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

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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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ALLISON BURRELL, LPC

Sex Therapy, Women's Issues, Sex Addiction, Autism, Coping Skills, LGBTQ, Personality Disorders, Self Esteem, Serious Mental Illness

3 years of experience

TAKENYA JONES-STEWART, LCSW

Addiction, Depression, Anger Management, Anxiety, Coping Skills, Grief, Life Transitions, Peer Relationships, Self Esteem, Substance Misuse

10 years of experience

CHRISTINA RAVENEL, LPC

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Integrity Urgent Care, Copperas Cove

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At Xpress Wellness Urgent Care, we believe whole wellness includes both body and mind, which is why we offer comprehensive counseling services to support your mental and behavioral health. Our licensed clinical social workers and psychologists are here to help individuals, teens, and couples navigate concerns like anxiety, depression, grief, trauma, relationship issues, ADHD symptoms, and chronic illness. Most of our sessions are conducted virtually, so you can meet with your counselor from the comfort of your home, office, or anywhere you feel at ease. For those who prefer in-person sessions, we also have select locations in Kansas and Oklahoma. We integrate mental and behavioral health approaches to address the connection between thoughts, brain chemistry, and behavior. No referral is needed, and we accept Medicaid, Medicare, and private insurance plans. We’re committed to making care accessible, often scheduling your first session within seven days. Let us support you on your wellness journey.

Integrity Urgent Care, Bryan

Specialties

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Addiction

Depression

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Parenting

Grief

Serves ages

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About

At Xpress Wellness Urgent Care, we believe whole wellness includes both body and mind, which is why we offer comprehensive counseling services to support your mental and behavioral health. Our licensed clinical social workers and psychologists are here to help individuals, teens, and couples navigate concerns like anxiety, depression, grief, trauma, relationship issues, ADHD symptoms, and chronic illness. Most of our sessions are conducted virtually, so you can meet with your counselor from the comfort of your home, office, or anywhere you feel at ease. For those who prefer in-person sessions, we also have select locations in Kansas and Oklahoma. We integrate mental and behavioral health approaches to address the connection between thoughts, brain chemistry, and behavior. No referral is needed, and we accept Medicaid, Medicare, and private insurance plans. We’re committed to making care accessible, often scheduling your first session within seven days. Let us support you on your wellness journey.

Integrity Urgent Care, Stephenville

Specialties

Anxiety

Addiction

Depression

Domestic violence

Parenting

Grief

Serves ages

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About

At Xpress Wellness Urgent Care, we believe whole wellness includes both body and mind, which is why we offer comprehensive counseling services to support your mental and behavioral health. Our licensed clinical social workers and psychologists are here to help individuals, teens, and couples navigate concerns like anxiety, depression, grief, trauma, relationship issues, ADHD symptoms, and chronic illness. Most of our sessions are conducted virtually, so you can meet with your counselor from the comfort of your home, office, or anywhere you feel at ease. For those who prefer in-person sessions, we also have select locations in Kansas and Oklahoma. We integrate mental and behavioral health approaches to address the connection between thoughts, brain chemistry, and behavior. No referral is needed, and we accept Medicaid, Medicare, and private insurance plans. We’re committed to making care accessible, often scheduling your first session within seven days. Let us support you on your wellness journey.

ALLISON BURRELL, LPC (she/her)

Specialties

Sex Therapy

Women's Issues

Sex Addiction

Autism

Coping Skills

LGBTQ

Personality Disorders

Self Esteem

Serious Mental Illness

Serves ages

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I'm an LPC based in Texas that continuously works toward increasing my cultural competency, passionate about helping my clients reach their personal goals. I coordinate our sessions to focus on your needs and help you to overcome your stressors and guide yourself to your best possible life. If you struggle to focus on the here and now and want to explore your identity, book a session and let me help you reach your therapeutic goals.

TAKENYA JONES-STEWART, LCSW (she/her)

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Anxiety

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Serves ages

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Hello! I'm a Licensed Clinical Social Worker. I received my Masters from Tulane University in New Orleans, Louisiana, and have practiced for 10 years. I aim to assist you in navigating challenges and promoting a positive mindset through thoughtful and compassionate interventions. I offer therapy, counseling, and support to help clients cope with life's challenges, improve their mental health, and enhance their overall well-being.

CHRISTINA RAVENEL, LPC (she/her)

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Addiction

Anxiety

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Grief

Parenting

Peer Relationships

Self Esteem

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Serves ages

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Hello, my name is Christina and I am a Licensed Professional Counselor located in Killeen, Texas. I have a Bachelor of Science in Psychology and Sociology from Drury University. I received my Master of Science in Clinical Mental Health Counseling from Texas A&M University-Central Texas. I also have a certificate in Chemical Dependency and Addiction. I grew up as a military dependant (Army Brat) and later became a military spouse. I am familiar with military culture and the stresses that being in the military can put on those individuals who are serving plus their families. Growing up in a diverse military culture has helped me to be an open-minded, non-judgmental, compassionate, patient, and trauma-informed therapist. I also believe that everyone can benefit from counseling because sometimes life just gets too hard and we need a safe space to retreat, relax and regroup. I have worked with many individuals struggling with anxiety, depression, addiction, and trauma. I would love to help you to navigate through your struggles as well.

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