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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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    Rajimol Raju, PMHNP (she/her)

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    I am a board-certified Psychiatric Mental Health Nurse Practitioner through the American Nurses Credentialing Center. My philosophy centers on holistic care, addressing immediate crises and the entire person. I am dedicated to educating others on the vital importance of mental health, equating it with physical health in its significance. I believe everyone has the potential to lead a fulfilling life, regardless of their circumstances, choices, or past experiences. Our mission is to make quality mental health care accessible to all. Our clients benefit from a variety of evidence-based approaches. The first session is an initial evaluation, which includes developing a treatment plan. Subsequent sessions include medication management and ongoing assessment of treatment effectiveness.

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    Keyna Omenukor, PMHNP (she/her)

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    Dr. Keyna Omenukor is a Dual Board-Certified Psychiatric Mental Health Nurse Practitioner whose training and experience have equipped her with the necessary skills to deliver compassionate and empathic mental care to children, adolescents, adults, and the elderly to optimize health outcomes. In addition to medication, she offers psychotherapy. Her area of specialty includes Depression, Anxiety, Bipolar, and Schizophrenia. She graduated from Walden University with her Family Nurse Practitioner & Doctorate Degrees and Brandman University with her Post-Doctorate degree in Psychiatric Mental Health Nurse Practitioner degree. We are always prepared to offer quality care to everyone in need of our services. We adopt a holistic, compassionate, and empathetic approach to mental care to optimize outcomes. Our areas of specialty include depression, anxiety, Adhd ( utilizing non-stimulants) schizophrenia, and bipolar. We also take care of your physical health needs in separate appointments. Do you have any mental health challenges or conditions? Do you simply want to talk to someone about any issues you cannot manage yourself? Are you feeling overwhelmed? Reach out to us because we care about you and your mental health challenges. We wish to assure you that you are not alone, and do not keep your challenges to yourself. We are here both for your mental and physical well-being. Physical well-being starts with sound mental health.

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    I am a dual certified Nurse Practitioner (APRN) in Psychiatry and Family Nurse Practitioner. I specialize in Psychiatry and is licensed in the state of Florida, Georgia, Wyoming, and Washington. I received my Master's degree in Nursing from Albany State University and Post Master’s in Psych Mental Health from Valdosta State University. I'm currently working on my Doctoral degree at University of North GA. I am committed to providing excellent care to adult patients by being a patient advocate offering skills in medication administration and care implementation.

    Victoria Omeri, PMHNP (she/her)

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    Are you battling with your mental health and think no one understands or care? Are you curious about medication management but don't know where to start? or are you looking to continue your medication management with a Holistic provider who has your best interest at heart? Then you have come to the right place. Hi, my name is Victoria, I am a FNP,PMHNP provider who is passionate about mental health. Having members of my family go through mental health battles has really motivated me to get my education and make a difference in the lives of others. I have expertise not only with the body as a family nurse practitioner but also with the mind as a psychiatric-mental health practitioner.

    Olivier Djoumessi, PMHNP (he/him)

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    My availability for my patients is 7/7, and some days after hours till 9 PM. I offer more scheduling flexibility for working people. I am board-certified by the American Nurses Credentialing Center (ANCC) as a Psychiatric Mental Health Nurse Practitioner (PMHNP). In addition, the Texas, Florida, Washington, Arizona, California, Connecticut, Colorado, Nevada, Oregon, Montana, New Mexico, Virginia, Ohio, Iowa, and Idaho Board of Nursing also recognizes me as an Advanced Practice Registered Nurse. I specialize in adults, elders (65+), and veterans, with extensive experience in bedside patient care and clinical practice. My skills and daily tasks are to perform a complete psychiatric or addiction evaluation. I manage various psychiatric conditions (depression, anxiety, bipolar disorder, ADHD, PTSD, OCD, eating disorders, mood disorders, psychotic disorders, schizophrenia) and addiction (opioids and alcohol use disorders) with medication management in addiction medicine and psychiatry. I stabilize patterns of chronic relapse and lower the risk of relapse on opioid or alcohol overdose with the medication-assisted treatment protocol. I earned an MPH at the University of Paris (FRANCE), then a BSN from the University of Texas Arlington (USA), and an MSN from Walden University (USA). Mental health problems can affect your sleep, thoughts, processing information, perceiving events or other people, handling stress, making decisions, and interacting with your friends and loved ones. Your feelings are valid, so please do not feel shame or compare your struggle with anyone else's. Book your appointment today.

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