Alcohol Use Therapists in Bee Cave, TX
![Photo of Joseph Silva, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6ead8c28-0364-4c9e-bec4-3dc944946df2/1/320x400.jpeg)
Issues: Alcohol Use Anxiety Codependency Coping Skills Depression Drug Abuse Family Conflict Stress Substance Use Suicidal Ideation.
Naturally, we gravitate towards what's most comfortable but often what's most comfortable is what keeps us "stuck." Life can feel unmanageable without clear direction, guidance or support. Whether you're dealing with the lingering stress from our historical pandemic, relationship stress, substance abuse issues, general stress, or other past traumatic events, I'm here to help and support you with overcoming life's obstacles.
Issues: Alcohol Use Anxiety Codependency Coping Skills Depression Drug Abuse Family Conflict Stress Substance Use Suicidal Ideation.
Naturally, we gravitate towards what's most comfortable but often what's most comfortable is what keeps us "stuck." Life can feel unmanageable without clear direction, guidance or support. Whether you're dealing with the lingering stress from our historical pandemic, relationship stress, substance abuse issues, general stress, or other past traumatic events, I'm here to help and support you with overcoming life's obstacles.
![Photo of Steven Powell, MD](https://photos.psychologytoday.com/461384a6-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Steven Powell graduated from University of Texas and attended Rush Medical College to complete his family medicine residency at John Peter Smith Hospital in Fort Worth. He has worked at Barrio Comprehensive Health Center in San Antonio, as Medical Director, as well as Austin Regional Clinic where he also served as a board member. Board certified in Family Medicine and a member of the American Academy of Family Physicians and the Texas Medical Association, Dr. Powell has had an interest and commitment to addiction treatment in primary care since 2008, treating hundreds of patients with medication assisted therapy.
Dr. Steven Powell graduated from University of Texas and attended Rush Medical College to complete his family medicine residency at John Peter Smith Hospital in Fort Worth. He has worked at Barrio Comprehensive Health Center in San Antonio, as Medical Director, as well as Austin Regional Clinic where he also served as a board member. Board certified in Family Medicine and a member of the American Academy of Family Physicians and the Texas Medical Association, Dr. Powell has had an interest and commitment to addiction treatment in primary care since 2008, treating hundreds of patients with medication assisted therapy.
![Photo of Tony Vitela - Tony Vitela, LCSW, SAP, LCSW, SAP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43d74575-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Tony Vitela, LCSW, SAP
Clinical Social Work/Therapist, LCSW, SAP
Verified Verified
Bee Cave, TX 78738
Licensed since 1993 and in private practice since 1999. Previous work-related experience includes working at a residential treatment center, youth shelter, juvenile detention center, chemical dependency unit, adolescent and adult in-patient hospital, Employee Assistance Program, crisis intervention, in-take assessments, and intensive out-patient programming. Over the past two decades, I have served individuals, couples, families, children, adolescents, adults, and the elderly. I am a certified and approved DOT Substance Abuse Professional.
Licensed since 1993 and in private practice since 1999. Previous work-related experience includes working at a residential treatment center, youth shelter, juvenile detention center, chemical dependency unit, adolescent and adult in-patient hospital, Employee Assistance Program, crisis intervention, in-take assessments, and intensive out-patient programming. Over the past two decades, I have served individuals, couples, families, children, adolescents, adults, and the elderly. I am a certified and approved DOT Substance Abuse Professional.
![Photo of Sean F Gorman, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/438ab5ba-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My practice centers around teaching people principles on how to access their own innate psychological health, and how to utilize this understanding for their own well-being. This can include a healthier concept of self, a more productive way of viewing difficulties and overcoming challenges in life, and how to establish more meaningful relationships. I help client's suffering from depression, anxiety, attention issues, addictions, emotional regulatory disorders and relational conflict learn skills such as CBT, DBT, 3 principles training, and mindfulness to help better their lives. Teaching new skills is an integral part of my practice.
My practice centers around teaching people principles on how to access their own innate psychological health, and how to utilize this understanding for their own well-being. This can include a healthier concept of self, a more productive way of viewing difficulties and overcoming challenges in life, and how to establish more meaningful relationships. I help client's suffering from depression, anxiety, attention issues, addictions, emotional regulatory disorders and relational conflict learn skills such as CBT, DBT, 3 principles training, and mindfulness to help better their lives. Teaching new skills is an integral part of my practice.
![Photo of Mary H Boone, LCSW, LCDC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/296b2aa8-68aa-4187-98e3-d630fa76b5e5/2/320x400.jpeg)
I am experienced and skilled in working with clients who have chemical dependency, codependency, depression, bipolar, anxiety disorders, trauma, and/or relationship issues. I see individuals and couples. I also work with parents of adolescents and offer family therapy sessions.
I am excited about the good results that can be achieved with EMDR and EFT. Reducing the level of emotional disturbance, can clear the way for problem solving and healing.
I am experienced and skilled in working with clients who have chemical dependency, codependency, depression, bipolar, anxiety disorders, trauma, and/or relationship issues. I see individuals and couples. I also work with parents of adolescents and offer family therapy sessions.
I am excited about the good results that can be achieved with EMDR and EFT. Reducing the level of emotional disturbance, can clear the way for problem solving and healing.
![Photo of Susan Gonzales - Susan Gonzales—Neurodivergence•Couples•Stress•Men, MA, LPC, LMFT, Pre-Licensed Professional](https://photos.psychologytoday.com/3a60460b-8341-4820-b963-f6189c78774a/1/320x400.png)
Susan Gonzales—Neurodivergence•Couples•Stress•Men
Pre-Licensed Professional, MA, LPC, LMFT
Verified Verified
Bee Cave, TX 78738
Are you tired, overwhelmed, or stressed? Let’s face it—life is stressful! Your kid is having a tantrum in the middle of the store, your boss is breathing down your neck, and you and your partner keep having the same arguments on repeat. Anxiety sucks up energy, makes us irritable, and weakens our immune systems. All of this leaves you feeling frustrated, hopeless, and exhausted. Therapy can help you gain practical tools for improving communication in your relationship, understanding your emotions, and coping with stress. Couples therapy. Family counseling. Parent coaching. Group therapy for men. Not sure where to turn? Call now.
Are you tired, overwhelmed, or stressed? Let’s face it—life is stressful! Your kid is having a tantrum in the middle of the store, your boss is breathing down your neck, and you and your partner keep having the same arguments on repeat. Anxiety sucks up energy, makes us irritable, and weakens our immune systems. All of this leaves you feeling frustrated, hopeless, and exhausted. Therapy can help you gain practical tools for improving communication in your relationship, understanding your emotions, and coping with stress. Couples therapy. Family counseling. Parent coaching. Group therapy for men. Not sure where to turn? Call now.
![Photo of Marissa Blankenship, LCSW](https://photos.psychologytoday.com/7cd54be9-9f7e-4816-86a8-fb87fab485df/1/320x400.jpeg)
Welcome! Often I hear am I broken? Is there hope? Will it get better? Will I get better? Can I get through my past? The answer is yes. This is the first step to become a better you. My end goal is to empower you to address the struggles head on and then overcome them. I will then support you on your journey to reach the goals that you desire.
Welcome! Often I hear am I broken? Is there hope? Will it get better? Will I get better? Can I get through my past? The answer is yes. This is the first step to become a better you. My end goal is to empower you to address the struggles head on and then overcome them. I will then support you on your journey to reach the goals that you desire.
![Photo of Barbara Wood - Three Oaks Counseling & Psychiatry, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7c2b6a7f-8206-4fec-a12c-9ffb402e050c/1/320x400.jpeg)
Three Oaks Counseling & Psychiatry
Clinical Social Work/Therapist
Verified Verified
Bee Cave, TX 78733
We are a group of talented and experienced mental health clinicians that provides counseling and medication management all across Austin and greater Texas. We have offices in West Lake Hills, Georgetown, and Dripping Springs. We also provide telehealth service anywhere in Texas.
We are a group of talented and experienced mental health clinicians that provides counseling and medication management all across Austin and greater Texas. We have offices in West Lake Hills, Georgetown, and Dripping Springs. We also provide telehealth service anywhere in Texas.
![Photo of Laura Wahlstrom, PhD, Psychologist](https://photos.psychologytoday.com/4913bd91-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with high achievers/professionals who are struggling with life stressors, mental health issues, or both. Some reasons individuals commonly seek therapy with me are relationship issues, work stress/burnout, difficulties balancing work and parenting, loneliness, lack of fulfillment, alcohol abuse, mood issues, and anxiety. Together we will identify clear goals, and implement skills and practical steps to help you move forward. My practice is structured for extra privacy and flexibility with treatment.
I work with high achievers/professionals who are struggling with life stressors, mental health issues, or both. Some reasons individuals commonly seek therapy with me are relationship issues, work stress/burnout, difficulties balancing work and parenting, loneliness, lack of fulfillment, alcohol abuse, mood issues, and anxiety. Together we will identify clear goals, and implement skills and practical steps to help you move forward. My practice is structured for extra privacy and flexibility with treatment.
![Photo of Megan Gipson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f1eeb49-f695-4ff4-a2e5-a4605f40837d/1/320x400.jpeg)
My passion is supporting women as they navigate their multiple roles both at work and in relationships. One of my special interests is working with women who want to change their relationship with alcohol. In my experience, women often experience symptoms of anxiety, depression, and burn out if healthy boundaries are not set to manage the never ending demands of life. I help clients develop boundaries, coping skills, and nervous system regulation strategies to create a life they are excited to live. I am trained in EMDR, the industry standard in treating trauma, as well as CBT, DBT and IFS.
My passion is supporting women as they navigate their multiple roles both at work and in relationships. One of my special interests is working with women who want to change their relationship with alcohol. In my experience, women often experience symptoms of anxiety, depression, and burn out if healthy boundaries are not set to manage the never ending demands of life. I help clients develop boundaries, coping skills, and nervous system regulation strategies to create a life they are excited to live. I am trained in EMDR, the industry standard in treating trauma, as well as CBT, DBT and IFS.
![Photo of Terry Rauschuber - Terry Rauschuber - Anew Era TMS & Psychiatry, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/50153b1f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Terry Rauschuber - Anew Era TMS & Psychiatry
Clinical Social Work/Therapist, LCSW
Verified Verified
Bee Cave, TX 78733
Not accepting new clients
Terry Rauschuber is a Licensed Certified Social Worker with a master’s degree from The University of Texas at Austin. She is a mental health therapist with over 20 years of successful experience working with adults and seniors with depression and anxiety. She applies techniques to develop skills to learn how to manage negative thought processes and develop alternative thinking patterns. Terry’s experience in hospitals and psychiatric hospitals provides a wealth of knowledge of treatment modalities as well as maneuvering through the maze of healthcare. EMDR Trained
Terry Rauschuber is a Licensed Certified Social Worker with a master’s degree from The University of Texas at Austin. She is a mental health therapist with over 20 years of successful experience working with adults and seniors with depression and anxiety. She applies techniques to develop skills to learn how to manage negative thought processes and develop alternative thinking patterns. Terry’s experience in hospitals and psychiatric hospitals provides a wealth of knowledge of treatment modalities as well as maneuvering through the maze of healthcare. EMDR Trained
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Steven Powell
Susan Gonzales—Neurodivergence•Couples•Stress•Men
Terry Rauschuber - Anew Era TMS & Psychiatry
More Therapists Nearby
![Photo of Molly Cook, LCSW-S, LCDC, RYT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/55391510-d1db-41e6-8c34-ab39fc76519c/1/320x400.png)
Molly Cook
Clinical Social Work/Therapist, LCSW-S, LCDC, RYT
Verified Verified
3 Endorsed
Lakeway, TX 78734
Waitlist for new clients
You just want to feel happy, healthy, and confident. Instead you often feel overwhelmed, unsure, or disconnected. Fully connecting with our authentic self and others seems impossible. Sometimes our stress levels are too high or our traumatic life experiences get in the way of finding peace & fulfillment. I'm a firm believer that every person has the capacity for transformational healing. If you're ready to navigate the complexities of life including things like trauma, addiction, chronic pain, or dysfunctional family dynamics with a compassionate guide, you're in the right place.
You just want to feel happy, healthy, and confident. Instead you often feel overwhelmed, unsure, or disconnected. Fully connecting with our authentic self and others seems impossible. Sometimes our stress levels are too high or our traumatic life experiences get in the way of finding peace & fulfillment. I'm a firm believer that every person has the capacity for transformational healing. If you're ready to navigate the complexities of life including things like trauma, addiction, chronic pain, or dysfunctional family dynamics with a compassionate guide, you're in the right place.
![Photo of Joseph Bordelon - Christian Counseling Austin, MDiv, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3e83964b-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Christian Counseling Austin
Licensed Professional Counselor, MDiv, MA, LPC
Verified Verified
Lakeway, TX 78738 (Online Only)
It can be very frustrating to be misunderstood by your spouse or your partner. You probably have a hard time communicating with each other. You probably find yourselves fighting about seemingly minor issues. You might be hurting and even feel a great deal of anger and resentment. You tried hard to fix the situation yourself or even hoped it would go away but you always seem to end up fighting again. You may even feel defeated because of the frequent arguing and worried about the future of your relationship. You know its time to get some help.
It can be very frustrating to be misunderstood by your spouse or your partner. You probably have a hard time communicating with each other. You probably find yourselves fighting about seemingly minor issues. You might be hurting and even feel a great deal of anger and resentment. You tried hard to fix the situation yourself or even hoped it would go away but you always seem to end up fighting again. You may even feel defeated because of the frequent arguing and worried about the future of your relationship. You know its time to get some help.
![Photo of Scott Wayne Melgren, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0e1edc56-354d-40e1-b9f0-65f422cbbc48/7/320x400.jpeg)
Scott Wayne Melgren
Clinical Social Work/Therapist, LCSW
Verified Verified
Austin, TX 78738 (Online Only)
Waitlist for new clients
My personal belief is that everyone is doing their best with the tools they have. I utilize an individualized approach rooted in Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Solution Focused Therapy, and Motivational Interviewing to strengthen resiliency and provide coping skills to overcome daily life stressors. If you have ever found yourself stuck and desire a way to navigate and work through your personal challanges, together we can create that change.
My personal belief is that everyone is doing their best with the tools they have. I utilize an individualized approach rooted in Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Solution Focused Therapy, and Motivational Interviewing to strengthen resiliency and provide coping skills to overcome daily life stressors. If you have ever found yourself stuck and desire a way to navigate and work through your personal challanges, together we can create that change.
![Photo of Melissa Chapman Pettit, PhD, LPC, Veteran, Licensed Professional Counselor](https://photos.psychologytoday.com/466cfeb8-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Melissa Chapman Pettit
Licensed Professional Counselor, PhD, LPC, Veteran
Verified Verified
Lakeway, TX 78738 (Online Only)
"Insanity is doing the same thing over and over again, expecting different results." ADDICTION & DEPENDENCY result from an unconscious refusal to move through the pain of withdrawal (from a chemical, thought-process, behavior, other person, etc.). The behavior gets repeated, accompanied by cycles of disappointment, shame, GRIEF, frustration and isolation. Having experienced this same cycle (more than once) I bring years of education, training, personal recovery experiences and compassion to our therapeutic relationship. My PERSONAL therapeutic process is on-going. I would be honored to help you in yours. EASY? Nope. WORTH IT? Yes!
"Insanity is doing the same thing over and over again, expecting different results." ADDICTION & DEPENDENCY result from an unconscious refusal to move through the pain of withdrawal (from a chemical, thought-process, behavior, other person, etc.). The behavior gets repeated, accompanied by cycles of disappointment, shame, GRIEF, frustration and isolation. Having experienced this same cycle (more than once) I bring years of education, training, personal recovery experiences and compassion to our therapeutic relationship. My PERSONAL therapeutic process is on-going. I would be honored to help you in yours. EASY? Nope. WORTH IT? Yes!
![Photo of Jennifer Heggem, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3f88f390-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jennifer Heggem
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Lakeway, TX 78738
Sometimes life will bring difficulties that challenge our ability to experience it to the fullest and meet our potential. Helping you to navigate the tough parts of your life and discover your true potential for success and happiness is what I enjoy most in my practice. I have spent several years working with individuals, couples, and families experiencing depression, anxiety, relational problems, life transitions, self-harm, substance abuse, suicidal thoughts, physical, emotional and sexual abuse.
Sometimes life will bring difficulties that challenge our ability to experience it to the fullest and meet our potential. Helping you to navigate the tough parts of your life and discover your true potential for success and happiness is what I enjoy most in my practice. I have spent several years working with individuals, couples, and families experiencing depression, anxiety, relational problems, life transitions, self-harm, substance abuse, suicidal thoughts, physical, emotional and sexual abuse.
![Photo of Leslie Doctor, LCSW-S, RPT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5bd0f971-47fb-4f9b-b412-4b67587aacb2/1/320x400.jpeg)
Leslie Doctor
Clinical Social Work/Therapist, LCSW-S, RPT
Verified Verified
2 Endorsed
Lakeway, TX 78734
I work with adults, children and adolescent who struggle with stress, self-esteem, difficult behaviors, screen time/technology addiction, history of trauma or abuse, relationships, school or big life transition such as divorce, death, or illness - or those with anxiety or depression with no known trigger. I provide a safe therapeutic space to work through emotions and build on coping strategies. While much of my practice is dedicated to child/adolescent clients, I see adults and couples, especially those impacted by cancer, bereavement, neurodiversity (ADHD, Gifted/2e/Autistic) burnout, addictions, trauma or parenting concerns.
I work with adults, children and adolescent who struggle with stress, self-esteem, difficult behaviors, screen time/technology addiction, history of trauma or abuse, relationships, school or big life transition such as divorce, death, or illness - or those with anxiety or depression with no known trigger. I provide a safe therapeutic space to work through emotions and build on coping strategies. While much of my practice is dedicated to child/adolescent clients, I see adults and couples, especially those impacted by cancer, bereavement, neurodiversity (ADHD, Gifted/2e/Autistic) burnout, addictions, trauma or parenting concerns.
![Photo of Suni Housty, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1203faf1-00dc-43a4-8a10-0d977e3f148b/2/320x400.jpeg)
I am a board-licensed private practice therapist based in Austin, Texas. My approach to therapy is humanistic, holistic, strengths-based, and relational. When you’re struggling with your mental health, it may feel lonely and isolating because it can seem like you’re the only one going through a difficult time. The truth is, we all have those seasons in our lives and all we really want is someone to support us through it with untiring compassion and care. I welcome the opportunity to be that for you as your therapist and work together with you to heal your problematic thoughts and behaviors.
I am a board-licensed private practice therapist based in Austin, Texas. My approach to therapy is humanistic, holistic, strengths-based, and relational. When you’re struggling with your mental health, it may feel lonely and isolating because it can seem like you’re the only one going through a difficult time. The truth is, we all have those seasons in our lives and all we really want is someone to support us through it with untiring compassion and care. I welcome the opportunity to be that for you as your therapist and work together with you to heal your problematic thoughts and behaviors.
![Photo of Pamela Gates, MA, LPCS, LCDC, ADCIII, Licensed Professional Counselor](https://photos.psychologytoday.com/40072f0e-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Pamela Gates
Licensed Professional Counselor, MA, LPCS, LCDC, ADCIII
Verified Verified
Lakeway, TX 78738 (Online Only)
Do you need someone to talk to and to find solutions to painful emotions and behaviors that are hurting you, your relationships and negatively impacting your quality of life? Call me, I can help. I have experience with most psychological disorders and difficult life circumstances and have helped individuals and families successfully cope with depression, anxiety, mood disorders, trauma recovery, and substance abuse and addiction issues both within self or in the family. I have worked in a variety of settings as a clinician, supervisor, manager and director both before and after starting my own private practice in 2000.
Do you need someone to talk to and to find solutions to painful emotions and behaviors that are hurting you, your relationships and negatively impacting your quality of life? Call me, I can help. I have experience with most psychological disorders and difficult life circumstances and have helped individuals and families successfully cope with depression, anxiety, mood disorders, trauma recovery, and substance abuse and addiction issues both within self or in the family. I have worked in a variety of settings as a clinician, supervisor, manager and director both before and after starting my own private practice in 2000.
![Photo of Elizabeth Dossman, LPC-S, Licensed Professional Counselor](https://photos.psychologytoday.com/3fb24ed2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Elizabeth Dossman
Licensed Professional Counselor, LPC-S
Verified Verified
Lakeway, TX 78738 (Online Only)
A variety of approaches and techniques can be productive in the self-discovery process. My first priority is to create a comfortable setting – regardless of geography – that makes each individual at ease in sharing his or her significant life experiences. A feeling of respect, non judgmental attitude and positive regard will be felt when meeting with me. With this atmosphere set, the ability to develop new perspectives, coping mechanisms and problem-solving skills will prosper.
I will help you transform your thinking in a way that enables you to find new purpose, deeper meaning and a more authentic relationship.
A variety of approaches and techniques can be productive in the self-discovery process. My first priority is to create a comfortable setting – regardless of geography – that makes each individual at ease in sharing his or her significant life experiences. A feeling of respect, non judgmental attitude and positive regard will be felt when meeting with me. With this atmosphere set, the ability to develop new perspectives, coping mechanisms and problem-solving skills will prosper.
I will help you transform your thinking in a way that enables you to find new purpose, deeper meaning and a more authentic relationship.
See more therapy options for Bee Cave
Nearby Alcohol Use Therapists Searches for Bee Cave
- Austin
- Buda
- Cedar Park
- Dripping Springs
- Kyle
- Lakeway
- Leander
- Pflugerville
- Round Rock
- Sunset Valley
- West Lake Hills
- Wimberley
Alcohol Use Therapists
Are there specific medications for alcohol use?
There are oral medications approved to treat alcohol use disorder—such as disulfiram, acamprosate, and naltrexone, which also comes in an injectable form. These medications do help people reduce their drinking as well as avoid the problem of relapse. Naltrexone helps reduce cravings, disulfiram can make a person feel sick when they drink, and acamprosate may help ease symptoms like poor sleep and anxious feelings.
How do alcohol recovery or rehabilitation programs work?
In inpatient programs, individuals live in a facility with other patients in recovery; in outpatient programs,individuals live at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff can also include people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other tools for recovery.
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 alcohol use reduce the amount of alcohol they intake. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.