety, depression, trauma, substance use, and relationship issues.
I work with individuals and couples who present with mood disorders, anxiety, depression, substance abuse issues, trauma, codependency, and relationships issues/affairs. I am trained in Gottman couples counseling level 1 and 2. I truly believe in treating the whole person and using techniques and styles that work best for you and your specific goals.
I specialize in anxiety, depression, trauma, substance use, and relationship issues.
I work with individuals and couples who present with mood disorders, anxiety, depression, substance abuse issues, trauma, codependency, and relationships issues/affairs. I am trained in Gottman couples counseling level 1 and 2. I truly believe in treating the whole person and using techniques and styles that work best for you and your specific goals.

Would it be helpful to explore your relationship with substance use or medication in a non-judgmental way?
Therapy provides you with the dedicated time and space to explore your concerns and address your wellness needs. My approach is to help others find their strengths so they feel empowered and supported to take on challenges with a little humor along the way. LGBTQ+ ally
Would it be helpful to explore your relationship with substance use or medication in a non-judgmental way?
Therapy provides you with the dedicated time and space to explore your concerns and address your wellness needs. My approach is to help others find their strengths so they feel empowered and supported to take on challenges with a little humor along the way. LGBTQ+ ally

I am particularly passionate about working with individuals dealing with anxiety, depression, challenges with self-esteem, and substance use.
Hello! I'm thrilled to have the opportunity to walk alongside you on your journey to self-discovery and healing. As a therapist, my core mission is to help you unlock and reach your full potential. My approach to therapy is grounded in warmth and empathy. I believe that the therapeutic relationship is a partnership, one where we explore your thoughts, emotions, and behaviors together in a safe and supportive environment. The goal is not just to navigate through your struggles but also to celebrate and build upon your inherent strengths and resilience.
I am particularly passionate about working with individuals dealing with anxiety, depression, challenges with self-esteem, and substance use.
Hello! I'm thrilled to have the opportunity to walk alongside you on your journey to self-discovery and healing. As a therapist, my core mission is to help you unlock and reach your full potential. My approach to therapy is grounded in warmth and empathy. I believe that the therapeutic relationship is a partnership, one where we explore your thoughts, emotions, and behaviors together in a safe and supportive environment. The goal is not just to navigate through your struggles but also to celebrate and build upon your inherent strengths and resilience.

I am not just a therapist, I have dealt with many of these issues myself including trauma, substance use and recovery, anxiety, anger and depression.
We all are recovering from something, and it can become overwhelming and exhausting. Maybe it's from the bad/negative things we may have witnessed in our lives, a trauma in our past or present, using substances as a means of coping (drugs and/or alcohol, gambling, sex, shopping, food, etc), negative self esteem/self-view, mean things that people have said to us or the mean things we say to ourselves, and the list goes on and on. These things are heavy and can become a burden, one that we don't even realize we are carrying, or that our hands have been so full, we have dropped our mental peace and well-being.
I am not just a therapist, I have dealt with many of these issues myself including trauma, substance use and recovery, anxiety, anger and depression.
We all are recovering from something, and it can become overwhelming and exhausting. Maybe it's from the bad/negative things we may have witnessed in our lives, a trauma in our past or present, using substances as a means of coping (drugs and/or alcohol, gambling, sex, shopping, food, etc), negative self esteem/self-view, mean things that people have said to us or the mean things we say to ourselves, and the list goes on and on. These things are heavy and can become a burden, one that we don't even realize we are carrying, or that our hands have been so full, we have dropped our mental peace and well-being.

Whether you’re navigating anxiety, depression, trauma, or substance use, I meet you where you are.
I offer a warm, culturally responsive space for adolescents and adults navigating anxiety, trauma, and life transitions. I’m passionate about mental health and approach therapy with empathy, cultural humility, and trauma-informed care. Using tools like EMDR, Motivational Interviewing, mindfulness, value-based exploration, and ketamine therapy referrals, I help clients break unhelpful patterns and reconnect with their strengths. My goal is to support healing, clarity, and empowered decision-making.
Whether you’re navigating anxiety, depression, trauma, or substance use, I meet you where you are.
I offer a warm, culturally responsive space for adolescents and adults navigating anxiety, trauma, and life transitions. I’m passionate about mental health and approach therapy with empathy, cultural humility, and trauma-informed care. Using tools like EMDR, Motivational Interviewing, mindfulness, value-based exploration, and ketamine therapy referrals, I help clients break unhelpful patterns and reconnect with their strengths. My goal is to support healing, clarity, and empowered decision-making.
See more therapy options for Pittsburgh
Nearby Substance Use Therapists Searches for Pittsburgh
- Aspinwall
- Carnegie
- East Liberty
- Glenshaw
- McKees Rocks
- Mount Lebanon
- Pleasant Hills
- Shadyside
- Squirrel Hill
- Swissvale
- West Homestead
- West Mifflin
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.