Substance Use Therapists in Washington, MI

Photo of Tracy Paraskevin, MA, LPC, NCC, Counselor
Tracy Paraskevin
Counselor, MA, LPC, NCC
Verified Verified
Washington, MI 48095
I liken life to a track meet, to an event where we sometimes need help getting over that hurdle, or patience as we wait in the relay race... I applaud and encourage those who seek help! I most enjoy helping our young people navigate through life's obstacles, and watching them attain their personal greatness.
I liken life to a track meet, to an event where we sometimes need help getting over that hurdle, or patience as we wait in the relay race... I applaud and encourage those who seek help! I most enjoy helping our young people navigate through life's obstacles, and watching them attain their personal greatness.
(586) 371-5331 View (586) 371-5331
Photo of Rebecca Maffetone, LMSW, Clinical Social Work/Therapist
Rebecca Maffetone
Clinical Social Work/Therapist, LMSW
Verified Verified
Washington, MI 48094
ACCEPTING NEW CLIENTS in our office. Offering in person and telehealth! For over 25 years I have provided supportive, effective therapy to individuals and families struggling with a variety of issues. I have extensive training and years of experience that have helped me build diverse skills and strategies to help you meet your goals. I am experienced in treating a wide array of problems from family problems, depression, anxiety and bi-polar disorder to addictions and trauma. I want to help you be your best self in order to live your best life!
ACCEPTING NEW CLIENTS in our office. Offering in person and telehealth! For over 25 years I have provided supportive, effective therapy to individuals and families struggling with a variety of issues. I have extensive training and years of experience that have helped me build diverse skills and strategies to help you meet your goals. I am experienced in treating a wide array of problems from family problems, depression, anxiety and bi-polar disorder to addictions and trauma. I want to help you be your best self in order to live your best life!
(586) 623-6518 View (586) 623-6518
Photo of Matthew Rosenberg - Specialized Mental Health Services, LMSW, MSW
Specialized Mental Health Services
LMSW, MSW
Verified Verified
1 Endorsed
Washington, MI 48095
We are a specialized Mental health outpatient clinic. We provide specialized assessment, forensic psychosexual evaluations, treatment and consulting services in the areas of sexual addictions, pornography addiction, sexual abuse, perversions, anger management, impulse control, and other behavioral issues. Sexual addictions can destroy marriages and families, and often times can lead to significant legal issues. The first step is reaching out for help. We are compassionate and very well trained therapists, and we u deratand what the person and family are going through. Rosenberg & Associates Specialized Mental Health separates itself from the other providers by placing a premium on the client therapeutic relationship and detailed and comprehensive evaluation and assessment. We also work with clients that other providers refuse to or are unable to treat. We also provide drivers license restoration evaluations, risk assessments, and other types of evaluations. Choosing the right program and therapist is critical in getting effective and long term help! Call us today to speak with a specialist. The road to recovery is here!
We are a specialized Mental health outpatient clinic. We provide specialized assessment, forensic psychosexual evaluations, treatment and consulting services in the areas of sexual addictions, pornography addiction, sexual abuse, perversions, anger management, impulse control, and other behavioral issues. Sexual addictions can destroy marriages and families, and often times can lead to significant legal issues. The first step is reaching out for help. We are compassionate and very well trained therapists, and we u deratand what the person and family are going through. Rosenberg & Associates Specialized Mental Health separates itself from the other providers by placing a premium on the client therapeutic relationship and detailed and comprehensive evaluation and assessment. We also work with clients that other providers refuse to or are unable to treat. We also provide drivers license restoration evaluations, risk assessments, and other types of evaluations. Choosing the right program and therapist is critical in getting effective and long term help! Call us today to speak with a specialist. The road to recovery is here!
(586) 257-0037 View (586) 257-0037
Photo of Matthew Rosenberg - Rosenberg & Associates, LMSW, Clinical Social Work/Therapist
Rosenberg & Associates
Clinical Social Work/Therapist, LMSW
Verified Verified
Washington, MI 48095
With 27 years of experience we offer effective treatment for sexual abuse, sexual addiction, pornography addiction, paraphilias, childhood sexual behavioral problems, and psychosexual evaluations. We work with spouses, children, an other family members. We provide psychosexual evaluations for attorneys and courts including risk assessment and treatment planning. Matthew Rosenberg also can provide Restorative Justice therapy sessions between victims and his or her offender when appropriate. Rosenberg & Associates offers intensive outpatient programs for sexual addicts
With 27 years of experience we offer effective treatment for sexual abuse, sexual addiction, pornography addiction, paraphilias, childhood sexual behavioral problems, and psychosexual evaluations. We work with spouses, children, an other family members. We provide psychosexual evaluations for attorneys and courts including risk assessment and treatment planning. Matthew Rosenberg also can provide Restorative Justice therapy sessions between victims and his or her offender when appropriate. Rosenberg & Associates offers intensive outpatient programs for sexual addicts
(586) 218-3835 View (586) 218-3835
Photo of Naomi Margaret Baba - Shine Wellness Clinic, PLLC, MSW, LMSW, Clinical Social Work/Therapist
Shine Wellness Clinic, PLLC
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Washington, MI 48095
My vision began several years ago when I realized that most counseling agencies tend to concentrate on only one aspect of wellbeing, "Mental Health". Many people seeking whole body wellness are forced to travel to multiple providers to gain the full experience. Why not have one agency that meets the multiple aspect in achieving the "Whole Body Wellness" concept? I truly believe that maximizing personal wellbeing is dependent on the emotional, physical and spiritual health of every individual. I am proud to provide the surrounding community with a comprehensive clinic that addresses whole body wellness.
My vision began several years ago when I realized that most counseling agencies tend to concentrate on only one aspect of wellbeing, "Mental Health". Many people seeking whole body wellness are forced to travel to multiple providers to gain the full experience. Why not have one agency that meets the multiple aspect in achieving the "Whole Body Wellness" concept? I truly believe that maximizing personal wellbeing is dependent on the emotional, physical and spiritual health of every individual. I am proud to provide the surrounding community with a comprehensive clinic that addresses whole body wellness.
(586) 789-9541 View (586) 789-9541
Photo of Rebecca L Verkest, MA, LPC, NCE, Counselor
Rebecca L Verkest
Counselor, MA, LPC, NCE
Verified Verified
Washington, MI 48094
Everyone can benefit from a non-biased professional to help them sort out any internal conflict or struggle they are experiencing that causes distress. Whether it's anxiety, depression, trauma and/or a life changing event, you no longer need to do this alone. I have over 23 years of experience working with children, adolescents, adults, and families in crisis, offering high quality counseling to individuals seeking the life they deserve.
Everyone can benefit from a non-biased professional to help them sort out any internal conflict or struggle they are experiencing that causes distress. Whether it's anxiety, depression, trauma and/or a life changing event, you no longer need to do this alone. I have over 23 years of experience working with children, adolescents, adults, and families in crisis, offering high quality counseling to individuals seeking the life they deserve.
(586) 745-3718 View (586) 745-3718
Photo of Michelle Mannina, MA, LPC, ICAADC, CCMW, Counselor
Michelle Mannina
Counselor, MA, LPC, ICAADC, CCMW
Verified Verified
Washington, MI 48094
These are very trying times we are in! I am honored you chose to consider me to help you through this transition. From the comfort of your home via telehealth, or you may join me in the office as walk this path together. Feel free to contact me and start that journey to Holistic Wellness, where the mind and body profoundly work together. One's spiritual side may also be addressed, if one chooses. Why wait to make that first call, or email? You have already begun the journey by seeking help. So you are a step closer to total wellness! For more info visit: www.Mmanninatherapy.com
These are very trying times we are in! I am honored you chose to consider me to help you through this transition. From the comfort of your home via telehealth, or you may join me in the office as walk this path together. Feel free to contact me and start that journey to Holistic Wellness, where the mind and body profoundly work together. One's spiritual side may also be addressed, if one chooses. Why wait to make that first call, or email? You have already begun the journey by seeking help. So you are a step closer to total wellness! For more info visit: www.Mmanninatherapy.com
(313) 334-7562 View (313) 334-7562
Photo of Courtney Richey, MA, LPC, Licensed Professional Counselor
Courtney Richey
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Washington, MI 48094
Not accepting new clients
Taking the first step towards making a change can be an intimidating process. While it can be exciting, it can also feel overwhelming on where to begin. Whether you struggle with anxiety, depression, substance abuse, or are going through a challenging life event, I provide an empathetic, nonjudgmental environment where we can explore and work towards your individual goals.
Taking the first step towards making a change can be an intimidating process. While it can be exciting, it can also feel overwhelming on where to begin. Whether you struggle with anxiety, depression, substance abuse, or are going through a challenging life event, I provide an empathetic, nonjudgmental environment where we can explore and work towards your individual goals.
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More Therapists Nearby

Photo of Robert Esselink, MEd, LLPC, CADC, Licensed Professional Counselor
Robert Esselink
Licensed Professional Counselor, MEd, LLPC, CADC
Verified Verified
Romeo, MI 48065
Waitlist for new clients
This includes adolescents and adults involved in the justice system, clients struggling with substance use, and those feeling overwhelmed by anxiety.
Let's be honest, feeling stuck sucks. You are feeling anxious, overwhelmed and uncertain about how you are supposed to manage your relationships, career, and somedays just life in general. You are tired of the anxiety, irritability, and cloud of exhaustion that seems to be hanging over you. Maybe you are a young man struggling with emotional regulation, focus or hyperactivity. No matter what, you aren't alone and you can build the life you want! Helping men of all ages develop their emotional intelligence is my passion.
This includes adolescents and adults involved in the justice system, clients struggling with substance use, and those feeling overwhelmed by anxiety.
Let's be honest, feeling stuck sucks. You are feeling anxious, overwhelmed and uncertain about how you are supposed to manage your relationships, career, and somedays just life in general. You are tired of the anxiety, irritability, and cloud of exhaustion that seems to be hanging over you. Maybe you are a young man struggling with emotional regulation, focus or hyperactivity. No matter what, you aren't alone and you can build the life you want! Helping men of all ages develop their emotional intelligence is my passion.
(586) 400-1789 View (586) 400-1789
Photo of Gabriela M. Vega, LLMSW, DP-C, BSA, Clinical Social Work/Therapist
Gabriela M. Vega
Clinical Social Work/Therapist, LLMSW, DP-C, BSA
Verified Verified
Macomb, MI 48044
Waitlist for new clients
My social services experience of over nine years has extended from seniors then into substance use and behavioral mental health for teenagers, young adults and couples.
Often people feel overwhelmed by their life, circumstances, and relationships. This can be from the cumulative effects of numerous, minor life events to a single, major traumatic life experience. Individually, we may not know where to go or which way to turn. Collaboratively, we can work through the confusion, feelings of helplessness, anxiety and depression to realize your inherent strengths, while providing new resources and tools to find or return to your chosen life path. Using evidence-based practices, we will work together toward your behavioral health goals, personal independence and wellbeing. Success is enjoying life.
My social services experience of over nine years has extended from seniors then into substance use and behavioral mental health for teenagers, young adults and couples.
Often people feel overwhelmed by their life, circumstances, and relationships. This can be from the cumulative effects of numerous, minor life events to a single, major traumatic life experience. Individually, we may not know where to go or which way to turn. Collaboratively, we can work through the confusion, feelings of helplessness, anxiety and depression to realize your inherent strengths, while providing new resources and tools to find or return to your chosen life path. Using evidence-based practices, we will work together toward your behavioral health goals, personal independence and wellbeing. Success is enjoying life.
(810) 638-9141 View (810) 638-9141
Photo of Malaika Ward, LMSW-C, Clinical Social Work/Therapist
Malaika Ward
Clinical Social Work/Therapist, LMSW-C
Verified Verified
Macomb, MI 48044  (Online Only)
Having worked with people with addictions for the past 10 years, substance use and abuse is my expertise.
Hi Everyone! I am licensed in Michigan with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, coping with grief and loss, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
Having worked with people with addictions for the past 10 years, substance use and abuse is my expertise.
Hi Everyone! I am licensed in Michigan with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, coping with grief and loss, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
(517) 684-3340 View (517) 684-3340
Photo of Craig Gromek, MA, LPC, Counselor
Craig Gromek
Counselor, MA, LPC
Verified Verified
Rochester Hills, MI 48309
I have experience working with a wide range of clients and presenting issues including substance use, depression, anxiety, and adjustment and relationship issues.
Deciding on therapy is a step toward self-improvement. Deciding on a therapist is the next step in that pursuit. It is important to find a therapist that will provide an environment that allows you to share, collaborate, and ultimately, grow. I believe that therapy can help provide an additional perspective, which can bolster self-awareness and foster individual growth. My goal is for clients to feel safe and comfortable to explore areas of their lives they wish to better understand or improve.
I have experience working with a wide range of clients and presenting issues including substance use, depression, anxiety, and adjustment and relationship issues.
Deciding on therapy is a step toward self-improvement. Deciding on a therapist is the next step in that pursuit. It is important to find a therapist that will provide an environment that allows you to share, collaborate, and ultimately, grow. I believe that therapy can help provide an additional perspective, which can bolster self-awareness and foster individual growth. My goal is for clients to feel safe and comfortable to explore areas of their lives they wish to better understand or improve.
(248) 609-3127 View (248) 609-3127
Photo of Kennan M DeWitt, JD,  MA, LPC, CAADC, Licensed Professional Counselor
Kennan M DeWitt
Licensed Professional Counselor, JD, MA, LPC, CAADC
Verified Verified
Rochester, MI 48307
I work with teens, adults and couples and provide care for patients with anxiety, depression, anger, grief/loss, substance use, trauma, life adjustments, relationships matters, and all degrees of mental illness.
Accept most Mi insurance, including BCBS, Aetna, Cigna. Sliding scale fees. Imagine turning the corner in your recovery, accepting guidance, and beginning to lift overwhelming feelings of anxiety, depression, anger, trauma , or the toll of substances in your life. I am driven by the power of human connection and the natural or developed resilience of patients to cope, strengthen and lead much happier lives. Patients need a therapist who not only genuinely listens and understands them, but validates their thoughts and feelings, and empowers them in their recovery with greater insight and resilience toward a happier life. LGBTQ+
I work with teens, adults and couples and provide care for patients with anxiety, depression, anger, grief/loss, substance use, trauma, life adjustments, relationships matters, and all degrees of mental illness.
Accept most Mi insurance, including BCBS, Aetna, Cigna. Sliding scale fees. Imagine turning the corner in your recovery, accepting guidance, and beginning to lift overwhelming feelings of anxiety, depression, anger, trauma , or the toll of substances in your life. I am driven by the power of human connection and the natural or developed resilience of patients to cope, strengthen and lead much happier lives. Patients need a therapist who not only genuinely listens and understands them, but validates their thoughts and feelings, and empowers them in their recovery with greater insight and resilience toward a happier life. LGBTQ+
(517) 300-4837 View (517) 300-4837
Photo of Lisa M. Gordon, LMSW
Lisa M. Gordon
Master Social Worker, LMSW
Verified Verified
Macomb, MI 48044
I provide specialized counseling services to individuals who are experiencing depression, anxiety, substance use disorder, dependent personality disorder and ADHD.
ACCEPTING NEW CLIENTS via Telehealth! Do you ever feel invisible, overlooked or undervalued? Do feel alone or hurting and not sure how to handle it or what to do? Are you going through a rough time dealing with the loss of a loved one or struggling to move forward in your life? I work with clients as they become empowered to overcome life’s struggles, process through their pain and realize their value and worth. My clients will encounter a down-to-earth, non-judgmental ear and caring environment that’s designed to promote an environment of healing, productivity and growth. Everyone’s story and dynamics are unique.
I provide specialized counseling services to individuals who are experiencing depression, anxiety, substance use disorder, dependent personality disorder and ADHD.
ACCEPTING NEW CLIENTS via Telehealth! Do you ever feel invisible, overlooked or undervalued? Do feel alone or hurting and not sure how to handle it or what to do? Are you going through a rough time dealing with the loss of a loved one or struggling to move forward in your life? I work with clients as they become empowered to overcome life’s struggles, process through their pain and realize their value and worth. My clients will encounter a down-to-earth, non-judgmental ear and caring environment that’s designed to promote an environment of healing, productivity and growth. Everyone’s story and dynamics are unique.
(248) 218-9803 View (248) 218-9803
Photo of Adam Hamilton, MA, LPC, LMFT, NCC, Counselor
Adam Hamilton
Counselor, MA, LPC, LMFT, NCC
Verified Verified
Rochester Hills, MI 48309
My specialties include self-harm and suicidal behavior, behavior change, posttraumatic stress disorder (PTSD), substance use disorders, anxiety, depression, and couples and family therapy.
As a licensed psychotherapist, I have experience working with a variety of issues. I believe that change happens when an individual experiences the therapeutic relationship as safe and nonjudgmental. This allows individuals to develop a voice and be heard. I support my clients in accessing their innate motivation to change while assisting them in re-evaluating patterns of thought and behavior that inhibit personal growth. I have been trained in therapeutic practices that are shown to be effective in helping clients to reach their personal goals.
My specialties include self-harm and suicidal behavior, behavior change, posttraumatic stress disorder (PTSD), substance use disorders, anxiety, depression, and couples and family therapy.
As a licensed psychotherapist, I have experience working with a variety of issues. I believe that change happens when an individual experiences the therapeutic relationship as safe and nonjudgmental. This allows individuals to develop a voice and be heard. I support my clients in accessing their innate motivation to change while assisting them in re-evaluating patterns of thought and behavior that inhibit personal growth. I have been trained in therapeutic practices that are shown to be effective in helping clients to reach their personal goals.
(248) 513-8578 View (248) 513-8578
Photo of Jeffrey M Steenbergh, MSW, LMSW, CAADC, ADS, Clinical Social Work/Therapist
Jeffrey M Steenbergh
Clinical Social Work/Therapist, MSW, LMSW, CAADC, ADS
Verified Verified
Shelby Township, MI 48316  (Online Only)
I work with people who want change from a variety of concerns. No matter what it is, I believe we can all change and find a life we deserve and are happy with. I believe a therapist’s role is to help people find a life they never thought was possible, not just a life they once had. Additionally, I provide the services of Substance Use Disorder evaluations for individuals who are seeking driver's license reinstatement through the Secretary of State Driver's License Appeal And Assessment Division.
I work with people who want change from a variety of concerns. No matter what it is, I believe we can all change and find a life we deserve and are happy with. I believe a therapist’s role is to help people find a life they never thought was possible, not just a life they once had. Additionally, I provide the services of Substance Use Disorder evaluations for individuals who are seeking driver's license reinstatement through the Secretary of State Driver's License Appeal And Assessment Division.
(947) 222-7350 View (947) 222-7350
Photo of Andrew Tarockoff - Allay Counseling, PLLC, MA, LPC, NCC, CCTP, CADC, Counselor
Allay Counseling, PLLC
Counselor, MA, LPC, NCC, CCTP, CADC
Verified Verified
Romeo, MI 48065
Our clinicians treat clients age 5-66 who are seeking individualized care for anxiety, panic attacks, depression, adjustment difficulties, career ambivalence, trauma, substance use/related topics, court ordered services, attachment wounds, stress management, relationship problems, couples/marital counseling, grief, body issues, ADHD and self-esteem issues.
Allay Counseling is a small, relaxed, comfortable practice in the heart of Romeo, MI. We have a welcoming atmosphere and calming presence. We strive to make you comfortable for your experience in counseling, where we can support your recovery and growth.
Our clinicians treat clients age 5-66 who are seeking individualized care for anxiety, panic attacks, depression, adjustment difficulties, career ambivalence, trauma, substance use/related topics, court ordered services, attachment wounds, stress management, relationship problems, couples/marital counseling, grief, body issues, ADHD and self-esteem issues.
Allay Counseling is a small, relaxed, comfortable practice in the heart of Romeo, MI. We have a welcoming atmosphere and calming presence. We strive to make you comfortable for your experience in counseling, where we can support your recovery and growth.
(586) 800-4803 View (586) 800-4803
Photo of Ashley Kotowski, MA, LPC, CAADC, Counselor
Ashley Kotowski
Counselor, MA, LPC, CAADC
Verified Verified
Rochester Hills, MI 48309
I have extensive experience working with individuals struggling with anxiety, depression, substance use, relationship issues, life transitions, and trauma.
Accepting that anxiousness, depression, strained relationships, or substance use have gotten in the way of living the life you want can be overwhelming and finding the help you deserve can be challenging. As a therapist, it is my goal to provide a safe and open environment for you to feel empowered to overcome the struggles you are encountering. I work primarily with older adolescents (16+) and adults. You can expect me to use eclectic therapeutic techniques, specifically chosen for your needs. However, I primarily use cognitive behavioral therapy, motivational interviewing, and solution focused therapy.
I have extensive experience working with individuals struggling with anxiety, depression, substance use, relationship issues, life transitions, and trauma.
Accepting that anxiousness, depression, strained relationships, or substance use have gotten in the way of living the life you want can be overwhelming and finding the help you deserve can be challenging. As a therapist, it is my goal to provide a safe and open environment for you to feel empowered to overcome the struggles you are encountering. I work primarily with older adolescents (16+) and adults. You can expect me to use eclectic therapeutic techniques, specifically chosen for your needs. However, I primarily use cognitive behavioral therapy, motivational interviewing, and solution focused therapy.
(586) 371-8354 View (586) 371-8354
Photo of Madison Kanka, MA, Limited Licensed Psychologist
Madison Kanka
Limited Licensed Psychologist, MA
Verified Verified
1 Endorsed
Shelby Township, MI 48315
I am dedicated to providing comprehensive support to clients who are navigating complex challenges of mental health and substance use issues.
My ideal client is someone who is motivated to embark on a journey of healing and transformation. Perhaps you may be struggling with anxiety, depression, trauma, or other mental health challenges, perhaps compounded by substance use as a way of coping. You are ready to explore and address the underlying causes of your struggles, seeking a therapist who offers compassionate support and evidence-based interventions. You are open to engaging in therapy sessions that prioritize your well-being and long-term recovery.
I am dedicated to providing comprehensive support to clients who are navigating complex challenges of mental health and substance use issues.
My ideal client is someone who is motivated to embark on a journey of healing and transformation. Perhaps you may be struggling with anxiety, depression, trauma, or other mental health challenges, perhaps compounded by substance use as a way of coping. You are ready to explore and address the underlying causes of your struggles, seeking a therapist who offers compassionate support and evidence-based interventions. You are open to engaging in therapy sessions that prioritize your well-being and long-term recovery.
(586) 500-7562 View (586) 500-7562
Photo of Alexis G Brown, MA, LPC, CAADC, Licensed Professional Counselor
Alexis G Brown
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
1 Endorsed
Utica, MI 48317
I am experienced in providing a wide variety of therapeutic services including Substance Use, Addictions, Depression, Anxiety, Trauma, and Grief and Loss.
Do you want to find motivation to overcome life's challenges? Do you miss feeling happy and fulfilled? Let me help you find inner peace and feel hopeful again so you can realize your full potential. There is no cookie cutter approach to therapy, and I will work with you to provide a personalized experience based on your needs and expectations. Together, we'll come up with some ways to help you move towards making good life choices, achieving your goals, and feeling satisfied. I will provide you with a safe and supportive environment so that you feel comfortable.
I am experienced in providing a wide variety of therapeutic services including Substance Use, Addictions, Depression, Anxiety, Trauma, and Grief and Loss.
Do you want to find motivation to overcome life's challenges? Do you miss feeling happy and fulfilled? Let me help you find inner peace and feel hopeful again so you can realize your full potential. There is no cookie cutter approach to therapy, and I will work with you to provide a personalized experience based on your needs and expectations. Together, we'll come up with some ways to help you move towards making good life choices, achieving your goals, and feeling satisfied. I will provide you with a safe and supportive environment so that you feel comfortable.
(586) 221-4154 View (586) 221-4154

See more therapy options for Washington

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.