Photo of Dr. Howard C. Samuels Therapy, Marriage & Family Therapist in Los Angeles, CA
Dr. Howard C. Samuels Therapy
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Los Angeles, CA 90028
You want to overcome addiction, substance use disorder, relationship or family issues but don't know how or where to begin.
You want to overcome addiction, substance use disorder, relationship or family issues but don't know how or where to begin.
(323) 693-8521 View (323) 693-8521
Photo of Jonathan Reith-Thompson, Marriage & Family Therapist in Los Angeles, CA
Jonathan Reith-Thompson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Los Angeles, CA 90048
I provide individual and couples therapy for a range of issues including relationship problems, anxiety and depression, and substance use issues.
I have maintained a private practice providing individual, couple, and group psychotherapy in the Los Angeles area for the last 21 years. Life is not easy, and sometimes it gets really hard. But the measure of success is how we cope with life's challenges.
I provide individual and couples therapy for a range of issues including relationship problems, anxiety and depression, and substance use issues.
I have maintained a private practice providing individual, couple, and group psychotherapy in the Los Angeles area for the last 21 years. Life is not easy, and sometimes it gets really hard. But the measure of success is how we cope with life's challenges.
(323) 825-0855 View (323) 825-0855
Photo of David Borof, Marriage & Family Therapist in Los Angeles, CA
David Borof
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90031
I treat depression, anxiety, post-traumatic stress disorder and I specialize in the treatment of addictions, including substance use and sex addiction.
My name is David Borof, and I am a Licensed Marriage and Family Therapist with the State of California. Providing therapy and being able to serve others is my passion. I consider providing therapy as my art, although I stay on top of the latest research and evidence-based practices. I look forward to working with you! Research shows that what is most effective in therapy is a therapeutic alliance and good rapport. My main focus is to establish a safe space to explore thoughts, feelings, and behaviors with empathy and by supporting the client's self-determination.
I treat depression, anxiety, post-traumatic stress disorder and I specialize in the treatment of addictions, including substance use and sex addiction.
My name is David Borof, and I am a Licensed Marriage and Family Therapist with the State of California. Providing therapy and being able to serve others is my passion. I consider providing therapy as my art, although I stay on top of the latest research and evidence-based practices. I look forward to working with you! Research shows that what is most effective in therapy is a therapeutic alliance and good rapport. My main focus is to establish a safe space to explore thoughts, feelings, and behaviors with empathy and by supporting the client's self-determination.
(323) 924-3027 View (323) 924-3027
Photo of Nicholas Charles Russi, Drug & Alcohol Counselor in Los Angeles, CA
Nicholas Charles Russi
Drug & Alcohol Counselor, LAADC-S, CCS, ICAADC
Verified Verified
Los Angeles, CA 90077
It's important to note that I am a Counselor specializing in Substance Use/Addictions/Alcoholism AND other problems that commonly associated.
**Telehealth Video sessions are available** Are you having trouble controlling your drinking but feel like "rehab" isn't for you? Have loved ones in your life pleaded with you to stop? Is your alcohol or drug use causing relationship issues? Anxiety problems? I know exactly how your feeling. Alcohol or drug abuse can extremely difficult to manage on your own. For the last 19 years I’ve been helping clients navigate the personal recovery process and the trials and tribulations they come with it. If you are in a place in your life where you are ready to make some needed changes, I can help you be free from the grips of addiction.
It's important to note that I am a Counselor specializing in Substance Use/Addictions/Alcoholism AND other problems that commonly associated.
**Telehealth Video sessions are available** Are you having trouble controlling your drinking but feel like "rehab" isn't for you? Have loved ones in your life pleaded with you to stop? Is your alcohol or drug use causing relationship issues? Anxiety problems? I know exactly how your feeling. Alcohol or drug abuse can extremely difficult to manage on your own. For the last 19 years I’ve been helping clients navigate the personal recovery process and the trials and tribulations they come with it. If you are in a place in your life where you are ready to make some needed changes, I can help you be free from the grips of addiction.
(310) 526-8418 View (310) 526-8418
Photo of Jack Senese IV, Clinical Social Work/Therapist in Los Angeles, CA
Jack Senese IV
Clinical Social Work/Therapist, LCSW
Verified Verified
Los Angeles, CA 90027
I have significant experience working with LGBTQ adults, military personnel, body-image, stress and anxiety, as well as substance use and addiction.
I am a licensed therapist who approaches therapy with a direct, strengths-based approach. I spent my life in New York before moving out to LA to do therapy. While here, I have worked my professional career in a diverse number of settings, including a neurofeedback clinic, rehab center, LGBTQ center, and multiple military research settings. I was driven to the mental health field because I genuinely enjoy working with others to create a better future. I am also an industrial-organizational psychologist where my focus is on work-life balance and executive coaching.
I have significant experience working with LGBTQ adults, military personnel, body-image, stress and anxiety, as well as substance use and addiction.
I am a licensed therapist who approaches therapy with a direct, strengths-based approach. I spent my life in New York before moving out to LA to do therapy. While here, I have worked my professional career in a diverse number of settings, including a neurofeedback clinic, rehab center, LGBTQ center, and multiple military research settings. I was driven to the mental health field because I genuinely enjoy working with others to create a better future. I am also an industrial-organizational psychologist where my focus is on work-life balance and executive coaching.
(917) 719-5691 View (917) 719-5691
Photo of Nicholas Charles Russi, Drug & Alcohol Counselor in Los Angeles, CA
Nicholas Charles Russi
Drug & Alcohol Counselor, LAADC-S, CCS, ICAADC
Verified Verified
Los Angeles, CA 90011
It's important to note that I am a Counselor specializing in Substance Use/Addictions/Alcoholism AND other problems that commonly associated.
**Telehealth Video sessions are available** Are you having trouble controlling your drinking but feel like "rehab" isn't for you? Have loved ones in your life pleaded with you to stop? Is your alcohol or drug use causing relationship issues? Anxiety problems? I know exactly how you’re feeling. Alcohol or drug abuse can extremely difficult to manage on your own. For the last 19 years I’ve been helping clients navigate the personal recovery process and the trials and tribulations they come with it. If you are in a place in your life where you are ready to make some needed changes, I can help you be free from the grips of addiction.
It's important to note that I am a Counselor specializing in Substance Use/Addictions/Alcoholism AND other problems that commonly associated.
**Telehealth Video sessions are available** Are you having trouble controlling your drinking but feel like "rehab" isn't for you? Have loved ones in your life pleaded with you to stop? Is your alcohol or drug use causing relationship issues? Anxiety problems? I know exactly how you’re feeling. Alcohol or drug abuse can extremely difficult to manage on your own. For the last 19 years I’ve been helping clients navigate the personal recovery process and the trials and tribulations they come with it. If you are in a place in your life where you are ready to make some needed changes, I can help you be free from the grips of addiction.
(323) 746-0755 View (323) 746-0755
Photo of Dr. Joshua Morrison, Psychologist in Los Angeles, CA
Dr. Joshua Morrison
Psychologist, PsyD
Verified Verified
Los Angeles, CA 90026  (Online Only)
Finding and embracing an authentic sense of self is one of the core missions of adult life. What too often corrupts this search, though, is the phenomenon of shame - a destructive force if there ever was one. Shame can contribute to substance use, depression, anxiety, interpersonal struggles, poor health outcomes, maladaptive trauma responses, and, at extremes, psychosis and suicidal ideation. Such maladies, when approached in the context of a compassionate and trusting therapeutic relationship, can be transformed into signs pointing the way toward a meaningful and fulfilling sense of self.
Finding and embracing an authentic sense of self is one of the core missions of adult life. What too often corrupts this search, though, is the phenomenon of shame - a destructive force if there ever was one. Shame can contribute to substance use, depression, anxiety, interpersonal struggles, poor health outcomes, maladaptive trauma responses, and, at extremes, psychosis and suicidal ideation. Such maladies, when approached in the context of a compassionate and trusting therapeutic relationship, can be transformed into signs pointing the way toward a meaningful and fulfilling sense of self.
(619) 815-4658 View (619) 815-4658
Photo of Connie Padera, Clinical Social Work/Therapist in Los Angeles, CA
Connie Padera
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Los Angeles, CA 90001  (Online Only)
Are you struggling with substance use or disordered eating habits? Or maybe you need some guidance on self-esteem or relationship issues? It's okay to not be okay, and I'm here to help you through whatever life has brought your way. I believe in treating each these issues from a whole person perspective, and will work with you to enrich all areas of your well-being. Through openhearted and compassionate communication, we will create a safe space for you to mindfully explore your thoughts, feelings, and behaviors, and identify which among them no longer serve you.
Are you struggling with substance use or disordered eating habits? Or maybe you need some guidance on self-esteem or relationship issues? It's okay to not be okay, and I'm here to help you through whatever life has brought your way. I believe in treating each these issues from a whole person perspective, and will work with you to enrich all areas of your well-being. Through openhearted and compassionate communication, we will create a safe space for you to mindfully explore your thoughts, feelings, and behaviors, and identify which among them no longer serve you.
(760) 456-2524 View (760) 456-2524
Photo of Dr. Gautami Ashok, Psychologist in Los Angeles, CA
Dr. Gautami Ashok
Psychologist, PsyD, MSc
Verified Verified
Los Angeles, CA 90014
I have experience and interest in working with adults who struggle with anxiety, depression, history of trauma, relationships, substance use and abuse (including sex addiction), sexually deviant thoughts, sexual abuse, and sexual intimacy.
In dealing with stressors, life events, challenging relationships, and traumatic experiences we develop patterns to keep ourselves safe and sane; which often also limits us. The challenge is unlearning these narratives and trusting our innate wisdom. When we feel safe, secure and accepted for who we are we can begin the process of shedding what doesn’t work for us, while exploring our untapped potential. I believe you are the master of your story; and I hope to create a safe space where we can gain insight about your inner battles, develop skills to enhance holistic development, and realize the potential of your authentic self.
I have experience and interest in working with adults who struggle with anxiety, depression, history of trauma, relationships, substance use and abuse (including sex addiction), sexually deviant thoughts, sexual abuse, and sexual intimacy.
In dealing with stressors, life events, challenging relationships, and traumatic experiences we develop patterns to keep ourselves safe and sane; which often also limits us. The challenge is unlearning these narratives and trusting our innate wisdom. When we feel safe, secure and accepted for who we are we can begin the process of shedding what doesn’t work for us, while exploring our untapped potential. I believe you are the master of your story; and I hope to create a safe space where we can gain insight about your inner battles, develop skills to enhance holistic development, and realize the potential of your authentic self.
(916) 848-5866 View (916) 848-5866
Photo of Maxine M. Hughes, Marriage & Family Therapist in Los Angeles, CA
Maxine M. Hughes
Marriage & Family Therapist, MA, LMFT, CST-C
Verified Verified
Los Angeles, CA 90048
I find that adults can hold the impact of childhood trauma for years before seeking psychotherapy and often mask their pain with anxiety, depression, difficulties with vulnerability and substance use.
Is it difficult to trust others or your partner? Do you find yourself avoiding people or lacking energy to do the things you enjoy? Would you like a better relationship with yourself and others? I am cisgender LGBTQ affirmative therapist, my goal is to provide a sex positive environment for you to be authentically who you are, without judgment. During short term treatment I will provide you with tools to find practical solutions to your challenges.
I find that adults can hold the impact of childhood trauma for years before seeking psychotherapy and often mask their pain with anxiety, depression, difficulties with vulnerability and substance use.
Is it difficult to trust others or your partner? Do you find yourself avoiding people or lacking energy to do the things you enjoy? Would you like a better relationship with yourself and others? I am cisgender LGBTQ affirmative therapist, my goal is to provide a sex positive environment for you to be authentically who you are, without judgment. During short term treatment I will provide you with tools to find practical solutions to your challenges.
(951) 692-4360 View (951) 692-4360
Thomas Wood
Licensed Professional Clinical Counselor, PhD, LPC
Verified Verified
Los Angeles, CA 90066
My name is Tom Wood, Ph.D, LPC, and I have worked in the field of addictions and mental health for over 15 years, providing psychotherapeutic services and education to groups, individuals, couples, and families. I specialize in assessment and treatment of individuals and families, as well as distressed professionals, on issues ranging from substance use disorders, behavioral addictions, emotional and mental health, PTSD and other trauma, family and relationship conflict, to personal lifecycle adjustment, positive personal growth, and relationship and career transitions.
My name is Tom Wood, Ph.D, LPC, and I have worked in the field of addictions and mental health for over 15 years, providing psychotherapeutic services and education to groups, individuals, couples, and families. I specialize in assessment and treatment of individuals and families, as well as distressed professionals, on issues ranging from substance use disorders, behavioral addictions, emotional and mental health, PTSD and other trauma, family and relationship conflict, to personal lifecycle adjustment, positive personal growth, and relationship and career transitions.
(424) 523-8860 View (424) 523-8860
Photo of Dr. Aaron Smith, Psychologist in Los Angeles, CA
Dr. Aaron Smith
Psychologist, PhD
Verified Verified
Los Angeles, CA 90024  (Online Only)
In order to assist clients in working toward their optimal self, I utilize Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Mindfulness, and Acceptance Commitment Therapy (ACT), and specializes in the treatment of anxiety, depression, substance use disorders, and interpersonal difficulties.
I am a licensed clinical psychologist with expertise in providing psychotherapy to adults and their families. I have provided treatment and conducted evaluations for individuals in clinical settings from private practices, to hospitals, to community health centers. I have a true passion for working with clients from diverse cultural backgrounds and values cultural awareness in a therapeutic setting. I empower individuals to enhance their lives through the application of evidence-based therapeutic models and relational support.
In order to assist clients in working toward their optimal self, I utilize Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Mindfulness, and Acceptance Commitment Therapy (ACT), and specializes in the treatment of anxiety, depression, substance use disorders, and interpersonal difficulties.
I am a licensed clinical psychologist with expertise in providing psychotherapy to adults and their families. I have provided treatment and conducted evaluations for individuals in clinical settings from private practices, to hospitals, to community health centers. I have a true passion for working with clients from diverse cultural backgrounds and values cultural awareness in a therapeutic setting. I empower individuals to enhance their lives through the application of evidence-based therapeutic models and relational support.
(424) 477-3608 View (424) 477-3608
Photo of Philip “Tad” King, Marriage & Family Therapist in Los Angeles, CA
Philip “Tad” King
Marriage & Family Therapist, MA, LMFT
Verified Verified
Los Angeles, CA 90046  (Online Only)
I specialize in helping clients work through complex issues around shame, low self-esteem and mood disorders that often feed substance use and addiction.
I specialize in treating anxiety, depression and addiction. In recent years I have developed a focus on work with couples, utilizing the science of human bonding and love. I have a strength in helping couples decode negative patterns or cycles that keep them feeling disconnected and alone. I will help you build a strong and lasting bond with your partner or spouse that provides a deeper sense of safety and connection.
I specialize in helping clients work through complex issues around shame, low self-esteem and mood disorders that often feed substance use and addiction.
I specialize in treating anxiety, depression and addiction. In recent years I have developed a focus on work with couples, utilizing the science of human bonding and love. I have a strength in helping couples decode negative patterns or cycles that keep them feeling disconnected and alone. I will help you build a strong and lasting bond with your partner or spouse that provides a deeper sense of safety and connection.
(760) 280-6023 View (760) 280-6023
Photo of Brian X Dunphey, Marriage & Family Therapist in Los Angeles, CA
Brian X Dunphey
Marriage & Family Therapist, MS, JD, LMFT
Verified Verified
Los Angeles, CA 90069
I specialize in treating persons with Eating Disorders, Substance Use & Problem Sex Behavior from achieving abstinence to expanding fulfilling recovered lives.
I have over 12 years experience working in residential, intensive outpatient & outpatient settings, with people living successfully with mood disorders, substance abuse & dependence, disordered eating, and creating meaningful sense of interpersonal & relational patterns. My career has afforded me the privilege to work with young adults, professionals and aging adults throughout the Southern California area. I believe that as my clients, you know intuitively how you wish to grow and it's my job to listen with care so you can determine a route, means and hope to navigate a hopeful worthwhile path. I work hard with you in charge.
I specialize in treating persons with Eating Disorders, Substance Use & Problem Sex Behavior from achieving abstinence to expanding fulfilling recovered lives.
I have over 12 years experience working in residential, intensive outpatient & outpatient settings, with people living successfully with mood disorders, substance abuse & dependence, disordered eating, and creating meaningful sense of interpersonal & relational patterns. My career has afforded me the privilege to work with young adults, professionals and aging adults throughout the Southern California area. I believe that as my clients, you know intuitively how you wish to grow and it's my job to listen with care so you can determine a route, means and hope to navigate a hopeful worthwhile path. I work hard with you in charge.
(949) 541-8740 View (949) 541-8740
Photo of Jaime Ramirez (He Him His), Marriage & Family Therapist in Los Angeles, CA
Jaime Ramirez (He Him His)
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Los Angeles, CA 90031
I work with people who felt stuck while experiencing a challenging moment in life, such as the end of a relationship, job, or living arrangement, personal, generational, and professional changes, gender issues, sexual identity, gender transition, shifts in the relationship with substance use and irresistible urges and behaviors.
As a post modern thinker, I believe that each person has the skills and strengths to create an affirmative narrative, that is not based on negative self-talk or unproductive messages. I like holding conversations that will spark curiosity and explore opportunities to author your new stories.
I work with people who felt stuck while experiencing a challenging moment in life, such as the end of a relationship, job, or living arrangement, personal, generational, and professional changes, gender issues, sexual identity, gender transition, shifts in the relationship with substance use and irresistible urges and behaviors.
As a post modern thinker, I believe that each person has the skills and strengths to create an affirmative narrative, that is not based on negative self-talk or unproductive messages. I like holding conversations that will spark curiosity and explore opportunities to author your new stories.
(310) 431-9965 View (310) 431-9965
Photo of Dinko Zidarich, Marriage & Family Therapist in Los Angeles, CA
Dinko Zidarich
Marriage & Family Therapist, MA, LMFT, CSAT
Verified Verified
3 Endorsed
Los Angeles, CA 90046
I have extensive training in substance use (Substance Abuse Professional, SAP) and hypersexual and/or compulsive sexual and relationship behaviors (Certified Sex Addiction Therapist, CSAT).
You see yourself as a high-achieving person, but there are parts of your life that feel unbalanced. Perhaps there are self-destructive behaviors that are getting out of control. Or your relationships may be causing you grief. There may also be an empty feeling or nagging fears under the surface. Even if you are accustomed to solving things yourself, this may be the time to reach out for help from a professional who specializes in working with high-functioning clients like yourself. I offer a rare combination of two decades of experience in the MIT/tech world with substantial training as a psychotherapist.
I have extensive training in substance use (Substance Abuse Professional, SAP) and hypersexual and/or compulsive sexual and relationship behaviors (Certified Sex Addiction Therapist, CSAT).
You see yourself as a high-achieving person, but there are parts of your life that feel unbalanced. Perhaps there are self-destructive behaviors that are getting out of control. Or your relationships may be causing you grief. There may also be an empty feeling or nagging fears under the surface. Even if you are accustomed to solving things yourself, this may be the time to reach out for help from a professional who specializes in working with high-functioning clients like yourself. I offer a rare combination of two decades of experience in the MIT/tech world with substantial training as a psychotherapist.
(424) 331-0158 View (424) 331-0158
Photo of Jennifer Bieler, Marriage & Family Therapist in Los Angeles, CA
Jennifer Bieler
Marriage & Family Therapist, LMFT
Verified Verified
Los Angeles, CA 90048
Hi, I'm currently accepting new clients. Glad you're here & please know you are not alone. Therapy is great place for any person, no matter how small or big of an issue you are going through. I see therapy like going to the gym but for your mind & soul. I specialize in working with trauma & addictions along with relationships, substance use, identity, eating disorders, mood disorders, BPD, ADHD, & ASD. As a queer therapist, I work closely with my LGBQ+ community and trans & gender diverse people. My goal is to be here for you in the way you need, support you, and help you reach your goals .
Hi, I'm currently accepting new clients. Glad you're here & please know you are not alone. Therapy is great place for any person, no matter how small or big of an issue you are going through. I see therapy like going to the gym but for your mind & soul. I specialize in working with trauma & addictions along with relationships, substance use, identity, eating disorders, mood disorders, BPD, ADHD, & ASD. As a queer therapist, I work closely with my LGBQ+ community and trans & gender diverse people. My goal is to be here for you in the way you need, support you, and help you reach your goals .
(925) 452-4882 View (925) 452-4882
Photo of Kamala White, Marriage & Family Therapist in Los Angeles, CA
Kamala White
Marriage & Family Therapist, MA, MFT
Verified Verified
Los Angeles, CA 90025
You're in pain from a dysfunctional childhood. Or you're using substances to cope with pain and would like to stop. If your substance use has affected your relationships, your finances, your career- it may be time to change. You can feel better! I will help holistically, meaning we will work on many levels. Together we will make practical plans to get you feeling stronger and more peaceful no matter what you have survived. Boundaries and self-care are skills that you can learn. You deserve to have the life you want, and I will help you create it. Together we can get you to where you want to be. Call for free consultation today!
You're in pain from a dysfunctional childhood. Or you're using substances to cope with pain and would like to stop. If your substance use has affected your relationships, your finances, your career- it may be time to change. You can feel better! I will help holistically, meaning we will work on many levels. Together we will make practical plans to get you feeling stronger and more peaceful no matter what you have survived. Boundaries and self-care are skills that you can learn. You deserve to have the life you want, and I will help you create it. Together we can get you to where you want to be. Call for free consultation today!
(562) 354-8673 View (562) 354-8673
Photo of ProWellness Academy in Los Angeles, CA
ProWellness Academy
PsyD, pd23205
Verified Verified
Los Angeles, CA 90067
The Professional Wellness Academy specializes in focused, integrated Counseling Treatment. ProWellness Academy services individuals, Hospitals, facilities and MAT physician’s patients suffering from Substance Use and/or Behavioral Wellness Disorders. ProWellness Academy has office locations in most major cities and also provides seamless Hipaa Compliant TELEHEALTH software for the home bound; we are committed to evidence-based, “Whole Approach” to treatment that incorporates multidisciplinary modalities. Hand-in-hand with our professional network of therapists, counselors, physicians, and case managers; we pursue excellence.
The Professional Wellness Academy specializes in focused, integrated Counseling Treatment. ProWellness Academy services individuals, Hospitals, facilities and MAT physician’s patients suffering from Substance Use and/or Behavioral Wellness Disorders. ProWellness Academy has office locations in most major cities and also provides seamless Hipaa Compliant TELEHEALTH software for the home bound; we are committed to evidence-based, “Whole Approach” to treatment that incorporates multidisciplinary modalities. Hand-in-hand with our professional network of therapists, counselors, physicians, and case managers; we pursue excellence.
(805) 429-6049 View (805) 429-6049
Photo of Adam LeHaf, Marriage & Family Therapist in Los Angeles, CA
Adam LeHaf
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Los Angeles, CA 90066  (Online Only)
I have a wide range of expertise in treating trauma, depression, anxiety, substance use/addiction, and identity development.
Hello! I’m currently accepting new clients for April. I believe therapy begins with creating an environment of safety, inclusion, trust and mutual respect for one another. I enjoy building this space together while we collaborate to explore your experiences, develop new skills to achieve your goals, and uncover inner strengths.
I have a wide range of expertise in treating trauma, depression, anxiety, substance use/addiction, and identity development.
Hello! I’m currently accepting new clients for April. I believe therapy begins with creating an environment of safety, inclusion, trust and mutual respect for one another. I enjoy building this space together while we collaborate to explore your experiences, develop new skills to achieve your goals, and uncover inner strengths.
(949) 386-2998 View (949) 386-2998

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.