Photo of CradleStone, LLC , Counselor in Anacortes, WA
CradleStone, LLC
Counselor, MS, MAC, LMHC, SUDP
Verified Verified
Anacortes, WA 98221
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
Are you alone and feeling no support? Is your teenager struggling to be part of your family? Whether your teen is acting out through high-risk behaviors or isolating through technology, your family is probably feeling the strain. When you aren't sure how to help your teen or what they truly need, it can feel overwhelming and hopeless. I'm here to support you, your teen, and your family so you can move through your challenges together. Individuals seeking help with depressive or anxious feelings can find solutions through me as well.
(360) 614-2842 View (360) 614-2842
Photo of Mt Kulshan Ketamine Clinic in Anacortes, WA
Mt Kulshan Ketamine Clinic
MSN, CRNA, ARNP
Verified Verified
Anacortes, WA 98221
Our clients have not had complete recovery with traditional mental health treatment. We offer Ketamine Infusions with wave-paths Psychedelic program and integration coaching. Collaboration with any client therapist or provider who has an interest is welcomed.
Our clients have not had complete recovery with traditional mental health treatment. We offer Ketamine Infusions with wave-paths Psychedelic program and integration coaching. Collaboration with any client therapist or provider who has an interest is welcomed.
(360) 347-9436 View (360) 347-9436
Photo of Che Blaine, Clinical Social Work/Therapist in Anacortes, WA
Che Blaine
Clinical Social Work/Therapist, MS, MSW, LICSW
Verified Verified
Anacortes, WA 98221  (Online Only)
The intention I have is to explore with you your desire to have a more healthy balance in the emotional, mental, spiritual, and physical aspects of your life. A central question that I keep in mind is: "how can I be helpful?" I encourage my clients to make overall goals for our counseling relationship as well as for each appointment. Your happiness and freedom is my goal. My hope is to create together an atmosphere of safety, respect and trust. My focus is to encourage my clients' exploration of their own personal power, wisdom and resources for understanding, healing and happiness.
The intention I have is to explore with you your desire to have a more healthy balance in the emotional, mental, spiritual, and physical aspects of your life. A central question that I keep in mind is: "how can I be helpful?" I encourage my clients to make overall goals for our counseling relationship as well as for each appointment. Your happiness and freedom is my goal. My hope is to create together an atmosphere of safety, respect and trust. My focus is to encourage my clients' exploration of their own personal power, wisdom and resources for understanding, healing and happiness.
(360) 842-0714 View (360) 842-0714
Photo of T. Addelle Diedesch, Counselor in Anacortes, WA
T. Addelle Diedesch
Counselor, MA, LMHC, PMH-C
Verified Verified
4 Endorsed
Anacortes, WA 98221
Not accepting new clients
Depression and anxiety can emerge across the lifespan and frequently in the perinatal period. You, are not alone and with help you can get better. Whether, you are struggling with perinatal mental health concerns, parenting, depression, anxiety, trauma or any other of the adversity that emerges across the life span, healing is not out of your reach. You are ready for a proactive approach and want to make positive change. With connection and trust we will use a combination of skill building and motivational enhancement to calm crisis, and increase coping.
Depression and anxiety can emerge across the lifespan and frequently in the perinatal period. You, are not alone and with help you can get better. Whether, you are struggling with perinatal mental health concerns, parenting, depression, anxiety, trauma or any other of the adversity that emerges across the life span, healing is not out of your reach. You are ready for a proactive approach and want to make positive change. With connection and trust we will use a combination of skill building and motivational enhancement to calm crisis, and increase coping.
(360) 228-3934 View (360) 228-3934
Photo of Thom Thornsberry Smith, Marriage & Family Therapist in Anacortes, WA
Thom Thornsberry Smith
Marriage & Family Therapist, MS, LMFT, CHT
Verified Verified
Anacortes, WA 98221
Not accepting new clients
We are truly living in troubled times, globally and personally. Many of us find ourselves fluctuating between feelings of anxiety and/or depression. At 67 years old, I’ve spent nearly half my life – 35 years – as a Marriage and Family Therapist/Psychotherapist. Adding Hypnotherapy to my practice has been a game changer, and that, along with friends, colleagues, and many clients, I’ve learned ways of managing my thinking and thereby managing my emotions. This is what I do in my private practice and I can help you to do the same.
We are truly living in troubled times, globally and personally. Many of us find ourselves fluctuating between feelings of anxiety and/or depression. At 67 years old, I’ve spent nearly half my life – 35 years – as a Marriage and Family Therapist/Psychotherapist. Adding Hypnotherapy to my practice has been a game changer, and that, along with friends, colleagues, and many clients, I’ve learned ways of managing my thinking and thereby managing my emotions. This is what I do in my private practice and I can help you to do the same.
(206) 207-3006 View (206) 207-3006

More Therapists Nearby

Photo of Clarity Counseling-Joan Forest LICSW, Clinical Social Work/Therapist in Anacortes, WA
Clarity Counseling-Joan Forest LICSW
Clinical Social Work/Therapist, L, I, C, S, W
Verified Verified
La Conner, WA 98257
Each client has unique circumstances, challenges and goals, and I adapt my treatment to best fit the particular needs of the individual, couple or family. I am experienced in helping clients with difficult life transitions, depression, anxiety, PTSD, and marital problems. I am currently seeing children age five and up, teens and adults. My office is located in Greenbank, WA, and I provide telehealth as well as in person therapy.
Each client has unique circumstances, challenges and goals, and I adapt my treatment to best fit the particular needs of the individual, couple or family. I am experienced in helping clients with difficult life transitions, depression, anxiety, PTSD, and marital problems. I am currently seeing children age five and up, teens and adults. My office is located in Greenbank, WA, and I provide telehealth as well as in person therapy.
(360) 284-1317 View (360) 284-1317

Online Therapists

Photo of Sydney Benton, Clinical Social Work/Therapist in Anacortes, WA
Sydney Benton
Clinical Social Work/Therapist, MSW, LSWAIC, SUDPT
Verified Verified
Renton, WA 98055
I enjoy working with women undergoing any kind of life transitions, as well as folks wanting to explore body image, trauma, and substance use.
I will provide a safe space for you to express all of who you are, without fear of judgement. The therapeutic relationship is important in helping you feel safe, and I enjoy taking time to build this relationship. My style allows you to lead the way and focus on whatever may be holding you back from living your most authentic life. My work is guided by the belief that everything you need is already within yourself, and our work together can help you uncover your inner strength and peace. I utilize a trauma-informed approach and my therapeutic method focuses on radical acceptance, self-compassion and distress tolerance skills.
I enjoy working with women undergoing any kind of life transitions, as well as folks wanting to explore body image, trauma, and substance use.
I will provide a safe space for you to express all of who you are, without fear of judgement. The therapeutic relationship is important in helping you feel safe, and I enjoy taking time to build this relationship. My style allows you to lead the way and focus on whatever may be holding you back from living your most authentic life. My work is guided by the belief that everything you need is already within yourself, and our work together can help you uncover your inner strength and peace. I utilize a trauma-informed approach and my therapeutic method focuses on radical acceptance, self-compassion and distress tolerance skills.
(206) 539-1303 View (206) 539-1303
Photo of Alexa Farris, Counselor in Anacortes, WA
Alexa Farris
Counselor, LMHC, SUDP
Verified Verified
Port Orchard, WA 98366  (Online Only)
Waitlist for new clients
Are you feeling overwhelmed and stuck? Ready to make a change, but not sure where to begin? Help is available! I am a mental health and substance use counselor based in Kitsap County and providing telehealth services throughout Washington. I work primarily with adults and teenagers ages 13+. I can help you address a variety of issues, including substance abuse and addiction (including nicotine/tobacco use), depression, anxiety, trauma, chronic illness, self-harm, grief, low self-esteem, and LGBTQIA+ concerns. I do offer letters for gender-affirming care. I currently have a 1-2 month waitlist for new clients.
Are you feeling overwhelmed and stuck? Ready to make a change, but not sure where to begin? Help is available! I am a mental health and substance use counselor based in Kitsap County and providing telehealth services throughout Washington. I work primarily with adults and teenagers ages 13+. I can help you address a variety of issues, including substance abuse and addiction (including nicotine/tobacco use), depression, anxiety, trauma, chronic illness, self-harm, grief, low self-esteem, and LGBTQIA+ concerns. I do offer letters for gender-affirming care. I currently have a 1-2 month waitlist for new clients.
(360) 592-3359 View (360) 592-3359
Photo of Ian Thomas Pocock, Clinical Social Work/Therapist in Anacortes, WA
Ian Thomas Pocock
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98122  (Online Only)
You may have heard a saying that depression arises from living in the past, anxiety from living in the future, and the antidote for both is living in the present. Many of us push away the present moment with distractions, automatic behaviors, over-committing, substance use, and screen-time. Other times when we slow down enough to be present, we might not like the person we find ourselves to be - out of alignment with our environment or acting in ways that don’t match our values. However you are trying to get "un-stuck" or find a more authentic self, it helps to have a guide who can help you find footing.
You may have heard a saying that depression arises from living in the past, anxiety from living in the future, and the antidote for both is living in the present. Many of us push away the present moment with distractions, automatic behaviors, over-committing, substance use, and screen-time. Other times when we slow down enough to be present, we might not like the person we find ourselves to be - out of alignment with our environment or acting in ways that don’t match our values. However you are trying to get "un-stuck" or find a more authentic self, it helps to have a guide who can help you find footing.
(206) 895-0670 View (206) 895-0670
Photo of Blair Vinson Kleiber, Psychologist in Anacortes, WA
Blair Vinson Kleiber
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
My primary focus is helping clients build a fulfilling life based on their personal values & goals. I primarily work with older adolescents, adults, parents, and families with a variety of difficulties including: self-harm & suicidal behaviors, intense emotions/emotions that feel out of control, mood (depression and bipolar disorder), anxiety, and substance use disorders. I have extensive training treating disorders during pregnancy and the postpartum period, as well. My style is collaborative and compassionate, as well as evidence based, meaning I use treatments that have been supported by research to show they are effective.
My primary focus is helping clients build a fulfilling life based on their personal values & goals. I primarily work with older adolescents, adults, parents, and families with a variety of difficulties including: self-harm & suicidal behaviors, intense emotions/emotions that feel out of control, mood (depression and bipolar disorder), anxiety, and substance use disorders. I have extensive training treating disorders during pregnancy and the postpartum period, as well. My style is collaborative and compassionate, as well as evidence based, meaning I use treatments that have been supported by research to show they are effective.
(281) 645-5091 View (281) 645-5091
Photo of Carlos del Rio, Clinical Social Work/Therapist in Anacortes, WA
Carlos del Rio
Clinical Social Work/Therapist, MSW, LSWAIC, LSW
Verified Verified
Seattle, WA 98115  (Online Only)
Waitlist for new clients
I have a Master's of Social Work in Mental Health and Substance Use, as well as training in mindfulness-based approaches, Internal Family Systems, Brainspotting, and other supportive modalities.
I'm passionate about supporting LGBTQIA+ and trauma survivors with an approach rooted in the sincere belief that you are the expert on your own life. I use both somatic and cognitive therapies, to assist you in connecting with why and how you react to the world around you.
I have a Master's of Social Work in Mental Health and Substance Use, as well as training in mindfulness-based approaches, Internal Family Systems, Brainspotting, and other supportive modalities.
I'm passionate about supporting LGBTQIA+ and trauma survivors with an approach rooted in the sincere belief that you are the expert on your own life. I use both somatic and cognitive therapies, to assist you in connecting with why and how you react to the world around you.
(206) 672-6915 View (206) 672-6915
Photo of Candace Hunsucker Therapeutic Services, LLC, Marriage & Family Therapist in Anacortes, WA
Candace Hunsucker Therapeutic Services, LLC
Marriage & Family Therapist, LMFT, SUDP
Verified Verified
Puyallup, WA 98372
I serve Co-Occurring populations-those with mental health and substance use issues/Families with children with behavioral health challenges, LGBTQ populations, gender identity issues, sexuality, polyamory/non-traditional relationships.
I offer therapeutic sessions for individuals, couples, youth, and families. I help facilitate a process where people can develop insight and understanding of what may be holding them back from wellness, joy, and personal growth. Sometimes this may involve family patterns, behaviors that are not in line with one's values, or relationships that are no longer serving you. My job is to create safety for people to share their authentic selves, honoring strengths and navigating challenges together. My intention is to honor your gifts and to expand new ways of thinking or approaching situations to better meet your goals.
I serve Co-Occurring populations-those with mental health and substance use issues/Families with children with behavioral health challenges, LGBTQ populations, gender identity issues, sexuality, polyamory/non-traditional relationships.
I offer therapeutic sessions for individuals, couples, youth, and families. I help facilitate a process where people can develop insight and understanding of what may be holding them back from wellness, joy, and personal growth. Sometimes this may involve family patterns, behaviors that are not in line with one's values, or relationships that are no longer serving you. My job is to create safety for people to share their authentic selves, honoring strengths and navigating challenges together. My intention is to honor your gifts and to expand new ways of thinking or approaching situations to better meet your goals.
(206) 486-2113 View (206) 486-2113
Photo of Bailey Rahn | Tidepools Counseling, Mental Health Counselor Associate in Anacortes, WA
Bailey Rahn | Tidepools Counseling
Mental Health Counselor Associate, MA, LMHCA, SUDPT
Verified Verified
5 Endorsed
Bellingham, WA 98226  (Online Only)
As a counselor credentialed in both mental health & substance use, I'm able to work with a variety of issues including those entangled with drugs, alcohol, or other addictive patterns—whether you're seeking help with total sobriety or harm-reduction approaches to moderation.
“I need to change, but I don’t know how.” If you can relate to this phrase, you aren’t alone. There are so many reasons we stay stuck: Anxiety, fear, trauma, substance use, unsupported ADHD, and unsupportive relationships, and so much more. There is nothing wrong, defective, or broken about you. You’re doing your best with the strategies you’ve learned, and you deserve the opportunity to explore even more in the safety of an understanding and supportive relationship. By better understanding the "why", we begin to learn the right "how" when it comes to growing and thriving in life and relationships.
As a counselor credentialed in both mental health & substance use, I'm able to work with a variety of issues including those entangled with drugs, alcohol, or other addictive patterns—whether you're seeking help with total sobriety or harm-reduction approaches to moderation.
“I need to change, but I don’t know how.” If you can relate to this phrase, you aren’t alone. There are so many reasons we stay stuck: Anxiety, fear, trauma, substance use, unsupported ADHD, and unsupportive relationships, and so much more. There is nothing wrong, defective, or broken about you. You’re doing your best with the strategies you’ve learned, and you deserve the opportunity to explore even more in the safety of an understanding and supportive relationship. By better understanding the "why", we begin to learn the right "how" when it comes to growing and thriving in life and relationships.
(360) 845-1221 View (360) 845-1221
Photo of Marisa Talerico, Pre-Licensed Professional in Anacortes, WA
Marisa Talerico
Pre-Licensed Professional
Verified Verified
2 Endorsed
Redmond, WA 98052
Waitlist for new clients
If you're feeling disconnected, isolated, lost, stuck, or overwhelmed, I am equipped to accompany you through the darkness. I am passionate about helping you live authentically, intentionally, and peacefully in alignment with what's important to you. I believe in a collaborative approach to therapy to discover and move toward your definitions and values of wellness and energetic balance. I enjoy working with clients experiencing all kinds of life challenges but particularly love connecting with LGBTQIA+ and non-monogamous folks, trauma survivors, and those struggling with substance use, anxiety, and depression.
If you're feeling disconnected, isolated, lost, stuck, or overwhelmed, I am equipped to accompany you through the darkness. I am passionate about helping you live authentically, intentionally, and peacefully in alignment with what's important to you. I believe in a collaborative approach to therapy to discover and move toward your definitions and values of wellness and energetic balance. I enjoy working with clients experiencing all kinds of life challenges but particularly love connecting with LGBTQIA+ and non-monogamous folks, trauma survivors, and those struggling with substance use, anxiety, and depression.
(206) 202-7030 View (206) 202-7030
Photo of Darby Robertson | Deep Roots Counseling, Mental Health Counselor Associate in Anacortes, WA
Darby Robertson | Deep Roots Counseling
Mental Health Counselor Associate, MA, LMHCA, MHP, SUDPT
Verified Verified
5 Endorsed
Seattle, WA 98107  (Online Only)
I'm experienced in addressing diverse client concerns and particularly enjoy exploring identity, relationships, family of origin, shame, anxiety, transitions, grief, and addictive behaviors–ranging from substance use to perfectionism.
Whether you're hoping to process past events, address specific patterns of behavior, or figure out how to navigate an uncharacteristically difficult time—I'm glad you're here. I offer a warm and supportive environment for clients to explore the parts of themselves and their experiences that feel challenging, shameful, or unknown. Using an attachment-based approach, my goal is to assist you in better understanding yourself, the people around you, and how your relationships and life experiences have shaped who you are. In our work together, we will pursue deeper insight, growth, connection, and healing.
I'm experienced in addressing diverse client concerns and particularly enjoy exploring identity, relationships, family of origin, shame, anxiety, transitions, grief, and addictive behaviors–ranging from substance use to perfectionism.
Whether you're hoping to process past events, address specific patterns of behavior, or figure out how to navigate an uncharacteristically difficult time—I'm glad you're here. I offer a warm and supportive environment for clients to explore the parts of themselves and their experiences that feel challenging, shameful, or unknown. Using an attachment-based approach, my goal is to assist you in better understanding yourself, the people around you, and how your relationships and life experiences have shaped who you are. In our work together, we will pursue deeper insight, growth, connection, and healing.
(206) 672-6529 View (206) 672-6529
Photo of Emerald Behavioral Health, PLLC, Clinical Social Work/Therapist in Anacortes, WA
Emerald Behavioral Health, PLLC
Clinical Social Work/Therapist, MSW, MA, LSWAIC
Verified Verified
Bremerton, WA 98312
I have extensive knowledge working with patients with psychosis, substance use, and at high risk of suicide. Focusing on harm reduction, healthy coping skills, and recovery to live the best possible life. With my vast knowledge of the mental health system, I use various modalities toward treatment and don't believe a one size fit all in regard to interventions. I focus on a holistic approach to treatment as you are the expert in your own life. I am here to assist, listen and guide you towards your goals and dreams.
I have extensive knowledge working with patients with psychosis, substance use, and at high risk of suicide. Focusing on harm reduction, healthy coping skills, and recovery to live the best possible life. With my vast knowledge of the mental health system, I use various modalities toward treatment and don't believe a one size fit all in regard to interventions. I focus on a holistic approach to treatment as you are the expert in your own life. I am here to assist, listen and guide you towards your goals and dreams.
(360) 515-3234 x1 View (360) 515-3234 x1
Photo of Jennifer Bielenberg, Psychologist in Anacortes, WA
Jennifer Bielenberg
Psychologist, PsyD
Verified Verified
2 Endorsed
Seattle, WA 98109  (Online Only)
I am a licensed psychologist specializing in treating high achieving adults who seek to heal their relationships with anxiety, trauma, grief, and addiction/substance use.
Do you long to be free from the traps of perfectionism, self-criticism, and unhelpful overcontrol? Do your go-to strategies to "get rid" of your emotions feel unsustainable? I will help you clarify your deepest values, even in the midst of challenge and uncertainty. Whether you want to set boundaries, use your voice in relationships, or develop a more flexible and compassionate perspective, you will be empowered to take action, with a sense of purpose and agency. You will learn to view your emotions as wise communication from the body, without letting them overrun your life, and embrace your full, evolving identity.
I am a licensed psychologist specializing in treating high achieving adults who seek to heal their relationships with anxiety, trauma, grief, and addiction/substance use.
Do you long to be free from the traps of perfectionism, self-criticism, and unhelpful overcontrol? Do your go-to strategies to "get rid" of your emotions feel unsustainable? I will help you clarify your deepest values, even in the midst of challenge and uncertainty. Whether you want to set boundaries, use your voice in relationships, or develop a more flexible and compassionate perspective, you will be empowered to take action, with a sense of purpose and agency. You will learn to view your emotions as wise communication from the body, without letting them overrun your life, and embrace your full, evolving identity.
(425) 230-5819 View (425) 230-5819
Photo of Madeline Wilson, Counselor in Anacortes, WA
Madeline Wilson
Counselor, MA, LMHC, SUDP, ATR, LPC
Verified Verified
Seattle, WA 98177  (Online Only)
I have experience working with a range of diagnosis including, but not limited to, Anxiety, ADHD, PTSD, Depression and Issues including women’s issues, life transitions, gender affirmation, self-esteem, stress, family of origin dynamics, isolation/loneliness, substance use disorders, and personal impact from another's substance use.
Do you feel like you are in a power struggle with yourself? Lets team up and bring some balance to your life by processing and working thought current and past stressors and life events. We can collaborate on building your self esteem and develop a clear identity by utilizing creativity, abstract thinking, somatic practices, mindfulness, and cognitive processing. Imagine a future where you can heal from the impact of trauma, build communication skills to enhance your interpersonal relationships, and improve your overall satisfaction with life. We can work together to address the deep rooted patterns keeping you stuck.
I have experience working with a range of diagnosis including, but not limited to, Anxiety, ADHD, PTSD, Depression and Issues including women’s issues, life transitions, gender affirmation, self-esteem, stress, family of origin dynamics, isolation/loneliness, substance use disorders, and personal impact from another's substance use.
Do you feel like you are in a power struggle with yourself? Lets team up and bring some balance to your life by processing and working thought current and past stressors and life events. We can collaborate on building your self esteem and develop a clear identity by utilizing creativity, abstract thinking, somatic practices, mindfulness, and cognitive processing. Imagine a future where you can heal from the impact of trauma, build communication skills to enhance your interpersonal relationships, and improve your overall satisfaction with life. We can work together to address the deep rooted patterns keeping you stuck.
(206) 208-7956 View (206) 208-7956
Photo of Dr. Keri Clark, Psychologist in Anacortes, WA
Dr. Keri Clark
Psychologist, PhD, LPsy
Verified Verified
Bellevue, WA 98005
Is your relationship struggling from the trauma of sexual secrets, sexual addiction, or infidelity? Has substance use hurt your relationships? If you are finding it difficult to move forward after the discovery of betrayal or addiction, I can help you create a plan to heal, reconnect with your partner, and save your relationship. I offer a safe space for you to discuss your past behaviors and the havoc they've created in your life. You will learn to free yourself from overwhelming feelings of shame and depression. I will support you with whatever you are facing so you know that you are not alone.
Is your relationship struggling from the trauma of sexual secrets, sexual addiction, or infidelity? Has substance use hurt your relationships? If you are finding it difficult to move forward after the discovery of betrayal or addiction, I can help you create a plan to heal, reconnect with your partner, and save your relationship. I offer a safe space for you to discuss your past behaviors and the havoc they've created in your life. You will learn to free yourself from overwhelming feelings of shame and depression. I will support you with whatever you are facing so you know that you are not alone.
(425) 434-5931 View (425) 434-5931
Photo of Esther Grummel, Clinical Social Work/Therapist in Anacortes, WA
Esther Grummel
Clinical Social Work/Therapist, LICSW, SUDP
Verified Verified
Bellingham, WA 98225
You may have lost a loved one, felt the impact of life transitions, substance use, trauma, or cancer in your family.
The search for a therapeutic relationship founded on trust, compassion and understanding driven by your needs, goals and dreams is one of the most important decisions you will make. It takes a tremendous amount of courage and strength, built on the foundation of hope to begin the journey of finding ourselves. As both a Licensed Clinical Social Worker and Substance Use Disorder Professional I believe we all have a unique story to share with the world. Our knowledge of ourselves; spiritually,mentally and physically drives our choices and is the catalyst for change in that narrative.
You may have lost a loved one, felt the impact of life transitions, substance use, trauma, or cancer in your family.
The search for a therapeutic relationship founded on trust, compassion and understanding driven by your needs, goals and dreams is one of the most important decisions you will make. It takes a tremendous amount of courage and strength, built on the foundation of hope to begin the journey of finding ourselves. As both a Licensed Clinical Social Worker and Substance Use Disorder Professional I believe we all have a unique story to share with the world. Our knowledge of ourselves; spiritually,mentally and physically drives our choices and is the catalyst for change in that narrative.
(360) 389-2994 View (360) 389-2994
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.