Photo of Indie M Cusack, Clinical Social Work/Therapist in Brooklyn, NY
Indie M Cusack
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Brooklyn, NY 11225  (Online Only)
Are you struggling with difficult family dynamics or a lack of support from your environment? Are you finding that the tools that you have turned to cope, like substance use and avoidance, has taken hold of your life? Are you feeling exhausted or constrained by treatment that sees your experience as a disease and dispenses formulaic solutions? You are not your symptoms and you deserve care from someone who wants to join you, sees you as the multi-layered complex person you are and supports your vision of healing in mind.
Are you struggling with difficult family dynamics or a lack of support from your environment? Are you finding that the tools that you have turned to cope, like substance use and avoidance, has taken hold of your life? Are you feeling exhausted or constrained by treatment that sees your experience as a disease and dispenses formulaic solutions? You are not your symptoms and you deserve care from someone who wants to join you, sees you as the multi-layered complex person you are and supports your vision of healing in mind.
(347) 514-8197 View (347) 514-8197
Photo of Alexis Stevens, Counselor in Brooklyn, NY
Alexis Stevens
Counselor, LMHC
Verified Verified
Brooklyn, NY 11203  (Online Only)
We often lose ourselves in an attempt to fulfill those everyday life roles. You know the roles we play everyday as parents, partner, child, employee, and friend? When do we ever take the time to truly put ourselves!?! Unfortunately, most of us fail to ever do so, but this has to stop and the time is now! You matter! Your goals matter! If you are not good to yourself, how can you ever be any good to someone else! I have experience working with a variety of populations such as those experiencing severe persistent mental illness, substance use, anxiety, depression, adjustment disorder, LGBTQ issues, relationships issues and much more.
We often lose ourselves in an attempt to fulfill those everyday life roles. You know the roles we play everyday as parents, partner, child, employee, and friend? When do we ever take the time to truly put ourselves!?! Unfortunately, most of us fail to ever do so, but this has to stop and the time is now! You matter! Your goals matter! If you are not good to yourself, how can you ever be any good to someone else! I have experience working with a variety of populations such as those experiencing severe persistent mental illness, substance use, anxiety, depression, adjustment disorder, LGBTQ issues, relationships issues and much more.
(929) 577-3153 View (929) 577-3153
Photo of Charlene Baudet, Counselor in Brooklyn, NY
Charlene Baudet
Counselor, LMHC
Verified Verified
Brooklyn, NY 11242
I am accepting new clients who are 16-65 years old and suffer from a range of challenges, such as anxiety, depression, trauma, gender dysphoria, and substance use/misuse/abuse.
Hi! I'm Charlene, and I'll keep this nice and short for you since I also know what it's like to be scrolling through psychtoday on the hunt for a new therapist but overwhelmed by your options. In not so many words, I'm a French-Moroccan licensed mental health counselor specialized in LGBTQ+ health and wellness. I am trained and experienced in the Harm Reduction Psychotherapy to also help clients with any substance use/misuse/and/or abuse reach their goals. Using a person-centered approach I am here to help you reach your goals and thrive in your day to day life.
I am accepting new clients who are 16-65 years old and suffer from a range of challenges, such as anxiety, depression, trauma, gender dysphoria, and substance use/misuse/abuse.
Hi! I'm Charlene, and I'll keep this nice and short for you since I also know what it's like to be scrolling through psychtoday on the hunt for a new therapist but overwhelmed by your options. In not so many words, I'm a French-Moroccan licensed mental health counselor specialized in LGBTQ+ health and wellness. I am trained and experienced in the Harm Reduction Psychotherapy to also help clients with any substance use/misuse/and/or abuse reach their goals. Using a person-centered approach I am here to help you reach your goals and thrive in your day to day life.
(347) 970-5677 View (347) 970-5677
Photo of Luis Illades, Clinical Social Work/Therapist in Brooklyn, NY
Luis Illades
Clinical Social Work/Therapist, LMSW, CASAC
Verified Verified
1 Endorsed
Brooklyn, NY 11211  (Online Only)
I have many years of experience as the Intake and Prevention coordinator in the substance use outpatient program at the LGBT Center in the West Village of Manhattan (www.
Are you wanting to make some changes but struggling to release old behavior patterns or relationships? Do you find yourself returning to familiar but detrimental ways of dealing with love, sex, or friendship? Do you struggle with self-doubt, comparing yourself to others and yearning for more meaning in life? Through thoughtful exploration and awareness building, we will help you to explore new ways of understanding your beliefs, fears, and relational patterns. My clients find that through therapy they are able to better understand themselves and also better able to be understood by others. www.humanconditionconsulting.com
I have many years of experience as the Intake and Prevention coordinator in the substance use outpatient program at the LGBT Center in the West Village of Manhattan (www.
Are you wanting to make some changes but struggling to release old behavior patterns or relationships? Do you find yourself returning to familiar but detrimental ways of dealing with love, sex, or friendship? Do you struggle with self-doubt, comparing yourself to others and yearning for more meaning in life? Through thoughtful exploration and awareness building, we will help you to explore new ways of understanding your beliefs, fears, and relational patterns. My clients find that through therapy they are able to better understand themselves and also better able to be understood by others. www.humanconditionconsulting.com
(347) 696-9926 View (347) 696-9926
Photo of Greenpoint Psychotherapy in Brooklyn, NY
Greenpoint Psychotherapy
LCSW-R
Verified Verified
1 Endorsed
Brooklyn, NY 11222
Current offerings: Exploring Sexuality, Body Image Support Group, Narrative Therapy for Teens, Artful Healing: Depression Support Group, and Supporting Family Members Impacted By Substance Use Disorders.
Greenpoint Psychotherapy is a holistically minded practice that functions on the premise that by allowing ourselves to accept and experience our emotions, we will increase assertive behavior leading to increased alignment between external & inner selves. We help clients with exploring how their past relationships and experiences continue to impact their present life, through identifying and changing thought patterns that have become unnecessarily negative or rigid, and learning to use difficult experiences to gain more insight about themselves so they are able to move forward with kindness instead of fear.
Current offerings: Exploring Sexuality, Body Image Support Group, Narrative Therapy for Teens, Artful Healing: Depression Support Group, and Supporting Family Members Impacted By Substance Use Disorders.
Greenpoint Psychotherapy is a holistically minded practice that functions on the premise that by allowing ourselves to accept and experience our emotions, we will increase assertive behavior leading to increased alignment between external & inner selves. We help clients with exploring how their past relationships and experiences continue to impact their present life, through identifying and changing thought patterns that have become unnecessarily negative or rigid, and learning to use difficult experiences to gain more insight about themselves so they are able to move forward with kindness instead of fear.
(929) 205-4159 View (929) 205-4159
Photo of Dr. Ulysses Jackson Phd., Mental Health Counselor in Brooklyn, NY
Dr. Ulysses Jackson Phd.
Mental Health Counselor, CAMS, LMHC, CASAC, PLLC
Verified Verified
1 Endorsed
Brooklyn, NY 11233  (Online Only)
Jackson specializes in substance use disorders, depression, anxiety, disruptive, impulse-control, and conduct disorders.
Dr. Jackson’s clientele is comprised of adults, high school, and college students, entertainment industry professionals, former executives, professors, and athletes. While utilizing individual, couples and family therapy, as well as modalities including Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Psychodynamic Therapy.
Jackson specializes in substance use disorders, depression, anxiety, disruptive, impulse-control, and conduct disorders.
Dr. Jackson’s clientele is comprised of adults, high school, and college students, entertainment industry professionals, former executives, professors, and athletes. While utilizing individual, couples and family therapy, as well as modalities including Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Psychodynamic Therapy.
(631) 614-6884 View (631) 614-6884
Photo of Laura Marker, Psychologist in Brooklyn, NY
Laura Marker
Psychologist, PsyD
Verified Verified
Brooklyn, NY 11215  (Online Only)
I have clinical emphasis working with individuals who are experiencing symptoms of: Depression, Anxiety, C-PTSD, Substance Use Disorders, Postpartum/Perinatal Mood and Anxiety disorders, and Adjustment Disorders due to acute or chronic health conditions.
I believe that therapy is a space for us to tackle life’s difficulties as well as celebrate life, find joy, and build self-compassion. I provide empathic, nonjudgmental psychotherapy, focused on deepening a sense of self-awareness, gaining insight into your emotional experiences, and empowering you to live a more fulfilling life. My therapeutic approach is rooted in relational and attachment-based theories. I frequently use humanistic, and behavioral interventions tailored to meet the needs of the individual or couple I am working with. I strive to create authentic and collaborative relationships with everyone I work with.
I have clinical emphasis working with individuals who are experiencing symptoms of: Depression, Anxiety, C-PTSD, Substance Use Disorders, Postpartum/Perinatal Mood and Anxiety disorders, and Adjustment Disorders due to acute or chronic health conditions.
I believe that therapy is a space for us to tackle life’s difficulties as well as celebrate life, find joy, and build self-compassion. I provide empathic, nonjudgmental psychotherapy, focused on deepening a sense of self-awareness, gaining insight into your emotional experiences, and empowering you to live a more fulfilling life. My therapeutic approach is rooted in relational and attachment-based theories. I frequently use humanistic, and behavioral interventions tailored to meet the needs of the individual or couple I am working with. I strive to create authentic and collaborative relationships with everyone I work with.
(347) 754-3357 View (347) 754-3357
Intercity Psychotherapy Services LCSW PC
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11209
Mental health program that addresses the needs of adults, adolescents, children, and families. The program encompasses a broad range of areas, including individual and family counseling, substance use and youth development. Its purpose is to provide mental health services to individuals impacted by psychological and emotional disturbances.
Mental health program that addresses the needs of adults, adolescents, children, and families. The program encompasses a broad range of areas, including individual and family counseling, substance use and youth development. Its purpose is to provide mental health services to individuals impacted by psychological and emotional disturbances.
(929) 262-6744 View (929) 262-6744
Photo of Kyle Austin, Counselor in Brooklyn, NY
Kyle Austin
Counselor, LMHC, LPC
Verified Verified
Brooklyn, NY 11215  (Online Only)
Navigating life’s challenges in an increasingly chaotic world can feel overwhelming, scary, and even numbing; as a licensed counselor I believe in the power of therapy to facilitate healing, growth, safety, serenity, and self-actualization in the face of life's many demands. I am a passionate advocate for social equity, justice, and accessibility to services for all, and while I work with people of all walks and persuasions, I specialize in therapy with fellow members of the LGBTQ+ community, individuals with co-occurring mental health and substance use challenges, and those dealing with trauma, depression, and anxiety.
Navigating life’s challenges in an increasingly chaotic world can feel overwhelming, scary, and even numbing; as a licensed counselor I believe in the power of therapy to facilitate healing, growth, safety, serenity, and self-actualization in the face of life's many demands. I am a passionate advocate for social equity, justice, and accessibility to services for all, and while I work with people of all walks and persuasions, I specialize in therapy with fellow members of the LGBTQ+ community, individuals with co-occurring mental health and substance use challenges, and those dealing with trauma, depression, and anxiety.
(347) 697-4327 View (347) 697-4327
Photo of Cognitive Reset Counseling in Brooklyn, NY
Cognitive Reset Counseling
MHC-LP
Verified Verified
1 Endorsed
Brooklyn, NY 11221  (Online Only)
My name is Amanda Rozell and I have worked with clients extending from those who have everyday anxiety, general life challenges and worries, to those who have been through trauma, have persistent mental health disorders, and addiction and substance use. Additionally, I have worked with the age range of adolescence up to older adulthood.
My name is Amanda Rozell and I have worked with clients extending from those who have everyday anxiety, general life challenges and worries, to those who have been through trauma, have persistent mental health disorders, and addiction and substance use. Additionally, I have worked with the age range of adolescence up to older adulthood.
(347) 745-7546 View (347) 745-7546
Photo of Daniel Lee, Counselor in Brooklyn, NY
Daniel Lee
Counselor, LMHC
Verified Verified
Brooklyn, NY 11201
Daniel’s clinical experience includes work with adults of all ages ranging from young adults to senior citizens living with anxiety, depression, trauma, PTSD, substance use recovery (inclusive of co-occurring mental health & substance use conditions), interpersonal relationship issues, personal identity issues, and adjustment to chronic medical conditions.
Daniel provides therapeutic support from an individualized, person-centered approach in an attempt to meet each new patient where they are in their specific life-situation. He draws from an eclectic multicultural theoretical framework, incorporating psychodynamic, cognitive-behavioral, and dialectical-behavioral approaches to treatment when appropriate. He firmly believes in each individual’s unique differences and relies on a strengths-based perspective when working to motivate behavioral change.
Daniel’s clinical experience includes work with adults of all ages ranging from young adults to senior citizens living with anxiety, depression, trauma, PTSD, substance use recovery (inclusive of co-occurring mental health & substance use conditions), interpersonal relationship issues, personal identity issues, and adjustment to chronic medical conditions.
Daniel provides therapeutic support from an individualized, person-centered approach in an attempt to meet each new patient where they are in their specific life-situation. He draws from an eclectic multicultural theoretical framework, incorporating psychodynamic, cognitive-behavioral, and dialectical-behavioral approaches to treatment when appropriate. He firmly believes in each individual’s unique differences and relies on a strengths-based perspective when working to motivate behavioral change.
(646) 904-5797 View (646) 904-5797
Photo of Doug Hamilton in Brooklyn, NY
Doug Hamilton
MHC-LP, LAC
Verified Verified
Brooklyn, NY 11221
Hello, I am Doug Hamilton, a counselor with over two decades of experience in human services and mental health. In my practice, I welcome a diverse range of individuals, each facing unique challenges and experiences. Whether you are an adolescent navigating life's complexities, an individual working through substance use disorders, a trauma survivor seeking a safe space for healing, someone managing mood disorders like depression or anxiety, or a member of the LGBTQ+ community looking for affirming and sensitive support, you will find a place of understanding here.
Hello, I am Doug Hamilton, a counselor with over two decades of experience in human services and mental health. In my practice, I welcome a diverse range of individuals, each facing unique challenges and experiences. Whether you are an adolescent navigating life's complexities, an individual working through substance use disorders, a trauma survivor seeking a safe space for healing, someone managing mood disorders like depression or anxiety, or a member of the LGBTQ+ community looking for affirming and sensitive support, you will find a place of understanding here.
(315) 902-9621 View (315) 902-9621
Photo of Vivid World Psychology, Psychologist in Brooklyn, NY
Vivid World Psychology
Psychologist, PsyD
Verified Verified
2 Endorsed
Brooklyn, NY 11201  (Online Only)
Do you feel like you've achieved some success in your education or career yet still find yourself struggling with issues such as depression, anxiety, trauma, intimate relationships, cultural identity, substance use, or wanting to connect with your innermost desires? These things can often make people feel empty, lost, or unfulfilled. Therapists at Vivid World Psychology are dedicated to providing quality services to each individual, family, and couple that comes to our practice and helping them effectively resolve their problems, so they can build a meaningful and fulfilling life.
Do you feel like you've achieved some success in your education or career yet still find yourself struggling with issues such as depression, anxiety, trauma, intimate relationships, cultural identity, substance use, or wanting to connect with your innermost desires? These things can often make people feel empty, lost, or unfulfilled. Therapists at Vivid World Psychology are dedicated to providing quality services to each individual, family, and couple that comes to our practice and helping them effectively resolve their problems, so they can build a meaningful and fulfilling life.
(347) 308-6340 View (347) 308-6340
Photo of Jernee Montoya, Clinical Social Work/Therapist in Brooklyn, NY
Jernee Montoya
Clinical Social Work/Therapist, LCSW, CASAC, CCTP II
Verified Verified
1 Endorsed
Brooklyn, NY 11205
I am trained in EMDR, somatic approaches, and I utilize a harm reduction approach in addressing substance use and other behaviors that are one may be ambivalent to change.
You have taken a courageous step in seeking therapy. It is not always easy to talk about how you feel, what you've been through or what you want. Some experiences are beyond words. I see my clients as individuals who have the brilliant capacity to heal and connect with their innate self-worth. I create a warm and comfortable space where you will feel seen and heard. My approach has a foundation in psychodynamic & trauma theory, and looks at how one's personal experiences, identities and intergenerational context impact one's here and now; it also fosters the learning of strategies to feel relief and promote healing.
I am trained in EMDR, somatic approaches, and I utilize a harm reduction approach in addressing substance use and other behaviors that are one may be ambivalent to change.
You have taken a courageous step in seeking therapy. It is not always easy to talk about how you feel, what you've been through or what you want. Some experiences are beyond words. I see my clients as individuals who have the brilliant capacity to heal and connect with their innate self-worth. I create a warm and comfortable space where you will feel seen and heard. My approach has a foundation in psychodynamic & trauma theory, and looks at how one's personal experiences, identities and intergenerational context impact one's here and now; it also fosters the learning of strategies to feel relief and promote healing.
(929) 590-9851 View (929) 590-9851
Photo of Kamila Kozak, Licensed Mental Health Counselor in Brooklyn, NY
Kamila Kozak
Licensed Mental Health Counselor, LMHC
Verified Verified
Brooklyn, NY 11201
In my practice, I have extensively worked with clients who suffered from trauma, substance use disorders, depression and anxiety.
As a therapist, my goal is to support and empower my clients through the process of reducing any obstacles in their lives. I believe that there is no concern too embarrassing or scary that we would not be able to take on together.
In my practice, I have extensively worked with clients who suffered from trauma, substance use disorders, depression and anxiety.
As a therapist, my goal is to support and empower my clients through the process of reducing any obstacles in their lives. I believe that there is no concern too embarrassing or scary that we would not be able to take on together.
(929) 547-9863 View (929) 547-9863
Photo of John David Melendez, Counselor in Brooklyn, NY
John David Melendez
Counselor, LMHC, CASAC
Verified Verified
Brooklyn, NY 11221  (Online Only)
John D. Melendez is a bilingual, English and Spanish speaking, Mental Health and Substance Use Counselor experienced in providing assessment and treatment to adolescents, adults, and families from diverse ethno-cultural and racial backgrounds in order to determine appropriate services and referrals needed, implementing short-term and long-term goals in collaboration with clients.
John D. Melendez is a bilingual, English and Spanish speaking, Mental Health and Substance Use Counselor experienced in providing assessment and treatment to adolescents, adults, and families from diverse ethno-cultural and racial backgrounds in order to determine appropriate services and referrals needed, implementing short-term and long-term goals in collaboration with clients.
(646) 867-0091 View (646) 867-0091
Photo of Michael Levy, Psychologist in Brooklyn, NY
Michael Levy
Psychologist, PhD
Verified Verified
Brooklyn, NY 11201
I specialize in treating trauma, anxiety, substance use, and issues related to identity development.
Is it time to put your life (or certain aspects of it) up for review? Are you interested in reflecting on what patterns, beliefs, behaviors, values, or relationships may no longer be serving you? With a warm style and an encouraging sense of humor, I'll collaborate with you to identify roadblocks that are keeping you stuck and we'll chart a new path moving forward. No matter our focus, we’ll make sure to develop an individualized treatment plan that honors your specific treatment goals. I strike a balance between unconditional acceptance of who you are and making sure to appropriately challenge you to ensure growth and healing.
I specialize in treating trauma, anxiety, substance use, and issues related to identity development.
Is it time to put your life (or certain aspects of it) up for review? Are you interested in reflecting on what patterns, beliefs, behaviors, values, or relationships may no longer be serving you? With a warm style and an encouraging sense of humor, I'll collaborate with you to identify roadblocks that are keeping you stuck and we'll chart a new path moving forward. No matter our focus, we’ll make sure to develop an individualized treatment plan that honors your specific treatment goals. I strike a balance between unconditional acceptance of who you are and making sure to appropriately challenge you to ensure growth and healing.
(646) 692-0806 View (646) 692-0806
Photo of SMPsychotherapy & Counseling Services, Clinical Social Work/Therapist in Brooklyn, NY
SMPsychotherapy & Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11201
SMPsychotherapy & Counseling specializes in treating veterans and adults dealing with PTSD, military sexual trauma, depression, anxiety, or co-occurring substance use disorders.
Do you feel like the world is caving in around you? Is PTSD controlling every aspect of your life? Are you a veteran seeking professional guidance and support for your mental health journey? You need a compassionate therapist who understands what you are going through. Now is the time to get the help you need. Embark on a collaborative journey with SMPsychotherapy & Counseling, where understanding, support, and expertise unite to guide you toward a more fulfilling and balanced life. Our goal is to create a safe and supportive space for you to explore challenges, set and achieve goals, and develop effective coping strategies.
SMPsychotherapy & Counseling specializes in treating veterans and adults dealing with PTSD, military sexual trauma, depression, anxiety, or co-occurring substance use disorders.
Do you feel like the world is caving in around you? Is PTSD controlling every aspect of your life? Are you a veteran seeking professional guidance and support for your mental health journey? You need a compassionate therapist who understands what you are going through. Now is the time to get the help you need. Embark on a collaborative journey with SMPsychotherapy & Counseling, where understanding, support, and expertise unite to guide you toward a more fulfilling and balanced life. Our goal is to create a safe and supportive space for you to explore challenges, set and achieve goals, and develop effective coping strategies.
(516) 689-9877 View (516) 689-9877
Photo of Kevin Goldwater, Licensed Professional Counselor in Brooklyn, NY
Kevin Goldwater
Licensed Professional Counselor, MA, LMHC, CCTP
Verified Verified
1 Endorsed
Brooklyn, NY 11201  (Online Only)
I meet with clients of diverse backgrounds, navigating challenges such as depression, anxiety, complex PTSD, gender dysphoria, substance use, self harm, LGBQ and TGNB identities, and men’s health.
I provide attuned and empathic psychotherapy to individuals and groups, offering a warm, curious, creative and even humorous space. I believe the dynamic between client and therapist is one of our most valuable assets in therapy. Each individual brings their own perception of their needs and worldview, so I place great focus on identity, culture, and environment for this space to not only process personal struggles but to also combat oppressive exteriors that compromise our wellbeing. With compassion, energy and curiosity, I show up to meet you where you are to support and hold space for you to feel safe and seen.
I meet with clients of diverse backgrounds, navigating challenges such as depression, anxiety, complex PTSD, gender dysphoria, substance use, self harm, LGBQ and TGNB identities, and men’s health.
I provide attuned and empathic psychotherapy to individuals and groups, offering a warm, curious, creative and even humorous space. I believe the dynamic between client and therapist is one of our most valuable assets in therapy. Each individual brings their own perception of their needs and worldview, so I place great focus on identity, culture, and environment for this space to not only process personal struggles but to also combat oppressive exteriors that compromise our wellbeing. With compassion, energy and curiosity, I show up to meet you where you are to support and hold space for you to feel safe and seen.
(929) 545-6766 View (929) 545-6766
Photo of Jennifer Ciraulo, Clinical Social Work/Therapist in Brooklyn, NY
Jennifer Ciraulo
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11249  (Online Only)
I specialize in issues such as self esteem, substance use disorder, spiritual development, trauma, and identity.
You may find you’re a deeply creative and sensitive person, going through major life transitions, a spiritual awakening, or a dark night of the soul. You want to grow your self-confidence and self worth, but are unsure where to start. You may feel unsatisfied with the way things are but are unclear on what you actually want and what exactly is holding you back. There may be habits, beliefs, and behaviors that are no longer serving you, but you aren't sure how to change them. I’ve been there and understand. My goal as a therapist is to accompany you as a guide on your path of personal empowerment and self discovery.
I specialize in issues such as self esteem, substance use disorder, spiritual development, trauma, and identity.
You may find you’re a deeply creative and sensitive person, going through major life transitions, a spiritual awakening, or a dark night of the soul. You want to grow your self-confidence and self worth, but are unsure where to start. You may feel unsatisfied with the way things are but are unclear on what you actually want and what exactly is holding you back. There may be habits, beliefs, and behaviors that are no longer serving you, but you aren't sure how to change them. I’ve been there and understand. My goal as a therapist is to accompany you as a guide on your path of personal empowerment and self discovery.
(646) 768-9080 View (646) 768-9080

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.