Medically reviewed by Gabriela Asturias, MD on May 23, 2025If you’re in Durham and considering help for Substance Abuse, that’s a big step. This page explains Substance Abuse and offers guidance for finding local therapists, with options that may fit your schedule, transportation needs, and budget.
Licensed Clinical Social Worker (LCSW)
Remote only
Kateryna Chorna is a Licensed Clinical Social Worker (LCSW) in undefined, undefined and has been in practice for 10 years. They treat Substance Abuse, Obsessive-Compulsive Personality, Abuse.
Supporting in healing from anxiety, depression, and trauma with EMDR, DBT, and trauma-informed care for calm, balance, and resilience.
Licensed Clinical Social Worker (LCSW)
4041 Ed Drive, Raleigh, North Carolina 27612
Michael Rosen is a Licensed Clinical Social Worker (LCSW) in Raleigh, North Carolina and has been in practice for 25 years. They treat Substance Abuse, Anxiety, Antisocial Personality.
I am happy to offer both Telehealth and in-person sessions . I work with diverse ages and populations and will fit my modalities according to your needs.
Licensed Clinical Social Worker (LCSW)
2828 Pickett Road, Durham, North Carolina 27705
Lawrence McBride is a Licensed Clinical Social Worker (LCSW) in Durham, North Carolina and has been in practice for 7 years. They treat Substance Abuse, Psychosis, Loneliness/Isolation.
Welcoming new clients! I help with emotional distress and trauma.
Psychiatrist
1600 Olive Chapel Road, Apex, North Carolina 27502
Vinay Saranga is a Psychiatrist in Apex, North Carolina. They treat Substance Abuse, Drug Use, Obsessive Compulsive Disorder (OCD).
Mental health disorders are unique. In addition to medication management, we offer TMS Therapy and IV Ketamine that can help when nothing else does.
Licensed Clinical Social Worker (LCSW)
215 Providence Road, Chapel Hill, North Carolina 27514
Zumrad Masar is a Licensed Clinical Social Worker (LCSW) in Chapel Hill, North Carolina and has been in practice for 18 years. They treat Substance Abuse, Racial Identity, Relationship(s) with Parents/Children/Family.
I provide support for stress, anxiety and life transitions, so you can feel more steady and in control.
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, Obsessive Compulsive Disorder (OCD), School Concerns.
Licensed Clinical Sport Psychologist — services for mental health care & performance enhancement
Substance abuse is a recognized health condition, not a personal weakness. It means a person keeps using alcohol or drugs in ways that cause harm, even when it leads to problems at home, work, school, or with health and safety. Mental health organizations often define it by a pattern of repeated use, loss of control, and continued use despite negative consequences. It can affect anyone and is treatable with support and care.
Not everyone experiences substance abuse the same way, and signs can look different from person to person and from one situation to another. In Durham, some people may show only a few of these signs, while others may show several:
Substance abuse often develops from a mix of biological, psychological, and environmental influences rather than a single cause. Genetics, mental health symptoms, stress, and exposure to substances can all play a role. For many people, risk builds over time through repeated use, coping patterns, and life circumstances. It can affect anyone, and the factors involved often overlap.
Getting professional help for substance abuse can make it easier to develop coping strategies that fit your daily life and goals. It can also help you make sense of your experiences and understand patterns that may be hard to see on your own. Support from a professional may reduce the impact of substance use on work, relationships, and other responsibilities. In Durham, getting to appointments can sometimes be challenging because traffic is heavier at peak hours, bus service varies by neighborhood, and parking near downtown and campus can be limited. Telehealth may help reduce transportation barriers, and it may be useful to check insurance options and be prepared for possible waitlists at sliding-scale and community clinics.
To find the right Substance Abuse therapist in Durham, start by searching for providers who specifically work with this condition. Use filters to narrow options by insurance, availability, and treatment approach so you can focus on therapists who fit your needs and schedule. Because insurance acceptance varies by provider and sliding-scale and community clinics may have waitlists, it helps to compare a few choices before deciding. Personal fit matters too, since feeling comfortable with a therapist can make it easier to stay engaged in treatment. In Durham, many people drive to appointments, but bus service varies by neighborhood and parking can be limited near downtown and campus, so telehealth may also be worth considering. MiResource makes comparing options easier.
In Durham, getting to substance abuse appointments can be easier in neighborhoods like Trinity Park, Walltown, Ninth Street, Brightleaf, Old West Durham, and Duke Park, but peak-hour traffic can still slow trips. Many residents drive, and parking can be limited near downtown and campus, especially around American Tobacco Campus and Golden Belt. Bus service varies by neighborhood, so it helps to leave extra time if you are coming from East Durham, Hayti, Southside, Braggtown, or The Streets at Southpoint. If your schedule is tight, try to book sessions at times that avoid the busiest traffic windows. Telehealth can also reduce transportation barriers and make it easier to keep up with care when parking, transit, or work hours are a problem.
For substance abuse support in Durham, Alliance Health and Durham County Department of Public Health can be good places to start for community-based guidance and help finding services. NAMI Durham may also be useful for peer support and connecting with people who understand what you are going through. El Futuro can be another option to look into if you want local support, and Duke University Counseling and Psychological Services can be a starting point for students seeking campus-based help. Because traffic can be heavier near downtown and campus and parking can be limited, bus routes and telehealth may help make appointments easier to reach.
When substance use leads to loss of consciousness, trouble breathing, seizures, severe confusion, violent behavior, or a person cannot stay safe, call 911 right away. If the situation is urgent but not immediately life-threatening, contact 988 Suicide & Crisis Lifeline, Alliance Health Access and Information Center, or Durham Mobile Crisis Team via Alliance Health for immediate guidance. In Durham, people may go to Duke University Hospital, Duke Regional Hospital, UNC Hospitals, or UNC REX Hospital if emergency care is needed. Because traffic can be moderate during peak hours and parking can be limited near downtown and campus, plan for extra travel time when possible.
Q: When should someone in Durham seek a therapist for substance abuse? A: It is a good idea to seek therapy when substance use starts affecting health, work, school, relationships, or safety. You do not need to wait until things feel severe to get support. If cutting back feels hard, a therapist can help you explore triggers and build a plan. In Durham, it may help to start sooner if transportation, parking, or scheduling could make later access harder.
Q: What should you do if the first therapist is not a good fit? A: It is reasonable to try another therapist if you do not feel understood, respected, or comfortable. A good fit can make it easier to stay engaged in treatment. You can share what is not working, ask about a different approach, or look for someone with more experience in substance use care. If needed, you may also ask your primary care clinician or a local support program for referrals.
Q: Can virtual therapy help with substance abuse? A: Yes, virtual therapy can be helpful for many people with substance use concerns. It may be easier to fit into a schedule and can reduce travel barriers when traffic, bus service, or parking are difficult. Telehealth may also make it simpler to keep appointments during busy weeks. It may not be the best choice for every situation, so a clinician can help decide what level of care is appropriate.
Q: What should you ask when choosing a therapist for substance abuse? A: You can ask whether the therapist has experience treating substance use concerns and what methods they use. It may also help to ask about appointment availability, virtual options, fees, and whether they accept your insurance. If cost is a concern, ask about sliding-scale options or clinic wait times. You can also ask how they handle relapse, cravings, and coordination with other medical care if needed.
Q: Does therapy for substance abuse help over time? A: Therapy can help many people build coping skills, understand triggers, and make steady changes over time. Progress is often gradual, and setbacks can happen without meaning treatment has failed. Ongoing support may improve the chances of maintaining change and responding early if symptoms return. Regular follow-up can be especially useful when stress, routines, or living situations change.
MiResource can help you search for clinicians in Durham, NC who treat Substance Abuse. You can filter by insurance, specialty, and availability to find someone who fits your needs.
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.
