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.

Meet the specialists


I am specializing in addictions through my master's program at Lewis & Clark. I do not think 12-step is for everyone, nor do I think abstinence is for everyone. My goal is to look at what your goals are and help you understand the barriers in achieving them.

— Jules Allison, Counselor in Portland, OR

I am a Certified Substance Abuse Counselor with several years of experience working with adolescents and adults at both the inpatient and outpatient levels of care. I have counseled clients in all stages of change, from active use to long-term recovery, and have vast knowledge of and experience with the 12-step model.

— Steffanie Kelshaw, Licensed Professional Counselor in Alexandria, VA

Using a harm reduction lens, I help people to establish healthy relationships with the substances they choose to use. As a former outpatient drug and alcohol counselor, I have worked with a wide variety of people struggling with substance use issues. I have also seen the great benefits that some people have gained from using certain plant medicines and psychedelics in an intentional and respectful context. I am interested in supporting you to make well-informed, safe choices.

— Lucius Wheeler, Licensed Professional Counselor Intern in Portland, OR

If you keep trying to get clean and sober, but it doesn’t seem to stick, it may be time to have a professional help. We’ll look at your history, your skills, assets, and challenges, and develop a plan that matches the aggressiveness of your substance abuse illness. Substance abuse is like any other illness, and it does not progress in a cookie-cutter fashion – neither does recovery. If you’ve had stops and starts, let’s skip the shame and work together to match your treatment to your needs.

— Joanne Ketch, in Katy, TX

As a Certified Chemical Dependency Counselor, I have worked with clients in new recovery and who have relapsed, family members with Alanon and coda issues, teens with parents who are using and may be incarcerated, and support sobriety and abstinence in recovery with 12 step support.

— SC (Stacy-Colleen) Nameth, Licensed Clinical Social Worker in Los Angeles, CA

You're maintaining a clean and sober lifestyle: Now what? You've been through a major change in your recovery, and you're still not happy. I'm here as your guide to deepen the recovery you've worked so hard to achieve!

— Lisa SLOAN STROM, Licensed Professional Counselor in Portland, OR

I have extensive experience working with many different sustance-related issues. Including, opioids, alcohol, sedatives and amphetamines.

— Debbie Bauer, Counselor in Santa Rosa, CA

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

— Crystal Nesfied, Counselor in Scottsdale, AZ

Drug addiction and recovery are two different animals. Drug addiction overcomes you to the point that you do not know what you are doing. Car accidents, divorce, fighting, and not caring are the symptoms and end result. Recovery, on the other hand, is hard and difficult but gratifying. The reward and consequences that scientists been arguing about for years using mice. I believe it is more to it than that and spirituality is the key to living life to its fullest.

— Dale Komoda, Counselor in Honolulu, HI

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

— Crystal Nesfied, Counselor in Scottsdale, AZ

I developed a specialty in treating addiction and co-occurring mental disorders over 15 years at a variety of addiction treatment programs the Bay Area; most recently as Clinical Director of Avery Lane, an innovative women's treatment program in Novato, CA. As with all my clinical work, my approach to addiction is a holistic one, incorporating the physical, mental, emotional, and spiritual aspects of this issue. I've been part of developing The Conscious Recovery Method™ with my colleague TJ Woodward, an approach which moves beyond simply treating behaviors and symptoms. It focuses on the underlying root causes that drive destructive patterns, which include unresolved trauma, toxic shame, and spiritual disconnection. You can find out more about that work here: www.tjwoodward.com/consciousrecovery

— Adriana Popescu, Clinical Psychologist in San Francisco, CA

In addition to be being a Licensed Mental Health Counselor I am also a Masters Certified Addiction Professional. I have experience providing both individual and group counseling sessions to men and women from various races, age groups, socioeconomic backgrounds that were diagnosed with substance use disorders or co occurring disorders.

— Jacqueline Maple, Licensed Mental Health Counselor in West Melbourne, FL

I have been working with addictions since 2009 in private clinic as psychiatrist and psychotherapist. I am treating around 30 klients in in-patient detox program per month. I am happy to help patients and their families with whom I am working too.

— Ekaterina Tyurina, Psychiatrist in Belgrade,

I am a certified Drug and Alcohol Counselor and specialize in working with adolescents and young adults with risky drug/alcohol use.

— Jaynee Golden, Counselor in West Hollywood, CA

My past experiences include providing therapy in groups and individually to adults with drug dependence and addictions, including in domiciliary, residential, and outpatient settings.

— Ivy Hall, Psychologist in , CA

Are you struggling with substance abuse (Alcohol, Opiates, Cocaine, or Prescription Drugs)? We want you to know that you are not alone. Cincinnati Renewed Wellness views Addiction as a symptom to an underlying issue (Depression, Anxiety, Trauma, Chronic illness, injury, etc). We explore both the physical and psychological impact to assist with creating an individualized treatment plan to achieve sustainable recovery and restore wellness.

— Allie McLaughlin, Counselor in Cincinnati, OH

Familiar with 12 step programs, recovery approaches addressing addiction/abuse along with issues that effect long term recovery including relationships, anger management, and underlying mental health disorders.

— Maxine Carelock, Licensed Clinical Social Worker in Atlanta, GA

I have 4 years experience working with medicated assisted treatment clients in a substance abuse setting. I have experience working with those struggling with opiates, cocaine, alcohol, etc. I also enjoy counseling those who are currently in recovery and looking for continued support.

— Kate Kraines, Licensed Clinical Social Worker in West Hartford, CT