Is the goal always complete abstinence?

Not necessarily. The goal is set collaboratively based on the clinical picture, motivation, and safety. For some clients abstinence is the clinically indicated goal. For others, reduced use or harm reduction is the appropriate starting point.

What if trauma, anxiety, or depression is also part of the picture?

That is typically expected, not an exception. The integrated approach means substance use and the underlying contributing factors are addressed in the same treatment relationship rather than handed off to separate providers.

LMFT CA LMFT #144514LMFT NY 002689LAADC LR10280523

Substance abuse counselor California New York

Substance Abuse Counseling

An integrated approach to addiction recovery

Therapy for substance abuse disorders is approached from an integrated perspective. We work with the addiction itself: the patterns of use, the cravings, the high-risk situations. We also work with what is underneath: trauma, depression, anxiety, relationships. The two are not separate.

For most clients, sustained recovery comes from addressing both at the same time rather than treating substance use first and 'the underlying issues' as a follow-up.

Two people holding hands, representing support and connection in substance abuse recovery

How substance use is approached here

01With a holistic approach and a focus on evidence-based practices, we'll work together to develop strategies for working with cravings, building healthy coping mechanisms, and tools for relapse prevention.

02We'll explore and identify the underlying and contributing factors to substance abuse and work together to address them.

Evidence-based models

01My approach is rooted in evidence-based models, including Motivational Interviewing, Stages of Change model, and Psychoeducation. Understanding the issue is the first step to change.

Comprehensive substance use assessment

01I conduct comprehensive assessments on substance use to help individuals examine and identify the nature and severity of their substance use to make an informed decision regarding their treatment options.

02During the assessment process, I will gather information about your substance use history, patterns of use, and any related symptoms or behaviors. We will also explore the underlying factors that may be contributing to your substance use, such as trauma, unresolved emotional pain, or co-occurring mental health.

Outpatient work and referrals

01If appropriate for outpatient therapy, we will work together to help you achieve your goals surrounding substance use. If a higher level of intervention is clinically indicated, I will provide recommendations and referrals for treatment options, including residential or intensive outpatient treatment.

02My goal is to empower you to make informed decisions about your recovery journey and take the first steps towards a healthier, happier life.

Insurance and self-pay

California

Aetna, United Healthcare, Oxford (Optum), Quest Behavioral Health, Carelon Behavioral Health, BCBS of Massachusetts.

New York

Highmark BCBS of Western NY, Highmark Blue Shield of Northeastern NY, Oxford, Aetna, United Healthcare, Carelon, BCBS of Mass, Horizon BCBS of NJ.

Private pay rate: 170 dollars per individual session, 190 dollars per couples session. Sliding scale available for qualifying clients.

Consider a first session

The assessment is where the clinical picture and the right level of care get identified together.

Page-level FAQ

Questions before you begin

No. Active use does not automatically disqualify a person from this work. The assessment includes review of whether outpatient therapy is the right level of care given the severity of use and any safety concerns. If a higher level of care is indicated, a referral is offered.