Martina Nittra Savedra
Marriage & Family Therapist, LMFT Verified
Golden Hill
San Diego, CA 92102
Offers online therapy
Courage, dear heart, as life will present you with surprises and in time, you will manage each one with bravery. Our families can push our boundaries; our relationships can challenge us; and our careers can stretch us so thin. Negative self-thoughts can keep us in our heads and repeating old patterns can feel like a roller coaster of emotions. Past traumas can intrude our present; social injustices can break our community down; and gender and cultural inequalities can be an exhausting battle. Our self-care can plummet and suddenly we are not our first priority. However, you are leaning in today and making an investment in YOU!
(619) 762-3083
Verified
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Golden Hill
San Diego, CA 92102
Offers online therapy
Courage, dear heart, as life will present you with surprises and in time, you will manage each one with bravery. Our families can push our boundaries; our relationships can challenge us; and our careers can stretch us so thin. Negative self-thoughts can keep us in our heads and repeating old patterns can feel like a roller coaster of emotions. Past traumas can intrude our present; social injustices can break our community down; and gender and cultural inequalities can be an exhausting battle. Our self-care can plummet and suddenly we are not our first priority. However, you are leaning in today and making an investment in YOU!
Photo of Jennifer Bearden, Clinical Social Work/Therapist
Jennifer Bearden
Clinical Social Work/Therapist, LCSW Verified
Golden Hill
San Diego, CA 92102
Offers online therapy
I approach therapy with my clients from a perspective that honors your unique experiences and responses to the world around you. Fear, panic, chronic stress, a mind that just won't slow down, poor sleep or appetite, discomfort in your own skin, hopelessness, lack of motivation and energy - just not feeling like yourself - these are just a few of the most common symptoms bringing people to therapy. They are also some of the most effectively treated. I utilize multiple evidence-based therapeutic approaches to tailor treatment to your own specific needs.
(619) 693-1335
Verified
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Golden Hill
San Diego, CA 92102
Offers online therapy
I approach therapy with my clients from a perspective that honors your unique experiences and responses to the world around you. Fear, panic, chronic stress, a mind that just won't slow down, poor sleep or appetite, discomfort in your own skin, hopelessness, lack of motivation and energy - just not feeling like yourself - these are just a few of the most common symptoms bringing people to therapy. They are also some of the most effectively treated. I utilize multiple evidence-based therapeutic approaches to tailor treatment to your own specific needs.
Photo of Linda Erwin-Gallagher, LMFT, Marriage & Family Therapist
Linda Erwin-Gallagher, LMFT
Marriage & Family Therapist, LMFT, CEAP Verified
Golden Hill
San Diego, CA 92104
Offers online therapy
I provide tele therapy for individuals, and couples for CA residents. I do not have a physical office in CA. I also offer treatment for trauma. In today's world we are all finding that after working full time there isn't enough time to eat right, exercise, take care of errands, help the children with homework, and spend quality time with your significant relationships. What we end up with is exhaustion, feeling "burned out", anxious, and maybe even depressed. You are not alone. Don't suffer any longer. It's time to address your issues and get your life back.
(858) 298-2710
Verified
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Golden Hill
San Diego, CA 92104
Offers online therapy
I provide tele therapy for individuals, and couples for CA residents. I do not have a physical office in CA. I also offer treatment for trauma. In today's world we are all finding that after working full time there isn't enough time to eat right, exercise, take care of errands, help the children with homework, and spend quality time with your significant relationships. What we end up with is exhaustion, feeling "burned out", anxious, and maybe even depressed. You are not alone. Don't suffer any longer. It's time to address your issues and get your life back.
Matching Therapists providing teletherapy to clients in California.
Grow Through Life Counseling: Yang Jiang
Marriage & Family Therapist Associate, AMFT, PhD Verified
Offers online therapy
I have experience working with individuals of all ages in a variety of settings including hospitals, community clinics, and in substance use.
Are you concerned about your child? Do they seem to be anxious often? Are there other concerns you have about their behavior? I have years of experience supporting teens and their parents alike in addressing and managing any challenges they may be facing. I work collaboratively with parents and families to support the success of my client. I am passionate about helping you to recognize and utilize your inherent value and gifts to create a greater sense of purpose, power, and fulfillment in your life through a variety of practices. I look forward to meeting you and supporting you in this same way!
Substance Use
(619) 603-0266 x725
Verified
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Offers online therapy
Substance Use
I have experience working with individuals of all ages in a variety of settings including hospitals, community clinics, and in substance use.
Are you concerned about your child? Do they seem to be anxious often? Are there other concerns you have about their behavior? I have years of experience supporting teens and their parents alike in addressing and managing any challenges they may be facing. I work collaboratively with parents and families to support the success of my client. I am passionate about helping you to recognize and utilize your inherent value and gifts to create a greater sense of purpose, power, and fulfillment in your life through a variety of practices. I look forward to meeting you and supporting you in this same way!
Eric van der Voort
Psychologist, PsyD Verified
Offers online therapy
I help heterosexual and LGBTQ+ adults who have anxiety, relationship issues, low self-esteem, substance use, and sexual concerns.
If you're dealing with emotional pain, dissatisfaction, or confusion in one or more areas of your life, asking for help can be scary and also incredibly brave. This can feel especially true if your concerns are related to sex, sexuality, or eroticism. We often feel alone in our belief that we’re the only one who has thought, felt, or done a certain thing. Know that you are not alone and that many adults find it difficult to navigate the complexities of sex and relationships. Know also that people who commit to their own growth through therapy often feel calmer, more confident, and more fulfilled in many areas of their life.
Substance Use
(619) 649-8427
Verified
View
Offers online therapy
Substance Use
I help heterosexual and LGBTQ+ adults who have anxiety, relationship issues, low self-esteem, substance use, and sexual concerns.
If you're dealing with emotional pain, dissatisfaction, or confusion in one or more areas of your life, asking for help can be scary and also incredibly brave. This can feel especially true if your concerns are related to sex, sexuality, or eroticism. We often feel alone in our belief that we’re the only one who has thought, felt, or done a certain thing. Know that you are not alone and that many adults find it difficult to navigate the complexities of sex and relationships. Know also that people who commit to their own growth through therapy often feel calmer, more confident, and more fulfilled in many areas of their life.
Nicholas Russi
Drug & Alcohol Counselor, LAADC-S, CCS Verified
Offers online therapy
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.
Substance Use
(951) 338-5794
Verified
View
Offers online therapy
Substance Use
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.
Chad K Cox
Psychologist, PsyD Verified
Offers online therapy
I have expertise in helping individuals, friends and families of those struggling with alcohol or substance use disorders.
Dr. Cox has a experience providing assistance to high performing professionals such as lawyers, doctors, executives, business owners and even other counselors. Courage is needed when facing a personal problem. My mission is to provide compassionate and professional assistance to those struggling with emotional, behavioral or relational problems. I work to provide a safe and supportive environment, free of judgement, where sensitive issues can be explored. You can get help for mood difficulties, drug/alcohol problems or relational concerns. To start, we can have a free consultation to discuss your goals for self-improvement.
Substance Use
(619) 458-3380
Verified
View
Offers online therapy
Substance Use
I have expertise in helping individuals, friends and families of those struggling with alcohol or substance use disorders.
Dr. Cox has a experience providing assistance to high performing professionals such as lawyers, doctors, executives, business owners and even other counselors. Courage is needed when facing a personal problem. My mission is to provide compassionate and professional assistance to those struggling with emotional, behavioral or relational problems. I work to provide a safe and supportive environment, free of judgement, where sensitive issues can be explored. You can get help for mood difficulties, drug/alcohol problems or relational concerns. To start, we can have a free consultation to discuss your goals for self-improvement.
***We provide both in-person and HIPAA-compliant secure video sessions*** We are an outpatient group practice with skilled therapists who provide structured, scientifically-supported psychological support designed to give our clients the tools they need to better manage their issues and to thrive long-term. We specialize in working with men who present with a variety of common issues including stress, anxiety, depression, relationship concerns, sleep troubles, a history of trauma, substance use/addiction, fatherhood, life transitions, medical conditions, and sexual difficulties.
Substance Use
(858) 256-7559
Verified
View
Offers online therapy
Substance Use
***We provide both in-person and HIPAA-compliant secure video sessions*** We are an outpatient group practice with skilled therapists who provide structured, scientifically-supported psychological support designed to give our clients the tools they need to better manage their issues and to thrive long-term. We specialize in working with men who present with a variety of common issues including stress, anxiety, depression, relationship concerns, sleep troubles, a history of trauma, substance use/addiction, fatherhood, life transitions, medical conditions, and sexual difficulties.
Jay Wick
Marriage & Family Therapist, MS, LMFT Verified
Offers online therapy
I believe in treating the underlying issues that led to excessive substance use in the first place, and help to facilitate a change in which individuals, couples, or families can manage their distress in healthier ways.
I work with individuals, couples and families, ranging from middle school age upward. My primary focus, no matter the age or presenting problem, is to provide a nonjudgmental and unconditional space to process whatever difficulties you may be facing. I take a collaborative approach to sessions, meaning we work together each week to determine the best goals for your particular circumstance. I have an extensive background, both personal and professional, in the helping navigate the various challenges that come with substance abuse. I bring a level of understanding to the recovery process that can only be gained by having lived it.
Substance Use
(760) 227-7471
Verified
View
Offers online therapy
Substance Use
I believe in treating the underlying issues that led to excessive substance use in the first place, and help to facilitate a change in which individuals, couples, or families can manage their distress in healthier ways.
I work with individuals, couples and families, ranging from middle school age upward. My primary focus, no matter the age or presenting problem, is to provide a nonjudgmental and unconditional space to process whatever difficulties you may be facing. I take a collaborative approach to sessions, meaning we work together each week to determine the best goals for your particular circumstance. I have an extensive background, both personal and professional, in the helping navigate the various challenges that come with substance abuse. I bring a level of understanding to the recovery process that can only be gained by having lived it.
Margaret A. O'Hara
Licensed Professional Counselor, PhD, LPCC, LMHC, NCC, CASAC Verified
Offers online therapy
Strategies for substance use recovery are being applied to other behaviors called “behavioral” or “process” addictions and support mental health, defined by the World Health Organization as “not merely the absence of mental disorders or symptoms but also a resource supporting overall well-being and productivity.
Are you stressed and use alcohol, other substances, food, exercise, sex, work, spending, gambling, or screen use excessively? Do you think “I got this” after planning a strict regimen for change only to break it soon after? Do failed attempts cause you to feel depressed? Do you long for past times when you could enjoy these pleasures? Do you suspect there may be core issues that drive these behaviors but fear slowing down to explore them? Is there a personal or family history of trauma or emotional issues that causes anxiety? Do you feel exhausted and yearn to wake up refreshed? Are you isolating to avoid people who are concerned?
Substance Use
(760) 592-0190
Verified
View
Offers online therapy
Substance Use
Strategies for substance use recovery are being applied to other behaviors called “behavioral” or “process” addictions and support mental health, defined by the World Health Organization as “not merely the absence of mental disorders or symptoms but also a resource supporting overall well-being and productivity.
Are you stressed and use alcohol, other substances, food, exercise, sex, work, spending, gambling, or screen use excessively? Do you think “I got this” after planning a strict regimen for change only to break it soon after? Do failed attempts cause you to feel depressed? Do you long for past times when you could enjoy these pleasures? Do you suspect there may be core issues that drive these behaviors but fear slowing down to explore them? Is there a personal or family history of trauma or emotional issues that causes anxiety? Do you feel exhausted and yearn to wake up refreshed? Are you isolating to avoid people who are concerned?
Adam LeHaf
Marriage & Family Therapist Associate, MA, AMFT Verified
Offers online therapy
I hold a specialization in LGBTQ+ Affirmative Psychology and 7 years experience working in substance use/dual diagnosis treatment as well as community mental health.
**Accepting new clients for August** Therapy begins with creating an environment of safety, trust, inclusion, and mutual respect for one another. I strive to create this space together while we collaborate to reach your unique goals.
Substance Use
(949) 386-2998
Verified
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Offers online therapy
Substance Use
I hold a specialization in LGBTQ+ Affirmative Psychology and 7 years experience working in substance use/dual diagnosis treatment as well as community mental health.
**Accepting new clients for August** Therapy begins with creating an environment of safety, trust, inclusion, and mutual respect for one another. I strive to create this space together while we collaborate to reach your unique goals.
Dr. Hayley Sherer
Clinical Social Work/Therapist, LCSW, PsyD Verified
Offers online therapy
I specialize in, anxiety, depression, substance use, LGBTQ+ , identity, and gender exploration.
Life is hard, but guess what? You can do hard things! You are struggling to recognize your strengths, understand yourself, embrace and reduce the “suck” in your life. Life feels out of control and your brain just won’t stop. You may be trying to reconnect with yourself or loved one’s, but something is just not working. Now is your time to re-discover you and learn to live your best life. If you have goals and big plans, we can work together to create a plan of action, process successes and obstacles along the way to help you achieve personal, professional and social growth.
Substance Use
(657) 279-4445
Verified
View
Offers online therapy
Substance Use
I specialize in, anxiety, depression, substance use, LGBTQ+ , identity, and gender exploration.
Life is hard, but guess what? You can do hard things! You are struggling to recognize your strengths, understand yourself, embrace and reduce the “suck” in your life. Life feels out of control and your brain just won’t stop. You may be trying to reconnect with yourself or loved one’s, but something is just not working. Now is your time to re-discover you and learn to live your best life. If you have goals and big plans, we can work together to create a plan of action, process successes and obstacles along the way to help you achieve personal, professional and social growth.
Bryan -Telehealth Available- Vasquez
Drug & Alcohol Counselor, CATCIII Verified
Offers online therapy
Struggling with substance use and feel rehab isn’t an option? Leaving your family, job, school or other responsibilities for an extended period is not always needed to get yourself healthy and on the right track. If you or a loved one are struggling with addiction, I know the challenges of this lifestyle. Being caught in the cycle of addiction is hard...feelings of anxiety, fear, failure, unworthiness, and shame. You may have tried stopping on your own, only to find yourself engaging in the same unhelpful behavior. Breaking this cycle on your own is tough! Counseling may be more effective for you than rehab.
Substance Use
(657) 300-9840
Verified
View
Offers online therapy
Substance Use
Struggling with substance use and feel rehab isn’t an option? Leaving your family, job, school or other responsibilities for an extended period is not always needed to get yourself healthy and on the right track. If you or a loved one are struggling with addiction, I know the challenges of this lifestyle. Being caught in the cycle of addiction is hard...feelings of anxiety, fear, failure, unworthiness, and shame. You may have tried stopping on your own, only to find yourself engaging in the same unhelpful behavior. Breaking this cycle on your own is tough! Counseling may be more effective for you than rehab.
Richard Madrigal
Marriage & Family Therapist, MS, LMFT Verified
Offers online therapy
My primary focus is assisting people with Emotional Support Animals (ESA) and Eye Movement Desinsitatizon and Reprocessing (EMDR) therapy. Significantly reducing a variety of mental health symptoms such as depression, anxiety, bereavement, OCD, gender dysphoria, impulse control, substance use, and other mental health conditions, to help you live a better life.
Substance Use
(657) 210-5977
Verified
View
Offers online therapy
Substance Use
My primary focus is assisting people with Emotional Support Animals (ESA) and Eye Movement Desinsitatizon and Reprocessing (EMDR) therapy. Significantly reducing a variety of mental health symptoms such as depression, anxiety, bereavement, OCD, gender dysphoria, impulse control, substance use, and other mental health conditions, to help you live a better life.
Kristina E Fyrwald
Associate Clinical Social Worker, ACSW Verified
Offers online therapy
My passion is to help clients challenge negative/limiting beliefs holding them back from the life they want. Have you felt held back from fully enjoying your life due to anxiety, uncomfortable feelings, and dysfunctional patterns of behavior? Clients experiencing these challenges find our work together to be very productive. I enjoy working with adolescents, adults and families, including those who have a loved one experiencing an eating disorder or substance use addiction. I have worked with clients experiencing anxiety, depression, eating disorders, addiction, self-esteem, relationship, familial and work issues.
Substance Use
(310) 620-9736
Verified
View
Offers online therapy
Substance Use
My passion is to help clients challenge negative/limiting beliefs holding them back from the life they want. Have you felt held back from fully enjoying your life due to anxiety, uncomfortable feelings, and dysfunctional patterns of behavior? Clients experiencing these challenges find our work together to be very productive. I enjoy working with adolescents, adults and families, including those who have a loved one experiencing an eating disorder or substance use addiction. I have worked with clients experiencing anxiety, depression, eating disorders, addiction, self-esteem, relationship, familial and work issues.
Bryan Vasquez
Drug & Alcohol Counselor, CATC-II Verified
Offers online therapy
Struggling with substance use and feel rehab isn’t an option? Leaving your family, job, school or other responsibilities for an extended period of time is not always needed to get yourself healthy and on the right track. If you or a loved one are struggling with addiction I know the challenges of this lifestyle. Being caught in the cycle of addiction is hard...feelings of anxiety, fear, failure, unworthiness, and shame. You may have tried stopping on your own, only to find yourself engaging in the same unhelpful behavior. Breaking this cycle on your own is tough! Counseling may be more effective for you than rehab.
Substance Use
(657) 300-9925
Verified
View
Offers online therapy
Substance Use
Struggling with substance use and feel rehab isn’t an option? Leaving your family, job, school or other responsibilities for an extended period of time is not always needed to get yourself healthy and on the right track. If you or a loved one are struggling with addiction I know the challenges of this lifestyle. Being caught in the cycle of addiction is hard...feelings of anxiety, fear, failure, unworthiness, and shame. You may have tried stopping on your own, only to find yourself engaging in the same unhelpful behavior. Breaking this cycle on your own is tough! Counseling may be more effective for you than rehab.
Tonya Torres | Mind Garden Counseling Collective
Marriage & Family Therapist, MA, LMFT Verified
Offers online therapy
I believe that our behavior and struggles are a result of what has happened to us. Unpacking what has happened to you is so important in better understanding what is going on with you now. Therapy can prompt growth and healing for those facing challenges like anxiety, depression, trauma, relationship issues, substance use, poor self-esteem, grief & transitions. I will empower you to explore your personal stories to connect the past, present, and future to find meaning and hope while reforming faulty thinking patterns & beliefs. I have a passion for treating those that have experienced trauma. I have learned to heal my own experience
Substance Use
(949) 216-5593
Verified
View
Offers online therapy
Substance Use
I believe that our behavior and struggles are a result of what has happened to us. Unpacking what has happened to you is so important in better understanding what is going on with you now. Therapy can prompt growth and healing for those facing challenges like anxiety, depression, trauma, relationship issues, substance use, poor self-esteem, grief & transitions. I will empower you to explore your personal stories to connect the past, present, and future to find meaning and hope while reforming faulty thinking patterns & beliefs. I have a passion for treating those that have experienced trauma. I have learned to heal my own experience
Charlotte Winters
Psychologist, PhD Verified
Offers online therapy
I've had a Certificate of Proficiency in the Treatment of Alcohol and Other Psychoactive Substance Use Disorders from the APA since 1996, and I am a Master Addiction Counselor through the NCC AP.
I am a licensed Clinical Psychologist and Marriage Family Therapist in private practice for over 30 years. I work effectively and compassionately with adults of all ages, helping individuals, couples and families heal and grow. My goal is to help people develop into their full potential as rapidly as possible, overcoming problematic symptoms, behaviors, relationship issues and other obstacles interfering with their ability to live healthy, happy, meaningful lives. My advanced training in cutting edge treatment approaches enables me to efficiently identify and resolve core issues allowing for deep, lasting transformation.
Substance Use
(949) 613-5784
Verified
Offers online therapy
Substance Use
I've had a Certificate of Proficiency in the Treatment of Alcohol and Other Psychoactive Substance Use Disorders from the APA since 1996, and I am a Master Addiction Counselor through the NCC AP.
I am a licensed Clinical Psychologist and Marriage Family Therapist in private practice for over 30 years. I work effectively and compassionately with adults of all ages, helping individuals, couples and families heal and grow. My goal is to help people develop into their full potential as rapidly as possible, overcoming problematic symptoms, behaviors, relationship issues and other obstacles interfering with their ability to live healthy, happy, meaningful lives. My advanced training in cutting edge treatment approaches enables me to efficiently identify and resolve core issues allowing for deep, lasting transformation.
Gautami Ashok
Psychologist, PsyD, MSc Verified
Offers online therapy
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.
Substance Use
(916) 848-5866
Verified
View
Offers online therapy
Substance Use
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.
Jonathan G. Beauregard
Marriage & Family Therapist, MS, LMFT, LAADC Verified
Offers online therapy
Beauregard is highly trained and experienced in evidence-based practices for depression, anxiety, trauma, anger, and substance use disorders.
In today's world, each day come with it's challenges. If we are not careful we can be easily consumed and overcome by stress, anxiety, and many other emotional barriers that diminish the quality of life. However, I'm a firm believer that every problem is born with a solution. Solutions may not be easy or feel good at times, but the journey of finding the solution comes with strength, endurance, and enlightenment. In my practice, individuals, couples, or families are provided with a safe environment to confront life's challenges by using evidenced based practices and interventions to assist you in moving from problem to solution.
Substance Use
(951) 433-1985
Verified
View
Offers online therapy
Substance Use
Beauregard is highly trained and experienced in evidence-based practices for depression, anxiety, trauma, anger, and substance use disorders.
In today's world, each day come with it's challenges. If we are not careful we can be easily consumed and overcome by stress, anxiety, and many other emotional barriers that diminish the quality of life. However, I'm a firm believer that every problem is born with a solution. Solutions may not be easy or feel good at times, but the journey of finding the solution comes with strength, endurance, and enlightenment. In my practice, individuals, couples, or families are provided with a safe environment to confront life's challenges by using evidenced based practices and interventions to assist you in moving from problem to solution.

See more therapy options for Golden Hill, San Diego

Substance Use Therapists
If you're looking for help with substance abuse in Golden Hill, San Diego or for Golden Hill, San Diego substance abuse counseling, these professionals provide substance abuse services and substance abuse treatment. They include substance abuse therapists in Golden Hill, San Diego, substance abuse psychologists and substance abuse counselors. They can help with drug addiction and drug abuse treatment in Golden Hill, San Diego, alcohol addiction, chemical dependency and substance abuse recovery. An Golden Hill, San Diego substance abuse therapist provides outpatient services but can also refer to treatment centers, clinics, rehab, treatment programs and substance abuse rehabs.