Substance Use Therapists in Chicago, IL

Photo of Richard M. Randolph, Licensed Professional Counselor in Chicago, IL
Richard M. Randolph
Licensed Professional Counselor, CADC, MA, NCC
Verified Verified
Chicago, IL 60643
I am a dedicated faith based therapist practicing at Solutions Counselling and Consulting Group. I have over 19 years of providing inpatient and outpatient services to those with Substance Use Disorders. Additionally I have worked with client that are in need of Mental Health therapy for 10 years. My goals are to help clients find solutions to the challenges impacting their mental, behavioral, social-emotional health and overall well-being. I work one-on-one and in small group settings in a safe, caring, and confidential environment.
I am a dedicated faith based therapist practicing at Solutions Counselling and Consulting Group. I have over 19 years of providing inpatient and outpatient services to those with Substance Use Disorders. Additionally I have worked with client that are in need of Mental Health therapy for 10 years. My goals are to help clients find solutions to the challenges impacting their mental, behavioral, social-emotional health and overall well-being. I work one-on-one and in small group settings in a safe, caring, and confidential environment.
(708) 792-2457 View (708) 792-2457
Photo of Casey McDonagh, Clinical Social Work/Therapist in Chicago, IL
Casey McDonagh
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
1 Endorsed
Chicago, IL 60657  (Online Only)
I specialize in working with clients who are struggling with their identity, relationships, anxiety, depression, bipolar disorder, borderline personality disorder, trauma, substance use, and body image/disordered eating.
I have experience working with both adolescents and adults, providing individual therapy and group therapy in private practice, outpatient treatment, and inpatient treatment settings. I believe that healing and growth is possible when we are met with support, compassion, and accountability. I take a holistic and non-judgmental approach to help my clients meet their goals, explore their relationships, and feel more confident in their decisions.
I specialize in working with clients who are struggling with their identity, relationships, anxiety, depression, bipolar disorder, borderline personality disorder, trauma, substance use, and body image/disordered eating.
I have experience working with both adolescents and adults, providing individual therapy and group therapy in private practice, outpatient treatment, and inpatient treatment settings. I believe that healing and growth is possible when we are met with support, compassion, and accountability. I take a holistic and non-judgmental approach to help my clients meet their goals, explore their relationships, and feel more confident in their decisions.
(773) 389-2639 View (773) 389-2639
Photo of Devon Migues, Counselor in Chicago, IL
Devon Migues
Counselor, LCPC, NBCC
Verified Verified
Chicago, IL 60640
Waitlist for new clients
I specialize in identity development & life transition work, harm reduction for individuals with substance use issues, relationship issues, mood & anxiety challenges, and supporting individuals who have endured trauma. I am a kink and poly aware therapist who enjoys working with relationships. I relying on an Emotionally Focused Therapy (EFT) lens when working with relationship struggles. I am dedicated to serving Chicagoland’s LGBTQIA+ community and have a deep background in advocacy and direct service. I am especially dedicated to supporting TGNC individuals in the unique aspects of their journeys.
I specialize in identity development & life transition work, harm reduction for individuals with substance use issues, relationship issues, mood & anxiety challenges, and supporting individuals who have endured trauma. I am a kink and poly aware therapist who enjoys working with relationships. I relying on an Emotionally Focused Therapy (EFT) lens when working with relationship struggles. I am dedicated to serving Chicagoland’s LGBTQIA+ community and have a deep background in advocacy and direct service. I am especially dedicated to supporting TGNC individuals in the unique aspects of their journeys.
(773) 309-6652 View (773) 309-6652
Photo of Leah O'Brien, Counselor in Chicago, IL
Leah O'Brien
Counselor, MA, LCPC, CADC
Verified Verified
1 Endorsed
Chicago, IL 60601  (Online Only)
Leah O'Brien (she/her) is a Licensed Clinical Professional Counselor and Certified Alcohol and Drug Counselor specializing in anxiety, depression, adjustment to trauma, eating concerns, interpersonal problems, life transitions, and substance use. Ms. O'Brien is integrative in her treatment approach, often combining cognitive-behavioral, emotion-focused, and motivational interviewing approaches. She prioritizes collaborating with clients to create individualized treatment interventions, tailored to the identified goals of each client, with an emphasis on creating a warm, safe, and nonjudgmental therapeutic environment.
Leah O'Brien (she/her) is a Licensed Clinical Professional Counselor and Certified Alcohol and Drug Counselor specializing in anxiety, depression, adjustment to trauma, eating concerns, interpersonal problems, life transitions, and substance use. Ms. O'Brien is integrative in her treatment approach, often combining cognitive-behavioral, emotion-focused, and motivational interviewing approaches. She prioritizes collaborating with clients to create individualized treatment interventions, tailored to the identified goals of each client, with an emphasis on creating a warm, safe, and nonjudgmental therapeutic environment.
(312) 646-4178 View (312) 646-4178
Photo of Aj (Abby) Carlson, Licensed Professional Counselor in Chicago, IL
Aj (Abby) Carlson
Licensed Professional Counselor, MA, LPC
Verified Verified
Chicago, IL 60622
As human beings, we all have a need to be seen, heard, and understood. Our relational needs are particularly important when in a place of struggle. As your therapist, I will strive to hold space, offer safety and relational connection as you reimagine and change your relationship with yourself, others, and the world around. I am experienced and passionate about working with individuals, groups, and queer couples. Areas of focus include LGBTQ identity work, becoming an anti-racist, embodiment, substance use, spiritual trauma, interpersonal and internal conflict, and anxiety.
As human beings, we all have a need to be seen, heard, and understood. Our relational needs are particularly important when in a place of struggle. As your therapist, I will strive to hold space, offer safety and relational connection as you reimagine and change your relationship with yourself, others, and the world around. I am experienced and passionate about working with individuals, groups, and queer couples. Areas of focus include LGBTQ identity work, becoming an anti-racist, embodiment, substance use, spiritual trauma, interpersonal and internal conflict, and anxiety.
(708) 394-7430 View (708) 394-7430
Photo of Catherine Smeal, Clinical Social Work/Therapist in Chicago, IL
Catherine Smeal
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Chicago, IL 60611
I work with adult clients of all genders, age 16+, on issues such as: substance use/problem behaviors, depression, anxiety, trauma, self-image, and daily stresses of life.
Life has no textbook, no classes, no teachers to teach how to be a human being in our world. Oftentimes, we find ourselves struggling to figure out how to navigate the things life throws our way. Therapy can be a great tool to understanding yourself and the world around you. Each session will be personalized to your unique needs and identity, using approaches such as CBT, DBT, harm reduction practices, and more! I offer weekend and evening sessions to work around your busy schedule.
I work with adult clients of all genders, age 16+, on issues such as: substance use/problem behaviors, depression, anxiety, trauma, self-image, and daily stresses of life.
Life has no textbook, no classes, no teachers to teach how to be a human being in our world. Oftentimes, we find ourselves struggling to figure out how to navigate the things life throws our way. Therapy can be a great tool to understanding yourself and the world around you. Each session will be personalized to your unique needs and identity, using approaches such as CBT, DBT, harm reduction practices, and more! I offer weekend and evening sessions to work around your busy schedule.
(312) 874-6413 View (312) 874-6413
Photo of Sandstone Care Teen & Young Adult Treatment Center in Chicago, IL
Sandstone Care Teen & Young Adult Treatment Center
LPC, LAC, CAC-III, CSAC-A
Verified Verified
Chicago, IL 60654
Sandstone Care Chicago ensures that you receive the correct diagnosis, and helps you find the proper and most effective treatment for your substance use and mental health conditions. We listen to your concerns and meet you wherever you are on your recovery journey.
Sandstone Care Chicago ensures that you receive the correct diagnosis, and helps you find the proper and most effective treatment for your substance use and mental health conditions. We listen to your concerns and meet you wherever you are on your recovery journey.
(708) 866-1280 View (708) 866-1280
Photo of Neeva Sandhu, Licensed Clinical Professional Counselor in Chicago, IL
Neeva Sandhu
Licensed Clinical Professional Counselor, LCPC, CRADC
Verified Verified
1 Endorsed
Chicago, IL 60601
My areas of expertise include working with concerns related to identity, life transitions, relationships, and intergenerational issues as well as symptoms of depression, anxiety, stress, trauma, and substance use.
I approach therapy with warmth, acceptance, and humor through a culturally humble, anti-oppressive lens. I will work with you to understand the intersection of your identities, values, and beliefs, with the understanding that they are multi-faceted. My goal is to meet you where you are and understand the context of your life (familial, social, cultural, environmental). Together, we'll identify what’s important to you and work together to empower your sense of self and improve your quality of life.
My areas of expertise include working with concerns related to identity, life transitions, relationships, and intergenerational issues as well as symptoms of depression, anxiety, stress, trauma, and substance use.
I approach therapy with warmth, acceptance, and humor through a culturally humble, anti-oppressive lens. I will work with you to understand the intersection of your identities, values, and beliefs, with the understanding that they are multi-faceted. My goal is to meet you where you are and understand the context of your life (familial, social, cultural, environmental). Together, we'll identify what’s important to you and work together to empower your sense of self and improve your quality of life.
(815) 240-8715 View (815) 240-8715
Photo of Phil Welches, PhD, Psychologist in Chicago, IL
Phil Welches, PhD
Psychologist, PhD
Verified Verified
Chicago, IL 60602
I offer collaborative psychotherapy for anxiety, depression, and substance use, using naturalistic research-supported approaches that enhance awareness, access strengths, and build skills. These approaches - which vary according to individual needs and preferences - include mindfulness, depth-oriented counseling, Acceptance and Commitment Therapy and Existential Psychotherapy. Particular concerns may include worry, panic, obsession, procrastination, grief, esteem, frustration, habits, and/or motivation. The overarching model promotes psychological growth, transcendence of purpose-limiting "world views," and personal empowerment.
I offer collaborative psychotherapy for anxiety, depression, and substance use, using naturalistic research-supported approaches that enhance awareness, access strengths, and build skills. These approaches - which vary according to individual needs and preferences - include mindfulness, depth-oriented counseling, Acceptance and Commitment Therapy and Existential Psychotherapy. Particular concerns may include worry, panic, obsession, procrastination, grief, esteem, frustration, habits, and/or motivation. The overarching model promotes psychological growth, transcendence of purpose-limiting "world views," and personal empowerment.
(312) 361-0637 View (312) 361-0637
Photo of Daniel Morjal, Psychologist in Chicago, IL
Daniel Morjal
Psychologist, PsyD, MSCP
Verified Verified
Chicago, IL 60640
As a Prescribing Psychologist, I am able to take a more comprehensive and individualized approach to your health and well-being. Whether it be therapy, medication management, or a combination, working together gives us multiple options to find what works best for you. Whether its depression, anxiety, dealing with past traumas, the struggles of substance use, anger management, personal or professional relationship difficulties, existential concerns, or simply the desire to know yourself better, they are all worthwhile endeavors. Regardless of the topic, I provide a supportive and collaborative environment, free of judgment.
As a Prescribing Psychologist, I am able to take a more comprehensive and individualized approach to your health and well-being. Whether it be therapy, medication management, or a combination, working together gives us multiple options to find what works best for you. Whether its depression, anxiety, dealing with past traumas, the struggles of substance use, anger management, personal or professional relationship difficulties, existential concerns, or simply the desire to know yourself better, they are all worthwhile endeavors. Regardless of the topic, I provide a supportive and collaborative environment, free of judgment.
(773) 800-1513 View (773) 800-1513
Photo of Mallory Mareski, Clinical Social Work/Therapist in Chicago, IL
Mallory Mareski
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Chicago, IL 60613  (Online Only)
Waitlist for new clients
My past experiences include working with a diverse group of individuals and groups who have experienced domestic violence, military sexual trauma, incarceration, life transitions, as well as clients experiencing challenges with interpersonal relationships, depression, anxiety, substance use, emotional regulation, and coping with past traumatic experiences.
I approach therapy with the aim of fostering a healthy and strong therapeutic alliance to create a genuine and collaborative relationship to address life’s challenges together. I establish a non-judgmental and communicative space that allows us to explore challenging topics such as past trauma, stigma, emotional difficulties, and overwhelmed feelings. Together we will identify the impact of past experiences on current functioning, exploring the interplay of the physical, mental, and emotional.
My past experiences include working with a diverse group of individuals and groups who have experienced domestic violence, military sexual trauma, incarceration, life transitions, as well as clients experiencing challenges with interpersonal relationships, depression, anxiety, substance use, emotional regulation, and coping with past traumatic experiences.
I approach therapy with the aim of fostering a healthy and strong therapeutic alliance to create a genuine and collaborative relationship to address life’s challenges together. I establish a non-judgmental and communicative space that allows us to explore challenging topics such as past trauma, stigma, emotional difficulties, and overwhelmed feelings. Together we will identify the impact of past experiences on current functioning, exploring the interplay of the physical, mental, and emotional.
(708) 573-1920 View (708) 573-1920
Photo of Nicky Zimniak, Licensed Professional Counselor in Chicago, IL
Nicky Zimniak
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Chicago, IL 60602
I specialize in helping those struggling with substance use and addictions.
Is life becoming increasingly unmanageable, leaving you feeling empty, or as if you’re just going through the motions? Do you find yourself using substances to cope with difficult emotions or stressors? The ups and downs that come with the human experience can often be difficult to navigate, especially when we feel as though we have to face these challenges alone. I’m here to tell you that you’re not alone in what you are going through. I believe that there is always hope, even in life’s darkest moments.
I specialize in helping those struggling with substance use and addictions.
Is life becoming increasingly unmanageable, leaving you feeling empty, or as if you’re just going through the motions? Do you find yourself using substances to cope with difficult emotions or stressors? The ups and downs that come with the human experience can often be difficult to navigate, especially when we feel as though we have to face these challenges alone. I’m here to tell you that you’re not alone in what you are going through. I believe that there is always hope, even in life’s darkest moments.
(312) 584-3246 View (312) 584-3246
Photo of Elaine A. Gordon, Clinical Social Work/Therapist in Chicago, IL
Elaine A. Gordon
Clinical Social Work/Therapist, AM, LCSW, CADC, A-CBT
Verified Verified
1 Endorsed
Chicago, IL 60611
I am also a certified alcohol and drug counselor with experience treating substance use disorders.
I am a solution-focused therapist with a collaborative, non-judgemental, and client centered approach to treatment. My goal is to provide a safe and supportive environment for individuals to explore their challenges and make progress towards creating healthy and satisfying lives. I am trained in Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and other empirically validated treatments such as prolonged exposure (PE) and ERP. I have experience working with diverse populations in a variety of settings providing treatment for depression, anxiety, OCD, PTSD, panic disorder, and social anxiety.
I am also a certified alcohol and drug counselor with experience treating substance use disorders.
I am a solution-focused therapist with a collaborative, non-judgemental, and client centered approach to treatment. My goal is to provide a safe and supportive environment for individuals to explore their challenges and make progress towards creating healthy and satisfying lives. I am trained in Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and other empirically validated treatments such as prolonged exposure (PE) and ERP. I have experience working with diverse populations in a variety of settings providing treatment for depression, anxiety, OCD, PTSD, panic disorder, and social anxiety.
(773) 309-4294 View (773) 309-4294
Photo of Jenna Jablonski, Counselor in Chicago, IL
Jenna Jablonski
Counselor, MA,LCPC, CCTP, CADC, CSITP, CAGCS
Verified Verified
2 Endorsed
Chicago, IL 60657
I received my Master’s in Clinical Mental Health Counseling from Adler University along with an additional certifications in substance use counseling, trauma, advanced grief, and integrative sex therapy. I use a person-centered orientation to treat adults with a variety of mental health concerns such as anxiety, depression, panic, life/relationship/education/career transitions, grief, trauma, struggles with interpersonal relationships, self-esteem, and body image, chronic mental health concerns, and maladaptive coping including challenges with substance use, avoidance, self-harm, isolation, and people-pleasing.
I received my Master’s in Clinical Mental Health Counseling from Adler University along with an additional certifications in substance use counseling, trauma, advanced grief, and integrative sex therapy. I use a person-centered orientation to treat adults with a variety of mental health concerns such as anxiety, depression, panic, life/relationship/education/career transitions, grief, trauma, struggles with interpersonal relationships, self-esteem, and body image, chronic mental health concerns, and maladaptive coping including challenges with substance use, avoidance, self-harm, isolation, and people-pleasing.
(773) 832-5627 View (773) 832-5627
Photo of Susan Kottra, Clinical Social Work/Therapist in Chicago, IL
Susan Kottra
Clinical Social Work/Therapist, LCSW, CADC, CODPII
Verified Verified
1 Endorsed
Chicago, IL 60657  (Online Only)
Are you looking for treatment for trauma and substance use? Are you exploring gender or sexual identity? Are you managing chronic mental health concerns, family or origin issues or co-occurring mental health and physical health concerns? I have been practicing in the field of social work for 25 years. My approach is holistic and strength-based. I aim to create a safe space for you to explore personal struggles and experiences. I seek to help you gain increased awareness of your emotions and to cope safely and effectively. I believe in the power of individuals to create change through exploration and relationship.
Are you looking for treatment for trauma and substance use? Are you exploring gender or sexual identity? Are you managing chronic mental health concerns, family or origin issues or co-occurring mental health and physical health concerns? I have been practicing in the field of social work for 25 years. My approach is holistic and strength-based. I aim to create a safe space for you to explore personal struggles and experiences. I seek to help you gain increased awareness of your emotions and to cope safely and effectively. I believe in the power of individuals to create change through exploration and relationship.
(872) 246-8557 x2 View (872) 246-8557 x2
Photo of Jake Rose, Clinical Social Work/Therapist in Chicago, IL
Jake Rose
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chicago, IL 60654  (Online Only)
I am a Licensed Clinical Social Worker with experience working with substance use, codependency, relationship issues, shame, grief/loss, and disordered eating. I am specifically passionate about working with adults in the LGBTQ+ community. I utilize a strengths-based, solution-focused perspective and offer therapeutic interventions with warmth, humor, and directness.
I am a Licensed Clinical Social Worker with experience working with substance use, codependency, relationship issues, shame, grief/loss, and disordered eating. I am specifically passionate about working with adults in the LGBTQ+ community. I utilize a strengths-based, solution-focused perspective and offer therapeutic interventions with warmth, humor, and directness.
(312) 262-5795 View (312) 262-5795
Photo of Colleen Vitt, Clinical Social Work/Therapist in Chicago, IL
Colleen Vitt
Clinical Social Work/Therapist, LCSW
Verified Verified
Chicago, IL 60601  (Online Only)
I am a Licensed Clinical Social Worker with over 15 years of experience treating individuals struggling with depression, anxiety, insomnia, work/life balance, grief and loss, life transitions, as well as those wanting to cut back or stop substance use.
I have worked with many clients who feel that everything they do, everything about them is just "wrong", not enough, not worthy. I strive to help clients understand that they are deserving of connection, acceptance and peace regardless of what past experience, other people, or even their own mind might be telling them. My approach is collaborative, incorporating curiosity, authenticity, openness and humor. It is through this collaborative process that I am able to help individuals gain insight into long held beliefs and patterns of behavior and to ultimately develop new ways of relating to themselves and others.
I am a Licensed Clinical Social Worker with over 15 years of experience treating individuals struggling with depression, anxiety, insomnia, work/life balance, grief and loss, life transitions, as well as those wanting to cut back or stop substance use.
I have worked with many clients who feel that everything they do, everything about them is just "wrong", not enough, not worthy. I strive to help clients understand that they are deserving of connection, acceptance and peace regardless of what past experience, other people, or even their own mind might be telling them. My approach is collaborative, incorporating curiosity, authenticity, openness and humor. It is through this collaborative process that I am able to help individuals gain insight into long held beliefs and patterns of behavior and to ultimately develop new ways of relating to themselves and others.
(312) 872-7388 View (312) 872-7388
Photo of Sarah Fletcher, Clinical Social Work/Therapist in Chicago, IL
Sarah Fletcher
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
1 Endorsed
Chicago, IL 60631  (Online Only)
I am a Certified Drug and Alcohol Counselor and provide support utilizing a harm reduction framework while specializing in working with co-occurring substance use and mental health issues.
My expertise is working with adults who need support in overcoming challenges that have become overwhelming to deal with on their own. I have been working in the field for over 13 years and during that time have worked in a variety of settings including residential, homeless shelters, jail, intensive outreach, therapy, and internationally. I've been blessed to work with people as they go through suffering to become at peace and able to accept themselves within the changes that can be made in their circumstances. I work from a strength-based approach that focuses on instilling hope and belief that change is possible.
I am a Certified Drug and Alcohol Counselor and provide support utilizing a harm reduction framework while specializing in working with co-occurring substance use and mental health issues.
My expertise is working with adults who need support in overcoming challenges that have become overwhelming to deal with on their own. I have been working in the field for over 13 years and during that time have worked in a variety of settings including residential, homeless shelters, jail, intensive outreach, therapy, and internationally. I've been blessed to work with people as they go through suffering to become at peace and able to accept themselves within the changes that can be made in their circumstances. I work from a strength-based approach that focuses on instilling hope and belief that change is possible.
(844) 623-6687 View (844) 623-6687
Photo of Emmi Barnoski, Clinical Social Work/Therapist in Chicago, IL
Emmi Barnoski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chicago, IL 60614  (Online Only)
I have extensive experience working with eating disorders and substance use disorders, in group and individual therapy, as well as in issues affecting the families of these clients.
I am a Licensed Clinical Social Worker with over 15 years of experience working with diverse populations of various ages, cultures and backgrounds. I have come to tailor my clinical practice toward assisting clients in discovering their true and unique values that can lead to a life worth living. I combine elements of dialectical behavior therapy, cognitive behavior therapy, acceptance and commitment therapy, solution focused therapy and unified protocol to create specific treatment planning based on each individual client's needs.
I have extensive experience working with eating disorders and substance use disorders, in group and individual therapy, as well as in issues affecting the families of these clients.
I am a Licensed Clinical Social Worker with over 15 years of experience working with diverse populations of various ages, cultures and backgrounds. I have come to tailor my clinical practice toward assisting clients in discovering their true and unique values that can lead to a life worth living. I combine elements of dialectical behavior therapy, cognitive behavior therapy, acceptance and commitment therapy, solution focused therapy and unified protocol to create specific treatment planning based on each individual client's needs.
(917) 525-4536 View (917) 525-4536
Photo of Rebecca Ebben in Chicago, IL
Rebecca Ebben
LCPC, ATR
Verified Verified
Chicago, IL 60642
I have extensive experience as a counselor and art therapist in both inpatient and outpatient mental health settings, as well as a background in treating substance use disorders from a harm reductionist standpoint.
I use both talk therapy and art therapy to assist clients in building insight into thoughts, emotions, and behaviors, as well as developing skills to cope with difficult life stressors. I strongly believe that practicing kindness and self-compassion does not contradict with personal growth and self-improvement. I view the client as the expert in their own life when identifying areas to work on and setting goals, and I see myself as a "fellow traveler" who, through non-judgemental collaboration and support, can help guide the client towards living a life that feels in line with their personal values.
I have extensive experience as a counselor and art therapist in both inpatient and outpatient mental health settings, as well as a background in treating substance use disorders from a harm reductionist standpoint.
I use both talk therapy and art therapy to assist clients in building insight into thoughts, emotions, and behaviors, as well as developing skills to cope with difficult life stressors. I strongly believe that practicing kindness and self-compassion does not contradict with personal growth and self-improvement. I view the client as the expert in their own life when identifying areas to work on and setting goals, and I see myself as a "fellow traveler" who, through non-judgemental collaboration and support, can help guide the client towards living a life that feels in line with their personal values.
(708) 249-3623 View (708) 249-3623
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.