Photo of Jacob Donnelly, Clinical Social Work/Therapist in Berkeley, CA
Jacob Donnelly
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Berkeley, CA 94704  (Online Only)
I am a non-judgmental, active therapist, specializing in substance use/addictions, anxiety, depression, trauma, chronic pain and illness, relationships, and work stress. Prior to private practice, I was the Clinical Director at a San Francisco non-profit serving veterans. I enjoy working with adults, older adults, older teens (16+) and couples. Whether you want to get support around new changes in your life that are causing you pain and worry, or work through problems that have been with you for years, my goal is to help you feel relief, feel empowered, and work through the things that are out of your control.
I am a non-judgmental, active therapist, specializing in substance use/addictions, anxiety, depression, trauma, chronic pain and illness, relationships, and work stress. Prior to private practice, I was the Clinical Director at a San Francisco non-profit serving veterans. I enjoy working with adults, older adults, older teens (16+) and couples. Whether you want to get support around new changes in your life that are causing you pain and worry, or work through problems that have been with you for years, my goal is to help you feel relief, feel empowered, and work through the things that are out of your control.
(510) 399-1667 View (510) 399-1667
Photo of Sally C. Cohen, Marriage & Family Therapist in Berkeley, CA
Sally C. Cohen
Marriage & Family Therapist, LMFT
Verified Verified
Berkeley, CA 94705
Are you someone who is struggling with depression, substance use, self harm, negativity, isolation, loss, social anxiety, or anger? I offer a safe place to discuss and explore your thoughts and feelings.
As an experienced therapist in private practice, I work with people of all ages who are struggling with a wide variety of challenges through different stages of the life cycle. I work collaboratively to help people reach their goals while offering insight and support. I offer a unique and thoughtful approach, developed through years of experience working with hundreds of individuals, teens and parents.
Are you someone who is struggling with depression, substance use, self harm, negativity, isolation, loss, social anxiety, or anger? I offer a safe place to discuss and explore your thoughts and feelings.
As an experienced therapist in private practice, I work with people of all ages who are struggling with a wide variety of challenges through different stages of the life cycle. I work collaboratively to help people reach their goals while offering insight and support. I offer a unique and thoughtful approach, developed through years of experience working with hundreds of individuals, teens and parents.
(510) 648-3202 View (510) 648-3202
Photo of Erica Saini, Psychologist in Berkeley, CA
Erica Saini
Psychologist, PsyD
Verified Verified
Berkeley, CA 94705
I approach the topic of substance use with a deep sensitivity to the intersecting dynamics surrounding how people use substances, what they use, and why.
A licensed clinical psychologist, I provide psychodynamic psychotherapy to individuals and couples throughout California. I offer compassion, patience, and safety as we endeavor to better understand what has brought you to therapy, and how to move through to something new. My work is trauma-informed and grounded in principles of empowerment.
I approach the topic of substance use with a deep sensitivity to the intersecting dynamics surrounding how people use substances, what they use, and why.
A licensed clinical psychologist, I provide psychodynamic psychotherapy to individuals and couples throughout California. I offer compassion, patience, and safety as we endeavor to better understand what has brought you to therapy, and how to move through to something new. My work is trauma-informed and grounded in principles of empowerment.
(510) 491-9476 View (510) 491-9476
Photo of James Francis Gallagher Jr., Marriage & Family Therapist in Berkeley, CA
James Francis Gallagher Jr.
Marriage & Family Therapist, MA, LMFT
Verified Verified
Berkeley, CA 94701
We are all born whole, in lovingkind perfection. But life produces obstacles that sidetrack our becoming ourselves. Obstacles take any forms: trauma in the body, inauthentic identities, existential fears, beliefs indoctrinated but in conflict with one's essential values, or anxiety that something is wrong with oneself. The result can be alienation, grief, substance use issues, depression, anxiety, difficulty connecting, or incapacity to speak or create from the heart. Reconnecting with ones body, the natural world, and with an unconditional community are the foundations re-emerging into the Self you've always been.
We are all born whole, in lovingkind perfection. But life produces obstacles that sidetrack our becoming ourselves. Obstacles take any forms: trauma in the body, inauthentic identities, existential fears, beliefs indoctrinated but in conflict with one's essential values, or anxiety that something is wrong with oneself. The result can be alienation, grief, substance use issues, depression, anxiety, difficulty connecting, or incapacity to speak or create from the heart. Reconnecting with ones body, the natural world, and with an unconditional community are the foundations re-emerging into the Self you've always been.
(510) 876-9446 View (510) 876-9446
Photo of Brenna McGee, Marriage & Family Therapist in Berkeley, CA
Brenna McGee
Marriage & Family Therapist, MA, LMFT
Verified Verified
Berkeley, CA 94709
The volatility of the past two years has compounded existing challenges in relationships, work stress, substance use, and mental wellness, and together we can find balance.
There is no "one size fits all" in effective therapy. While we may be all facing some common stressors, each person, couple, or family is different and I adapt accordingly to help foster growth and wellness that fits your life. I am committed to creating a genuine and supportive environment to explore your goals, feelings, and stuck points by integrating a variety of evidence-based modalities. Together we will alleviate stress and interpersonal strain, build balance, and promote long-term wellness. Please visit my website at www.brennamcgee.com for additional information and I look forward to meeting you!
The volatility of the past two years has compounded existing challenges in relationships, work stress, substance use, and mental wellness, and together we can find balance.
There is no "one size fits all" in effective therapy. While we may be all facing some common stressors, each person, couple, or family is different and I adapt accordingly to help foster growth and wellness that fits your life. I am committed to creating a genuine and supportive environment to explore your goals, feelings, and stuck points by integrating a variety of evidence-based modalities. Together we will alleviate stress and interpersonal strain, build balance, and promote long-term wellness. Please visit my website at www.brennamcgee.com for additional information and I look forward to meeting you!
(612) 324-8175 View (612) 324-8175
Photo of Anne Dinkelspiel, Psychologist in Berkeley, CA
Anne Dinkelspiel
Psychologist, PhD
Verified Verified
Berkeley, CA 94707  (Online Only)
I also have expertise working with people around substance use and addiction and their families.
I am a seasoned clinician with expertise to accompany you on your inner journey. I am flexible in my approach so that I can respond to the particular needs you bring to therapy. At one point you may need support and practical tools for addressing experiences that are painful or challenging. At another time, you may need room to explore the patterns of thought, feeling or behavior that are puzzling to you, including more unconscious factors that may be exerting their invisible influence on your life. I see people from a variety of backgrounds, including many therapists.
I also have expertise working with people around substance use and addiction and their families.
I am a seasoned clinician with expertise to accompany you on your inner journey. I am flexible in my approach so that I can respond to the particular needs you bring to therapy. At one point you may need support and practical tools for addressing experiences that are painful or challenging. At another time, you may need room to explore the patterns of thought, feeling or behavior that are puzzling to you, including more unconscious factors that may be exerting their invisible influence on your life. I see people from a variety of backgrounds, including many therapists.
(510) 470-7896 View (510) 470-7896
Photo of H. Ameeta Singh - Online Video Therapy, Marriage & Family Therapist in Berkeley, CA
H. Ameeta Singh - Online Video Therapy
Marriage & Family Therapist, LMFT
Verified Verified
Berkeley, CA 94704  (Online Only)
I have supported clients to create healing & change in their lives around sexual abuse; incarceration trauma; substance use; unhealthy relationships; depression; anxiety & other challenges.
I work with clients to cultivate deeper insight & understanding about the ways in which our life experiences & ways of being in the world impact our choices & behaviors. In working this way I have found that clients feel empowered to make changes to unhealthy behaviors & create proactive coping strategies for managing situations they may not, as yet, be able to change. I draw upon clients' strengths, culture, spirituality & community as a means of facilitating healing, empowerment & change. My therapeutic approach is grounded in anti-racist and social justice principles.
I have supported clients to create healing & change in their lives around sexual abuse; incarceration trauma; substance use; unhealthy relationships; depression; anxiety & other challenges.
I work with clients to cultivate deeper insight & understanding about the ways in which our life experiences & ways of being in the world impact our choices & behaviors. In working this way I have found that clients feel empowered to make changes to unhealthy behaviors & create proactive coping strategies for managing situations they may not, as yet, be able to change. I draw upon clients' strengths, culture, spirituality & community as a means of facilitating healing, empowerment & change. My therapeutic approach is grounded in anti-racist and social justice principles.
(415) 723-4309 View (415) 723-4309
Photo of Nisha Fernandes-Seshadri, Psychologist in Berkeley, CA
Nisha Fernandes-Seshadri
Psychologist, PsyD
Verified Verified
3 Endorsed
Berkeley, CA 94704
I've helped numerous individuals over the years, including those with relationship problems, anxiety, depression, trauma, loss & grief, parenting struggles, cultural/racial issues, health problems and substance use.
Hi there! I am a psychologist with over 20 years of experience in the field. My experience has allowed me to bring a deeper perspective to situations, and I know the value of giving that feedback to my clients. I utilize a variety of approaches like CBT, EMDR, Solution-Focused, Psychodynamic and Existential therapies. I had a thriving practice in the San Francisco Bay Area, but chose to live in beautiful and active Boulder instead. Because I just recently opened my practice to in-person clients here, I have openings!
I've helped numerous individuals over the years, including those with relationship problems, anxiety, depression, trauma, loss & grief, parenting struggles, cultural/racial issues, health problems and substance use.
Hi there! I am a psychologist with over 20 years of experience in the field. My experience has allowed me to bring a deeper perspective to situations, and I know the value of giving that feedback to my clients. I utilize a variety of approaches like CBT, EMDR, Solution-Focused, Psychodynamic and Existential therapies. I had a thriving practice in the San Francisco Bay Area, but chose to live in beautiful and active Boulder instead. Because I just recently opened my practice to in-person clients here, I have openings!
(720) 776-5683 View (720) 776-5683
Photo of Kelly Albrecht, Pre-Licensed Professional in Berkeley, CA
Kelly Albrecht
Pre-Licensed Professional, ASW
Verified Verified
Berkeley, CA 94704
With expertise in substance use disorder, ADHD, bipolar and personality disorders, my holistic approach to therapy prioritizes safety and healing, with trauma-informed care.
Are you struggling to process depression, anxiety, relationship/family issues, and trauma? These emotional ruptures can cause major disruptions in our lives. The work to process these types of life events is multifaceted, and I can help you identify your feelings and potential relational patterns, build tolerance and acceptance around challenging ones, and set meaningful goals. In order to do so, I utilize various therapeutic approaches consisting of ACT, CBT, and Problem Solving Therapy and somatic interventions.
With expertise in substance use disorder, ADHD, bipolar and personality disorders, my holistic approach to therapy prioritizes safety and healing, with trauma-informed care.
Are you struggling to process depression, anxiety, relationship/family issues, and trauma? These emotional ruptures can cause major disruptions in our lives. The work to process these types of life events is multifaceted, and I can help you identify your feelings and potential relational patterns, build tolerance and acceptance around challenging ones, and set meaningful goals. In order to do so, I utilize various therapeutic approaches consisting of ACT, CBT, and Problem Solving Therapy and somatic interventions.
(415) 855-7073 View (415) 855-7073
Photo of Kevin Orzech, Psychologist in Berkeley, CA
Kevin Orzech
Psychologist, PsyD
Verified Verified
2 Endorsed
Berkeley, CA 94704
Using methods backed by psychological research, I assist people in addressing anxiety, panic, high stress, depression, substance use, emotional overwhelm, relationship distress, intimacy issues, performance fears, transitions and trauma.
Psychotherapy is about change. I work grounded in the belief that we have innate resources for thriving and ease that become concealed or underdeveloped. It is my role to help you understand your fundamental needs, history and challenges so you can realign with your strengths and wisdom; while uncovering whats blocking these resources. I work in a straightforward, compassionate and collaborative way to help you integrate thinking, feeling and intuition. The focus of my style is helping you become more confident and knowledgeable about yourself, your mind and relationships; while offering you the tools and guidance to do that.
Using methods backed by psychological research, I assist people in addressing anxiety, panic, high stress, depression, substance use, emotional overwhelm, relationship distress, intimacy issues, performance fears, transitions and trauma.
Psychotherapy is about change. I work grounded in the belief that we have innate resources for thriving and ease that become concealed or underdeveloped. It is my role to help you understand your fundamental needs, history and challenges so you can realign with your strengths and wisdom; while uncovering whats blocking these resources. I work in a straightforward, compassionate and collaborative way to help you integrate thinking, feeling and intuition. The focus of my style is helping you become more confident and knowledgeable about yourself, your mind and relationships; while offering you the tools and guidance to do that.
(510) 606-8993 View (510) 606-8993
Photo of Dr. Annette Holloway, Psychologist in Berkeley, CA
Dr. Annette Holloway
Psychologist
Verified Verified
2 Endorsed
Berkeley, CA 94705
My approach is warm, collaborative and thoughtful. I aim to help you make the changes you want in your life: better relationships, improved mood, new tools for stress management, increased coping skills, more ability to process past hurts, feeling less stuck, and reduced substance use. The foundation of therapeutic work is your sense of feeling safe, listened to, and cared about during sessions. I genuinely want to understand your experiences, and provide insights into how you interact with yourself, others and the world at large. I work with people of all colors, ethnicities, religions, gender and sexual orientations.
My approach is warm, collaborative and thoughtful. I aim to help you make the changes you want in your life: better relationships, improved mood, new tools for stress management, increased coping skills, more ability to process past hurts, feeling less stuck, and reduced substance use. The foundation of therapeutic work is your sense of feeling safe, listened to, and cared about during sessions. I genuinely want to understand your experiences, and provide insights into how you interact with yourself, others and the world at large. I work with people of all colors, ethnicities, religions, gender and sexual orientations.
(415) 996-1651 View (415) 996-1651
Photo of Jeremy Graves, Registered Psychological Associate in Berkeley, CA
Jeremy Graves
Registered Psychological Associate, MA
Verified Verified
Berkeley, CA 94709
I work with adults, teens, and couples navigating areas such as depression and anxiety, relationships, substance use, sexual behaviors, LGBTQ+ issues, personality and mood disturbances, and psychosis.
My style as a clinician is warm, caring, thoughtful, and engaged. I aim to help you make sense of your experience in a way that is both meaningful and healing, given your unique identities. Therapy takes courage, asking us to explore the parts of ourselves that make us feel afraid, ashamed, or unlovable. Gradually, we develop the capacity to be intimate with ourselves, and only then can we truly feel comfortable with others. We may discover an inner strength we never knew was possible.
I work with adults, teens, and couples navigating areas such as depression and anxiety, relationships, substance use, sexual behaviors, LGBTQ+ issues, personality and mood disturbances, and psychosis.
My style as a clinician is warm, caring, thoughtful, and engaged. I aim to help you make sense of your experience in a way that is both meaningful and healing, given your unique identities. Therapy takes courage, asking us to explore the parts of ourselves that make us feel afraid, ashamed, or unlovable. Gradually, we develop the capacity to be intimate with ourselves, and only then can we truly feel comfortable with others. We may discover an inner strength we never knew was possible.
(510) 617-5305 View (510) 617-5305
Photo of Jenifer McAtee, Marriage & Family Therapist in Berkeley, CA
Jenifer McAtee
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Berkeley, CA 94707  (Online Only)
Common themes that I address in my practice are anxiety, depression, relationship difficulties, low self-esteem, obsessive thoughts, PTSD/ trauma, LGBTQ+, gender & identity concerns, substance use & addiction, grief & loss, and anger, intimacy and sexuality. I take an integral approach to support my clients with exploring the connections that are not readily seen. I listen very deeply to what you want and encourage you to take steps to obtain that.
Common themes that I address in my practice are anxiety, depression, relationship difficulties, low self-esteem, obsessive thoughts, PTSD/ trauma, LGBTQ+, gender & identity concerns, substance use & addiction, grief & loss, and anger, intimacy and sexuality. I take an integral approach to support my clients with exploring the connections that are not readily seen. I listen very deeply to what you want and encourage you to take steps to obtain that.
(510) 737-7487 View (510) 737-7487
Photo of Gricelda Saldivar-Napoles, Clinical Social Work/Therapist in Berkeley, CA
Gricelda Saldivar-Napoles
Clinical Social Work/Therapist, LCSW
Verified Verified
Berkeley, CA 94703  (Online Only)
I specialized in mood challenges (depression, anxiety, fears, anger), post-traumatic stress/abuse, substance use dependence, defining life goals, and social issues.
In life, we all encounter challenges and stress. I am here to help create a warm and collaborative therapeutic environment to work together on goals. I offer a non-pathologizing and empowering understanding of human issues to make the changes you wish to manifest in life.
I specialized in mood challenges (depression, anxiety, fears, anger), post-traumatic stress/abuse, substance use dependence, defining life goals, and social issues.
In life, we all encounter challenges and stress. I am here to help create a warm and collaborative therapeutic environment to work together on goals. I offer a non-pathologizing and empowering understanding of human issues to make the changes you wish to manifest in life.
(510) 962-4130 View (510) 962-4130
Photo of Jason Hsu, Clinical Social Work/Therapist in Berkeley, CA
Jason Hsu
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Berkeley, CA 94720
My focus centers on treating anxiety, depression, bipolar disorder and substance use.
I'm Jason Hsu, an LCSW with a deep commitment to helping individuals navigate life's challenges. Having personally experienced the challenges and transformative power of therapy, I am driven to destigmatize conversations about mental health within Asian-American communities. My dedication to this work remains unwavering, and I look forward to accompanying you on your journey toward greater well-being and fulfillment. My therapeutic style is characterized by warmth, enthusiasm, and, when appropriate, humor. I maintain a client-led approach to goal setting, allowing objectives to shift and evolve as insights develop.
My focus centers on treating anxiety, depression, bipolar disorder and substance use.
I'm Jason Hsu, an LCSW with a deep commitment to helping individuals navigate life's challenges. Having personally experienced the challenges and transformative power of therapy, I am driven to destigmatize conversations about mental health within Asian-American communities. My dedication to this work remains unwavering, and I look forward to accompanying you on your journey toward greater well-being and fulfillment. My therapeutic style is characterized by warmth, enthusiasm, and, when appropriate, humor. I maintain a client-led approach to goal setting, allowing objectives to shift and evolve as insights develop.
(510) 694-4603 View (510) 694-4603
Photo of Kathy Brady, Clinical Social Work/Therapist in Berkeley, CA
Kathy Brady
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Berkeley, CA 94703
My specialties are Trauma, Anxiety, Depression, Substance Use and Parenting.
Life in the Bay Area is challenging and the additional stress associated with being LGBTQ+, a woman, pregnant, a parent or all of the above can push it over the edge. Sometimes, especially if you didn’t feel protected or cared for as a child or if something bad has happened to you, life can feel like you’re in over your head. Relationships feel out of control and painful, sleeping is hard and you can’t seem to take care of yourself the way you know you should. Emotions can feel like a roller coaster and daily responsibilities like work or kids are overwhelming. It is possible to feel better and good therapy can help.
My specialties are Trauma, Anxiety, Depression, Substance Use and Parenting.
Life in the Bay Area is challenging and the additional stress associated with being LGBTQ+, a woman, pregnant, a parent or all of the above can push it over the edge. Sometimes, especially if you didn’t feel protected or cared for as a child or if something bad has happened to you, life can feel like you’re in over your head. Relationships feel out of control and painful, sleeping is hard and you can’t seem to take care of yourself the way you know you should. Emotions can feel like a roller coaster and daily responsibilities like work or kids are overwhelming. It is possible to feel better and good therapy can help.
(628) 300-3570 View (628) 300-3570
Photo of Rosina Tania Roibal, Marriage & Family Therapist in Berkeley, CA
Rosina Tania Roibal
Marriage & Family Therapist, LMFT, MA, MM
Verified Verified
1 Endorsed
Berkeley, CA 94703  (Online Only)
Hello. What is keeping you from thriving and being the best version of yourself? For many, it might be trauma, ​people-pleasing, inner criticism, shame, addiction, substance use, lacking boundaries, worrying what others think about you, challenges in relationships, low self-esteem, worry of failure, stress, overwhelm, feeling powerless and alone. It can be hard to ask for help. But in doing so, you might experience relief. I offer individual, family, & couples therapy via video (for now). I recommend having consultations with multiple therapists to find the best fit. Contact me for a 20 minute consultation, free of charge.
Hello. What is keeping you from thriving and being the best version of yourself? For many, it might be trauma, ​people-pleasing, inner criticism, shame, addiction, substance use, lacking boundaries, worrying what others think about you, challenges in relationships, low self-esteem, worry of failure, stress, overwhelm, feeling powerless and alone. It can be hard to ask for help. But in doing so, you might experience relief. I offer individual, family, & couples therapy via video (for now). I recommend having consultations with multiple therapists to find the best fit. Contact me for a 20 minute consultation, free of charge.
(415) 996-1224 View (415) 996-1224
Photo of Scott Fischer, Marriage & Family Therapist in Berkeley, CA
Scott Fischer
Marriage & Family Therapist, MA, LMFT
Verified Verified
Berkeley, CA 94710
Though I work with everyone, and all are welcome, always, I specialize in working with adolescent teens and adult men. Emphasizing mindfulness, my work is particularly effective in dealing with patterns of substance use or other addictive tendencies, social anxiety, ADHD, and important life transitions. Rather than having my own agenda, I appreciate helping clients clarify and compassionately move toward their vision, find meaning through challenge, and gain deeper understanding of their own dilemmas. I also enjoy helping people learn to communicate authentically with their loved ones in ways that help change detrimental patterns.
Though I work with everyone, and all are welcome, always, I specialize in working with adolescent teens and adult men. Emphasizing mindfulness, my work is particularly effective in dealing with patterns of substance use or other addictive tendencies, social anxiety, ADHD, and important life transitions. Rather than having my own agenda, I appreciate helping clients clarify and compassionately move toward their vision, find meaning through challenge, and gain deeper understanding of their own dilemmas. I also enjoy helping people learn to communicate authentically with their loved ones in ways that help change detrimental patterns.
(919) 371-5930 View (919) 371-5930
Photo of Sean Garrett, Marriage & Family Therapist in Berkeley, CA
Sean Garrett
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Berkeley, CA 94705  (Online Only)
It takes courage to accept and seek help and set out on your recovery journey. My focus in our work will be on meeting you where you are at and in creating a safe, non-judgmental space where we can collaborate and explore what can be helpful in addressing your needs, wants, and barriers to getting them met.
It takes courage to accept and seek help and set out on your recovery journey. My focus in our work will be on meeting you where you are at and in creating a safe, non-judgmental space where we can collaborate and explore what can be helpful in addressing your needs, wants, and barriers to getting them met.
(341) 888-7174 View (341) 888-7174
Photo of Herman Sandhu, Psychologist in Berkeley, CA
Herman Sandhu
Psychologist, PsyD
Verified Verified
Berkeley, CA 94710
Many of the clients I work with have either lost or struggled to develop a sense of control in their lives and relationships– having fallen into destructive patterns of substance abuse/addiction and impulsive and/or self-harming behaviors. Others may be struggling with an excess of self-imposed control– leading to a sense of isolation and fear of taking healthy risks. Some are confronting a major life-transition, loss of identity, divorce, death of a loved one or faced with a pervading sense of meaninglessness. All are, in one way or another, seeking to increase their sense of personal agency and effectiveness in daily life.
Many of the clients I work with have either lost or struggled to develop a sense of control in their lives and relationships– having fallen into destructive patterns of substance abuse/addiction and impulsive and/or self-harming behaviors. Others may be struggling with an excess of self-imposed control– leading to a sense of isolation and fear of taking healthy risks. Some are confronting a major life-transition, loss of identity, divorce, death of a loved one or faced with a pervading sense of meaninglessness. All are, in one way or another, seeking to increase their sense of personal agency and effectiveness in daily life.
(510) 726-6247 View (510) 726-6247
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.