Harm Reduction Therapy

Harm reduction, or harm minimization, accepts that idea that many people can’t or won’t completely stop using drugs or alcohol. The term “harm reduction” refers to a framework for helping reduce the harmful consequences of use when abstinence is not a realistic option. Although harm reduction was originally and most frequently associated with substance use, it is increasingly being applied to a multitude of other behavioral disorders. A core tenet of harm reduction is a relaxation on the emphasis on abstinence as the only acceptable goal and criteria of success. Instead, smaller incremental changes in the direction of reduced harmfulness of drug use are encouraged and accepted. Think a therapist armed with harm reduction techniques might be right for you? Reach out to one of TherapyDen’s harm reduction experts today.

Need help finding the right therapist?
Find Your Match

Meet the specialists

 

My specialization in this approach reflects my commitment to providing compassionate and effective care for individuals seeking support in managing risky behaviors. I have undergone specialized training and supervision in Harm Reduction Therapy, encompassing both theoretical foundations and practical applications.

— Sharif Khan, Licensed Clinical Social Worker

At the core of harm reduction therapy is a respect for human rights. Working from a harm reduction approach means that I meet you where you are and on your own terms when it comes to substance use of any other behaviors deemed "harmful" by society. My question is, "what would you like your drug use or sexual behaviors to look like," and we can work from your answer to determine how you can be safe and comfortable.

— Liz Silverman, Licensed Clinical Social Worker in Brooklyn, NY
 

Harm reduction is a proactive and evidence-based approach that incorporates a spectrum of strategies that meet people “where they are” on their own terms and may serve as a pathway to reduce the negative personal and public health impacts of behavior associated with alcohol and other substance use at both the individual community level.-SAMSA. I have used this model for more than just substance use; because humans are complex, and attempt "escape" in many different ways.

— Holli Engelhart, Licensed Clinical Social Worker in Edina, MN

We have focused our careers on providing harm reduction therapy for people who want to change their relationship with substances. Our Founder and Clinical Director has written a workbook on harm reduction and regularly trains other professionals on the topic. We are passionate about working with clients from a compassionate approach to reduce the impact of shame and stigma.

— California Center for Change, Addictions Counselor in San Francisco, CA
 

I have worked with this approach within LGBTQ+ populations and with people struggling with addiction. I have also presented professionally on this topic.

— Margaret Keig, Licensed Marriage & Family Therapist in Maitland, FL

I have training in harm reduction that I have used both in clinical practice and community organizing.

— Willa Beckman, Psychotherapist in Philadelphia, PA
 

Harm reduction begins with the basic assumption that it is possible to have healthy relationships with the behaviors and substances you choose to engage with in your life. Harm reduction does not demand abstinence, but sometimes taking a break can help you get a new perspective. If you are concerned that you have an unhealthy relationship with a substance, habit, or even a person, let's take an honest look together to find ways to reduce harm and increase your sense of satisfaction in life.

— Lucius Wheeler, Licensed Professional Counselor in , OR

My approach to supporting clients with alcohol or drug challenges is inclusive of those who may not desire or be ready to completely stop using. Sobriety may be your goal, or you may simply aim to decrease your use or have a healthier relationship with substances. While moderation may not work for everyone, we can certainly work to reduce negative impacts in your life. I also support the use of medication management (such as to reduce cravings).

— Zena Caputo, Licensed Marriage & Family Therapist
 

Professor Bisher is an addiction specialist helping men quickly overcome compulsive sexual behavior (porn and sex addiction). He brings an empathic & empowering approach with a focus on achieving sustainable sobriety quickly.

— Blair Bisher, Addictions Counselor in Needham, MA

Harm-Reduction used to be a term that professionals were afraid to use, particularly when it comes to treating substance use disorders. Harm reduction is more than treating individuals with behavioral disorders with dignity and respect. It is also about reducing the harm to the community. This is done by providing strategies that aims to minimize the negative health, societal, and legal consequences associated with substance use.

— Brian McCann, Clinical Social Worker in Chicago, IL
 

Harm Reduction aims to decrease the negative consequences of a person's drug use without necessarily reducing the consumption of drugs. It honors an array of goals - not just abstinence. Although harm reduction is most commonly applied in a substance use context, it can be applied to any behavior that is concerning to you (self harm, isolation, overworking, etc). It can be helpful for reducing the downsides of that risky, exciting thing you do or that familiar coping mechanism you cherish.

— Aerin Riegelsberger, Associate Clinical Social Worker in Oakland, CA

Sometimes people are unable to stop a harmful habit or behavior (such as drug use, or spending habits) until other areas of their lives feel more manageable (like their work, or home lives). In these situations, while stopping the habit would be ideal, it may not be feasible. Instead I may work with you on reducing it's negative effects, while also treating the underlying cause.

— Halley Palmer, Licensed Clinical Social Worker in Buzzards Bay, MA
 

My career has been spent working towards reduced harm for all clients. That often requires out of the box and individualized thinking. Often, mental health treatment is given and it is required that a client fit into the modality to 'succeed'. Harm Reduction leads to more authentic and improved outcomes as it meets the person where they are at and builds upon small successes. It is an Empowerment-based practice utilizing one's own knowledge, skills and experience.

— Laurie Smith, Licensed Clinical Social Worker in Belleville, MI

Harm reduction can assist in helping clients who are ready to begin stages of change without completely eradicating undesired behaviors, such as self-harming, by replacing them with less harmful behaviors.

— Mariah Masell, Social Worker in Grand Rapids, MI
 

Non-Judgmental and Compassionate Approach: Recognizing that people engage in risky behaviors for various reasons, harm reduction offers support without shaming or stigmatizing individuals. Respect for Autonomy: Individuals are encouraged to make their own informed choices, with the goal of reducing harm, even if they continue the behavior.

— Kalvin Kapoor, Psychiatrist in Miami, FL