Photo of Sam Robinson, Counselor in 28801, NC
Sam Robinson
Counselor, LCMHCA
Verified Verified
4 Endorsed
Asheville, NC 28801
Life is relational. From our first breath to our last, we are in relation to someone or something. Oftentimes, our suffering can be traced back to feeling stuck in our ways of relating, finding that no matter who or what we’re relating to, we feel anxious, depressed, unheard, or unloved. It can be helpful to pause and observe how our relationships and general patterns of relating are constraining or frustrating our lives in some way. Themes that I enjoy working with are anxiety, depression, grief, developmental trauma, relationship issues, doubt, faith, meaninglessness, spirituality, family of origin issues, dreaming, and meditation
Life is relational. From our first breath to our last, we are in relation to someone or something. Oftentimes, our suffering can be traced back to feeling stuck in our ways of relating, finding that no matter who or what we’re relating to, we feel anxious, depressed, unheard, or unloved. It can be helpful to pause and observe how our relationships and general patterns of relating are constraining or frustrating our lives in some way. Themes that I enjoy working with are anxiety, depression, grief, developmental trauma, relationship issues, doubt, faith, meaninglessness, spirituality, family of origin issues, dreaming, and meditation
(828) 826-1570 View (828) 826-1570
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.