Substance Use Therapists in Austin, TX

I specialize in substance use and harm reduction, LGBTQIA+, and spirituality, providing both individual and group work.
I believe that all individuals have the capacity to self-heal. A supportive and respectful therapeutic relationship can be the perfect catalyst for growth and change. Through a guided and collaborative approach, we can discover why we fall into the same patterns, often reliving past hurts, and develop practical strategies for choosing to live life differently. By exploring vulnerability and tapping in to our creative, authentic selves, lasting change can occur.
I specialize in substance use and harm reduction, LGBTQIA+, and spirituality, providing both individual and group work.
I believe that all individuals have the capacity to self-heal. A supportive and respectful therapeutic relationship can be the perfect catalyst for growth and change. Through a guided and collaborative approach, we can discover why we fall into the same patterns, often reliving past hurts, and develop practical strategies for choosing to live life differently. By exploring vulnerability and tapping in to our creative, authentic selves, lasting change can occur.

I am direct, solution focused and client centered when it comes to working with people who are seeking treatment related to substance use/addiction disorders, family/relational conflict, spiritual questioning centered around trauma, grief or purposeful living, life transitions, case management, marriage and couples counseling as well as working with teens, emerging and aging adults.
My modalities vary depending on the need of the client. In my practice, I focus on a holistic lifestyle to attain mental clarity, overall wellness and increasing desired outcomes by implementing my 'MEDS' approach; Mindfulness, Exercise, Diet and Sleep. We will do this by assessing treatment objectives and tracking goals.
I am direct, solution focused and client centered when it comes to working with people who are seeking treatment related to substance use/addiction disorders, family/relational conflict, spiritual questioning centered around trauma, grief or purposeful living, life transitions, case management, marriage and couples counseling as well as working with teens, emerging and aging adults.
My modalities vary depending on the need of the client. In my practice, I focus on a holistic lifestyle to attain mental clarity, overall wellness and increasing desired outcomes by implementing my 'MEDS' approach; Mindfulness, Exercise, Diet and Sleep. We will do this by assessing treatment objectives and tracking goals.

Are you concerned that your substance use is causing some problems for you?
My role is to help you gain clarity about your relationship with substances. I incorporate a strengths-based approach with the principles of harm reduction, designed to meet you where you are. Regardless of your goal, we will continually collaborate on ways to minimize any harm caused by substance use. No shame, only support.
Are you concerned that your substance use is causing some problems for you?
My role is to help you gain clarity about your relationship with substances. I incorporate a strengths-based approach with the principles of harm reduction, designed to meet you where you are. Regardless of your goal, we will continually collaborate on ways to minimize any harm caused by substance use. No shame, only support.

I specialize in teens, young adults, and families, primarily around issues related to adoption & attachment wounds, substance use, trauma, depression, self-harm, family conflict, and life transitions.
I am both direct and gentle as a therapist. I work with clients in a relatable and relational manner, especially teens. I am trauma-informed, attachment-focused, and use an interpersonal neurobiology framework, treating you as the expert of your life— which you are. If you're not comfortable with something, let me know and we will shift! I stand by this.
I specialize in teens, young adults, and families, primarily around issues related to adoption & attachment wounds, substance use, trauma, depression, self-harm, family conflict, and life transitions.
I am both direct and gentle as a therapist. I work with clients in a relatable and relational manner, especially teens. I am trauma-informed, attachment-focused, and use an interpersonal neurobiology framework, treating you as the expert of your life— which you are. If you're not comfortable with something, let me know and we will shift! I stand by this.

I have a personal and professional life experiences with substance use disorders and ways to live a recovered life.
If you have tried everything you can think of and are still stuck we might be a fit. Change begins with awareness of one's self. The only requirement is that I become willing to change the way I see myself, others, and my expectations about how life should be. Nearly all behaviour is learned and therefore can be considered for change. Present moment awareness and a non-judgmental perspective can create the potential to see deeply into one's needs and wants. "Between stimulus and response is a space, and in that space lies man's freedom" Victor Frankl.
I have a personal and professional life experiences with substance use disorders and ways to live a recovered life.
If you have tried everything you can think of and are still stuck we might be a fit. Change begins with awareness of one's self. The only requirement is that I become willing to change the way I see myself, others, and my expectations about how life should be. Nearly all behaviour is learned and therefore can be considered for change. Present moment awareness and a non-judgmental perspective can create the potential to see deeply into one's needs and wants. "Between stimulus and response is a space, and in that space lies man's freedom" Victor Frankl.

Facing anxiety, OCD, trauma, or substance use can feel overwhelming.
Enfrentar la ansiedad, el TOC, el trauma o el uso de sustancias puede ser difícil y estoy aquí para ayudarte. Trabajemos en herramientas prácticas que se alineen con tus desarrollo, dándote el control y la seguridad para seguir adelante.
Facing anxiety, OCD, trauma, or substance use can feel overwhelming.
Enfrentar la ansiedad, el TOC, el trauma o el uso de sustancias puede ser difícil y estoy aquí para ayudarte. Trabajemos en herramientas prácticas que se alineen con tus desarrollo, dándote el control y la seguridad para seguir adelante.

Depression, anxiety, trauma, substance use, finding yourself again, we can help you get your life back.
Life is not easy... it is full of ups, downs, twists & turns. It can feel like a roller coaster that you cannot wait to get off of. Therapy can be the answer to getting support through these uncontrollably tough moments. This is your life and while you will always be the expert on you, let me help relieve some of the burdens you've been carrying so you can learn important tools to get back to the person you want to be. I am a client centered CBT therapist whose primary focus is helping you help yourself. Together we can help you regain lost control and begin again, you are not alone anymore. Let's get started, why wait another day?
Depression, anxiety, trauma, substance use, finding yourself again, we can help you get your life back.
Life is not easy... it is full of ups, downs, twists & turns. It can feel like a roller coaster that you cannot wait to get off of. Therapy can be the answer to getting support through these uncontrollably tough moments. This is your life and while you will always be the expert on you, let me help relieve some of the burdens you've been carrying so you can learn important tools to get back to the person you want to be. I am a client centered CBT therapist whose primary focus is helping you help yourself. Together we can help you regain lost control and begin again, you are not alone anymore. Let's get started, why wait another day?

Kaitlin Thompson
Clinical Social Work/Therapist, LCSW, CADC, MBA
Online Only
Waitlist for new clients
Trauma symptoms can look like anxiety, depression, stress, postpartum concerns, substance use, disconnection, trust/intimacy issues, low-self esteem, isolation, & so much more.
With 15+ years of experience, I specialize in holistically treating trauma, sexual abuse, & complex PTSD while empowering individuals who are motivated to change their relationship with the past . Are you ready to build a life centered on self-compassion, resiliency and growth, rather than on fear, shame and survival? If so, I can help
Trauma symptoms can look like anxiety, depression, stress, postpartum concerns, substance use, disconnection, trust/intimacy issues, low-self esteem, isolation, & so much more.
With 15+ years of experience, I specialize in holistically treating trauma, sexual abuse, & complex PTSD while empowering individuals who are motivated to change their relationship with the past . Are you ready to build a life centered on self-compassion, resiliency and growth, rather than on fear, shame and survival? If so, I can help

Together, we’ll navigate issues like substance use/addiction, shame, emotional dysregulation, life transitions, grief, trauma, etc.
My ideal client feels stuck in cycles of shame, self-criticism, or isolation, often due to past trauma, grief, or addiction struggles. They’re ready to unpack these experiences and build lasting resilience, self-acceptance, and a renewed sense of peace. Together, we’ll rewrite those old narratives, build real coping skills, and reconnect them to life’s possibilities—one step at a time. They want to feel grounded and authentic, free from the weight of past regrets, so they can reclaim their life, relationships, and inner calm.
Together, we’ll navigate issues like substance use/addiction, shame, emotional dysregulation, life transitions, grief, trauma, etc.
My ideal client feels stuck in cycles of shame, self-criticism, or isolation, often due to past trauma, grief, or addiction struggles. They’re ready to unpack these experiences and build lasting resilience, self-acceptance, and a renewed sense of peace. Together, we’ll rewrite those old narratives, build real coping skills, and reconnect them to life’s possibilities—one step at a time. They want to feel grounded and authentic, free from the weight of past regrets, so they can reclaim their life, relationships, and inner calm.

I work well with adults coping with bipolar disorder, substance use, psychosis, anxiety, grief, and trauma.
I believe that people should not be limited to a label. We are so much more than problems or disorders; we are strengthened by our flaws and our most difficult experiences can transform us. I am direct, interactive, and strongly believe that people change through healing relationships. In sessions we will work together at a pace that feels right for you. We will identify and prioritize your goals, address problems that get in the way of your happiness, and collaboratively build lasting solutions. I will listen to and accept your feedback about how we are working together.
I work well with adults coping with bipolar disorder, substance use, psychosis, anxiety, grief, and trauma.
I believe that people should not be limited to a label. We are so much more than problems or disorders; we are strengthened by our flaws and our most difficult experiences can transform us. I am direct, interactive, and strongly believe that people change through healing relationships. In sessions we will work together at a pace that feels right for you. We will identify and prioritize your goals, address problems that get in the way of your happiness, and collaboratively build lasting solutions. I will listen to and accept your feedback about how we are working together.

Whether you are looking at a life transition, worried about how substance use is affecting you, grieving a loss or dealing with a chronic illness, together we will begin the process of examining where you are, working together to shift to a place that brings you fulfillment and to help you reach your goals.
I use a client centered approach, operating in the Harm Reduction model. I utilize techniques from a variety of theoretical frameworks including narrative, motivational interviewing, EFT and CBT. I have 25 years of experience working in mental health, grief and loss, substance use disorder, chronic illness, hospice and HIV/AIDS. I am an LGBTQ ally.
Whether you are looking at a life transition, worried about how substance use is affecting you, grieving a loss or dealing with a chronic illness, together we will begin the process of examining where you are, working together to shift to a place that brings you fulfillment and to help you reach your goals.
I use a client centered approach, operating in the Harm Reduction model. I utilize techniques from a variety of theoretical frameworks including narrative, motivational interviewing, EFT and CBT. I have 25 years of experience working in mental health, grief and loss, substance use disorder, chronic illness, hospice and HIV/AIDS. I am an LGBTQ ally.

I've worked in a variety of settings with over 10 years of experience in substance use.
Do you find yourself struggling to connect with others? Do you struggle in relationships of all kinds, feel like you don't fit in or are constantly misunderstood? Could your low self-esteem be creating a barrier for you to connect to others and yourself? Are you ever afraid of the emotions you experience or find yourself avoiding those more difficult emotions? I will be your advocate to love yourself and to feel more connected in your relationships and to the world around you. In therapy we will work to increase your feelings of self-worth, improve relationships, and reignite that spark that has been seemingly lost.
I've worked in a variety of settings with over 10 years of experience in substance use.
Do you find yourself struggling to connect with others? Do you struggle in relationships of all kinds, feel like you don't fit in or are constantly misunderstood? Could your low self-esteem be creating a barrier for you to connect to others and yourself? Are you ever afraid of the emotions you experience or find yourself avoiding those more difficult emotions? I will be your advocate to love yourself and to feel more connected in your relationships and to the world around you. In therapy we will work to increase your feelings of self-worth, improve relationships, and reignite that spark that has been seemingly lost.

I’m a Certified Eating Disorder Specialist (CEDS) specializing in eating disorder and substance use.
Having struggled with an eating disorder and substance use from adolescence into adulthood, I have first-hand knowledge of how challenging the journey toward recovery can be. At the center of my therapeutic approach is a collaborative relationship. You are the expert of your experiences. We will work together to move towards your goals.
I’m a Certified Eating Disorder Specialist (CEDS) specializing in eating disorder and substance use.
Having struggled with an eating disorder and substance use from adolescence into adulthood, I have first-hand knowledge of how challenging the journey toward recovery can be. At the center of my therapeutic approach is a collaborative relationship. You are the expert of your experiences. We will work together to move towards your goals.

With a deep passion for helping others navigate life’s challenges, I specialize in ADHD, depression, anxiety, and substance use.
I'm a therapist with Octave and Evernorth Behavioral Care Group. Octave is a mental health practice providing high-quality care covered by multiple insurances. Evernorth Behavioral Care Group is a behavioral health provider group in-network with Cigna Healthcare and Evernorth. For my availability, please reach out to Octave’s team by emailing or calling.
With a deep passion for helping others navigate life’s challenges, I specialize in ADHD, depression, anxiety, and substance use.
I'm a therapist with Octave and Evernorth Behavioral Care Group. Octave is a mental health practice providing high-quality care covered by multiple insurances. Evernorth Behavioral Care Group is a behavioral health provider group in-network with Cigna Healthcare and Evernorth. For my availability, please reach out to Octave’s team by emailing or calling.

My main areas of specialty are working with grief, trauma, attachment issues, substance use and identity.
As a trauma-informed counselor, I bring an understanding of the mind-body experience to counseling. By exploring your emotional world, we may understand how those emotions inform your needs, and related behaviors. Our goal is often to increase self-compassion and decrease shame on our road to creating more alignment in clients' lives.
My main areas of specialty are working with grief, trauma, attachment issues, substance use and identity.
As a trauma-informed counselor, I bring an understanding of the mind-body experience to counseling. By exploring your emotional world, we may understand how those emotions inform your needs, and related behaviors. Our goal is often to increase self-compassion and decrease shame on our road to creating more alignment in clients' lives.

I work patiently with men to address depression, anxiety, ADHD, substance use, grief, and other challenges.
OUTCoaching & Psychotherapy is potentially a good fit for you if you are: A man who has sex and relationships with men, who is at least 15 years of age, has a desire to figure out his purpose, wants deeper relationships, more satisfying sex, and an understanding of how to turn awareness into action. I offer individual sessions as well as couples therapy.
I work patiently with men to address depression, anxiety, ADHD, substance use, grief, and other challenges.
OUTCoaching & Psychotherapy is potentially a good fit for you if you are: A man who has sex and relationships with men, who is at least 15 years of age, has a desire to figure out his purpose, wants deeper relationships, more satisfying sex, and an understanding of how to turn awareness into action. I offer individual sessions as well as couples therapy.

Elizabeth Bickel Rolfe
Licensed Professional Counselor, LPC-S, ATR, LCDC
1 Endorsed
Austin, TX 78705
I work with adults impacted by substance use and mental health related issues.
Through using evidence based approaches including attachment focused therapy, trauma informed care, motivational interviewing, and strength-based models we will work to develop healthier coping mechanisms, and create meaningful change in your life.
I work with adults impacted by substance use and mental health related issues.
Through using evidence based approaches including attachment focused therapy, trauma informed care, motivational interviewing, and strength-based models we will work to develop healthier coping mechanisms, and create meaningful change in your life.

I specialize in all things related to alcohol and substance use disorders, addiction, recovery, co-occurring mental health challenges, treatment trauma, and harm reduction.
Change doesn’t happen overnight, and it doesn’t have to. As your therapist, I’ll meet you where you are—but I won’t leave you there. While harm reduction is part of my approach, I do not have a hands off, "you do you" ethos. My practice is "directional," focusing on likely uncomfortable conversations to reduce the risk and harms associated with AOD problems.
I specialize in all things related to alcohol and substance use disorders, addiction, recovery, co-occurring mental health challenges, treatment trauma, and harm reduction.
Change doesn’t happen overnight, and it doesn’t have to. As your therapist, I’ll meet you where you are—but I won’t leave you there. While harm reduction is part of my approach, I do not have a hands off, "you do you" ethos. My practice is "directional," focusing on likely uncomfortable conversations to reduce the risk and harms associated with AOD problems.

My ideal client would be an individual (any identification) aged 16-42 who might struggle with relationships, in the middle of a life transition, just received a diagnoses of like depression, has a mild to moderate substance use disorder, or who has been in recovery for a while or a student who has a learning disability and wants to start advocating for themselves.
I come from a compassionate spot and really work on being the individual that might bring things from the unconscious to conscious. I also love working on self-care and how little things that we do can really make a change in the BIG picture. Whether you are wanting to work on self-worth, gain better coping strategies, or just be heard; I am here to help.
My ideal client would be an individual (any identification) aged 16-42 who might struggle with relationships, in the middle of a life transition, just received a diagnoses of like depression, has a mild to moderate substance use disorder, or who has been in recovery for a while or a student who has a learning disability and wants to start advocating for themselves.
I come from a compassionate spot and really work on being the individual that might bring things from the unconscious to conscious. I also love working on self-care and how little things that we do can really make a change in the BIG picture. Whether you are wanting to work on self-worth, gain better coping strategies, or just be heard; I am here to help.

A psychotherapist specializing in the treatment of trauma, mental health, substance use, and spiritual exploration.
My approach involves an assessment to pinpoint the fundamental issues, enabling us to address them at their source. By identifying the underlying problems, we will strive to facilitate lasting change by treating the core problem. Our mission is to unravel the complexities that hinder your progress and prevent you from realizing your aspirations.
A psychotherapist specializing in the treatment of trauma, mental health, substance use, and spiritual exploration.
My approach involves an assessment to pinpoint the fundamental issues, enabling us to address them at their source. By identifying the underlying problems, we will strive to facilitate lasting change by treating the core problem. Our mission is to unravel the complexities that hinder your progress and prevent you from realizing your aspirations.
See more therapy options for Austin
Nearby Substance Use Therapists Searches for Austin
- Bee Cave
- Bee Caves
- Buda
- Cedar Park
- Del Valle
- Lakeway
- Manor
- Pflugerville
- Rollingwood
- Round Rock
- Sunset Valley
- West Lake Hills
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.