Substance Use Therapists in Nashville, TN

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Photo of Rheann Maxwell, Clinical Social Work/Therapist in Nashville, TN
Rheann Maxwell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nashville, TN 37203  (Online Only)
As a compassionate advocate for women's mental health, I am deeply committed to empowering you to reclaim control over your life and find fulfillment and happiness. My approach is warm and collaborative; I believe in working together as a team to address your unique challenges and goals. My background is group and individual settings struggling with co-occurring disorders, primarily substance use and mood disorders. I believe identifying our values and faulty core beliefs are the foundation to success and healing. I also emphasize the importance of healthy self-esteem and will challenge you on your journey to healing.
As a compassionate advocate for women's mental health, I am deeply committed to empowering you to reclaim control over your life and find fulfillment and happiness. My approach is warm and collaborative; I believe in working together as a team to address your unique challenges and goals. My background is group and individual settings struggling with co-occurring disorders, primarily substance use and mood disorders. I believe identifying our values and faulty core beliefs are the foundation to success and healing. I also emphasize the importance of healthy self-esteem and will challenge you on your journey to healing.
(615) 205-9177 View (615) 205-9177
Photo of Karen Moran, Drug & Alcohol Counselor in Nashville, TN
Karen Moran
Drug & Alcohol Counselor, LADC II, NCAC II, QCS
Verified Verified
2 Endorsed
Nashville, TN 37210
Change is hard. It's particularly challenging when a lifestyle is built around behaviors that used to work. Fear, guilt, embarrassment, and anger often are a normal part of the process of becoming aware of the need for change. Sometimes these feelings create a barrier to the necessary change that brings relief. If you struggle with problematic substance use, either your own or someone else's, you know these statements are true. You just want reassurance that it is possible for life to be different...easier. It can be. Once a decision is made to take action...any new action...hope begins to come into focus.
Change is hard. It's particularly challenging when a lifestyle is built around behaviors that used to work. Fear, guilt, embarrassment, and anger often are a normal part of the process of becoming aware of the need for change. Sometimes these feelings create a barrier to the necessary change that brings relief. If you struggle with problematic substance use, either your own or someone else's, you know these statements are true. You just want reassurance that it is possible for life to be different...easier. It can be. Once a decision is made to take action...any new action...hope begins to come into focus.
(615) 436-5739 View (615) 436-5739
Photo of Kara Moody, Counselor in Nashville, TN
Kara Moody
Counselor, LPC
Verified Verified
Nashville, TN 37207  (Online Only)
In particular, I specialize in working with those struggling with substance use, binge eating, perfectionism, anxiety, depression, existential distress, and life transitions.
Do you feel as though life is passing you by? As though you’re not in the driver’s seat of your own life? Oftentimes we go into autopilot mode because it’s familiar and feels comfortable. This autopilot mode can serve us, but when we’re constantly reacting to life automatically rather than responding mindfully, it can start to create issues for us. Therapy can be an effective way to break out of habitual patterns of thinking, feeling, and behaving that are causing us problems. I create a nonjudgmental space where you can pause to explore how to live life more intentionally and wholeheartedly.
In particular, I specialize in working with those struggling with substance use, binge eating, perfectionism, anxiety, depression, existential distress, and life transitions.
Do you feel as though life is passing you by? As though you’re not in the driver’s seat of your own life? Oftentimes we go into autopilot mode because it’s familiar and feels comfortable. This autopilot mode can serve us, but when we’re constantly reacting to life automatically rather than responding mindfully, it can start to create issues for us. Therapy can be an effective way to break out of habitual patterns of thinking, feeling, and behaving that are causing us problems. I create a nonjudgmental space where you can pause to explore how to live life more intentionally and wholeheartedly.
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Photo of Daniel DiPerna, Psychologist in Nashville, TN
Daniel DiPerna
Psychologist, PsyD
Verified Verified
Nashville, TN 37212
I have training in relational, dynamic, and cognitive therapies with a specialization in harm reduction treatment for substance use issues.
Psychotherapy is a healing process which I am honored to be a part of. I greatly respect your decision to seek change, and I will work diligently to help you. Suffering is universal but you are unique; we will collaborate to understand what ails you and create an individualized therapy experience. I listen closely, empathize deeply, and maintain a curious, open-minded stance to build an authentic bond, which is paramount in healing. Within the safety of our therapeutic relationship I will help you explore, understand, and bring about the changes you want.
I have training in relational, dynamic, and cognitive therapies with a specialization in harm reduction treatment for substance use issues.
Psychotherapy is a healing process which I am honored to be a part of. I greatly respect your decision to seek change, and I will work diligently to help you. Suffering is universal but you are unique; we will collaborate to understand what ails you and create an individualized therapy experience. I listen closely, empathize deeply, and maintain a curious, open-minded stance to build an authentic bond, which is paramount in healing. Within the safety of our therapeutic relationship I will help you explore, understand, and bring about the changes you want.
(615) 802-7403 View (615) 802-7403
Photo of Hazel House, PLLC / Lindsay E. Vaughn, Psychologist in Nashville, TN
Hazel House, PLLC / Lindsay E. Vaughn
Psychologist, PsyD
Verified Verified
2 Endorsed
Nashville, TN 37204
We treat a variety of concerns, especially trauma / PTSD (sexual assault / rape, military (veterans), and all forms of child abuse / neglect), family / relational attachment issues, depression, anxiety, chronic pain / illness, & substance use.
Many clients come to us after feeling stuck in talk therapy. Talking about your problems is helpful, but it has limited impact. If you are ready to take your healing to the next level, please reach out! We integrate somatic and experiential therapies, such as EMDR, Brainspotting, Hypnotherapy, IFS, psychodrama, nature therapy, ketamine-assisted therapy, trauma-sensitive Yoga, Neurofeedback, and more, to go deeper, so you can truly heal from past experiences. There are no quick fixes - there is only the journey to truly know, love, and care for yourself, and our team of expert therapists is ready to take the journey with you.
We treat a variety of concerns, especially trauma / PTSD (sexual assault / rape, military (veterans), and all forms of child abuse / neglect), family / relational attachment issues, depression, anxiety, chronic pain / illness, & substance use.
Many clients come to us after feeling stuck in talk therapy. Talking about your problems is helpful, but it has limited impact. If you are ready to take your healing to the next level, please reach out! We integrate somatic and experiential therapies, such as EMDR, Brainspotting, Hypnotherapy, IFS, psychodrama, nature therapy, ketamine-assisted therapy, trauma-sensitive Yoga, Neurofeedback, and more, to go deeper, so you can truly heal from past experiences. There are no quick fixes - there is only the journey to truly know, love, and care for yourself, and our team of expert therapists is ready to take the journey with you.
(615) 751-8303 View (615) 751-8303
Photo of Heather Alesch, Psychologist in Nashville, TN
Heather Alesch
Psychologist, MEd, PsyD
Verified Verified
7 Endorsed
Nashville, TN 37203
Hello- Thank you for taking the time to learn about me. I love working with adolescents, adults, and family/relational systems. I am particularly interested in working with members of the LGBTQIA+ community, facilitating trauma processes, and substance use recovery. Positivity, laughter, music, and creativity are essential elements of my practice. I look forward to helping you identify your strengths while expressing difficulties through modalities that fit your abilities and preferences.
Hello- Thank you for taking the time to learn about me. I love working with adolescents, adults, and family/relational systems. I am particularly interested in working with members of the LGBTQIA+ community, facilitating trauma processes, and substance use recovery. Positivity, laughter, music, and creativity are essential elements of my practice. I look forward to helping you identify your strengths while expressing difficulties through modalities that fit your abilities and preferences.
(615) 398-6127 View (615) 398-6127
Photo of Courtney Pitzer, Pre-Licensed Professional in Nashville, TN
Courtney Pitzer
Pre-Licensed Professional
Verified Verified
Nashville, TN 37205
” I work with adults and teens navigating anxiety, depression, trauma, substance use / addiction, and body image challenges.
Life is MESSY. It's serving chaos, stress, and curveballs left and right. And unfortunately… the messiness is probably more common than “everything going like it should.” Still, you don’t have to navigate the mess alone. If you feel lost, overwhelmed, or have no idea what to do next— let me be a partner on your path. We can work on cultivating and increasing your access to the strengths you already have inside, but may not always know how to tap into right now. I do this work because I feel passionate about supporting people as they navigate challenging life circumstances and create a life that is authentically meaningful.
” I work with adults and teens navigating anxiety, depression, trauma, substance use / addiction, and body image challenges.
Life is MESSY. It's serving chaos, stress, and curveballs left and right. And unfortunately… the messiness is probably more common than “everything going like it should.” Still, you don’t have to navigate the mess alone. If you feel lost, overwhelmed, or have no idea what to do next— let me be a partner on your path. We can work on cultivating and increasing your access to the strengths you already have inside, but may not always know how to tap into right now. I do this work because I feel passionate about supporting people as they navigate challenging life circumstances and create a life that is authentically meaningful.
(615) 551-1147 View (615) 551-1147
Photo of Alyssa Mielock, Limited Licensed Psychologist in Nashville, TN
Alyssa Mielock
Limited Licensed Psychologist, PhD
Verified Verified
1 Endorsed
Nashville, TN 37212
I have worked with clients of all ages. I specialize in evidence-based practices which uses gold standard treatments to teach clients helpful skills in a timely manner. I have extensive training in trauma-focused treatments. I also have expertise working with a variety of difficulties, such as difficulty controlling emotion and attention, anger, anxiety, depression, mood swings, nightmares, panic attacks, serious mental illness, sleep problems, stress management, substance use, and relationship difficulties. There are many different approaches to therapy and I focus on individually creating the best treatment for each client.
I have worked with clients of all ages. I specialize in evidence-based practices which uses gold standard treatments to teach clients helpful skills in a timely manner. I have extensive training in trauma-focused treatments. I also have expertise working with a variety of difficulties, such as difficulty controlling emotion and attention, anger, anxiety, depression, mood swings, nightmares, panic attacks, serious mental illness, sleep problems, stress management, substance use, and relationship difficulties. There are many different approaches to therapy and I focus on individually creating the best treatment for each client.
(629) 229-9605 View (629) 229-9605
Photo of Alisha Irby, Licensed Professional Counselor in Nashville, TN
Alisha Irby
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Nashville, TN 37208
Asking for help is sometimes difficult, and also powerful. Daily struggles with anxiety, depression, low self-esteem, intrusive thoughts can become overwhelming. Complex trauma, substance use, eating disorders, unhealthy relationships, are among a few that can also keep us from our authentic self. In order to survive through all of this and keep going, it is common to adapt in ways that end up no longer working. We need help. That help comes from recognizing the gifts we have in ourselves and getting the gifts of others. My gift is to help others with aligning the head and the heart while healing to recognize authentic self.
Asking for help is sometimes difficult, and also powerful. Daily struggles with anxiety, depression, low self-esteem, intrusive thoughts can become overwhelming. Complex trauma, substance use, eating disorders, unhealthy relationships, are among a few that can also keep us from our authentic self. In order to survive through all of this and keep going, it is common to adapt in ways that end up no longer working. We need help. That help comes from recognizing the gifts we have in ourselves and getting the gifts of others. My gift is to help others with aligning the head and the heart while healing to recognize authentic self.
(615) 265-6750 View (615) 265-6750
Photo of Leah Koesten, Pre-Licensed Professional in Nashville, TN
Leah Koesten
Pre-Licensed Professional, MS, LPCMHSP, temp
Verified Verified
Nashville, TN 37215
I am dedicated to working primarily with adults (18+) who experience challenges with substance use disorders, process addictions, trauma, grief, depression, anxiety, life transitions, and relationships. I strive to be a strong and empathetic ally for all my clients by providing understanding, positive regard, and by meeting people where they are. I mainly implement an integrative, evidenced-based approach in my practice by using a directive, person-centered, and solution-focused process.
I am dedicated to working primarily with adults (18+) who experience challenges with substance use disorders, process addictions, trauma, grief, depression, anxiety, life transitions, and relationships. I strive to be a strong and empathetic ally for all my clients by providing understanding, positive regard, and by meeting people where they are. I mainly implement an integrative, evidenced-based approach in my practice by using a directive, person-centered, and solution-focused process.
(615) 282-5835 View (615) 282-5835
Photo of Andrew Chapman, Clinical Social Work/Therapist in Nashville, TN
Andrew Chapman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nashville, TN 37207
Many clients seek therapy to work on issues relating to anxiety, depression, substance use, family of origin, trauma, relationship conflicts, life transition, grief, or just feeling stuck or under-motivated.
Honest self-reflection is the answer to so many of our problems. At many points throughout our lives, we learn to ease life’s burdens by shutting down, acting out, or running away in attempts to find relief. Even our most destructive coping strategies were often the best answers we could find at the time to manage our anxieties, our desires, and our pain. When we allow ourselves the opportunity to slow down and reflect on our lives, both past and present, we deepen our understanding and insight. And, as we explore our lives without moralizing and harshness, we develop genuine compassion and greater trust in ourselves.
Many clients seek therapy to work on issues relating to anxiety, depression, substance use, family of origin, trauma, relationship conflicts, life transition, grief, or just feeling stuck or under-motivated.
Honest self-reflection is the answer to so many of our problems. At many points throughout our lives, we learn to ease life’s burdens by shutting down, acting out, or running away in attempts to find relief. Even our most destructive coping strategies were often the best answers we could find at the time to manage our anxieties, our desires, and our pain. When we allow ourselves the opportunity to slow down and reflect on our lives, both past and present, we deepen our understanding and insight. And, as we explore our lives without moralizing and harshness, we develop genuine compassion and greater trust in ourselves.
(615) 258-6995 View (615) 258-6995
Photo of Jasmine Randle, Licensed Professional Counselor in Nashville, TN
Jasmine Randle
Licensed Professional Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Nashville, TN 37214
My clinical experience includes providing treatment for anxiety, mood, and substance use disorders.
Arriving at the place of wholeness oftentimes is a journey. That path has “detours” and “construction” blocks along the way. Some of us barrel through those and some of us turn around. Either direction leaves us in a place where we need healing. We all have the strength to conquer our adversities and I want to partner with you.
My clinical experience includes providing treatment for anxiety, mood, and substance use disorders.
Arriving at the place of wholeness oftentimes is a journey. That path has “detours” and “construction” blocks along the way. Some of us barrel through those and some of us turn around. Either direction leaves us in a place where we need healing. We all have the strength to conquer our adversities and I want to partner with you.
(629) 209-6920 View (629) 209-6920
Photo of Mary Beth Heaney-Gárate, Clinical Social Work/Therapist in Nashville, TN
Mary Beth Heaney-Gárate
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nashville, TN 37212
Welcome New Clients! Saturday & Sunday appointments available. I believe in the resilience of people who are doing the best they can and want better. You are capable. I've helped clients navigate challenges in their relationships, families, school & workplace. Together, we've addressed: anxiety & depression; substance use; grief, stress, & burnout; abandonment & neglect, shame & self-confidence; and trauma including rape, sexual assault, and child sexual abuse. I also provide licensure supervision. My mission is to ensure you feel heard, supported, & empowered to achieve your goals and experience your best life.
Welcome New Clients! Saturday & Sunday appointments available. I believe in the resilience of people who are doing the best they can and want better. You are capable. I've helped clients navigate challenges in their relationships, families, school & workplace. Together, we've addressed: anxiety & depression; substance use; grief, stress, & burnout; abandonment & neglect, shame & self-confidence; and trauma including rape, sexual assault, and child sexual abuse. I also provide licensure supervision. My mission is to ensure you feel heard, supported, & empowered to achieve your goals and experience your best life.
(615) 576-3480 View (615) 576-3480
Photo of Sonya Adkins in Nashville, TN
Sonya Adkins
MA-CMHC
Verified Verified
Nashville, TN 37204
Areas of clinical interests include, but are not limited to, life transitions/rebranding, managing stress, anxiety, & depression, substance use disorders, relational issues, self-esteem, & healthy boundaries.
We all at times feel inadequate, have a loss of direction, identity, and/or authenticity which transitions into a loss of real relationship. Our feelings, anxiety, depression, life losses, medical conditions, and other mental health challenges can knock us off balance. I am here to walk alongside others in finding a healthy path and learning to deal with reality in a positive way. My goal is to equip clients with healthy tools to live their best lives- a life that is true to themselves, that is whole, authentic, and empowering, providing contentment & fulfillment.
Areas of clinical interests include, but are not limited to, life transitions/rebranding, managing stress, anxiety, & depression, substance use disorders, relational issues, self-esteem, & healthy boundaries.
We all at times feel inadequate, have a loss of direction, identity, and/or authenticity which transitions into a loss of real relationship. Our feelings, anxiety, depression, life losses, medical conditions, and other mental health challenges can knock us off balance. I am here to walk alongside others in finding a healthy path and learning to deal with reality in a positive way. My goal is to equip clients with healthy tools to live their best lives- a life that is true to themselves, that is whole, authentic, and empowering, providing contentment & fulfillment.
(615) 434-5024 View (615) 434-5024
Photo of Alexandra Kerr, Licensed Professional Counselor in Nashville, TN
Alexandra Kerr
Licensed Professional Counselor, LPCMHSP, LMHC
Verified Verified
Nashville, TN 37221  (Online Only)
I have worked in various settings helping clients with a range of problems including anxiety, depression, going through life transitions, bipolar and other mood disorders, ADHD, PTSD, narcissistic abuse, substance use disorders, grief and loss, and personality disorders, etc. I like to take a person centered, solution focused approach to help you through whatever you are struggling with. Sometimes we all could use a safe, unbiased place to process things or someone to help us see that there are other ways to look at things.
I have worked in various settings helping clients with a range of problems including anxiety, depression, going through life transitions, bipolar and other mood disorders, ADHD, PTSD, narcissistic abuse, substance use disorders, grief and loss, and personality disorders, etc. I like to take a person centered, solution focused approach to help you through whatever you are struggling with. Sometimes we all could use a safe, unbiased place to process things or someone to help us see that there are other ways to look at things.
(615) 933-8584 View (615) 933-8584
Photo of Sam DiMartino, Clinical Social Work/Therapist in Nashville, TN
Sam DiMartino
Clinical Social Work/Therapist, LMSW
Verified Verified
Nashville, TN 37205
Some of the issues I work with folks on include (but are not limited to): grief, trauma (past and present), abuse, anxiety, depression, toxic masculinity & men’s issues, relationship challenges, recovery from substance use, systemic oppression, and identity exploration.
I am delighted to give folks the opportunity to meet their most confident, competent selves and to find joy in the journey of doing so. Whether that means healing from trauma, navigating systemic challenges, or learning how to get out of your own way— I believe you deserve to live authentically, richly, and joyfully. I also acknowledge that each of us exists within larger systems (some of which may be inherently unjust or broken) and that building such a life often requires you to find belongingness and support both from within and from without.
Some of the issues I work with folks on include (but are not limited to): grief, trauma (past and present), abuse, anxiety, depression, toxic masculinity & men’s issues, relationship challenges, recovery from substance use, systemic oppression, and identity exploration.
I am delighted to give folks the opportunity to meet their most confident, competent selves and to find joy in the journey of doing so. Whether that means healing from trauma, navigating systemic challenges, or learning how to get out of your own way— I believe you deserve to live authentically, richly, and joyfully. I also acknowledge that each of us exists within larger systems (some of which may be inherently unjust or broken) and that building such a life often requires you to find belongingness and support both from within and from without.
(629) 258-9182 View (629) 258-9182
Photo of James Bender, Psychologist in Nashville, TN
James Bender
Psychologist, PsyD
Verified Verified
Nashville, TN 37209
I specialize in treating adults with depressive, anxiety, and trauma-related disorders, as well as substance use disorders and severe mental illnesses.
We are all on our own unique journey in life. At times, we come across obstacles that get in the way of living our ideal life. Together, we will not only work to identify your unique goals and values, but also work to overcome the barriers in your life so that you can return to living a life you find meaningful and fulfilling.
I specialize in treating adults with depressive, anxiety, and trauma-related disorders, as well as substance use disorders and severe mental illnesses.
We are all on our own unique journey in life. At times, we come across obstacles that get in the way of living our ideal life. Together, we will not only work to identify your unique goals and values, but also work to overcome the barriers in your life so that you can return to living a life you find meaningful and fulfilling.
(615) 703-7036 View (615) 703-7036
Photo of Amy Narusas, Clinical Social Work/Therapist in Nashville, TN
Amy Narusas
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashville, TN 37204
I am a Licensed Clinical Social Worker. I received my Master of Social Work degree with a specialization in mental health and substance use disorders. I have experience working in both inpatient and outpatient settings with adults struggling with co-morbid mental health and substance use disorders. I have a passion for continuing education and I enjoy learning about new techniques and research to provide evidence-based treatment and best practices. I am a big believer in finding balance within life’s ups and downs and I understand the importance of processing thoughts, emotions, and experiences in a safe and meaningful way.
I am a Licensed Clinical Social Worker. I received my Master of Social Work degree with a specialization in mental health and substance use disorders. I have experience working in both inpatient and outpatient settings with adults struggling with co-morbid mental health and substance use disorders. I have a passion for continuing education and I enjoy learning about new techniques and research to provide evidence-based treatment and best practices. I am a big believer in finding balance within life’s ups and downs and I understand the importance of processing thoughts, emotions, and experiences in a safe and meaningful way.
(615) 454-9914 View (615) 454-9914
Photo of Angelica Woods-Smith, Licensed Professional Counselor in Nashville, TN
Angelica Woods-Smith
Licensed Professional Counselor, LPCMHSP, CRC
Verified Verified
Nashville, TN 37228  (Online Only)
I have ten years of experience counseling in several capacities - but not limited to - substance use, individuals with disabilities, adults coping with major life changes, and those who have experienced trauma.
“Why should the world be over-wise, in counting all our tears and sighs? Nay, let them only see us, while we wear the mask.” - Paul Laurence Dunbar This is an excerpt from one of my favorite poems, “We Wear the Mask.” The poem best describes how most of us navigate this world while carrying around masked depression, anxiety, trauma, guilt, and even addiction. Although putting on a “game face” is how we function to survive, sometimes that harms us more than protects us. As a therapist, I can help you safely remove that mask and take steps to improve your mental wellness.
I have ten years of experience counseling in several capacities - but not limited to - substance use, individuals with disabilities, adults coping with major life changes, and those who have experienced trauma.
“Why should the world be over-wise, in counting all our tears and sighs? Nay, let them only see us, while we wear the mask.” - Paul Laurence Dunbar This is an excerpt from one of my favorite poems, “We Wear the Mask.” The poem best describes how most of us navigate this world while carrying around masked depression, anxiety, trauma, guilt, and even addiction. Although putting on a “game face” is how we function to survive, sometimes that harms us more than protects us. As a therapist, I can help you safely remove that mask and take steps to improve your mental wellness.
(901) 665-2904 View (901) 665-2904
Photo of Elliott Dombrosky, Drug & Alcohol Counselor in Nashville, TN
Elliott Dombrosky
Drug & Alcohol Counselor, LADAC 2
Verified Verified
1 Endorsed
Nashville, TN 37205
Hey there, great job at taking the time to focus on your self-care! I know this process can be scary but let’s see if we can walk through it together. I work with a wide variety of clients that have been affected by substance use & addiction(individual struggling themselves or their support systems & those affected by their use). Whether you’re not sure about this whole therapy thing or you know it’s time to make a change, you don’t have to figure out your next steps alone. I have experience in working with the LGBTQ+ community in providing gender & trauma informed care while working towards a happy and fulfilled life.
Hey there, great job at taking the time to focus on your self-care! I know this process can be scary but let’s see if we can walk through it together. I work with a wide variety of clients that have been affected by substance use & addiction(individual struggling themselves or their support systems & those affected by their use). Whether you’re not sure about this whole therapy thing or you know it’s time to make a change, you don’t have to figure out your next steps alone. I have experience in working with the LGBTQ+ community in providing gender & trauma informed care while working towards a happy and fulfilled life.
(615) 551-0799 View (615) 551-0799

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.