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Online Therapists

Photo of First Choice Counseling Professional Corporation, Licensed Professional Counselor in Fredericktown, MO
First Choice Counseling Professional Corporation
Licensed Professional Counselor, ThD Psy, PhD CES, LPCCS, MAC, NCC
Verified Verified
University City, MO 63130
Our patients are individuals, couples or groups who have been struggling with depression, anxiety, mood disorder and other behavioral challenges that have made ordinary day to day functioning impossible or extremely difficult. Through evidence-based clinical mental health therapy that includes EMDR, CBT, DBT, and SFBT, we assess, and diagnose individuals, couples and groups providing evidenced-based treatment plans.
Our patients are individuals, couples or groups who have been struggling with depression, anxiety, mood disorder and other behavioral challenges that have made ordinary day to day functioning impossible or extremely difficult. Through evidence-based clinical mental health therapy that includes EMDR, CBT, DBT, and SFBT, we assess, and diagnose individuals, couples and groups providing evidenced-based treatment plans.
(314) 310-5648 View (314) 310-5648
Photo of Pearlman & Associates, Clinical Social Work/Therapist in Fredericktown, MO
Pearlman & Associates
Clinical Social Work/Therapist, MSW, LCSW, PhD
Verified Verified
Creve Coeur, MO 63141
Dr. Lena Pearlman is the clinical director and lead therapist of Pearlman & Associates, a team of social workers in private practice in St. Louis MO. Lena has been a social worker for 25 years and believes that we all have the capacity to make positive changes that improve the quality of our lives. Lena uses a client centered interactive style along with a warm caring manner. She takes time to understand your history, identify your strengths, acknowledge your feelings and clarify your goals with a plan to help you make progress towards them.
Dr. Lena Pearlman is the clinical director and lead therapist of Pearlman & Associates, a team of social workers in private practice in St. Louis MO. Lena has been a social worker for 25 years and believes that we all have the capacity to make positive changes that improve the quality of our lives. Lena uses a client centered interactive style along with a warm caring manner. She takes time to understand your history, identify your strengths, acknowledge your feelings and clarify your goals with a plan to help you make progress towards them.
(314) 309-2488 View (314) 309-2488

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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.