Addiction Therapists in Portland, OR
![Photo of Mary Kevin Holdeman, MA, LPC, CADCII, Licensed Professional Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/5c33cf18-fd75-48a1-ae68-479ae59fce6e/1/320x400.jpeg)
Mary Kevin Holdeman
Licensed Professional Counselor, MA, LPC, CADCII
Verified Verified
Portland, OR 97232 (Online Only)
Waitlist for new clients
After spending over a decade working at a world renowned substance use treatment center, I feel confident in helping you address addiction and compulsive behaviors as well as related challenges such as grief, unresolved trauma, anxiety, and depression.
I have found that I work best with people wanting to honor their positive assets while making changes that will support new goals. Those feeling stuck, ready to dive deep, willing to do work outside of our sessions to create change in their lives. While my approach is gentle and respectful, I am ready to help you face your concerns frankly and honestly. I consider our therapeutic relationship to be the most important factor in our work together.
After spending over a decade working at a world renowned substance use treatment center, I feel confident in helping you address addiction and compulsive behaviors as well as related challenges such as grief, unresolved trauma, anxiety, and depression.
I have found that I work best with people wanting to honor their positive assets while making changes that will support new goals. Those feeling stuck, ready to dive deep, willing to do work outside of our sessions to create change in their lives. While my approach is gentle and respectful, I am ready to help you face your concerns frankly and honestly. I consider our therapeutic relationship to be the most important factor in our work together.
![Photo of Debbie Bensching, LCSW, ACSW, MSWAC, LICSW, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/3c4a4164-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Debbie Bensching
Clinical Social Work/Therapist, LCSW, ACSW, MSWAC, LICSW
Verified Verified
1 Endorsed
Portland, OR 97205
I guide the process of working through problems to enhance performance in activities of daily living in work, relationships, recreation & professional settings. Problem areas include difficulties with anxiety, depression, self-esteem, anger, grief & loss, women's issues, habit disorders, addictions recovery: drugs, alcohol, food; ACOA, family members affected by addiction, trauma: post-traumatic stress, rape, abuse (physical, emotional, sexual), dissociative disorders, relationships: marriage / domestic partner, parent-child, divorce/ separation, parenting. Also work with difficulties with sleep, relaxation, or underperforming.
I guide the process of working through problems to enhance performance in activities of daily living in work, relationships, recreation & professional settings. Problem areas include difficulties with anxiety, depression, self-esteem, anger, grief & loss, women's issues, habit disorders, addictions recovery: drugs, alcohol, food; ACOA, family members affected by addiction, trauma: post-traumatic stress, rape, abuse (physical, emotional, sexual), dissociative disorders, relationships: marriage / domestic partner, parent-child, divorce/ separation, parenting. Also work with difficulties with sleep, relaxation, or underperforming.
![Photo of Karma L Brooks - Karma Brooks, LCSW, LCSW, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/a1ba342a-ff39-474b-a8b6-0a91e3073910/1/320x400.jpeg)
Karma Brooks, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97211 (Online Only)
Waitlist for new clients
I AM CURRENTLY FULL, however am taking referrals from clients and colleagues. TELETHERAPY ONLY (VIDEO SESSIONS) UNTIL FURTHER NOTICE. Karma is a Licensed Clinical Social Worker and earned her Master's of Social Work from Portland State University. She has been working in the field of mental health and addiction services for the last 20 years. She works with adults, couples and adolescents. Her specialties include anxiety, depression, postpartum depression, impulse control, communication and addiction.
I AM CURRENTLY FULL, however am taking referrals from clients and colleagues. TELETHERAPY ONLY (VIDEO SESSIONS) UNTIL FURTHER NOTICE. Karma is a Licensed Clinical Social Worker and earned her Master's of Social Work from Portland State University. She has been working in the field of mental health and addiction services for the last 20 years. She works with adults, couples and adolescents. Her specialties include anxiety, depression, postpartum depression, impulse control, communication and addiction.
![Photo of Ryan Leiderman, MA, LPC, Licensed Professional Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/d5013a64-2336-4c4a-84b4-6822653388a9/1/320x400.png)
Ryan Leiderman
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97214 (Online Only)
Now accepting new clients who seek greater peace, joy, and clarity in their lives. I have experience helping adults and adolescents dealing with struggles like anxiety, depression, substance misuse, existential concerns, and relationship problems. If you are new to counseling or returning to the path, I congratulate you on taking this step and welcome you to contact me for a free 15 minute consultation.
Now accepting new clients who seek greater peace, joy, and clarity in their lives. I have experience helping adults and adolescents dealing with struggles like anxiety, depression, substance misuse, existential concerns, and relationship problems. If you are new to counseling or returning to the path, I congratulate you on taking this step and welcome you to contact me for a free 15 minute consultation.
![Photo of Taralynn Rayburn - Sisu Healing Partners, MSW, CADCIII, QMHP, CIP, LICSWA, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/a39ae23b-6e07-4bcc-b6d1-85acd57e72f2/2/320x400.jpeg)
Sisu Healing Partners
Clinical Social Work/Therapist, MSW, CADCIII, QMHP, CIP, LICSWA
Verified Verified
2 Endorsed
Portland, OR 97209
At Sisu we strive to help you and your family overcome the obstacles you face as a result of addiction or other mental health disorders.
Sisu Healing Partners provides therapy, sober companions, family coaching, interventions and sober transports. We are a team of highly trained individuals who strive to help guide your loved one on their journey to recovery. We work along side clients to help them create an environment that is safe for recovery. We believe that through healing the family system we can better support the individual on their road to recovery. Our goal is to create a creative and outside the box approach to recovery from use, eating disorders and other mental health disorders.
At Sisu we strive to help you and your family overcome the obstacles you face as a result of addiction or other mental health disorders.
Sisu Healing Partners provides therapy, sober companions, family coaching, interventions and sober transports. We are a team of highly trained individuals who strive to help guide your loved one on their journey to recovery. We work along side clients to help them create an environment that is safe for recovery. We believe that through healing the family system we can better support the individual on their road to recovery. Our goal is to create a creative and outside the box approach to recovery from use, eating disorders and other mental health disorders.
![Photo of Joshua Conwell, MA, Pastoral Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/2bc77659-6621-44d0-8bb5-205713774b19/2/320x400.jpeg)
I enjoy working with those who struggle with pornography addiction, sexuality issues, anxiety, depression, OCD, spiritual OCD, and relationship issues.
Christian counseling engages your story without judgment, and helps change how you see yourself, others, God, and life experiences. This takes time. I would love to walk alongside you through your struggles and difficulties. My counseling experience ranges from residential treatment, church counseling ministry, and private practice.
I enjoy working with those who struggle with pornography addiction, sexuality issues, anxiety, depression, OCD, spiritual OCD, and relationship issues.
Christian counseling engages your story without judgment, and helps change how you see yourself, others, God, and life experiences. This takes time. I would love to walk alongside you through your struggles and difficulties. My counseling experience ranges from residential treatment, church counseling ministry, and private practice.
![Photo of Arin Wallington - Willamette Wellness Center, MA, LPC, NCC, Licensed Professional Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/7841a158-17a0-42ab-a925-2602600120c5/1/320x400.jpeg)
Willamette Wellness Center
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Portland, OR 97229 (Online Only)
WWC is a group of mental health clinicians living in, and serving the states of OR and WA. We have a wide range of specialties including eating disorders, substance abuse, LGBTQ+ and trans support, pregnancy/post partum work, anxiety/depression, Neurodivergency, PTSD/C-PTSD therapy, veteran/BIPOC/marginalized community support, pornography/sex addiction, sex therapy and many others. View our therapists and book today at www.wwcpdx.com
WWC is a group of mental health clinicians living in, and serving the states of OR and WA. We have a wide range of specialties including eating disorders, substance abuse, LGBTQ+ and trans support, pregnancy/post partum work, anxiety/depression, Neurodivergency, PTSD/C-PTSD therapy, veteran/BIPOC/marginalized community support, pornography/sex addiction, sex therapy and many others. View our therapists and book today at www.wwcpdx.com
![Photo of Andrea Siferd, LPCA, MA, Pre-Licensed Professional](https://cdn.statically.io/img/photos.psychologytoday.com/ec803e41-e55d-4c2e-9333-6da9a3ecfab2/1/320x400.jpeg)
Are you struggling with anxiety and depression that just doesn't seem to go away? Is a previous or current experience of substance abuse negatively impacting your life? Are there big lifestyle changes you are currently adjusting to, such as parenting stress or relationship issues? Is there a traumatic experience you've gone through that makes it hard to get up in the morning? If you resonate with these concerns or issues, Andrea will be a good fit for you. Her experience in these concerns, matched with her qualifications and empathic nature, can be a great fit for any client who is feeling stuck, struggling, and needing support.
Are you struggling with anxiety and depression that just doesn't seem to go away? Is a previous or current experience of substance abuse negatively impacting your life? Are there big lifestyle changes you are currently adjusting to, such as parenting stress or relationship issues? Is there a traumatic experience you've gone through that makes it hard to get up in the morning? If you resonate with these concerns or issues, Andrea will be a good fit for you. Her experience in these concerns, matched with her qualifications and empathic nature, can be a great fit for any client who is feeling stuck, struggling, and needing support.
![Photo of Sherrilynn Blanton, CSWA, MSW, CADCIII, QMHP](https://cdn.statically.io/img/photos.psychologytoday.com/43eb6e9b-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Sherrilynn Blanton
Clinical Social Work Associate, CSWA, MSW, CADCIII, QMHP
Verified Verified
Portland, OR 97211
I have worked with women, men and adolescents/teens with addiction issues.
As your therapist, I am here to listen, support and work collaboratively with you through your journey as you discover your strengths and develop a sense of hope and motivation to take action to improve your life situation, utilizing the resources within and around you. My experience, education and knowledge has afforded me the opportunity to work with you who have experienced trauma, depression, anxiety, domestic violence, family conflict, couples counseling, relationship issues, etc.. I will use various treatment models that will help you to reach your desired goals.
I have worked with women, men and adolescents/teens with addiction issues.
As your therapist, I am here to listen, support and work collaboratively with you through your journey as you discover your strengths and develop a sense of hope and motivation to take action to improve your life situation, utilizing the resources within and around you. My experience, education and knowledge has afforded me the opportunity to work with you who have experienced trauma, depression, anxiety, domestic violence, family conflict, couples counseling, relationship issues, etc.. I will use various treatment models that will help you to reach your desired goals.
![Photo of Natalie Day, LCSW, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/16196371-8cc7-4a1c-a5e9-c2ddb15fd305/1/320x400.jpeg)
I specialize in treating addiction, trauma, and clients identifying with BDSM and kink with experience in other areas.
Both early and later recovery present different challenges. While of the "heavy lifting" work happens in the beginning support is still needed while we discover who we are, who we want to be, and how we want to live the life that that we worked hard to save. Growth and self discovery can be wonderful while still coming with confusion, pain and uncertainty. We can be several different people over our lives and it is possible to integrate them all to feel actualized, fulfilled, and content.
I specialize in treating addiction, trauma, and clients identifying with BDSM and kink with experience in other areas.
Both early and later recovery present different challenges. While of the "heavy lifting" work happens in the beginning support is still needed while we discover who we are, who we want to be, and how we want to live the life that that we worked hard to save. Growth and self discovery can be wonderful while still coming with confusion, pain and uncertainty. We can be several different people over our lives and it is possible to integrate them all to feel actualized, fulfilled, and content.
![Photo of Jeffrey C. Peyton, LPC, NCC, CADC-II, Licensed Professional Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/49ab1da5-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jeffrey C. Peyton
Licensed Professional Counselor, LPC, NCC, CADC-II
Verified Verified
Portland, OR 97202
I am an experienced addictions counselor, and view substance use as only one aspect of an individual.
As an experienced adolescent therapist, I am passionate about helping teens and young adults figure out who they are, who they want to be, and the barriers keeping them from realizing these goals. I have assisted hundreds of adolescents through academic challenges, anxiety, depression, emotional dysregulation, substance use, ADHD, traumatic experiences, social anxiety and divorce. We work together to develop healthy ways to manage our emotional life, identify strengths which can support self-confidence and motivation, and learn to trust we are worthy of the love and connection we want in our relationships.
I am an experienced addictions counselor, and view substance use as only one aspect of an individual.
As an experienced adolescent therapist, I am passionate about helping teens and young adults figure out who they are, who they want to be, and the barriers keeping them from realizing these goals. I have assisted hundreds of adolescents through academic challenges, anxiety, depression, emotional dysregulation, substance use, ADHD, traumatic experiences, social anxiety and divorce. We work together to develop healthy ways to manage our emotional life, identify strengths which can support self-confidence and motivation, and learn to trust we are worthy of the love and connection we want in our relationships.
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![Photo of Jason Durtschi - Jason Durtschi, LCSW (Tree of Life Counseling), MSW, LCSW, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/4eaa8bda-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Jason Durtschi, LCSW (Tree of Life Counseling)
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97227
I work together with my clients toward more self-compassion, awareness, and understanding. These bring about lasting positive change. I treat a wide range of issues, including depression, anxiety, addictions, interpersonal issues (i.e. couples counseling), psycho-spiritual/religious conflicts and abuse, sexuality, and pragmatic life-coaching, to name a few. I have extensive experience working with the LGBT community, some "out," others not; some religious, others not. I use Cognitive-Behavioral therapy (CBT) when indicated, coupled with mindfulness techniques. I also explore with my clients deeper-seated issues, including exploring our "shadows" and the roots of addiction and shame. I serve adolescents and adults.
I work together with my clients toward more self-compassion, awareness, and understanding. These bring about lasting positive change. I treat a wide range of issues, including depression, anxiety, addictions, interpersonal issues (i.e. couples counseling), psycho-spiritual/religious conflicts and abuse, sexuality, and pragmatic life-coaching, to name a few. I have extensive experience working with the LGBT community, some "out," others not; some religious, others not. I use Cognitive-Behavioral therapy (CBT) when indicated, coupled with mindfulness techniques. I also explore with my clients deeper-seated issues, including exploring our "shadows" and the roots of addiction and shame. I serve adolescents and adults.
![Photo of Larry Venaska, LCSW, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/3c0fa8c7-46cd-11ea-a6ad-06142c356176/6/320x400.jpeg)
I have extensive experience treating addictions including process addictions (sex addiction, gambling, co-dependency, emotional eating) and substance abuse and specialize in family issues and conflict resolution.
Are you feeling stuck, overwhelmed or hopeless? Can't get your needs met to your satisfaction? Do you find one or more areas of your life to be unfullfilling such as romantic relationship, work, parenting, extended family? Do you have legal or financial struggles or relationship conflicts that affect your mood significantly? I draw on a variety of therapeutic approaches, experience in working with past clients and personal experience to collaborate with you in creating the best healing environment specific for you.
I have extensive experience treating addictions including process addictions (sex addiction, gambling, co-dependency, emotional eating) and substance abuse and specialize in family issues and conflict resolution.
Are you feeling stuck, overwhelmed or hopeless? Can't get your needs met to your satisfaction? Do you find one or more areas of your life to be unfullfilling such as romantic relationship, work, parenting, extended family? Do you have legal or financial struggles or relationship conflicts that affect your mood significantly? I draw on a variety of therapeutic approaches, experience in working with past clients and personal experience to collaborate with you in creating the best healing environment specific for you.
![Photo of Katherine Lindsay, CSWA, CADCI](https://cdn.statically.io/img/photos.psychologytoday.com/787992af-8bf3-484d-8467-46d1672c82b4/2/320x400.jpeg)
Katherine Lindsay
Clinical Social Worker Associate, CSWA, CADCI
Verified Verified
1 Endorsed
Portland, OR 97223
In both my work and personal life, I firmly believe in the benefits of therapy and the ability to integrate our challenges into our lives to create new and healthy dynamics. I am warm, creative, affirming, and direct as a therapist. I believe personal growth is a collaborative endeavor that requires caring, free from judgment. I work with teenagers and young adults (ages 15 - 26) challenged with co-occuring mental health and substance use disorders.
In both my work and personal life, I firmly believe in the benefits of therapy and the ability to integrate our challenges into our lives to create new and healthy dynamics. I am warm, creative, affirming, and direct as a therapist. I believe personal growth is a collaborative endeavor that requires caring, free from judgment. I work with teenagers and young adults (ages 15 - 26) challenged with co-occuring mental health and substance use disorders.
![Photo of Stephanie Podasca, LPC, LMHC, Licensed Professional Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/9b06d0cd-1005-4bc5-ad23-295c98ed130d/2/320x400.jpeg)
Stephanie Podasca
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Portland, OR 97217 (Online Only)
I am here to help you overcome difficult experiences, connect to your authentic self, and find freedom so that you can build the life you truly want. I work with adults who are struggling with trauma-related emotional, relational, and behavioral issues such as anxiety, addiction, and relationship issues. The clients who have the best outcomes with me are open to exploring their difficult emotional patterns, behaviors, and relationships and are willing to try new things in and outside of our sessions. My ideal client wants to connect with a real person, reconnect to their mind and body and ultimately expand their coping tool kit!
I am here to help you overcome difficult experiences, connect to your authentic self, and find freedom so that you can build the life you truly want. I work with adults who are struggling with trauma-related emotional, relational, and behavioral issues such as anxiety, addiction, and relationship issues. The clients who have the best outcomes with me are open to exploring their difficult emotional patterns, behaviors, and relationships and are willing to try new things in and outside of our sessions. My ideal client wants to connect with a real person, reconnect to their mind and body and ultimately expand their coping tool kit!
![Photo of Matt Matteini, MPH, LCSW, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/08de8229-f50a-4edc-b2b7-9d22079581bd/2/320x400.jpeg)
Matt Matteini
Clinical Social Work/Therapist, MPH, LCSW
Verified Verified
2 Endorsed
Portland, OR 97215
I work with clients seeking meaningful change. To recover authenticity, connection, and purpose back into life's experience. We work together to manage the impact of past events. More importantly, we find ways to transcend them in the present, building on strengths to find life balance. Since working with my first client, my clinical approach has evolved to focus on the mind-body connection. Today I often work with trauma, addiction, and life transitions. I am in recovery myself and deeply appreciate meaning making with clients. Your recovery should be a highly individualized experience. Please visit my website for details!
I work with clients seeking meaningful change. To recover authenticity, connection, and purpose back into life's experience. We work together to manage the impact of past events. More importantly, we find ways to transcend them in the present, building on strengths to find life balance. Since working with my first client, my clinical approach has evolved to focus on the mind-body connection. Today I often work with trauma, addiction, and life transitions. I am in recovery myself and deeply appreciate meaning making with clients. Your recovery should be a highly individualized experience. Please visit my website for details!
![Photo of Anna Lisa Couturier, LCSW, CADCI, Clinical Social Work/Therapist](https://cdn.statically.io/img/photos.psychologytoday.com/3c23690c-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Anna Lisa Couturier
Clinical Social Work/Therapist, LCSW, CADCI
Verified Verified
2 Endorsed
Portland, OR 97232
Waitlist for new clients
I am certified to treat substance abuse as well as mental health issues.
My approach to counseling is centered on building a relationship with youth and families, adults, and couples that is based on dignity and mutual respect. I attempt to create an atmosphere of cooperation and equality in counseling, based on the belief that clients are the experts on their own lives and experiences, and that this expertise can be utilized in the process of making change. I believe compassion and authenticity are essential to forging a strong therapeutic relationship.
I am certified to treat substance abuse as well as mental health issues.
My approach to counseling is centered on building a relationship with youth and families, adults, and couples that is based on dignity and mutual respect. I attempt to create an atmosphere of cooperation and equality in counseling, based on the belief that clients are the experts on their own lives and experiences, and that this expertise can be utilized in the process of making change. I believe compassion and authenticity are essential to forging a strong therapeutic relationship.
![Photo of Jenene Belshe, BS, CADCII, QMHA, Drug & Alcohol Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/5139eae2-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jenene Belshe
Drug & Alcohol Counselor, BS, CADCII, QMHA
Verified Verified
Portland, OR 97209 (Online Only)
I am an expert in the field of drug and alcohol addiction. I offer you support and guidance while you navigate your journey to recovery. I create a supportive environment and give you the tools you need to rebuild your life, rediscover yourself, and transform your world.
I am an expert in the field of drug and alcohol addiction. I offer you support and guidance while you navigate your journey to recovery. I create a supportive environment and give you the tools you need to rebuild your life, rediscover yourself, and transform your world.
![Photo of Michael J Irvine, PsyD, Psychologist](https://cdn.statically.io/img/photos.psychologytoday.com/bc58a9cb-b09f-4451-8cea-1cecff9ea4de/2/320x400.jpeg)
I have had extensive experience working individuals as young as 16 around substance abuse and can support them and their loved ones as they begin examining this part of their lives.
I have experience working with individuals who have depression, anxiety, experienced trauma and/or currently struggling to cope with a range of symptoms that might include PTSD, shame, relationship stress, self-esteem, and addiction. I operate from contextual behaviorist approach as well as utilize Eye Movement Desensitization and Reprocessing (EMDR) with my clients. I am also well versed in the 12-step recovery and have found that incredibly important in my work with individuals and family members affected by the disease of addiction.
I have had extensive experience working individuals as young as 16 around substance abuse and can support them and their loved ones as they begin examining this part of their lives.
I have experience working with individuals who have depression, anxiety, experienced trauma and/or currently struggling to cope with a range of symptoms that might include PTSD, shame, relationship stress, self-esteem, and addiction. I operate from contextual behaviorist approach as well as utilize Eye Movement Desensitization and Reprocessing (EMDR) with my clients. I am also well versed in the 12-step recovery and have found that incredibly important in my work with individuals and family members affected by the disease of addiction.
![Photo of Steph Powers - Ivy Holistic Wellness, PLLC, MSc, LCDC, CADC II, Drug & Alcohol Counselor](https://cdn.statically.io/img/photos.psychologytoday.com/6d3a8df0-eed3-4231-86e5-f3c7b101dda8/3/320x400.jpeg)
Ivy Holistic Wellness, PLLC
Drug & Alcohol Counselor, MSc, LCDC, CADC II
Verified Verified
Portland, OR 97214 (Online Only)
I specialize in working with individuals who have struggled with substance use and/or has been diagnosed with a substance use disorder, and in need of continued care (step down from treatment).
Intended for those in active recovery, seeking continued care. Ideal for post-treatment as a step-down service. Our goal is to empower individuals to live a more conscious/balanced lifestyle by ensuring that clients have the tools to incorporate a holistic approach to wellness and sobriety.
I specialize in working with individuals who have struggled with substance use and/or has been diagnosed with a substance use disorder, and in need of continued care (step down from treatment).
Intended for those in active recovery, seeking continued care. Ideal for post-treatment as a step-down service. Our goal is to empower individuals to live a more conscious/balanced lifestyle by ensuring that clients have the tools to incorporate a holistic approach to wellness and sobriety.
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Addiction Therapists
What is the best therapy for addiction?
Addiction treatment will be tailored to the individual. People seeking help for addiction—whether with a psychotherapist, in an outpatient clinic, or in a residential program—should expect to engage in multiple types of treatments, sometimes including medication. For anyone recovering from addiction, avoiding situations in which one has typically used a substance is essential, as is the support of close connections. Since substance use disorders tend to co-occur with underlying mental health conditions such as anxiety or depression, those must also be addressed as part of any recovery plan.
How long does therapy for addiction take?
There is no set timeline for recovery from addiction. Patients and their families should expect the work to last several months, if not longer. Residential treatment programs may be based on a stay of 30, 60, or 90 days, with continuing work after release, but only about 1 percent of people are treated in such facilities. Ceasing use is just the first step; therapy to help maintain abstinence and effect behavior change must follow. The process of recovery, neuroscience has shown, involves brain cells recovering the capacity to respond to natural sources of reward and restore control over the impulse to use. Another definition of recovery is restoring voluntary control over one’s substance use and retaking all of one’s previous responsibilities.
How effective is drug addiction treatment?
Substance use disorders are treatable and remission is achievable for many who seek recovery; by some estimates, more than three-quarters of people who become addicted to alcohol or drugs recover. But that success rarely occurs quickly or on a set timeline; relapse is not only common, but many therapists and clinicians view it as a normal part of the process—not always a sign that a person has returned to addiction, but a signal that their treatment should be adjusted to help them regain control. Overall, research suggests, five years after the end of substance use, one’s risk of relapse is no greater than that of others who had not faced addiction. Other experts believe that complete abstinence is not the only measure of recovery, and that, through effective treatment, many people can learn to control their use.
How can you get addiction treatment for someone?
The most important factor in recovery from addiction is widely understood to be an individual’s commitment to change. For that reason,“interventions” in which friends and family gather to urge or force someone to begin immediate treatment often backfire; even when such efforts do lead someone to begin treatment, they may be less likely to stay than those who are self-driven. Still, family members can play an important role in supporting an individual who seeks help and can take part in family therapy as one element of a loved one’s treatment.