Drug Dependence / Abuse / Addiction

Drug addiction, dependence or abuse, sometimes called substance use disorder, is a disease. It affects an individual's brain and behavior, making it so they are unable to control their use of the drug in question. Symptoms of drug dependence include needing more of the drug to get the same effect over time, intense urges for the drug to the point of not being able to concentrate on anything else, spending money that you can't afford on the drug, not fulfilling obligations (work, familial or social) because of drug use, and/or failing in attempts to stop or reduce use of the drug. If you are worried that a loved one may be struggling with drug abuse, some possible indicators include a drop in school or work performance or attendance, a lack of interest in their appearance, increased secretiveness, and/or sudden requests for money. A qualified professional therapist will be able to identify and diagnose drug issues, provide harm reduction support, work with you to create a treatment plan and help you stick to it. Reach out to one of TherapyDen’s drug dependence, abuse and addiction specialists for help today.

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Meet the specialists

I have a second license and extensive training/experience working with people who would like to challenge their patterns of alcohol and drug use. This includes trainings regarding co-occurring disorders (mental health and addiction), the impact of substance use on the brain, relapse prevention, and motivating change. I am passionate about challenging the shame created through the cultural stereotype of addiction and walking with clients as they chose what changes in their use are best.

— Brandi Solanki, Counselor in Waco, TX

I help women concerned about their relationship with alcohol and other substances find meaning and joy in life again. My clients leave therapy better understanding the root cause of their use and with healthier ways of coping with difficult emotions and experiences. They discover it is possible to release their shame, reconnect with themselves, and lead their lives with more confidence and ease. I have worked with substance use disorders for the last five years and now recovery is possible.

— Maggie Malone, Clinical Social Worker in Marietta, GA

Alcohol and drug addiction is a disorder that not only affects the person using the substance, but also their family and friends who love them. And despite it finally being brought to light by the media in recent years, it still carries a stigma that impedes the patient from seeking treatment. I knew I wanted to specialize in addiction 26 years ago and still feel as passionate and dedicated today.

— Dawn Ginestra, Licensed Professional Counselor in Austin, TX

I help professionals and students to understand and replace their addictive behaviors so that they can regain control of their lives, health, and happiness. Have you been struggling with out-of-control addictive behaviors? Is the additive behavior hurting your work, relationship, and life? Do you feel trapped, isolated, and scared? Losing control over addiction is scary, and I am here to help. Whether your goal is moderation or abstinence, I am ready to support you and meet you where you are.

— Jeanette Hu, Associate Marriage & Family Therapist in San Francisco, CA

I use Brainspotting with The Crocodile Set-Up for Addiction Relapse Cessation, developed by Dr. Roby Ables to treat behaviors clients previously felt they had little to no control over, including addictions, leaving toxic relationships, self-harm, Obsessive Compulsive Disorders (OCD), Tourette's symptoms, as well as food compulsions, eating disorders, and other behaviors which happen in a dissociative state. Often these patterns occurs in combination with each other treated together.

— Rebecca Spear, Associate Marriage & Family Therapist in Pasadena, CA

Addiction is my primary specialization. I approach treatment from a biopsychosocial model - that there are likely biological factors (like physical dependence), psychological factors (like poor coping habits and other mental health concerns), and social factors (either isolation or being surrounded by others who are also using substances) that hold the addictive behavior in place. We'll work together to unravel all these factors and help move you forward.

— Dr. Aaron Weiner, Clinical Psychologist in Lake Forest, IL

I specialize in addictions through my master's program at Lewis & Clark. We’ll look at what your goals are concerning substances or behaviors and help you understand the barriers in achieving them.

— Jules Allison, Professional Counselor Associate in Portland, OR

I have years of experience working with clients who are moving through their recovery journey with drugs and/or alcohol. I support a harm-reduction approach. My office is non-judgmental and confidential. I am here to help you reach your own sobriety goals. Client who may have mental health concerns along with substance use concerns are welcome in my office.

— Jessica Butler, Licensed Clinical Mental Health Counselor Associate in Denver, CO

I have worked in inpatient and outpatient substance use treatment centers throughout my career as a therapist.

— Crystal Nesfield, Counselor in Phoenix, AZ

By assessing your patterns, together we can establish the difference between dependence, abuse, and addiction. In therapy, the client is the expert, and can show this therapist how you have discovered way to organize your life around substances and "function". As your therapist, I will use measurement tools, handouts, and listen to your narrative that has been created by 'coping strategies" as a way to create new strategies on the road towards healing.

— Barbara Morales-Rossi, Licensed Marriage & Family Therapist in Monterey, CA

With over 30 years of addiction work, I help clients learn the researched-based approaches to treatment that actually works, and shed light on the myths that plague those suffering with addiction that result in chronic relapses.

— Dotti Howe, Licensed Clinical Mental Health Counselor in WALTON, NY

I have been practing as a Substance Abuse Counselor since 2014. I am trained to treat individuals with co-occuring disorders. I understand the importance of meeting people where they are in the stages of change:precontemplation,contemplation,preparation,action,maintenance. I have been highly trained and experience in Integrated care, Screening,Brief Interventionh,and Referral to Treatment (SBIRT), Medication Assisted Treatment(MAT),IOP, SAIOP. I utilize the Matrix Model. It is researched based.

— Tawanda Bennett, Counselor in Biscoe, NC

Addiction can be an ugly beast which devours everything in its path and can seem unstoppable. It is very much a treatable condition though. I previously suffered from addiction when I was younger, but have since overcome this issues and healed the driving forces that originally started me on that path. My life today is healthy, whole, and much more fulfilling as a result. I would love the opportunity to help you achieve the same thing.

— sean sprigle, Licensed Professional Clinical Counselor in san diego, CA

I am a certified drug and alcohol counselor in the state of Pennsylvania. I have helped adults deal with addiction, co-dependency, and co-occurring mental health disorders for over a decade. My belief is that addiction is a diseases and recovery looks different for each individual. Abstinence is a desire long-term goal for treatment as harm-reduction (the practice of reducing the risks involved with substance use) is often the first step.

— Scott Bragg, Licensed Professional Counselor in Paoli, PA

As a person in recovery, I understand the complex ways in which a person deals with pain and suffering. I believe addiction is a symptom with numerous sources. While treating addiction with a harm-reduction model, I also encourage clients to connect with community, family, or other support systems to facilitate connection. Relapse is part of the recovery process and I believe in reducing shame around a relapse by talking about it in a safe space.

— Randy Woodring, Licensed Professional Counselor in Dallas, TX

People with undiagnosed or poorly managed ADHD often turn to various substances in order to feel normal. Many times they cross the line into addictive behaviors before they fully understand what is truly going on. I utilize a risk reduction approach to addiction with an emphasis on CBT and smart recovery.

— Jeremy Didier, Clinical Social Worker in Overland Park, KS

I have over five (5) years of experience working with individuals who are surviving dependency and addiction to alcohol or drugs. My past experience includes working in an outpatient methadone clinic providing case management, relapse preventing planning and individual and group counseling to patients. I currently provide individual, couples, family and group therapy, aftercare treatment planning and cognitive skill-building to patients a subacute care treatment facility.

— Vincent "V" Espinoza, Associate Clinical Social Worker in Albuquerque, NM

My clinical work has involved treating substance abuse populations, utilizing both medication-assisted treatment (MAT) as well as more traditional cognitive behavioral, dialectical behavioral, and psychodynamic therapeutic modalities.

— Amy Dombrowski, Licensed Mental Health Counselor in Rochester, NY