Substance Use Therapists in San Antonio, TX

Photo of Rachel King, Licensed Professional Counselor in San Antonio, TX
Rachel King
Licensed Professional Counselor, LPC, LCDC
Verified Verified
San Antonio, TX 78258  (Online Only)
I have been a Licensed Chemical Dependency Counselor, LCDC, since 2015 and specialize with Substance Use Disorders.
Take the first step toward healing and personal growth by reaching out. Let's embark on your transformative journey to creating a more balanced and fulfilling life.
I have been a Licensed Chemical Dependency Counselor, LCDC, since 2015 and specialize with Substance Use Disorders.
Take the first step toward healing and personal growth by reaching out. Let's embark on your transformative journey to creating a more balanced and fulfilling life.
(210) 796-7305 View (210) 796-7305
Photo of Alyssa Entzi, Clinical Social Work/Therapist in San Antonio, TX
Alyssa Entzi
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
San Antonio, TX 78245  (Online Only)
I have experience with all populations including working directly with sex workers, persons with HIV/ AIDS, all persons affected by substance use, abuse, and addiction (including pregnant women and new mothers), and persons in the criminal justice system for offenses ranging from traffic citations and misdemeanors to capital and first degree felonies.
We, as human beings, are all on a path through life dealing with our own unique conflicts (be it interior or exterior) and struggles from our lives before this point. Everyday is a new chance to devote effort in ourselves with a goal to make ourselves better than the day before. We are all striving to be the absolute best version of ourselves we can be, even if your version looks different than the next person's. Even if you are unsure of your own matters of contention and unable to see the prospects of your future, I am dedicated to starting or continuing on this journey with you.
I have experience with all populations including working directly with sex workers, persons with HIV/ AIDS, all persons affected by substance use, abuse, and addiction (including pregnant women and new mothers), and persons in the criminal justice system for offenses ranging from traffic citations and misdemeanors to capital and first degree felonies.
We, as human beings, are all on a path through life dealing with our own unique conflicts (be it interior or exterior) and struggles from our lives before this point. Everyday is a new chance to devote effort in ourselves with a goal to make ourselves better than the day before. We are all striving to be the absolute best version of ourselves we can be, even if your version looks different than the next person's. Even if you are unsure of your own matters of contention and unable to see the prospects of your future, I am dedicated to starting or continuing on this journey with you.
(830) 219-4356 View (830) 219-4356
Photo of Shannon Lyn Sorensen, Licensed Professional Counselor in San Antonio, TX
Shannon Lyn Sorensen
Licensed Professional Counselor, LPC, LCDC
Verified Verified
San Antonio, TX 78242  (Online Only)
I specialize in addressing issues related to anger, anxiety, depression, stress management, substance use, trauma, and offering tailored interventions to meet the specific needs of my clients.
In the intricate tapestry of human experiences, each individual carries a unique story, woven with threads of joy, sorrow, triumphs, and challenges. As a therapist, I am committed to creating a safe and empathetic space where clients can unravel the layers of their inner self, fostering a journey toward self-awareness and personal growth. With a deep-rooted passion for understanding the complexities of the human mind, my therapeutic approach is rooted in empathy, respect, and collaboration, recognizing that each individual's journey is unique.
I specialize in addressing issues related to anger, anxiety, depression, stress management, substance use, trauma, and offering tailored interventions to meet the specific needs of my clients.
In the intricate tapestry of human experiences, each individual carries a unique story, woven with threads of joy, sorrow, triumphs, and challenges. As a therapist, I am committed to creating a safe and empathetic space where clients can unravel the layers of their inner self, fostering a journey toward self-awareness and personal growth. With a deep-rooted passion for understanding the complexities of the human mind, my therapeutic approach is rooted in empathy, respect, and collaboration, recognizing that each individual's journey is unique.
(210) 742-5115 View (210) 742-5115
Photo of Stephanie Rae Fernandez-DeGroat, Licensed Professional Counselor in San Antonio, TX
Stephanie Rae Fernandez-DeGroat
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78254  (Online Only)
3 years of experience working with substance use, addictions and codependency.
Struggling to see the end in sight? Doubting yourself, your choices and who you show the world you are? Together we can make sense of it all. Life has a way of challenging us with experiences and situations were not always prepared for. Growth from adversity isn’t fun but you can do it! I’m here to walk this journey with you! My goal in life is to help others find the best parts of themselves, learn to love an accept all the beautiful scars that have created who you are today! Love working with all ages, individuals, couples and families. Proud member of the LGBTQIA community!
3 years of experience working with substance use, addictions and codependency.
Struggling to see the end in sight? Doubting yourself, your choices and who you show the world you are? Together we can make sense of it all. Life has a way of challenging us with experiences and situations were not always prepared for. Growth from adversity isn’t fun but you can do it! I’m here to walk this journey with you! My goal in life is to help others find the best parts of themselves, learn to love an accept all the beautiful scars that have created who you are today! Love working with all ages, individuals, couples and families. Proud member of the LGBTQIA community!
(210) 791-0978 View (210) 791-0978
Photo of Kelley Logans-Ali, Clinical Social Work/Therapist in San Antonio, TX
Kelley Logans-Ali
Clinical Social Work/Therapist, LCSW -S, ACSW, LCDC, CCTP
Verified Verified
San Antonio, TX 78229
I specialize in working with clients affected by trauma and substance use/ dual diagnosis.
I am Kelley Logans-Ali, LCSW, ACSW, LCDC, CCTP are you looking for total mental wellness ? I offer innovative paths to wellness by offering an array of therapeutic services. I retired after 28 years as The Mental Health Program Specialist for the State of Texas to focus primarily on my private practice. I have experience with the child welfare system, I understand the dynamics involved with families in crisis. I have experience with individual group and family therapy. I provide psychiatric evaluations for acute hospitalizations, individual/group psychotherapy and LCSW Supervision. I am certified trauma specialist.
I specialize in working with clients affected by trauma and substance use/ dual diagnosis.
I am Kelley Logans-Ali, LCSW, ACSW, LCDC, CCTP are you looking for total mental wellness ? I offer innovative paths to wellness by offering an array of therapeutic services. I retired after 28 years as The Mental Health Program Specialist for the State of Texas to focus primarily on my private practice. I have experience with the child welfare system, I understand the dynamics involved with families in crisis. I have experience with individual group and family therapy. I provide psychiatric evaluations for acute hospitalizations, individual/group psychotherapy and LCSW Supervision. I am certified trauma specialist.
(210) 899-7103 View (210) 899-7103
Photo of Johnny Ybarra, Drug & Alcohol Counselor in San Antonio, TX
Johnny Ybarra
Drug & Alcohol Counselor, MS, LCDC, MAC, SAP, QASP-S
Verified Verified
1 Endorsed
San Antonio, TX 78217
I have over 15 years of experience working directly with persons diagnosed with substance use disorders.
My name is Johnny R. Ybarra and I'm a Licensed Chemical Dependency Counselor in San Antonio Texas, and nationally recognized by NAADAC as a Master Addiction Counselor (MAC) and a Department of Transportation - Substance Abuse Professional (DOT-SAP). I currently provide SAP evaluations and return-to-duty treatment planning for DOT professionals. Contact me to begin the SAP program!
I have over 15 years of experience working directly with persons diagnosed with substance use disorders.
My name is Johnny R. Ybarra and I'm a Licensed Chemical Dependency Counselor in San Antonio Texas, and nationally recognized by NAADAC as a Master Addiction Counselor (MAC) and a Department of Transportation - Substance Abuse Professional (DOT-SAP). I currently provide SAP evaluations and return-to-duty treatment planning for DOT professionals. Contact me to begin the SAP program!
(210) 714-2741 View (210) 714-2741
Photo of Kathy Carter, Licensed Master Social Worker in San Antonio, TX
Kathy Carter
Licensed Master Social Worker, LMSW, LCDC, CTP, CCST, CAGCS
Verified Verified
2 Endorsed
San Antonio, TX 78232
I specialize in working with teens and adults struggling with trauma, mood disorders, or substance use such as alcohol or drugs.
Trauma and PTSD leaves us feeling broken, damaged, and disconnected from our true selves. It also often leads us to self-medicate with alcohol, drugs, or other substances. You're someone who takes care of others, but still finding yourself falling short, feeling exhausted and unsure what to do. You work hard and thrive in many areas of your life, yet peace escapes you, you feel empty and sometimes hopeless. But you are ready to make a change. You're ready to feel empowered and hopeful. You're ready to work hard and take your life back. My extensive training in trauma, EMDR and substance abuse will help you heal!
I specialize in working with teens and adults struggling with trauma, mood disorders, or substance use such as alcohol or drugs.
Trauma and PTSD leaves us feeling broken, damaged, and disconnected from our true selves. It also often leads us to self-medicate with alcohol, drugs, or other substances. You're someone who takes care of others, but still finding yourself falling short, feeling exhausted and unsure what to do. You work hard and thrive in many areas of your life, yet peace escapes you, you feel empty and sometimes hopeless. But you are ready to make a change. You're ready to feel empowered and hopeful. You're ready to work hard and take your life back. My extensive training in trauma, EMDR and substance abuse will help you heal!
(281) 915-0486 View (281) 915-0486
Photo of Tammy DeGroat, Licensed Professional Counselor in San Antonio, TX
Tammy DeGroat
Licensed Professional Counselor, MA, LPC-S, LCDC, NCC
Verified Verified
San Antonio, TX 78254  (Online Only)
With over 14 years of specialized training and experience in treating trauma, anxiety, depression, and substance use; your teen can heal, learn to cope, and gain tools to get through whatever it is that is bringing them to seek therapy.
I specialize in working with teens who are struggling with trauma, anxiety, depression, school related issues and substance abuse. Your teen can expect to acquire tools needed to gain a sense of control, manage difficult emotions, and feel more confident in their relationships, friendships, and decision-making process.
With over 14 years of specialized training and experience in treating trauma, anxiety, depression, and substance use; your teen can heal, learn to cope, and gain tools to get through whatever it is that is bringing them to seek therapy.
I specialize in working with teens who are struggling with trauma, anxiety, depression, school related issues and substance abuse. Your teen can expect to acquire tools needed to gain a sense of control, manage difficult emotions, and feel more confident in their relationships, friendships, and decision-making process.
(830) 341-1072 View (830) 341-1072
Photo of Valeria Morado, Clinical Social Work/Therapist in San Antonio, TX
Valeria Morado
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78230
My name is Valeria Morado. I am a Licensed Clinical Social Worker in Texas. I have 5 years of experience providing mental health services to various populations, including youth and adults with anxiety, depression, substance use, and family conflict. I utilize a mix of Acceptance and Commitment (ACT), Cognitive Behavioral (CBT), Solution Focused Brief (SFBT), Motivational Interviewing, and Supportive therapies during treatments with my clients. I believe I am empathetic and client-centered, which significantly helps my clients in their journey to wellness.
My name is Valeria Morado. I am a Licensed Clinical Social Worker in Texas. I have 5 years of experience providing mental health services to various populations, including youth and adults with anxiety, depression, substance use, and family conflict. I utilize a mix of Acceptance and Commitment (ACT), Cognitive Behavioral (CBT), Solution Focused Brief (SFBT), Motivational Interviewing, and Supportive therapies during treatments with my clients. I believe I am empathetic and client-centered, which significantly helps my clients in their journey to wellness.
(832) 400-3992 View (832) 400-3992
Photo of Sober Cross, Licensed Professional Counselor in San Antonio, TX
Sober Cross
Licensed Professional Counselor
Verified Verified
1 Endorsed
San Antonio, TX 78201  (Online Only)
Utilizing the latest evidence based treatment for Alcoholism and Substance Use Disorders coupled with a strong foundation in faith. Recovery that is faith based counseling. Our Treatment Focus Our focus is to help individuals heal, energize, and become aware of their inner strengths needed to overcome their alcoholism and addictions. A strong foundation in faith with an evidenced based Cognitive Behavioral Treatment. Sober Cross is committed to insuring that you are not alone during your recovery treatment Counseling!
Utilizing the latest evidence based treatment for Alcoholism and Substance Use Disorders coupled with a strong foundation in faith. Recovery that is faith based counseling. Our Treatment Focus Our focus is to help individuals heal, energize, and become aware of their inner strengths needed to overcome their alcoholism and addictions. A strong foundation in faith with an evidenced based Cognitive Behavioral Treatment. Sober Cross is committed to insuring that you are not alone during your recovery treatment Counseling!
(346) 567-6659 View (346) 567-6659
Photo of Victoria Gulino, Counselor in San Antonio, TX
Victoria Gulino
Counselor, LMHC
Verified Verified
1 Endorsed
San Antonio, TX 78205  (Online Only)
Coupled with my clinical skills, I offer empathy, support, and guidance to help my clients with all of life’s challenges, wounds, & problems. I empower my clients and help them develop coping skills. My therapy skills aim to increase self-awareness, enhance internal strength, and reduce stress, fear, and suffering. Together, I can help you gain a deeper understanding of yourself and answer questions such as, “What can I change?” How can I learn to accept things?” or “How do I want to move forward in this precious life?” I work with clients who are seeking therapy for anxiety, depression, grief, trauma/PTSD, and substance use.
Coupled with my clinical skills, I offer empathy, support, and guidance to help my clients with all of life’s challenges, wounds, & problems. I empower my clients and help them develop coping skills. My therapy skills aim to increase self-awareness, enhance internal strength, and reduce stress, fear, and suffering. Together, I can help you gain a deeper understanding of yourself and answer questions such as, “What can I change?” How can I learn to accept things?” or “How do I want to move forward in this precious life?” I work with clients who are seeking therapy for anxiety, depression, grief, trauma/PTSD, and substance use.
(646) 450-3064 View (646) 450-3064
Photo of Marquia S Caldwell, Licensed Professional Counselor in San Antonio, TX
Marquia S Caldwell
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78209
I specialize in trauma, severe mental illness, depression, anxiety, identity issues, substance use, co-occurring disorders, and LGBTQ issues.
Throughout our lives we collect scars through tough experiences or traumas. My hope is for you to understand that it’s okay to struggle, and it’s okay to have support and guidance. I pride myself in creating a safe and comfortable space for my clients, because comfort is part of the healing process and moving forward. I provide support with empowering individuals to overcome their struggles. I strive to build strong therapeutic relationships that consist of trust, transparency, and empathy.
I specialize in trauma, severe mental illness, depression, anxiety, identity issues, substance use, co-occurring disorders, and LGBTQ issues.
Throughout our lives we collect scars through tough experiences or traumas. My hope is for you to understand that it’s okay to struggle, and it’s okay to have support and guidance. I pride myself in creating a safe and comfortable space for my clients, because comfort is part of the healing process and moving forward. I provide support with empowering individuals to overcome their struggles. I strive to build strong therapeutic relationships that consist of trust, transparency, and empathy.
(210) 871-0897 View (210) 871-0897
Photo of Align Couples Therapy, Marriage & Family Therapist in San Antonio, TX
Align Couples Therapy
Marriage & Family Therapist, MS, LMFT, LCDC
Verified Verified
San Antonio, TX 78232
Do you feel alone, powerless and stuck in the same repeated arguments? Do you long for the connection and friendship you once had with your partner? When relationships are hurting, it affects everything. Underneath the painful surface could be many issues such as depression, ADHD, anxiety, shame, infidelity, substance use or parenting challenges. You deserve counseling based on science and research. You deserve respect and acceptance as you work through strengthening your relationship. Each couple has strengths and resiliencies that just need to be connected to the right tools for effective connection.
Do you feel alone, powerless and stuck in the same repeated arguments? Do you long for the connection and friendship you once had with your partner? When relationships are hurting, it affects everything. Underneath the painful surface could be many issues such as depression, ADHD, anxiety, shame, infidelity, substance use or parenting challenges. You deserve counseling based on science and research. You deserve respect and acceptance as you work through strengthening your relationship. Each couple has strengths and resiliencies that just need to be connected to the right tools for effective connection.
(210) 940-4694 View (210) 940-4694
Photo of Amanda Walton, Licensed Professional Counselor in San Antonio, TX
Amanda Walton
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
San Antonio, TX 78232  (Online Only)
Over the past 17 years I have specialized in psychosis, mood disorders and substance use.
I believe that everyone possesses tools to overcome any challenge in life. There are times when life has us feeling stuck and we need help finding the key to our tool box. With all the hurdles life throws, we can be left feeling hopeless, leaving us to forget tools that have helped through past obstacles. To help individuals and families overcome these life challenges, I use a strengths based approach and other evidenced-based approaches to help individuals and families reclaim their fortitude in life.
Over the past 17 years I have specialized in psychosis, mood disorders and substance use.
I believe that everyone possesses tools to overcome any challenge in life. There are times when life has us feeling stuck and we need help finding the key to our tool box. With all the hurdles life throws, we can be left feeling hopeless, leaving us to forget tools that have helped through past obstacles. To help individuals and families overcome these life challenges, I use a strengths based approach and other evidenced-based approaches to help individuals and families reclaim their fortitude in life.
(210) 361-5719 View (210) 361-5719
Photo of Ingrid Vergara, Licensed Professional Counselor in San Antonio, TX
Ingrid Vergara
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
San Antonio, TX 78216  (Online Only)
My specialties include working with individuals wanting to process: depression, anxiety, mood disorders, trauma, life transitions, self-esteem, emotional issues, relationship issues, substance use/ addiction, and grief and loss.
Are you feeling lost and not sure what the next step is? I am here to process those thoughts and talk with you. It is not uncommon to lose connection with our voice and inner self. I am here to help you rebalance and re-discover how to connect with that piece of you. We all have the ability to heal ourselves; however, life challenges can throw that balance off. Though therapy, we can regain our strength and overcome barriers or strengthen areas where we want to grow by actively working on improvement and embracing the process of change.
My specialties include working with individuals wanting to process: depression, anxiety, mood disorders, trauma, life transitions, self-esteem, emotional issues, relationship issues, substance use/ addiction, and grief and loss.
Are you feeling lost and not sure what the next step is? I am here to process those thoughts and talk with you. It is not uncommon to lose connection with our voice and inner self. I am here to help you rebalance and re-discover how to connect with that piece of you. We all have the ability to heal ourselves; however, life challenges can throw that balance off. Though therapy, we can regain our strength and overcome barriers or strengthen areas where we want to grow by actively working on improvement and embracing the process of change.
(210) 796-8620 View (210) 796-8620
Photo of Sarah Barron, Psychologist in San Antonio, TX
Sarah Barron
Psychologist, PhD
Verified Verified
2 Endorsed
San Antonio, TX 78253  (Online Only)
Hello, I’m Dr. Sarah Barron, and I specialize in treating PTSD and trauma-related disorders. With over a decade of clinical experience, I focus on evidence-based treatments to help each client meet their goals. While trauma is my area of expertise, I am also comfortable working with individuals with depression, anxiety disorders, and mild to moderate substance use disorders. The road to recovery is hard, but I believe every person has the ability to confront their fears and overcome obstacles. For additional information please see our website: www.wayfinderccc.com
Hello, I’m Dr. Sarah Barron, and I specialize in treating PTSD and trauma-related disorders. With over a decade of clinical experience, I focus on evidence-based treatments to help each client meet their goals. While trauma is my area of expertise, I am also comfortable working with individuals with depression, anxiety disorders, and mild to moderate substance use disorders. The road to recovery is hard, but I believe every person has the ability to confront their fears and overcome obstacles. For additional information please see our website: www.wayfinderccc.com
(830) 483-2547 View (830) 483-2547
Photo of Valerie J Vineyard, Licensed Professional Counselor in San Antonio, TX
Valerie J Vineyard
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Antonio, TX 78258  (Online Only)
Specialties include relational issues; men and women suffering with depression, anxiety, obsessive compulsive behaviors, sexual dysfunctions, relational problems, sexual abuse, parenting difficulties, PTSD, and co-occurring substance use problems.
If you feel stuck, overwhelmed, confused, powerless, helpless to control life issues, a healthy first step toward realizing positive change in your life, is to invest in therapy. By discovering your strengths, gifts, and unique perception, we can begin utilizing these attributes toward effective thoughtful problem solving and decision making behaviors.
Specialties include relational issues; men and women suffering with depression, anxiety, obsessive compulsive behaviors, sexual dysfunctions, relational problems, sexual abuse, parenting difficulties, PTSD, and co-occurring substance use problems.
If you feel stuck, overwhelmed, confused, powerless, helpless to control life issues, a healthy first step toward realizing positive change in your life, is to invest in therapy. By discovering your strengths, gifts, and unique perception, we can begin utilizing these attributes toward effective thoughtful problem solving and decision making behaviors.
(210) 879-6713 View (210) 879-6713
Photo of Alma Cristina Bertani, LPC Intern in San Antonio, TX
Alma Cristina Bertani
LPC Intern, MA, LPC-A, LCDC
Verified Verified
San Antonio, TX 78240  (Online Only)
In my counseling vocation, I am driven and passionate about helping others to achieve their optimal mental health and wellness. In my over six years of experience, I am humbled to have had the opportunity to help adolescents and adults through various hardships such as dual diagnosis (adolescent/adult clients) struggling with a mental health disorder and a substance use disorder simultaneously. I am a Licensed Professional Counselor Associate (LPC-A) under the supervision of Dr. Seth Sampson at Evolucíon Counseling. I am also a Licensed Chemical Dependency Counselor (LCDC).
In my counseling vocation, I am driven and passionate about helping others to achieve their optimal mental health and wellness. In my over six years of experience, I am humbled to have had the opportunity to help adolescents and adults through various hardships such as dual diagnosis (adolescent/adult clients) struggling with a mental health disorder and a substance use disorder simultaneously. I am a Licensed Professional Counselor Associate (LPC-A) under the supervision of Dr. Seth Sampson at Evolucíon Counseling. I am also a Licensed Chemical Dependency Counselor (LCDC).
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Photo of Janet Lantry, Clinical Social Work/Therapist in San Antonio, TX
Janet Lantry
Clinical Social Work/Therapist, LCSW-S, RYT
Verified Verified
San Antonio, TX 78228  (Online Only)
Are you seeking relief and improved functioning, using evidence-based approaches and an integration of the mind and body? Janet specializes in treating PTSD, depression, anxiety, insomnia, relationship conflict, substance use disorders, and uses play therapy as a primary modality when working with children. She is certified in EMDR. She works with all genders, including people who identify as transgender and non-binary and members of the LGBTQIA+ community. Janet also has extensive experience working with veterans, active duty service members, and their families, with a unique empathy for being a military child.
Are you seeking relief and improved functioning, using evidence-based approaches and an integration of the mind and body? Janet specializes in treating PTSD, depression, anxiety, insomnia, relationship conflict, substance use disorders, and uses play therapy as a primary modality when working with children. She is certified in EMDR. She works with all genders, including people who identify as transgender and non-binary and members of the LGBTQIA+ community. Janet also has extensive experience working with veterans, active duty service members, and their families, with a unique empathy for being a military child.
(210) 981-3936 View (210) 981-3936
Photo of Chandra Brandt, Licensed Professional Counselor in San Antonio, TX
Chandra Brandt
Licensed Professional Counselor, LPC, NCC, C-FRC
Verified Verified
San Antonio, TX 78228
Feeling adrift, overwhelmed, or uncertain about your life's direction? You're not alone. Life's twists and turns can leave us feeling lost, but together, we can find a better way. Whether you're wrestling with mood swings, substance use, grief, or battling with self-esteem, I'm here to help. Let's roll up our sleeves and dive deep into understanding the thoughts, emotions, and behaviors that have been holding you back. Together, we'll unearth practical strategies to propel you forward on your journey to wholeness.
Feeling adrift, overwhelmed, or uncertain about your life's direction? You're not alone. Life's twists and turns can leave us feeling lost, but together, we can find a better way. Whether you're wrestling with mood swings, substance use, grief, or battling with self-esteem, I'm here to help. Let's roll up our sleeves and dive deep into understanding the thoughts, emotions, and behaviors that have been holding you back. Together, we'll unearth practical strategies to propel you forward on your journey to wholeness.
(210) 904-8346 View (210) 904-8346

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.