Overview:

Therapist:

To become a licensed therapist, someone must get a master's degree, where they receive specialized training in programs like social work, counseling, psychology, and marriage and family therapy. After this, they must become licensed as a therapist, which requires passing an exam as well as hands-on training hours. The number of hours required depends on the state. Many licensed therapists specialize in drug and alcohol addiction treatment and can conduct individual and or group therapy. These individuals are qualified to deliver therapy specifically to those recovering from substance abuse issues like drug abuse, alcoholism, as well as mental health issues. Therapists delve into the deep psychological issues that underly addiction and mental health issues to help their patients heal.

LCSW:

A Licensed Clinical Social Worker (LCSW) has a master's degree in social work. An LCSW works in the field of social work, with a focus on mental health. This type of counselor integrates social work into their therapy practice by looking at the social and economic factors that impact a patient, as well as the effect of a person's career and home life on their mental health. An LCSW might specialize in helping individuals with substance abuse issues or treating those struggling with drug and alcohol addiction.

Qualifications:

License Number provided by State: LCS13879 California
School: Univ. of Maryland School of Social Work
Years of Experience: 20+ Years
Year Graduated: 1984

Intake:

LGBTQ Programs
Adult Programs
Options for Adolescents
Elderly Programs

Financials:

Payment Assistance
Session Fee: $80.00 - $150.00
Private Insurance
Medicare
Self-pay Options

Modality:

Family Counseling:

Family Counseling can be for both the addict and his/her family, or may be solely for family members (without the addict present). Many support groups for family members of addicts see addiction as a family illness, not just the problem of one member of the family (the addict). Numerous research studies also demonstrate that recovery is far more successful and sustainable when loved ones -- especially family members -- participate in rehab and/or substance abuse treatment. Family support groups are also helpful since family members relating with an addict often need support themselves; it's a very stressful thing to deal with. Family support groups allow all members of the family to receive the benefits of treatment, and can include training on how to communicate effectively, establish healthy boundaries, and get support around the stress and trauma of addiction.

Individual Counseling:

In individual Counseling, a client meets one-on-one with a trained therapist or counselor. This kind of psychotherapy and focused attention is a crucial part of treating substance abuse and helping individuals overcome alcohol and drug addiction. Therapy can be instrumental in uncovering the root causes of addiction, such as challenges and struggles a patient has faced in their family, social, and work/school lives. Once these root causes (which often involve past trauma) are identified and worked through, substance abuse is much easier to overcome and sobriety to be reached. Different therapists use different therapeutic modalities, such as Cognitive Behavioral Therapy, which has been shown to be effective in stopping addiction while also providing tools for maintaining sobriety.

Couples Counseling:

Couples Counseling, or couples-focused treatment programs, involve both partners in a relationship. Substance abuse (alcohol or drug addiction) has major effects on both partners within a relationship, and the purpose of couples treatment is to address both sides. For example, if a husband is an alcoholic, his wife is impacted by his addiction and his behaviors. He, in turn, is impacted by her reaction and response to them. Many couples dealing with addiction also struggle with codependency, which can enable or even make the addictive behavior worse. In couples therapy, patterns like codependency are explained and explored, with the goal of both partners learning how to communicate and connect in healthy ways, and establish healthy boundaries with one another. In addition to addiction, rehabilitation and recovery also affects and changes a relationship. Couples-focused treatment allows partners to explore the triggers of addiction, as well as learning how to build a healthy support system while maintaining sobriety.

Treatment:

Mental Health and Substance Abuse:

A combined mental health and substance abuse treatment center is designed to treat individuals with both mental health and substance abuse issues. Therapists and staff at these kinds of centers help patients who struggle with both a drug and alcohol addiction, along with a mental health problem like clinical depression, anxiety disorders, Bipolar Disorder, and more. They're trained to help patients identify the root causes of their addiction and mental health issues, and to help manage both. Many addiction counselors specialize in treating individuals with mental health problems, and are well-equipped to deliver high-quality treatment to those struggling from addiction alongside a mental health issue.

Alcohol Abuse:

There are many warning signs for alcoholism. For someone who is abusing alcohol, excessive drinking affects their work, school and home life. Other symptoms of alcohol abuse include: memory loss or blacking out, engaging in risky behavior (like driving a car), and hurting yourself or someone else while drunk. Alcohol abuse can progress to alcoholism. An alcoholic can’t control when or how much they drink. For an alcoholic, the goal of treatment is abstinence. Treatment and recovery from alcoholism usually involves therapy or counseling, as well as 12 step programs and AA meetings.

Dual Diagnosis:

Dual diagnosis refers to the diagnosis given to a person or patient who struggles with addiction and has also been diagnosed with a mental or emotional illness. To treat someone with a dual diagnosis, rehab centers and other mental health facilities aim to provide comprehensive treatment for both the substance abuse and mental illness. At these facilities, counselors and therapists work with dual-diagnosis patients to help them manage their mental health problems and overcome addiction at the same time. Common co-occurring substance abuse and mental illnesses can include drug addiction or alcoholism alongside clinical depression, anxiety disorders, schizophrenia, Bipolar Disorder, and more. In some cases, a mental health illness can lead to an addiction issue, or vice versa: an addiction issue can create a mental health issue. It's important to treat both at the same time whenever possible.

ADHD:

Attention Deficit Hyperactivity Disorder (ADHD) is generally characterized by the inability to focus; not being able to get or stay organized; being impulsive; and being hyperactive (not being able to sit still). While it's normal to have trouble focusing and paying attention at times, for someone with ADHD, these behaviors are more extreme, occur more frequently, and make it hard to succeed or even function at work and/or at school. In order to be diagnosed with ADHD, a person must be seen by a healthcare professional such as a pediatrician, psychiatrist, or psychologist. Both children and adults can be diagnosed with ADHD. It is common for someone struggling with addiction or substance abuse issues to also struggle with ADHD, especially since many people seek out drugs or alcohol to help manage the symptoms of ADHD.

Anger:

Aggression, anger or violent behavior should not be ignored. Extreme feelings of anger can lead to distress, dysfunction and the inability to cope with one's emotions in a healthy way. A person with anger issues might have a sudden or uncontrollable outburst. Individuals with anger problems might also hold grudges, have trouble taking criticism, or feel like they have to “win” every argument. For someone struggling with addiction, anger issues could cause or worsen their substance abuse problem. Also, a person who is abusing drugs or alcohol could experience more intense feelings of anger.

Bipolar:

Bipolar Disorder is a mental illness that generates unusual and extreme changes in a person's mood, energy levels and the ability to accomplish daily tasks and think clearly. A person with Bipolar Disorder can experience frequent highs (often referred to as mania or manic episodes) and lows (often referred to as depression or depressive episodes). Someone with Bipolar Disorder might "self-medicate" by using drugs and alcohol to deal with their mental or emotional issues. Substance abuse is more common with Bipolar Disorder than with any other mental health diagnosis. Suicide is a serious risk concern for an individual with Bipolar Disorder.

Depression:

Depression is a serious mood disorder. Signs and symptoms of depression include: fatigue, trouble sleeping, changes in appetite, lack of interest in activities a person used to enjoy, irritability, and suicidal thoughts. A depressed person might feel sad, anxious, or hopeless. Typically, symptoms must persist for at least two weeks before someone is diagnosed with clinical depression. Depression can affect people of all ages, ethnicities and socioeconomic backgrounds. An estimated 30% of people with substance abuse problems suffer from depression.

Grief:

Following the death of a loved one, it is normal to feel sad or experience grief. Typically, someone who is grieving will go through five stages: denial, anger, bargaining, depression and acceptance. While grief is a natural response to loss, using alcohol or drugs to deal with one’s feelings is not a healthy way to cope. Using drugs and alcohol to manage or soothe feelings of grief could lead to substance abuse or addiction. Unresolved grief — and the depression that follows — could leave someone more vulnerable to developing a substance abuse problem.

Obsessive Compulsive Disorder:

A person with Obsessive Compulsive Disorder (OCD) has repetitive, unwanted thoughts (obsessions), along with irrational, excessive urges (compulsions). Signs of OCD include: the urge to organize and clean things, feeling anxious, thoughts about hurting yourself or others, and washing your hands until skin becomes raw. Someone with OCD who is also struggling with alcohol or drug addiction may have more severe symptoms or behaviors. A counselor or therapist who specializes in both mental health and substance abuse treatment can help someone overcome addiction and deal with their OCD.

PTSD and Trauma:

Post Traumatic Stress Disorder (PTSD) is a mental health disorder that someone can develop after experiencing a traumatic incident, such as a shooting, a natural disaster, a car accident, or sexual assault (i.e. rape or child sexual abuse). Symptoms of PTSD include reliving the event in one's mind; nightmares; avoiding situations that might trigger memories of the event; negative beliefs and feelings; and feeling jittery, angry or irritable. The main types of treatment for PTSD are psychotherapy and medication. Someone suffering from PTSD may experience depression, anxiety and substance abuse problems.

Stress:

Stress is a normal part of life. Everyone experiences it from time to time, especially in times of transition, like losing a loved one; losing a job; moving from one place to another; or getting married or divorced. However, extreme stress can negatively impact a person's physical or mental health, especially if it isn't dealt with appropriately. Chronic stress (meaning stress that doesn't stop) can also lead to more serious issues, such as depression, anxiety disorders, eating disorders, and other mental health issues. Someone who suffers from chronic stress is not likely recognize the true extent of their stress level, and usually tries to obsessively control every task. Stress is also a known risk factor for misusing or abusing drugs and alcohol (i.e. if a person is both in an abusive relationship and dealing with the death of a parent, it can be easy to turn to drugs or alcohol to numb the pain and the grief). Addressing stress is often a part of therapy (one-on-one or group therapy) in the treatment process, as is exploring healthier ways of handling stress that don't involve substance abuse. When it comes to addiction, stress is almost always part of the equation, but there are many healthy and productive ways of dealing with it that support sobriety.

Techniques:

Assertive Community Treatment:

Assertive Community Treatment (ACT) is a type of treatment that helps people with a serious mental illness and/or substance abuse. ACT brings pyschiatric treatment and services directly to patients at home. Instead of hospitalization or an outpatient treatment program, a team of staff members, like social workers, psychiatrists, and counselors, comes directly to a patient's house for treatment. A patient in an ACT program receives the 24-hour care and services of a pychiatric unit, but in the comfort of their own home. ACT is mainly used for those with severe and persistent mental illnesses, like schizophrenia or bipolar disorder. Some patients with these serious mental health issues also struggle with alcoholism or drug addiction. ACT can be short-term (several weeks) or long-term (months or years). One of the goals of ACT is to help patients live independently and lessen the burden on families to provide care.

Cognitive Behavioral Therapy:

Cognitive Behavioral Therapy (CBT) is a common therapy technique. This type of therapy focuses on the relationship between a person's thoughts, feelings and behaviors. For example, if you know that when you have the thought, "I'm worthless," you want to drink or do drugs, you can then make a new choice in the future when you have that thought (like calling a friend or going for a walk instead). Awareness is critical in Cognitive Behavioral Therapy, the ultimate goal of which is to help patients develop healthy responses to their thoughts and feelings. CBT has been proven very helpful for people struggling with alcohol and drug addiction, as well other mental health issues, like eating disorders. Cognitive Behavioral Therapy helps a person become more self-aware and build up their ability to cope with problems in healthier ways. Many therapists, counselors, psychologists, and social workers use Cognitive Behavioral Therapy techniques when working with their patients.
Last Updated: 10/17/2018