Find a Therapist for Substance Abuse in Boulder

Medically reviewed by Gabriela Asturias, MD on May 23, 2025
Written by the MiResource team

If you’re in Boulder and dealing with Substance Abuse, deciding to seek help is a big step. This page explains the condition in simple terms and can help you find local therapists who may be a good fit.

  • Auran Piatigorsky, PhD, LP, CMPC, Sport Psychologist

    Auran Piatigorsky, PhD, LP, CMPC

    Sport Psychologist

    Remote only

    Auran Piatigorsky, PhD, LP, CMPC is a Sport Psychologist in undefined, undefined and has been in practice for 30 years. They treat Substance Abuse, School Concerns, Immigration/Acculturation.

    Licensed Clinical Sport Psychologist — services for mental health care & performance enhancement

    View profile
  • Benjamin Andrews, Psychologist

    Benjamin Andrews

    Psychologist

    1709 Legion Road, Chapel Hill, North Carolina 27517

    Benjamin Andrews is a Psychologist in Chapel Hill, North Carolina and has been in practice for 11 years. They treat Substance Abuse, Social Anxiety, Bipolar Disorder.

    Experienced therapist providing compassionate, evidence-based help for people to find their whole selves, reduce their suffering, and achieve their goals

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  • Denise Rogers Piel, Counselor

    Denise Rogers Piel

    Counselor

    1770 25th Avenue, Greeley, Colorado 80634

    Denise Rogers Piel is a Counselor in Greeley, Colorado. They treat Substance Abuse, Posttraumatic Stress Disorder (PTSD), Depression.

    By establishing a safe and caring therapeutic space, Denise A. Rogers Piel helps clients in Colorado identify their internal strengths and discover effect

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  • Timothy Woodworth, Counselor

    Timothy Woodworth

    Counselor

    1204 W Ash Street, Windsor, Colorado 80550

    Timothy Woodworth is a Counselor in Windsor, Colorado. They treat Substance Abuse, Drug Use, Life Transitions.

    By utilizing a variety of effective therapeutic techniques, Timothy Woodworth creates a meaningful partnership with his clients through empathy, understan

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  • Cynthia Chavez, Counselor

    Cynthia Chavez

    Counselor

    1770 25th Avenue, Greeley, Colorado 80634

    Cynthia Chavez is a Counselor in Greeley, Colorado. They treat Substance Abuse, Sleep-Wake Disorders, Postpartum Depression.

    Supporting individuals, couples, and families across Colorado, Cynthia Chavez provides a safe and non-judgmental space for healing and personal transforma

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  • Katie Fosselius, Counselor

    Katie Fosselius

    Counselor

    7114 West Jefferson Avenue, Lakewood, Colorado 80235

    Katie Fosselius is a Counselor in Lakewood, Colorado. They treat Substance Abuse, Women's Issues, Bipolar Disorder.

    A person-centered and strengths-based care approach defines the practice of Katie Fosselius, a Licensed Clinical Social Worker in Colorado who has been in

    View profile

Understanding Substance Abuse

Substance abuse is a recognized health condition involving repeated use of alcohol or drugs in ways that cause problems in daily life. It can affect a person’s health, safety, relationships, work, or school, and it may be hard to control without support. This is not a sign of weakness or a personal failing. It is a condition that can be treated and managed.

Common Signs and Symptoms

This section outlines common signs of substance abuse to help readers notice concerns early and decide whether it may be worth talking with a professional. Symptoms can vary, and some people may show only a few of these signs.

  • Needing more of a substance than before to feel the same effect
  • Strong cravings or frequent thoughts about using
  • Trouble cutting back even when trying to
  • Changes in mood, such as irritability, anxiety, or low mood
  • Sleep problems, unusual fatigue, or changes in appetite
  • Missing work, school, or responsibilities because of use
  • Withdrawing from family, friends, or activities once enjoyed

Why This Happens

Substance abuse often develops from a mix of influences rather than one single cause. Biological vulnerability, stress, and exposure to substances can all play a role. For many people, it begins as a way to cope with pain, anxiety, or difficult life events, then becomes harder to control over time.

  • Biological factors
  • Family history of addiction
  • Brain chemistry differences that affect reward and impulse control
  • Co-occurring mental health conditions
  • Psychological factors
  • Chronic stress or trauma
  • Anxiety, depression, or low self-esteem
  • Impulsivity or difficulty managing emotions
  • Environmental factors
  • Easy access to alcohol or drugs
  • Social circles where substance use is common
  • Ongoing conflict, instability, or high stress at home or work

How Treatment Works

Getting professional help can give you coping strategies that are tailored to your situation and help you manage urges, stress, and setbacks. It can also make it easier to understand your experiences and see patterns that may be contributing to substance use. With support, many people find it becomes more manageable to reduce the impact on daily life, work, and relationships. In Boulder, it may take some planning to get to appointments because traffic, parking, and bus service can vary, so choosing a travel option that works for you can help you stay consistent. Costs can also be a concern, since private pay rates are higher than average and insurance acceptance varies, but finding a provider that fits your needs can still be worth the effort.

Finding the right provider in Boulder

When looking for a Substance Abuse therapist in Boulder, start by searching for providers who list experience with that condition. Use filters to narrow your options by insurance, availability, and approach so you can focus on therapists who fit your needs and schedule. Because insurance acceptance varies by provider and sliding-scale clinics may have waitlists, it helps to compare several options before deciding. Personal fit matters too, so look for someone whose style feels comfortable and supportive to you. MiResource makes comparing options easier by helping you sort through choices more efficiently.

Local Care Logistics in Boulder

Getting to therapy in Boulder can depend a lot on where you live and how you travel. Someone in Pearl Street or Central Boulder may have easier access to downtown providers, but parking can be limited near campus and traffic gets heavier during peak and university periods. People in University Hill, The Hill, or near the University of Colorado Boulder may also need to plan around semester peaks, move-in, and exam-cycle strain. If you live in Table Mesa, South Boulder, North Boulder, or Gunbarrel, bus service may vary and trips can take longer, so scheduling appointments with enough travel time helps. Boulder’s higher housing costs, waitlists, and uneven in-network behavioral health availability can make it worth booking ahead and asking about sliding-scale options. Some residents bike or drive, so choosing a provider near home or along a regular commute can reduce missed visits.

Taking Care of Your Mental Health in Boulder

Non-emergency community supports in Boulder can help with peer connection, care navigation, family support, and practical steps that make it easier to stay engaged in recovery alongside therapy. Mental Health Partners, NAMI Boulder County, and Boulder County Public Health are examples of organizations people may contact for general help finding local resources, education, or support navigating services. If someone is a student, University of Colorado Counseling and Psychiatric Services and campus student support services can be relevant during semester, move-in, and exam-cycle stress. These supports can be especially useful in Boulder’s higher-cost, waitlist-heavy care environment, where getting connected and staying supported can take extra planning.

When to Seek Immediate Help

Emergency services are necessary if substance use leads to trouble breathing, loss of consciousness, seizures, severe confusion, chest pain, or a risk of harming yourself or someone else. Call 911 right away for immediate danger, and use 988 if you need urgent crisis support and are able to stay safe while waiting for help. In Boulder, you can also contact Colorado Crisis Services or the Mobile Crisis Team via Mental Health Partners (Boulder County) for urgent mental health support related to substance use. If emergency care is needed, go to Foothills Hospital, Good Samaritan Hospital, Longmont United Hospital, or Community Medical Center.

  1. Watch for warning signs such as not waking up, very slow or stopped breathing, severe agitation, or dangerous behavior.
  2. Call 911 for a medical emergency or 988 for immediate crisis support; if appropriate, contact Colorado Crisis Services or the Mobile Crisis Team via Mental Health Partners (Boulder County).
  3. Go to Foothills Hospital, Good Samaritan Hospital, Longmont United Hospital, or Community Medical Center if urgent in-person care is needed.
  4. Expect possible waiting during busy times, and plan ahead for traffic congestion near downtown and campus, limited parking, and bus service that varies by neighborhood.

Common Questions About Substance Abuse

Q: When should someone with Substance Abuse in Boulder see a therapist? A: It can help to see a therapist if substance use is starting to affect mood, work, school, relationships, or daily routines. You do not need to wait until things feel severe before asking for support. If cutting back feels hard, cravings are frequent, or you are worried about relapse, a therapist may be a good next step. It is reasonable to seek help even if you are also using other supports.

Q: What should someone do if the first therapist is not a good fit? A: If the first therapist does not feel like a good fit, it is okay to try someone else. For Substance Abuse, comfort, trust, and a sense of being understood can matter a lot. You can share what is not working, such as communication style, goals, or approach, and ask for a referral if needed. In Boulder, where scheduling and availability can vary, it may take a few tries to find the right match.

Q: Can virtual therapy help with Substance Abuse? A: Virtual therapy can help some people with Substance Abuse, especially if travel, traffic, or scheduling makes in-person visits harder. It may be a good option for check-ins, coping skills, and ongoing support. Some people prefer it for privacy and convenience, while others do better with face-to-face care. The best choice often depends on your needs, safety, and level of support.

Q: What should someone ask when choosing a therapist for Substance Abuse? A: It can help to ask about the therapist’s experience with Substance Abuse and the types of treatment they use. You may also want to ask how they handle relapse, family involvement, and coordination with other care if needed. In Boulder, it can be useful to ask about insurance, private pay rates, sliding-scale options, and appointment availability. Questions about virtual visits and the expected pace of treatment can also help you decide.

Q: Does therapy for Substance Abuse help over time? A: Therapy for Substance Abuse often aims to build skills that can support recovery over time. Many people find that it helps them understand triggers, manage cravings, and make changes that fit their life. Progress may be gradual, and setbacks can happen along the way. With ongoing support, therapy can be one part of a longer-term plan.

Local Resources in Boulder

MiResource can help you search for clinicians in Boulder, CO who treat Substance Abuse. You can filter by insurance, specialty, and availability to find someone who fits your needs.

Find care for you

Recovery is possible. With early intervention, a supportive community, and the right professional care, you can overcome challenges and build a fulfilling life. We’re here to help you find the support you need.

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