Find Substance Use Counseling

Medically reviewed by Gabriela Asturias, MD on June 24, 2024
Written by the MiResource team

Struggling with drugs or alcohol can feel overwhelming—but you're not alone, and help is available. Whether you're questioning your relationship with substances, coping with relapse, or trying to support someone you care about, substance abuse counseling offers judgment-free support and proven tools for change. Healing is possible, and it often begins with a single, courageous step: reaching out.

  • Carla Weismantel, Psychiatric Nurse Practitioner

    Carla Weismantel

    Psychiatric Nurse Practitioner

    342 N Water St, Milwaukee, Wisconsin 53202

    Carla Weismantel is a Psychiatric Nurse Practitioner in Milwaukee, Wisconsin. They treat Addiction, Abuse, Self-Harm.

    The best of mental healthcare in one place. At Geode, we combine full-spectrum psychiatry and talk therapy to better meet changing patient needs.

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  • Ada Wang, Psychiatric Nurse Practitioner

    Ada Wang

    Psychiatric Nurse Practitioner

    486 W Boughton Rd, Bolingbrook, Illinois 60440

    Ada Wang is a Psychiatric Nurse Practitioner in Bolingbrook, Illinois. They treat Addiction, Trauma, Posttraumatic Stress Disorder (PTSD).

    The best of mental healthcare in one place. At Geode, we combine full-spectrum psychiatry and talk therapy to better meet changing patient needs.

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  • Michelle Litwer, Psychologist

    Michelle Litwer

    Psychologist

    Remote only

    Michelle Litwer is a Psychologist in undefined, undefined and has been in practice for 8 years. They treat Addiction, Grief and Loss, Career.

    My main objective is to help clients manage their emotions, make decisions that are line with their values, and to live fulfilling and meaningful lives.

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  • Sandra Tursini, Licensed Professional Counselor (LPC)

    Sandra Tursini

    Licensed Professional Counselor (LPC)

    2409 South Rural Road, STE C, Tempe, Arizona 85282

    Sandra Tursini is a Licensed Professional Counselor (LPC) in Tempe, Arizona and has been in practice for 30 years. They treat Addiction, Psychosis, Peer Difficulties.

    Caring LPC with 30+ years’ expertise in diverse counseling areas, committed to recognizing individual worth and guiding clients through life's challenges

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  • Benitho Louissaint, Advanced Practice Registered Nurse (APRN)

    Benitho Louissaint

    Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Psychiatric Nurse Practitioner

    6197 South Rural Road, Tempe, Arizona 85283

    Benitho Louissaint is a Advanced Practice Registered Nurse (APRN) in Tempe, Arizona. They treat Addiction, Eating Concerns, Grief and Loss.

    We see clients of all genders, ethnicities, and cultures.

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  • Vinay Saranga, Psychiatrist

    Vinay Saranga

    Psychiatrist

    1600 Olive Chapel Road, Apex, North Carolina 27502

    Vinay Saranga is a Psychiatrist in Apex, North Carolina. They treat Addiction, Schizophrenia, Schizophreniform and Brief Psychosis, Medication Concerns.

    Mental health disorders are unique. In addition to medication management, we offer TMS Therapy and IV Ketamine that can help when nothing else does.

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What is substance use disorder?

Substance Use Disorder (SUD) is a medical and psychological condition that involves the problematic use of alcohol or drugs despite negative consequences. It affects brain function, behavior, relationships, and physical health. SUD is more than occasional use or bad habits—it's a chronic, often relapsing condition that changes how the brain perceives pleasure, stress, and decision-making.

Key signs include:

  • Inability to control use
  • Continued use despite negative consequences
  • Cravings or strong urges to use
  • Building a tolerance (needing more to feel the effect)
  • Withdrawal symptoms when stopping
  • Neglecting responsibilities or activities due to substance use

SUD can range from mild to severe, and early intervention through substance abuse counseling increases the chances of long-term recovery.


How is it different from casual use?

Not everyone who uses substances has a problem. Many people drink socially or use prescription medications responsibly. The key difference lies in how much the substance use interferes with your life.

Casual use typically:

  • Is infrequent and within safe limits
  • Doesn't cause significant harm or consequences
  • Isn't used to cope with stress, anxiety, or trauma
  • Can be easily stopped or moderated

Problematic use or addiction, on the other hand:

  • Escalates over time
  • Is used to self-medicate emotional pain
  • Interferes with relationships, work, health, or legal standing
  • Feels out of control

A substance use therapist can help you or your loved one assess where you fall on this spectrum and explore next steps without pressure or shame.


How do I know if I or someone I love has a problem with drugs or alcohol?

It can be hard to recognize when use has become a problem, especially because denial and secrecy are common. Some questions to ask include:

  • Do you or your loved one use substances to cope with stress, anxiety, trauma, or boredom?
  • Has use led to conflicts, job loss, health problems, or legal trouble?
  • Are there efforts to cut back that haven't been successful?
  • Are friends or family worried, even if you aren't?
  • Is more of the substance needed over time to feel the same effect?
  • Are you hiding how much or how often you use?

If you answered "yes" to several of these, substance abuse counseling may be beneficial. Early support can prevent deeper harm and offer pathways toward healing.


What mental health issues often occur alongside substance abuse?

Substance use and mental health are deeply connected. Many people with addiction also live with co-occurring disorders, such as:

  • Depression
  • Anxiety
  • PTSD or complex trauma
  • Bipolar disorder
  • Personality disorders
  • Eating disorders

Substances are often used as a way to numb emotional pain, regulate mood, or cope with past trauma. But over time, they tend to worsen these conditions. A skilled substance abuse therapist will treat the whole person—not just the substance use.


Can therapy help with both addiction and mental illness at the same time?

Yes, and this is essential. Integrated treatment is key to long-term recovery for people with co-occurring disorders. When you only treat one issue—say, the addiction but not the depression—both tend to come back.

Effective addiction therapists use approaches that address both substance use and mental health, including:

  • Cognitive Behavioral Therapy (CBT): Reframes harmful thought patterns and behaviors
  • Dialectical Behavior Therapy (DBT): Builds emotion regulation, distress tolerance, and interpersonal skills
  • Motivational Interviewing (MI): Strengthens your internal motivation for change
  • Trauma-informed care: Helps heal the root causes of addiction, not just the symptoms

This kind of comprehensive approach is often called dual diagnosis treatment.

Find care for Addiction

Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of Addiction and build a fulfilling life. We are here to help you find care.

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