Photo of Erica L Spartos, Marriage & Family Therapist in San Francisco, CA
Erica L Spartos
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94132
I welcome individuals, families and adolescents to my private practice. A few of my specialties: Standard EMDR therapy protocols to resolve trauma and other related symptoms; Teaching coping & life skills to safely & effectively improve sleep and reduce stress, anxiety & depression; Helping adolescents and young people thrive by addressing low-self-esteem, relationship issues, ADHD and behavioral challenges; Supporting individuals and families through issues around substance use & co-occurring disorders; Providing a compassionate and supportive place for you to explore balance, self-awareness and life satisfaction.
I welcome individuals, families and adolescents to my private practice. A few of my specialties: Standard EMDR therapy protocols to resolve trauma and other related symptoms; Teaching coping & life skills to safely & effectively improve sleep and reduce stress, anxiety & depression; Helping adolescents and young people thrive by addressing low-self-esteem, relationship issues, ADHD and behavioral challenges; Supporting individuals and families through issues around substance use & co-occurring disorders; Providing a compassionate and supportive place for you to explore balance, self-awareness and life satisfaction.
(628) 600-2894 View (628) 600-2894
Photo of Aaron Rohrer, Clinical Social Work/Therapist in San Francisco, CA
Aaron Rohrer
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
San Francisco, CA 94103  (Online Only)
Tired of therapists making assumptions about you? Judging you for your substance use or other life choices? You are in the right place! These sessions are for you - and need to cater to your unique circumstances, history, and the journey you have taken thus far. I specialize in supporting people who are seeking to address their relationship with substances, progressing with personal or professional goals, improving relationships with their family or friends, managing life transitions, and recovering from depression, anxiety, or burn out.
Tired of therapists making assumptions about you? Judging you for your substance use or other life choices? You are in the right place! These sessions are for you - and need to cater to your unique circumstances, history, and the journey you have taken thus far. I specialize in supporting people who are seeking to address their relationship with substances, progressing with personal or professional goals, improving relationships with their family or friends, managing life transitions, and recovering from depression, anxiety, or burn out.
(510) 369-2678 View (510) 369-2678
Photo of Michael John Hagan, Marriage & Family Therapist in San Francisco, CA
Michael John Hagan
Marriage & Family Therapist, LMFT, SUDCC
Verified Verified
San Francisco, CA 94129
Together, let's find your path! I am an LMFT and a substance use counselor with extensive personal and professional experience in addiction.
Being addicted to alcohol or drugs is like being in a dark pit where you do not know what is up and what is down. It is cold and lonely, and you can feel hopeless about finding any escape. Being the family member of a loved one who is struggling with addiction is scary and can leave you sad and in a constant state of uncertainty. You are always asking yourself why is your loved one pushing aside the life ring you toss out and grabbing the anchor of drugs and alcohol over and over and over again. You see they are drowning and feel you cannot save them. Addiction is insidious, but there are paths to recovery.
Together, let's find your path! I am an LMFT and a substance use counselor with extensive personal and professional experience in addiction.
Being addicted to alcohol or drugs is like being in a dark pit where you do not know what is up and what is down. It is cold and lonely, and you can feel hopeless about finding any escape. Being the family member of a loved one who is struggling with addiction is scary and can leave you sad and in a constant state of uncertainty. You are always asking yourself why is your loved one pushing aside the life ring you toss out and grabbing the anchor of drugs and alcohol over and over and over again. You see they are drowning and feel you cannot save them. Addiction is insidious, but there are paths to recovery.
(619) 932-4581 View (619) 932-4581
Photo of Jacob Donnelly, Clinical Social Work/Therapist in San Francisco, CA
Jacob Donnelly
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Francisco, CA 94105  (Online Only)
I am a non-judgmental, active therapist, specializing in substance use/addictions, anxiety, depression, trauma, chronic pain and illness, relationships, and work stress. Prior to private practice, I was the Clinical Director at a San Francisco non-profit serving veterans. I enjoy working with adults, older adults, older teens (16+) and couples. Whether you want to get support around new changes in your life that are causing you pain and worry, or work through problems that have been with you for years, my goal is to help you feel relief, feel empowered, and work through the things that are out of your control.
I am a non-judgmental, active therapist, specializing in substance use/addictions, anxiety, depression, trauma, chronic pain and illness, relationships, and work stress. Prior to private practice, I was the Clinical Director at a San Francisco non-profit serving veterans. I enjoy working with adults, older adults, older teens (16+) and couples. Whether you want to get support around new changes in your life that are causing you pain and worry, or work through problems that have been with you for years, my goal is to help you feel relief, feel empowered, and work through the things that are out of your control.
(510) 399-1667 View (510) 399-1667
Photo of Carolyn B Cooper, Marriage & Family Therapist in San Francisco, CA
Carolyn B Cooper
Marriage & Family Therapist, MS, LMFT, SEP, SAP, EMDR
Verified Verified
8 Endorsed
San Francisco, CA 94104
Substance use compounds the recovery process.
Somatic Experiencing (SE) takes healing to a deeper level. Combined with 'top-down' approaches, SE helps identify strengths and intentions beneath painful survival patterns. Shame, fear and anger transform into vital life energy. Surviving becomes thriving. As a private practice psychotherapist based in SF & Marin, I primarily work with adults, but also love to assist children in the healing process.
Substance use compounds the recovery process.
Somatic Experiencing (SE) takes healing to a deeper level. Combined with 'top-down' approaches, SE helps identify strengths and intentions beneath painful survival patterns. Shame, fear and anger transform into vital life energy. Surviving becomes thriving. As a private practice psychotherapist based in SF & Marin, I primarily work with adults, but also love to assist children in the healing process.
(415) 342-5196 View (415) 342-5196
Photo of Bay Area Gestalt Institute, Marriage & Family Therapist in San Francisco, CA
Bay Area Gestalt Institute
Marriage & Family Therapist, MFT
Verified Verified
16 Endorsed
San Francisco, CA 94117
We are Bay Area Gestalt Institute (BAGI), a non-profit collective of highly trained marriage and family therapists and associates, providing affordable psychotherapy throughout the Bay Area. We offer counseling to individuals, couples, families, and children. Our work is active, creative and holistic. Our therapists work with a variety of issues including: * Relationship Issues * Anxiety * Depression * LGBTQI Concerns * Trauma * Substance Use / Abuse * Eating Disorders * Spiritual * Personal Growth * Integration of Non-Ordinary States
We are Bay Area Gestalt Institute (BAGI), a non-profit collective of highly trained marriage and family therapists and associates, providing affordable psychotherapy throughout the Bay Area. We offer counseling to individuals, couples, families, and children. Our work is active, creative and holistic. Our therapists work with a variety of issues including: * Relationship Issues * Anxiety * Depression * LGBTQI Concerns * Trauma * Substance Use / Abuse * Eating Disorders * Spiritual * Personal Growth * Integration of Non-Ordinary States
(415) 969-3361 View (415) 969-3361
Photo of Zoe Lantelme, Psychologist in San Francisco, CA
Zoe Lantelme
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94102
If you struggle to stop or reduce substance use or other addictive behaviors, I can help. I use a harm reduction approach to understanding and treating substance use and abuse. Instead of focusing only on one’s addiction, this approach explores other contributing factors, such as co-occurring mental illnesses, family relationships, and medical problems. It encourages the client to explore their unique needs and background, and to develop their own treatment goals, which may involve moderation management, in addition to abstinence. I also offer treatment for other impulse control disorders, such as sex addiction.
If you struggle to stop or reduce substance use or other addictive behaviors, I can help. I use a harm reduction approach to understanding and treating substance use and abuse. Instead of focusing only on one’s addiction, this approach explores other contributing factors, such as co-occurring mental illnesses, family relationships, and medical problems. It encourages the client to explore their unique needs and background, and to develop their own treatment goals, which may involve moderation management, in addition to abstinence. I also offer treatment for other impulse control disorders, such as sex addiction.
(415) 214-9148 View (415) 214-9148
Photo of Andrea Shelley, Psychologist in San Francisco, CA
Andrea Shelley
Psychologist, PsyD
Verified Verified
San Francisco, CA 94109  (Online Only)
Dr. Andrea Shelley is a licensed clinical psychologist and marriage and family therapist with over 20 years of experience working in a wide range of settings. She specializes in treating anxiety, depression, schizophrenia, bipolar disorder, substance abuse, as well as dual diagnosis of mental health diagnoses with substance use disorder. Dr. Shelley utilizes an evidence-based, collaborative, interactive, culturally aware, and empathetic approach and focuses on the impact of the individual diagnosis and treatment on loved ones, family, relationships, and work.
Dr. Andrea Shelley is a licensed clinical psychologist and marriage and family therapist with over 20 years of experience working in a wide range of settings. She specializes in treating anxiety, depression, schizophrenia, bipolar disorder, substance abuse, as well as dual diagnosis of mental health diagnoses with substance use disorder. Dr. Shelley utilizes an evidence-based, collaborative, interactive, culturally aware, and empathetic approach and focuses on the impact of the individual diagnosis and treatment on loved ones, family, relationships, and work.
(628) 250-3670 View (628) 250-3670
Photo of Dr. Sasha Avanesov, Psychologist in San Francisco, CA
Dr. Sasha Avanesov
Psychologist, PhD
Verified Verified
2 Endorsed
San Francisco, CA 94115
Although I have specialized in treating substance use disorders, I also have significant experience working with patients experiencing co-occurring anxiety, depression, trauma, ADHD, and other mental health challenges.
Whether you are experiencing anxiety, stress, relationship issues, coping with trauma, screaming at the world gone mad, seeking answers to spiritual or existential questions, or pursuing personal growth, I will work hard to empower you. Together, we will explore, clarify, and address issues at the root of your concerns, clearing a path towards inner peace.
Although I have specialized in treating substance use disorders, I also have significant experience working with patients experiencing co-occurring anxiety, depression, trauma, ADHD, and other mental health challenges.
Whether you are experiencing anxiety, stress, relationship issues, coping with trauma, screaming at the world gone mad, seeking answers to spiritual or existential questions, or pursuing personal growth, I will work hard to empower you. Together, we will explore, clarify, and address issues at the root of your concerns, clearing a path towards inner peace.
(510) 405-7319 View (510) 405-7319
Photo of Gina Poelke, Psychologist in San Francisco, CA
Gina Poelke
Psychologist, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94102
Hello. I am a licensed psychologist with over 15 years of experience working with adults. I provide treatment for a host of issues including anxiety, panic, stress, depression, trauma, life transitions, grief, substance use, and severe mental illness. I will help and support you by providing brief psychotherapy to address specific problems, or provide longer term treatment to address multiple issues or long standing difficulties.
Hello. I am a licensed psychologist with over 15 years of experience working with adults. I provide treatment for a host of issues including anxiety, panic, stress, depression, trauma, life transitions, grief, substance use, and severe mental illness. I will help and support you by providing brief psychotherapy to address specific problems, or provide longer term treatment to address multiple issues or long standing difficulties.
(415) 408-7786 View (415) 408-7786
Photo of Tom Thurston, Marriage & Family Therapist in San Francisco, CA
Tom Thurston
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94118
Individually, I work with depression, grief, loss, self esteem and life transitions and the deeper issues behind substance use and other addictions and codependency.
I work with my clients to deeply discover and access new resources and potentials of "self at best" both for growth and as ways beyond obstacles. I believe the quality of the relationship between the therapist and client is essential for change. I have over 17 years of spiritual practice which I incorporate using mindfulness, inquiry and dream work.
Individually, I work with depression, grief, loss, self esteem and life transitions and the deeper issues behind substance use and other addictions and codependency.
I work with my clients to deeply discover and access new resources and potentials of "self at best" both for growth and as ways beyond obstacles. I believe the quality of the relationship between the therapist and client is essential for change. I have over 17 years of spiritual practice which I incorporate using mindfulness, inquiry and dream work.
(415) 742-1961 View (415) 742-1961
Photo of Zar Getz, Clinical Social Work/Therapist in San Francisco, CA
Zar Getz
Clinical Social Work/Therapist, MSS, LCSW, LICSW
Verified Verified
4 Endorsed
San Francisco, CA 94118  (Online Only)
Whether you are experiencing grief, depression, anxiety, loss of motivation, recovering from trauma, dealing with health issues, struggling with substance use or simply want to feel more fully integrated, I am honored to be a part of that journey.
I cannot move mountains for you, but I can help you climb. Facing fears, healing from loss, finding meaning and joy - these are the inevitable tasks of life. Therapy may be your first step or your last resort. Often people avoid it all together because they believe their pain is too great, worry they will be judged or that their situation is too complicated. Some people believe they should solve problems on their own or only with family and friends. However, while family and friends may want the best for us, they often come with opinions or past hurts. Sometimes it helps to have a safe space outside your daily experience.
Whether you are experiencing grief, depression, anxiety, loss of motivation, recovering from trauma, dealing with health issues, struggling with substance use or simply want to feel more fully integrated, I am honored to be a part of that journey.
I cannot move mountains for you, but I can help you climb. Facing fears, healing from loss, finding meaning and joy - these are the inevitable tasks of life. Therapy may be your first step or your last resort. Often people avoid it all together because they believe their pain is too great, worry they will be judged or that their situation is too complicated. Some people believe they should solve problems on their own or only with family and friends. However, while family and friends may want the best for us, they often come with opinions or past hurts. Sometimes it helps to have a safe space outside your daily experience.
(628) 237-0876 View (628) 237-0876
Photo of Stephanie McDowell Licensed In Ca Ia, Clinical Social Work/Therapist in San Francisco, CA
Stephanie McDowell Licensed In Ca Ia
Clinical Social Work/Therapist, LISW, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94108
Substance use & abuse, sexual assault & ongoing violence, homelessness and poverty related trauma.
Hello and welcome to my profile! If you are new to therapy, struggling with current life stresses, have unresolved issues in your past or simply want to dive further into your capacity for self awareness, please reach out for support! Together we can structure sessions to address what may be preventing you from being your best self. Whether your progress needs to include improved relationships, increased motivation, stronger sense of self-worth, greater career or home success, a reduction of painful emotions or unwanted behaviors; I will strive to help you learn to relate to yourself & others in new, often healthier ways.
Substance use & abuse, sexual assault & ongoing violence, homelessness and poverty related trauma.
Hello and welcome to my profile! If you are new to therapy, struggling with current life stresses, have unresolved issues in your past or simply want to dive further into your capacity for self awareness, please reach out for support! Together we can structure sessions to address what may be preventing you from being your best self. Whether your progress needs to include improved relationships, increased motivation, stronger sense of self-worth, greater career or home success, a reduction of painful emotions or unwanted behaviors; I will strive to help you learn to relate to yourself & others in new, often healthier ways.
(319) 320-1938 View (319) 320-1938
Photo of Dr. Aaron Smith, Psychologist in San Francisco, CA
Dr. Aaron Smith
Psychologist, PhD
Verified Verified
San Francisco, CA 94104  (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 Christopher Vincent Powers, Marriage & Family Therapist in San Francisco, CA
Christopher Vincent Powers
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
1 Endorsed
San Francisco, CA 94114
Affirmative, interactive, client-centered therapy can help you address depression, anxiety, and destructive behaviors. I serve heterosexual, gay, lesbian, bisexual, queer, trans, non-binary, and polyamorous individuals. I practice individual therapy, relationship counseling, and sex therapy. My experience includes working with substance use issues from a harm reduction approach, regardless of whether my client's goal is abstinence or substance use management. I love to help people address trauma, improve communication, take control of their lives, gain sexual confidence, and get their needs met.
Affirmative, interactive, client-centered therapy can help you address depression, anxiety, and destructive behaviors. I serve heterosexual, gay, lesbian, bisexual, queer, trans, non-binary, and polyamorous individuals. I practice individual therapy, relationship counseling, and sex therapy. My experience includes working with substance use issues from a harm reduction approach, regardless of whether my client's goal is abstinence or substance use management. I love to help people address trauma, improve communication, take control of their lives, gain sexual confidence, and get their needs met.
(415) 798-9586 View (415) 798-9586
Photo of Adal Heart2Heart Psychotherapy Services, Inc., Psychologist in San Francisco, CA
Adal Heart2Heart Psychotherapy Services, Inc.
Psychologist, PsyD
Verified Verified
8 Endorsed
San Francisco, CA 94114  (Online Only)
I specialize not only in working with clients who struggle with mental health challenges, substance use, and various addictions but also in helping men navigate issues related to male identity.
Taking the first step towards personal growth can be incredibly difficult. It can feel overwhelming to acknowledge that you need help and take the necessary steps to seek it out. However, by reading this, you have already accomplished the hardest part of initiating treatment. It takes courage and strength to recognize that you need support, and I commend you for taking this step. One of the most important aspects of my work is creating a safe and supportive environment for my clients. I believe that therapy should be a collaborative process, where clients are active participants in their own healing.
I specialize not only in working with clients who struggle with mental health challenges, substance use, and various addictions but also in helping men navigate issues related to male identity.
Taking the first step towards personal growth can be incredibly difficult. It can feel overwhelming to acknowledge that you need help and take the necessary steps to seek it out. However, by reading this, you have already accomplished the hardest part of initiating treatment. It takes courage and strength to recognize that you need support, and I commend you for taking this step. One of the most important aspects of my work is creating a safe and supportive environment for my clients. I believe that therapy should be a collaborative process, where clients are active participants in their own healing.
(661) 964-4219 View (661) 964-4219
Photo of Maribel Flores Hartford, Marriage & Family Therapist in San Francisco, CA
Maribel Flores Hartford
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94132
Hello. My name is Maribel Flores Hartford, and I am a Licensed Marriage and Family Therapist in the state of California. I have worked with a variety of people, from as young as newborn all the way to geriatric clients, in customer service, educational, medical, social services, and substance use outpatient settings for a total of 17 years. I typically work with Spanish-speaking adults (18 and over), families, and minors (13-17 y/o). I can help with any issues. My goal is to genuinely help my clients 100%, as I genuinely believe in just being transparent and caring about their overall well-being.
Hello. My name is Maribel Flores Hartford, and I am a Licensed Marriage and Family Therapist in the state of California. I have worked with a variety of people, from as young as newborn all the way to geriatric clients, in customer service, educational, medical, social services, and substance use outpatient settings for a total of 17 years. I typically work with Spanish-speaking adults (18 and over), families, and minors (13-17 y/o). I can help with any issues. My goal is to genuinely help my clients 100%, as I genuinely believe in just being transparent and caring about their overall well-being.
(559) 295-9727 View (559) 295-9727
Photo of Kelly Lloyd, Marriage & Family Therapist in San Francisco, CA
Kelly Lloyd
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94117
My name is Kelly Lloyd, and I’m a licensed Marriage and Family Therapist practicing in California. I have experience working with a variety of diagnoses and issues, including depression, anxiety, substance use, PTSD, domestic violence, life transitions, LGBTQIA+ issues, and gender identity. I have worked with diverse populations, including homeless and low-income adults, survivors of domestic violence, adolescents, and families. My approach is psychodynamic, strengths-based, and client-centered. I also like to incorporate practical tools to help my clients improve their daily lives.
My name is Kelly Lloyd, and I’m a licensed Marriage and Family Therapist practicing in California. I have experience working with a variety of diagnoses and issues, including depression, anxiety, substance use, PTSD, domestic violence, life transitions, LGBTQIA+ issues, and gender identity. I have worked with diverse populations, including homeless and low-income adults, survivors of domestic violence, adolescents, and families. My approach is psychodynamic, strengths-based, and client-centered. I also like to incorporate practical tools to help my clients improve their daily lives.
(818) 862-3724 View (818) 862-3724
Photo of Will Barone, Psychologist in San Francisco, CA
Will Barone
Psychologist, PsyD
Verified Verified
San Francisco, CA 94101
Dr. Will Barone is a licensed clinical psychologist with extensive clinical and research experience focusing on anxiety, trauma, mood disorders, relationship issues, and substance use. He uses a Humanistic approach to therapy, which emphasizes warmth, authenticity, and appreciation for the uniqueness of every individual. His collaborative, integrative approach focuses on helping clients find an individualized course of treatment to best meet their goals. In addition to traditional psychotherapy, Dr. Barone also specializes in Psychedelic-Assisted Therapy, currently using Ketamine-assisted therapy for clients when appropriate.
Dr. Will Barone is a licensed clinical psychologist with extensive clinical and research experience focusing on anxiety, trauma, mood disorders, relationship issues, and substance use. He uses a Humanistic approach to therapy, which emphasizes warmth, authenticity, and appreciation for the uniqueness of every individual. His collaborative, integrative approach focuses on helping clients find an individualized course of treatment to best meet their goals. In addition to traditional psychotherapy, Dr. Barone also specializes in Psychedelic-Assisted Therapy, currently using Ketamine-assisted therapy for clients when appropriate.
(628) 265-6545 View (628) 265-6545
Photo of Dan Sussman, Psychologist in San Francisco, CA
Dan Sussman
Psychologist, PhD
Verified Verified
San Francisco, CA 94127
My specialties include treatment of depression, anxiety, grief, trauma, substance use, and supporting parents with children of all ages.
Welcome! I know that life can sometimes get messy and stressful. Maybe you’re feeling anxious or depressed, struggling with relationships, work, parenting, aging, a fast-changing world, or just want to talk to someone who’ll listen and be there for you. Change can be hard and humbling before you get to where you want to go. If you’d like to become a happier, more fulfilled you, please schedule a free consultation by going to my website, www.dansussmanphd.com, send me an email, or give me a call. I'm here to help.
My specialties include treatment of depression, anxiety, grief, trauma, substance use, and supporting parents with children of all ages.
Welcome! I know that life can sometimes get messy and stressful. Maybe you’re feeling anxious or depressed, struggling with relationships, work, parenting, aging, a fast-changing world, or just want to talk to someone who’ll listen and be there for you. Change can be hard and humbling before you get to where you want to go. If you’d like to become a happier, more fulfilled you, please schedule a free consultation by going to my website, www.dansussmanphd.com, send me an email, or give me a call. I'm here to help.
(310) 905-8775 View (310) 905-8775

See more therapy options for San Francisco

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.