Therapists in Rochester, WA
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Check out therapists located nearby or offering teletherapy in Washington below.Online Therapists
![Photo of Vivian Dregely, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/c70574d1-4961-4508-aff0-2eca307464c5/3/320x400.jpeg)
Vivian Dregely
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98119 (Online Only)
I firmly believe that therapy should be a transformative and empowering experience. I am dedicated to supporting the mental well-being, personal growth, and fulfilling relationships of millennial adults and couples in Washington State. With authenticity and compassion, I listen, ask the tough questions, and help you uncover new perspectives so that you can grow out of the limiting belief systems and maladaptive behaviors that are holding you back from the life and relationships that you crave.
I firmly believe that therapy should be a transformative and empowering experience. I am dedicated to supporting the mental well-being, personal growth, and fulfilling relationships of millennial adults and couples in Washington State. With authenticity and compassion, I listen, ask the tough questions, and help you uncover new perspectives so that you can grow out of the limiting belief systems and maladaptive behaviors that are holding you back from the life and relationships that you crave.
![Photo of Loraine G Madian, MA, LMHC, Counselor](https://photos.psychologytoday.com/4ae1df30-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
At Bluebird Counseling, I enjoy working with individuals, families, and youth. My areas of expertise are Mindfulness Practice, Cognitive Behavioral Therapy, Neural Therapies (LifeSpan Integration and EMDR- Eye Movement Desentization Reprocessing) and Gestalt - In the moment awareness.
At Bluebird Counseling, I enjoy working with individuals, families, and youth. My areas of expertise are Mindfulness Practice, Cognitive Behavioral Therapy, Neural Therapies (LifeSpan Integration and EMDR- Eye Movement Desentization Reprocessing) and Gestalt - In the moment awareness.
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Drug Abuse 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.