Photo of Leslie Piken, LICSW, Clinical Social Work/Therapist
Leslie Piken
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Allston, MA 02134  (Online Only)
I treat mood disorders, anxiety, trauma/PTSD, substance use, ADHD and concerns related to identity, sexuality and gender.
My treatment approach is integrative and personalized to my clients’ needs, focused on building a foundation of trust. I work with clients to identify underlying roots of problems and elicit existing and new strengths and resources. I prefer a holistic approach to treatment which, while based in a psychodynamic framework, draws from my specialized training in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, attachment based, trauma-informed and mindfulness modalities. I work with adults ranging from young adulthood through end of life, using a culturally-sensitive approach.
I treat mood disorders, anxiety, trauma/PTSD, substance use, ADHD and concerns related to identity, sexuality and gender.
My treatment approach is integrative and personalized to my clients’ needs, focused on building a foundation of trust. I work with clients to identify underlying roots of problems and elicit existing and new strengths and resources. I prefer a holistic approach to treatment which, while based in a psychodynamic framework, draws from my specialized training in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, attachment based, trauma-informed and mindfulness modalities. I work with adults ranging from young adulthood through end of life, using a culturally-sensitive approach.
(857) 763-5343 View (857) 763-5343
Photo of Michael Grassa, LMHC, Counselor
Michael Grassa
Counselor, LMHC
Verified Verified
Allston, MA 02134  (Online Only)
I am a Licensed Mental Health Counselor who values individualized, person-centered psychotherapy where the therapeutic relationship is the catalyst for change, growth, and healing. I have worked with varying age groups across residential, in-home, and outpatient settings. I specialize in treating adolescents, young adults, and adults struggling with OCD, substance use, depression, anxiety, trauma, self-esteem issues, relationship challenges, and difficult life circumstances.
I am a Licensed Mental Health Counselor who values individualized, person-centered psychotherapy where the therapeutic relationship is the catalyst for change, growth, and healing. I have worked with varying age groups across residential, in-home, and outpatient settings. I specialize in treating adolescents, young adults, and adults struggling with OCD, substance use, depression, anxiety, trauma, self-esteem issues, relationship challenges, and difficult life circumstances.
(781) 650-8194 View (781) 650-8194
The Community Clinic
Clinical Social Work/Therapist
Verified Verified
Allston, MA 02134  (Online Only)
The Community Clinic (formerly Boston ASAP) aims to provide the best and most accessible mental health and wellness outpatient services for all ages through a variety of individual, family, couple, and group therapy programs. The Community Clinic brings decades of outpatient mental health services and continues to expand valuable services, including partnering with Doc Wayne for innovative youth mental health services.
The Community Clinic (formerly Boston ASAP) aims to provide the best and most accessible mental health and wellness outpatient services for all ages through a variety of individual, family, couple, and group therapy programs. The Community Clinic brings decades of outpatient mental health services and continues to expand valuable services, including partnering with Doc Wayne for innovative youth mental health services.
(617) 676-0138 View (617) 676-0138
Photo of Rebekah L. Roulier - Doc Wayne Youth Services, Inc., MA, LMHC, Counselor
Doc Wayne Youth Services, Inc.
Counselor, MA, LMHC
Verified Verified
Allston, MA 02134
Doc Wayne is a Boston-based, award-winning mental health provider leading the field of sport-based therapy. We provide training, tools, and services that address emotional, behavioral, traumatic, racial, gender, and cultural-based barriers by providing equitable access to better mental health for all. Since 2010, Doc Wayne has expanded to serve over 2,500 youth and adults each week through programs including Chalk Talk Group Therapy, Therapeutic Recess, and the Community Clinic. Each of our programs is designed to assist youth and adults with different mental health needs, ensuring they have the best quality support available.
Doc Wayne is a Boston-based, award-winning mental health provider leading the field of sport-based therapy. We provide training, tools, and services that address emotional, behavioral, traumatic, racial, gender, and cultural-based barriers by providing equitable access to better mental health for all. Since 2010, Doc Wayne has expanded to serve over 2,500 youth and adults each week through programs including Chalk Talk Group Therapy, Therapeutic Recess, and the Community Clinic. Each of our programs is designed to assist youth and adults with different mental health needs, ensuring they have the best quality support available.
(617) 504-1284 View (617) 504-1284
Photo of James Hadaway, LMHC, Clinical Social Work/Therapist
James Hadaway
Clinical Social Work/Therapist, LMHC
Verified Verified
2 Endorsed
Allston, MA 02134  (Online Only)
EmpowerU provides a nurturing environment where individuals embark on a journey of self-discovery, personal growth, and empowerment. At our practice, we believe in unearthing the boundless potential within each person, guiding them towards authenticity and helping them thrive in every facet of life. Our approach is rooted in the idea that by empowering oneself, one can break free from limitations and emerge as a stronger, more confident, individual. Clients who choose EmpowerU can expect a supportive and nurturing environment, where they can explore their inner strengths, and develop practical tools to navigate life's challenges.
EmpowerU provides a nurturing environment where individuals embark on a journey of self-discovery, personal growth, and empowerment. At our practice, we believe in unearthing the boundless potential within each person, guiding them towards authenticity and helping them thrive in every facet of life. Our approach is rooted in the idea that by empowering oneself, one can break free from limitations and emerge as a stronger, more confident, individual. Clients who choose EmpowerU can expect a supportive and nurturing environment, where they can explore their inner strengths, and develop practical tools to navigate life's challenges.
(617) 539-2197 View (617) 539-2197
Photo of Eliana Freeman, LCSW, Clinical Social Work/Therapist
Eliana Freeman
Clinical Social Work/Therapist, LCSW
Verified Verified
Allston, MA 02134
Not accepting new clients
Feeling stuck, overwhelmed, or anxious? Hoping to talk through and better understand patterns you notice? I am here and trained to help. We will work collaboratively to build skills to best meet your needs, hopes, and goals while exploring and building insight to better understand yourself. Together we will work to best support you as you navigate different life phases, relationships, and environments. I specialize in working with young adults traversing school, work, and life challenges. I have extensive training and experience working with the LGBTQIA+ community. I have an individualized and strengths-based framework.
Feeling stuck, overwhelmed, or anxious? Hoping to talk through and better understand patterns you notice? I am here and trained to help. We will work collaboratively to build skills to best meet your needs, hopes, and goals while exploring and building insight to better understand yourself. Together we will work to best support you as you navigate different life phases, relationships, and environments. I specialize in working with young adults traversing school, work, and life challenges. I have extensive training and experience working with the LGBTQIA+ community. I have an individualized and strengths-based framework.
(857) 380-0530 View (857) 380-0530

More Therapists Nearby

Photo of Jacqueline Alfonso Barry, PhD, Psychologist
Jacqueline Alfonso Barry
Psychologist, PhD
Verified Verified
Boston, MA 02116
I am a bicultural and bilingual (English and Spanish) psychologist with areas of specialization and interest in high-stress occupations, substance use, anxiety, stress management, living in sync with your values, and relationship issues both personally and professionally. In addition to seeing individuals and couples, I also see co-founders and business partners who can benefit from improved communication and working relationship, to elevate the success of their shared goals, as well as their own growth.
I am a bicultural and bilingual (English and Spanish) psychologist with areas of specialization and interest in high-stress occupations, substance use, anxiety, stress management, living in sync with your values, and relationship issues both personally and professionally. In addition to seeing individuals and couples, I also see co-founders and business partners who can benefit from improved communication and working relationship, to elevate the success of their shared goals, as well as their own growth.
(617) 431-2389 View (617) 431-2389
Photo of Jennifer Burgin, MSW, LCSW, LCAS, CEDS, CIEC, Clinical Social Work/Therapist
Jennifer Burgin
Clinical Social Work/Therapist, MSW, LCSW, LCAS, CEDS, CIEC
Verified Verified
3 Endorsed
Boston, MA 02131  (Online Only)
I specialize in substance use/addiction, eating disorders, and other mental health issues.
Accepting NEW patients! I am licensed in 14 states and offer evening and weekend appointments to meet you hectic scheduling needs. I strive to be different than other therapists and will go above and beyond to customize therapy just for you, so your therapy experience will be one that focuses on your goals and desires without fear of judgement or expressing yourself with someone that truly "gets it." I have worked with patients 3-83 years old and I am passionate about taking you from where you are to where you want to be in life. Go to this link to schedule a consult/appointment: secure.helloalma.com/providers/jennifer-burgin/
I specialize in substance use/addiction, eating disorders, and other mental health issues.
Accepting NEW patients! I am licensed in 14 states and offer evening and weekend appointments to meet you hectic scheduling needs. I strive to be different than other therapists and will go above and beyond to customize therapy just for you, so your therapy experience will be one that focuses on your goals and desires without fear of judgement or expressing yourself with someone that truly "gets it." I have worked with patients 3-83 years old and I am passionate about taking you from where you are to where you want to be in life. Go to this link to schedule a consult/appointment: secure.helloalma.com/providers/jennifer-burgin/
(910) 886-1279 View (910) 886-1279
Photo of Jasen L Boyle, MSW, LICSW, Clinical Social Work/Therapist
Jasen L Boyle
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Cambridge, MA 02138
I'm an MGH-affiliated therapist with years of experience specializing in treatment of substance use & mood disorders.
*** Now offering virtual sessions to new patients*** Do you have concerns about your substance use? Are you worried about a loved one with an addiction problem? Are you in recovery & looking to make changes in your life? Are you looking to make changes regarding your relationship with substances? Many of my clients are parents, siblings, spouses or concerned significant others (friends, coworkers, etc) with a primary concern about someone else's well-being. Other clients I see are looking for a therapist who will meet them where they are in trying to change their substance use or assist them in their individual recovery process.
I'm an MGH-affiliated therapist with years of experience specializing in treatment of substance use & mood disorders.
*** Now offering virtual sessions to new patients*** Do you have concerns about your substance use? Are you worried about a loved one with an addiction problem? Are you in recovery & looking to make changes in your life? Are you looking to make changes regarding your relationship with substances? Many of my clients are parents, siblings, spouses or concerned significant others (friends, coworkers, etc) with a primary concern about someone else's well-being. Other clients I see are looking for a therapist who will meet them where they are in trying to change their substance use or assist them in their individual recovery process.
(617) 396-7334 View (617) 396-7334
Photo of Samuel Skeen, PsyD, Psychologist
Samuel Skeen
Psychologist, PsyD
Verified Verified
2 Endorsed
Boston, MA 02116
However, I primarily treat OCD, anxiety, depression, and substance use.
My practice focuses on treating Obsessive-Compulsive Disorder (OCD), Anxiety/Depression, and Substance Use. With any and all presenting concerns, I provide a warm, non-judgmental environment. I have an integrative approach, focusing on research backed treatments that are proven to be effective for symptom improvement. I also deeply value insight oriented discussions of past experiences and relevant interpersonal concerns. I am careful to use these methods in the context of a client centered and welcoming environment which accounts for an individual's particular needs and experiences.
However, I primarily treat OCD, anxiety, depression, and substance use.
My practice focuses on treating Obsessive-Compulsive Disorder (OCD), Anxiety/Depression, and Substance Use. With any and all presenting concerns, I provide a warm, non-judgmental environment. I have an integrative approach, focusing on research backed treatments that are proven to be effective for symptom improvement. I also deeply value insight oriented discussions of past experiences and relevant interpersonal concerns. I am careful to use these methods in the context of a client centered and welcoming environment which accounts for an individual's particular needs and experiences.
(781) 556-6138 View (781) 556-6138
Photo of Rivkah Lapidus, PhD, LMHC, CGP, Counselor
Rivkah Lapidus
Counselor, PhD, LMHC, CGP
Verified Verified
1 Endorsed
Cambridge, MA 02140  (Online Only)
Waitlist for new clients
I have been offering groups for people trying to navigate their substance use, and look forward to a new group for people 55+ to address this meaningful chapter of life.
YOU are so much more than a diagnosis or category. The challenge we all share is how to make meaning as human beings in a chaotic world. I work with creative people, perfectionists, harsh self-critics and existential thinkers; with singles, couples & especially groups. I have expertise in helping people recognize problematic substance use, with Harm Reduction as a philosophical approach. . I enjoy working with young and early-career adults. I look forward to beginning a group for seniors, to discuss this meaningful chapter of life, and all its challenges. I enjoy learning from the people I see.
I have been offering groups for people trying to navigate their substance use, and look forward to a new group for people 55+ to address this meaningful chapter of life.
YOU are so much more than a diagnosis or category. The challenge we all share is how to make meaning as human beings in a chaotic world. I work with creative people, perfectionists, harsh self-critics and existential thinkers; with singles, couples & especially groups. I have expertise in helping people recognize problematic substance use, with Harm Reduction as a philosophical approach. . I enjoy working with young and early-career adults. I look forward to beginning a group for seniors, to discuss this meaningful chapter of life, and all its challenges. I enjoy learning from the people I see.
(617) 612-5619 View (617) 612-5619
Photo of Jeana Rose Johnson, MA, LMHC, Counselor
Jeana Rose Johnson
Counselor, MA, LMHC
Verified Verified
Brookline, MA 02146
I believe therapy is a collaborative process that assists clients in gaining the insight necessary to improve their quality of life. I understand how difficult it can be to start therapy; I am committed to creating a client-centered, therapeutic alliance based on trust, empathy and understanding. I provide a judgement-free, safe space and work to empower clients to explore challenges, create goals and remove the obstacles that stand in their way. I have experience working with clients experiencing symptoms of depression, anxiety, mood instability, personal and interpersonal conflict and substance use.
I believe therapy is a collaborative process that assists clients in gaining the insight necessary to improve their quality of life. I understand how difficult it can be to start therapy; I am committed to creating a client-centered, therapeutic alliance based on trust, empathy and understanding. I provide a judgement-free, safe space and work to empower clients to explore challenges, create goals and remove the obstacles that stand in their way. I have experience working with clients experiencing symptoms of depression, anxiety, mood instability, personal and interpersonal conflict and substance use.
(857) 228-4450 x100 View (857) 228-4450 x100
Photo of Christina Brown, MA, LMHC, Counselor
Christina Brown
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Brighton, MA 02135
Throughout my education and professional career, I have gained extensive experience working across various levels of care, comprising of inpatient settings including psychiatric hospitals, detoxes and rehabilitation centers, and outpatient settings including partial hospital programs, Substance Use Disorder and Alcohol Use Disorder programs.
As a dedicated and compassionate licensed mental health counselor, I am committed to meeting individuals and couples where they are on their journey to healing within a safe and supportive environment, as well as fostering a space where clients feel heard, respected, and empowered to make positive changes. My approach to therapy is integrative; and with a strong foundation in evidence-based practices, including motivational interviewing, cognitive behavioral therapy, and mindfulness practices, I strive to empower individuals to help themselves achieve positive changes in their lives.
Throughout my education and professional career, I have gained extensive experience working across various levels of care, comprising of inpatient settings including psychiatric hospitals, detoxes and rehabilitation centers, and outpatient settings including partial hospital programs, Substance Use Disorder and Alcohol Use Disorder programs.
As a dedicated and compassionate licensed mental health counselor, I am committed to meeting individuals and couples where they are on their journey to healing within a safe and supportive environment, as well as fostering a space where clients feel heard, respected, and empowered to make positive changes. My approach to therapy is integrative; and with a strong foundation in evidence-based practices, including motivational interviewing, cognitive behavioral therapy, and mindfulness practices, I strive to empower individuals to help themselves achieve positive changes in their lives.
(617) 766-3794 View (617) 766-3794
Photo of Leah Driscoll García, LICSW, Clinical Social Work/Therapist
Leah Driscoll García
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Cambridge, MA 02138  (Online Only)
I offer psychotherapy services to adults of all ages with a wide range of concerns related to anxiety, depression, trauma, cultural adjustment, social oppression, identity, relationship issues, disordered substance use, body image, life transitions, career / work related stress, and college transitions.
My approach to psychotherapy is integrative, combining elements of psychodynamic and cognitive behavioral therapy (CBT), as well as mindfulness-based techniques and motivational interviewing. My therapeutic style is non-judgmental, respectful, and adaptable. I always strive to create a therapeutic experience that feels relevant and custom-tailored to my clients. I also hold certifications as a Financial Wellness Facilitator and am a Certified Wellness Practitioner with the National Wellness Institute.
I offer psychotherapy services to adults of all ages with a wide range of concerns related to anxiety, depression, trauma, cultural adjustment, social oppression, identity, relationship issues, disordered substance use, body image, life transitions, career / work related stress, and college transitions.
My approach to psychotherapy is integrative, combining elements of psychodynamic and cognitive behavioral therapy (CBT), as well as mindfulness-based techniques and motivational interviewing. My therapeutic style is non-judgmental, respectful, and adaptable. I always strive to create a therapeutic experience that feels relevant and custom-tailored to my clients. I also hold certifications as a Financial Wellness Facilitator and am a Certified Wellness Practitioner with the National Wellness Institute.
(857) 763-4971 View (857) 763-4971
Photo of Jaki Neering - Inspire Recovery, MSW
Inspire Recovery
Registered Social Worker Intern, MSW
Not Verified Not Verified
Boston, MA 02130
I offer LGBTQIA+ affirmative therapy for substance use issues and mental health issues.
Jaki Neering, MSW, takes a loving & progressive approach when working with the LGBTQIA+ (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual + community. She graduated from Barry University in 2016 with a Master in Social Work. Jaki believes in the power of trauma-informed interventions, which recognizes human vulnerability but focuses on finding strengths, resources, and capacity for healing and recovery, by promoting factors that will enhance a person's resilience. She has a passion for empowering marginalized populations, and she is devoted to serving the LGBTQIA+ population suffering with alcoholism, drug addiction & mental health issues. Jaki assists individuals in finding their voice, and advocates for self-expression. Additionally, Jaki believes in the transformation of recovery, and is passionate about helping others find their truth.
I offer LGBTQIA+ affirmative therapy for substance use issues and mental health issues.
Jaki Neering, MSW, takes a loving & progressive approach when working with the LGBTQIA+ (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual + community. She graduated from Barry University in 2016 with a Master in Social Work. Jaki believes in the power of trauma-informed interventions, which recognizes human vulnerability but focuses on finding strengths, resources, and capacity for healing and recovery, by promoting factors that will enhance a person's resilience. She has a passion for empowering marginalized populations, and she is devoted to serving the LGBTQIA+ population suffering with alcoholism, drug addiction & mental health issues. Jaki assists individuals in finding their voice, and advocates for self-expression. Additionally, Jaki believes in the transformation of recovery, and is passionate about helping others find their truth.
(561) 475-4729 View (561) 475-4729
Photo of Chuncie Rena Willis, MSW, LICSW, Clinical Social Work/Therapist
Chuncie Rena Willis
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Boston, MA 02116
Welcoming NEW patients for individual psychotherapy! Please call 617-600-4249 for appointments. As a therapist, I have made it a priority to create a therapeutic environment where patients feel like they are part of a collaborative effort during their treatment. I specialize in working with children, adolescents and young adults. I utilize DBT, CBT, Solution Focused Therapy, and Motivational Interviewing. I have experience working with a wide range of mental health challenges, including substance use, and addictions. I believe in meeting people where they are in order to guide them towards self-awareness.
Welcoming NEW patients for individual psychotherapy! Please call 617-600-4249 for appointments. As a therapist, I have made it a priority to create a therapeutic environment where patients feel like they are part of a collaborative effort during their treatment. I specialize in working with children, adolescents and young adults. I utilize DBT, CBT, Solution Focused Therapy, and Motivational Interviewing. I have experience working with a wide range of mental health challenges, including substance use, and addictions. I believe in meeting people where they are in order to guide them towards self-awareness.
(351) 247-7379 View (351) 247-7379
Photo of Haley Feickert, LCSW, Clinical Social Work/Therapist
Haley Feickert
Clinical Social Work/Therapist, LCSW
Verified Verified
Boston, MA 02130
She treats anxiety, depression, OCD, trauma, mood disorders, substance use issues, and any other struggles that clients feel is affecting their daily life.
Haley received her MSW from Boston University and has experience working with children, teens, adults, families, and groups and has worked in both school and outpatient settings. Haley's style is to hold space for her clients to explore their own patterns and interpersonal dynamics, with a goal of finding a better understanding of themselves within their relationships and families.
She treats anxiety, depression, OCD, trauma, mood disorders, substance use issues, and any other struggles that clients feel is affecting their daily life.
Haley received her MSW from Boston University and has experience working with children, teens, adults, families, and groups and has worked in both school and outpatient settings. Haley's style is to hold space for her clients to explore their own patterns and interpersonal dynamics, with a goal of finding a better understanding of themselves within their relationships and families.
(617) 380-6132 View (617) 380-6132
Photo of Liz LaRaia, LICSW, Clinical Social Work/Therapist
Liz LaRaia
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Cambridge, MA 02138  (Online Only)
Now accepting new clients! I am so excited to support you in your journey to living your best life! My name is Liz and I work with people aged 17+ who want to improve their ability to manage challenging aspects of their lives. When problems related to substance use, mood disorders, grief, trauma, chronic illness or pain, parenting, educational and professional stress become overwhelming I can provide supportive and reassuring opportunities for change. It can be frightening to confront these parts of ourselves. I will provide a compassionate, validating and safe space to move forward in your life and accomplish your goals.
Now accepting new clients! I am so excited to support you in your journey to living your best life! My name is Liz and I work with people aged 17+ who want to improve their ability to manage challenging aspects of their lives. When problems related to substance use, mood disorders, grief, trauma, chronic illness or pain, parenting, educational and professional stress become overwhelming I can provide supportive and reassuring opportunities for change. It can be frightening to confront these parts of ourselves. I will provide a compassionate, validating and safe space to move forward in your life and accomplish your goals.
(413) 992-3481 View (413) 992-3481
Photo of Michael Visconti, LMHC, Counselor
Michael Visconti
Counselor, LMHC
Verified Verified
7 Endorsed
Boston, MA 02116  (Online Only)
Waitlist for new clients
I have experience in treating mood disorders, anxiety, substance use disorders, trauma, and major life adjustments in a variety of settings including outpatient, educational, and residential.
I welcome and invite you to take your next steps towards the road of reflection, progression, and growth. As intimidating as this might seem, it can always help to have a therapist’s support along the way. If it feels like I might be a sound fit for your journey, please reach out to me today via phone or email (preferable) to schedule a free consultation.
I have experience in treating mood disorders, anxiety, substance use disorders, trauma, and major life adjustments in a variety of settings including outpatient, educational, and residential.
I welcome and invite you to take your next steps towards the road of reflection, progression, and growth. As intimidating as this might seem, it can always help to have a therapist’s support along the way. If it feels like I might be a sound fit for your journey, please reach out to me today via phone or email (preferable) to schedule a free consultation.
(508) 709-7356 View (508) 709-7356
Photo of Gwen Child, LCSW, Clinical Social Work/Therapist
Gwen Child
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Boston, MA 02116  (Online Only)
Life can indeed feel like a relentless roller coaster with its ups and downs, stressors, and uncertainties. I work with adults of all ages to navigate this journey, specializing in young adults and college students. I frequently help clients manage anxiety, self-esteem issues, relationship challenges, workplace or school stress, burnout, ADHD, trauma, and substance use. Whether it's making significant life decisions, managing relationships, or taking care of yourself, I provide a supportive space to help you build resilience and align with your personal growth.
Life can indeed feel like a relentless roller coaster with its ups and downs, stressors, and uncertainties. I work with adults of all ages to navigate this journey, specializing in young adults and college students. I frequently help clients manage anxiety, self-esteem issues, relationship challenges, workplace or school stress, burnout, ADHD, trauma, and substance use. Whether it's making significant life decisions, managing relationships, or taking care of yourself, I provide a supportive space to help you build resilience and align with your personal growth.
(508) 690-8473 View (508) 690-8473
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.