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    Substance abuse counseling

    Substance abuse counseling addresses complex medical conditions affecting the brain, including misuse of alcohol, prescription drugs, and illegal substances. Effective treatment recognizes substance abuse as a multifaceted health challenge requiring comprehensive support.

    Substance abuse extends beyond alcohol to other substances.

    Counseling addresses substance misuse as a health challenge.

    Local services aid individuals in achieving recovery goals.

    Substance abuse counseling is a crucial resource for individuals struggling with substance use disorders, which are increasingly recognized as complex medical conditions that affect the brain. According to Johns Hopkins, substance abuse disorders extend beyond the common association with alcohol, encompassing a wide range of issues related to the misuse of both legal substances, such as prescription medications and illegal drugs. Understanding that substance abuse is not merely a behavioral issue but a multifaceted health challenge is essential for effective treatment and recovery. As communities seek to provide support and resources, finding local counseling services becomes an important step for those seeking help in overcoming these challenges.

    What is substance abuse?

    Substance abuse refers to the harmful or hazardous use of psychoactive substances, including alcohol and illicit drugs, which can lead to significant impairment and distress. It often manifests as a pattern of consumption that results in negative consequences for the individual’s health, relationships, and daily functioning.

    According to the National Institute on Drug Abuse, the most commonly abused substances include alcohol, which is widely used and can lead to addiction and various health issues. Additionally, marijuana, which is often used recreationally, can impair cognitive function and motivation. Prescription drugs, such as opioids and benzodiazepines, which can lead to dependence when misused, are another commonly abused substance.

    Over-the-counter (OTC) drugs, like cough syrups containing dextromethorphan, which can be abused for their psychoactive effects — and cigarettes or tobacco products (known for their addictive qualities and serious health risks, including cancer and respiratory diseases) are other commonly abused substances.

    When to seek help for addiction

    When to seek help for addiction

    Recognizing when to seek help for addiction is a critical step toward recovery and improved well-being. Many individuals may struggle with acknowledging their substance use as problematic, but certain signs can indicate the need for professional counseling and treatment. Some key indicators that suggest it may be time to seek help include:

    • Increased Tolerance

      Individuals may find that they need to consume larger amounts of a substance to achieve the same effects, indicating a developing dependence that can lead to further health complications.
    • Risky Behaviors

      Engaging in dangerous activities while under the influence, such as driving or operating machinery, can be a clear sign of impaired judgment and a growing problem with substance use.
    • Legal Issues

      Experiencing legal troubles, such as arrests for DUI or possession, often signals a serious substance abuse issue that requires intervention and support.
    • Financial Problems

      Struggling to manage finances due to spending excessive amounts on substances or neglecting responsibilities can indicate a reliance on substances that impact daily life.
    • Neglecting Responsibilities

      A noticeable decline in performance at work, school, or home, as well as withdrawal from social and family obligations, can suggest that substance use is taking priority over essential aspects of life.

    5 therapies used for substance use disorders

    When it comes to treating substance use disorders, a variety of therapeutic approaches are available, each designed to address the unique needs of individuals struggling with addiction. These therapies aim to not only alleviate the symptoms of substance use but also to promote long-term recovery and prevent relapse. Here are some of the most common treatments used for substance use disorders, according to Johns Hopkins:

    Cognitive Behavioral Therapy (CBT)

    CBT is a widely used therapeutic approach that helps individuals identify and change negative thought patterns and behaviors associated with substance use. By teaching coping strategies and problem-solving skills, CBT empowers individuals to manage cravings and triggers effectively.


    Example: Learning to challenge triggers and manage cravings using coping strategies.

    Medication

    Certain medications can be prescribed to help manage withdrawal symptoms, reduce cravings, or treat co-occurring mental health conditions. Medications such as methadone, buprenorphine, and naltrexone are commonly used in the treatment of opioid addiction, while disulfiram and acamprosate are options for alcohol dependence.


    Example: Taking naltrexone to reduce alcohol cravings and prevent relapse.

    Dialectical Behavior Therapy (DBT)

    Originally developed for treating borderline personality disorder, DBT has been adapted for substance use disorders. It focuses on teaching individuals skills in mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness, helping them manage the emotional challenges often associated with addiction.


    Example: Practicing mindfulness to tolerate distress and regulate intense emotions.

    Support Groups

    Peer support groups, such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), provide a community of individuals who share similar experiences. These groups offer encouragement, accountability, and a platform for sharing personal stories, which can be instrumental in the recovery process.


    Example: Sharing personal challenges and recovery milestones in a supportive group.

    Rehabilitation Programs

    Inpatient or outpatient rehabilitation programs provide structured environments for individuals to receive intensive treatment and support. These programs often incorporate a combination of therapies, counseling, and education to help individuals develop the skills necessary for sustained recovery.


    Example: Attending structured therapy sessions while developing skills for lasting recovery.

    Finding substance abuse counseling near you

    Finding therapy services for substance use disorders can be a straightforward process, especially with the variety of options available today. Individuals can start by seeking local therapists who specialize in addiction treatment, often found through community health centers, urgent care clinics, private practices, or referrals from healthcare providers. Many therapists offer personalized approaches tailored to individual needs, making it essential to find a professional with whom one feels comfortable.

    Additionally, online counseling options have become increasingly popular, providing convenient access to licensed therapists via video calls, phone sessions, or messaging platforms, which can be particularly beneficial for those with mobility issues or those living in remote areas. Furthermore, there are specialized therapy centers dedicated to treating various types of addictions, offering comprehensive programs that may include detoxification, counseling, and support groups.

    How to choose the right substance abuse counselor

    Selecting a therapist experienced in substance abuse treatment is crucial for recovery. Here are some tips:

    • Look for expertise in evidence-based therapies like CBT, DBT, or trauma-focused approaches.
    • Seek a professional who addresses co-occurring mental health disorders alongside substance abuse.
    • Prioritize therapists who emphasize a compassionate, nonjudgmental approach.
    • Ensure they offer a tailored treatment plan, possibly incorporating medication or support groups.
    • Consider options like online therapy or rehabilitation programs for added flexibility.

    A knowledgeable therapist can guide individuals through recovery, fostering lasting change and improved well-being.

    How to choose the right substance abuse counselor

    FAQs

    • What causes substance use disorder?

      Substance use disorder is a complex condition influenced by a combination of genetic, environmental, and psychological factors. Genetic predisposition can make certain individuals more vulnerable to addiction, while environmental factors, such as exposure to drug use in the family or community, can also play a significant role. Additionally, mental health conditions, such as depression or anxiety, can lead individuals to use substances as a form of self-medication, further contributing to the development of a disorder.

    • Who can do a substance abuse evaluation?

      A substance abuse evaluation can be conducted by qualified professionals, including licensed therapists, psychologists, psychiatrists, and addiction counselors. These professionals typically have specialized training in assessing substance use disorders and can provide a comprehensive evaluation that includes interviews, questionnaires, and, if necessary, physical examinations to determine the severity of the issue and recommend appropriate treatment options.

    • What is the most effective therapy for substance abuse?

      There is no one-size-fits-all answer to the most effective therapy for substance abuse, as treatment effectiveness can vary based on individual needs and circumstances. However, evidence-based therapies such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) have shown significant success in helping individuals manage their addiction. Additionally, a combination of therapy, medication, and support groups often yields the best outcomes, as it addresses both the psychological and physiological aspects of addiction.

    • Can substance abuse counseling address co-occurring mental health disorders?

      Yes, many substance abuse counselors specialize in treating co-occurring disorders, integrating therapy for both addiction and mental health conditions like anxiety or depression.

    • What is the difference between inpatient and outpatient rehabilitation programs?

      Inpatient programs offer 24/7 care in a structured environment, while outpatient programs provide treatment while allowing individuals to maintain daily responsibilities.

    • Are online therapy options effective for substance use disorders?

      Online therapy offers accessible, flexible support and has proven effective for many individuals, particularly those in remote areas or with scheduling challenges.

    Dr. Rob Rohatsch, MD, is a Board-Certified Emergency Medicine physician and urgent care executive. He earned his MD from Jefferson Medical College, currently serves on multiple boards and is Solv’s Chief Medical Officer.

    How we reviewed this article

    Medically reviewed

    View this article’s sources and history, and read more about Solv’s Content Mission Statement, editorial process, and editorial team.

    Sources

    5 sources

    Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

    5 sources

    Solv has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references.

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    Hamutyinei Mamutse, PMHNP (he/him)

    Specialties

    Depression

    Anxiety

    Bipolar Disorder

    ADHD

    Anger Management

    Dissociative Disorders

    Insomnia/Sleep Issues

    Medication Management

    Mood Disorders

    Obsessive-Compulsive (OCD)

    Personality Disorders

    Trauma and PTSD

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    My name is Harmony Mamutse. I am a Psychiatric Mental Health Nurse Practitioner-Board Certified (PMHNP-BC). I obtained my master’s degree in Psychiatric Mental Health Nurse Practice from Indiana Wesleyan University, Marion, Indiana. The role of Psychiatric Mental Health Practitioner is to assess, diagnose and treat the mental health needs of those suffering from mental health diseases. My training allows me to approach behavioral health problems in a comprehensive way, with the understanding that one has a story to tell about what he/she been through in life. I believe in building trusting relationships with my clients, empowering them to take an active role in their mental health journey I am licensed in Ohio to prescribe psychiatric medication across the lifespan. I currently treat clients 18 and above age group. I also offer individual psychotherapy.

    Queendroline Nkeh, PMHNP (she/her)

    Specialties

    ADHD

    Anxiety

    Bipolar Disorder

    Coping Skills

    Depression

    Grief

    Insomnia/Sleep Issues

    LGBTQ

    Men's Issues

    Mood Disorders

    Racism

    Self Esteem

    Women's Issues

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    13-17

    18-64

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    Queendroline Nkeh (MSN, APRN, PMHNP-BC) has over 12 years of experience in healthcare. Patients who have worked with her like that she's relatable, easy to talk to, and is sincere. Most importantly, she encourages Integrative Psychiatric Medicine for all patients with what they are comfortable in utilizing. Incorporating vitamins and nutrition coaching, alongside medications and herbal supplements are strongly encouraged.

    Bethany Kelley, LCSW (she/her)

    Specialties

    Addiction

    LGBTQ

    Racism

    Anger Management

    Anxiety

    Coping Skills

    Depression

    Domestic Violence

    Family Conflict

    Grief

    Life Transitions

    Older Adults

    Parenting

    Serves ages

    18-64

    65+

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    OH

    CA

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    UT

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    Greetings to You! I am Bethany and am thankful you have made the decision to live your most phenomenal life! Do you feel utterly lost, stuck or even misunderstood? Do you feel like you know what to do but don't have the will-power or tools to execute it? I help marginalized individuals identify how to show up as their most authentic selves and get the life they deserve. Together, we can identify what's not working and get you back to balance. We'll use a whole self approach, addressing the needs of your mind, body and spirit. I also integrate mindfulness, yoga and art to help you develop a stronger relationship with yourself. Whether you're dealing with relationship issues, racism, transphobia or addiction, I'm here to help and comfort. Seeking therapy can feel unnerving but you're making the right choice. You deserve a safe space to heal, grow, try on new perspectivesand just BE. In our sessions together, I'll meet you with compassion and evidence-based techniques so you can overcome the hangups and habits holding you back. Let's work together and get you to the next level of your healing journey!

    Richard Newsom, LISW (he/him)

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    Child or Adolescent

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    Crisis Intervention

    Grief

    Parenting

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    I have been married to my wonderful wife for over 21 years now. We have five children of various ages from 6 to 20 years. My wife and I have been foster care parents with over 30 children in and out of our home. I have worked as a social worker in many fields. Some are in Mental illnesses, addictions, Home health care social worker, case worker, therapist for all ages.

    Anthonia Nzika, PMHNP (she/her)

    Specialties

    Anxiety

    Bipolar Disorder

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    ADHD

    Anger Management

    Coping Skills

    Crisis Intervention

    Dissociative Disorders

    Eating Disorders

    Family Conflict

    Mood Disorders

    Obsessive-Compulsive (OCD)

    Peer Relationships

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    18-64

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    At Empowerment Health Solutions, we are dedicated to providing advanced health equity that improves access to care for those who need it. We specialize in working with clients with high clinical acuity and recent hospitalization. We provide Psychiatric evaluations, Medication management, and Talk therapy for Children, Adolescents, and adults and their families, in person and or via Telehealth. Our goal is to empower children and adults through a quick recovery from depression, anxiety, ADHD, bipolar disorder, schizophrenia, OCD, ODD, CD, SAD, and more. We also work with a dedicated theme of specialists that provides a wide range of psychotherapy and Holistic Care.

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