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.

LMFT:

A Licensed Marriage and Family Therapist (LMFT) is a mental health professional who has undergone training in psychotherapy and family systems. In most states, an LMFT must have a master's degree to practice. While in graduate school, someone training to become an LMFT often studies family dynamics, marital issues, family violence and addiction within a family. An LMFT might practice as a marriage counselor, a couples therapist, or a clinical supervisor. An LMFT can also provide group therapy or family intervention services for individuals and families dealing with substance abuse or addiction.

Qualifications:

License Number provided by State: 001270 Connecticut

Intake:

Adult Programs
Elderly Programs
HIV/AIDS Programs

Financials:

Payment Assistance
Session Fee: $50.00 - $150.00
Private Insurance
Medicaid
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 Approach:

12-Step Approach:

A 12-step program is a treatment approach originally based on Alcoholics Anonymous (AA). The 12-step model is used in many drug and alcohol addiction recovery programs. Licensed therapists and counselors also employ 12-step methods when treating individuals who are struggling with substance abuse. The first stage of a 12-step program involves admitting that you are powerless over your addiction and believing in a higher power that can help you. Other steps involve making amends to those you have hurt in the past, connecting with a higher power through prayer and meditation, and helping others in their recovery from addiction. The 12-step model is used for Narcotics Anonymous (NA), Gamblers Anonymous (GA), and Sex and Love Addicts Anonymous (SLAA), among others. The 12-step model can be an effective way to help someone dealing with addiction, which is why it is used in a large number of treatment centers, as well as by therapists, counselors and mental health professionals.

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.

Internet Addiction:

Internet addiction involves the obsessive use of the internet or a smartphone. Types of internet addiction include: an addiction to online pornography, online shopping, online gambling, and online game playing. Someone with an internet addiction can’t control how often they use the internet. They might feel depressed, anxious, isolated, and guilty about spending so much time online. Individuals with internet addiction could also be misusing or abusing drugs and alcohol. A therapist or counselor who specializes in addiction, including internet addiction, can help someone overcome this mental health issue.

Co-Dependency:

Co-Dependency refers to a relationship in which one person sacrifices their own wants and needs to "fix" or support the other partner. In a codependent relationship, love and intimacy are often experienced as one partner in distress, while the other partner "rescues" or enables them. Codependency can lead to substance abuse and addiction, and codependents may be less likely to seek help for their issues, as they tend to be the "helpers" in relationships. The term love addiction is used to describe a compulsive or constant pursuit of romantic love as a way to feel secure and worthy.

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.

Gambling Addiction:

Gambling addiction, also known as "compulsive gambling" or "problem gambling," is when a person cannot resist the urge to gamble. It's what's known as an "impulse control disorder," meaning the addict can't stop him- or herself from gambling (it's compulsive). Compulsive gambling often has very negative consequences for both the gambling addict and their loved ones, both emotional and financial. For example, compulsive gambling addicts can get into extreme financial trouble (i.e. bankruptcy or owing people or institutions like casinos thousands or hundreds of thousands of dollars), which impacts both that individual as well as those depending on them for financial support (family). Gambling addiction is often accompanied by behavioral or mood disorders, such as anxiety disorder, depression, ADHD or Bipolar Disorder. Individuals with a gambling problem may also struggle with substance abuse, alcoholism, or drug addiction.

Techniques:

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: 07/17/2018