Find a Therapist for Substance Abuse in San Diego

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

You're in the right place to find help for Substance Abuse in San Diego. Explore trusted resources, treatment options, and local providers. We offer clear guidance, compassionate support, and connections to care so you can start recovery and improve your mental health today.

  • Depinder Singh, Primary Care Physician

    Depinder Singh

    Primary Care Physician, Certified Addiction Counselor (CAC), Licensed Clinical Addictions Counselor (LCAC), Licensed Addiction Counselor (LAC), Psychiatric Nurse Practitioner, Licensed Masters Addiction Counselor (LMAC), Academy of Certified Social Workers License (ACSW), Licensed Marriage and Family Therapist (LMFT)

    725 Front Street, Santa Cruz, California 95060

    Depinder Singh is a Primary Care Physician in Santa Cruz, California and has been in practice for 15 years. They treat Addiction, Drug Use, Gambling Concerns.

    Join The Key Addiction Treatment Center where we meet in community at our Residential Rehab facility or our Intensive Outpatient Program.

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  • Dr. Nadya Leavitt, Licensed Marriage and Family Therapist (LMFT)

    Dr. Nadya Leavitt

    Licensed Marriage and Family Therapist (LMFT)

    Remote only

    Dr. Nadya Leavitt is a Licensed Marriage and Family Therapist (LMFT) in undefined, undefined. They treat Addiction, Divorce, Borderline Personality.

    Our company offers professional remote therapy services in CA and AZ, we accept most insurances in both states including Medi-cal/AHCCCS and Medicare.

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  • Intuitive Counseling, Licensed Mental Health Counselor (LMHC)

    Intuitive Counseling

    Licensed Mental Health Counselor (LMHC), Licensed Marriage and Family Therapist (LMFT)

    1450 Madruga Avenue, Coral Gables, Florida 33146

    Intuitive Counseling is a Licensed Mental Health Counselor (LMHC) in Coral Gables, Florida and has been in practice for 15 years. They treat Addiction, Aging, Trauma.

    We offer counseling to empower you with clear and practical insights for healing, balance and personal growth.

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  • 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 Addiction, Eating Concerns, Self-Harm.

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

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  • Anna Ponder, Licensed Clinical Social Worker (LCSW)

    Anna Ponder

    Licensed Clinical Social Worker (LCSW)

    Remote only

    Anna Ponder is a Licensed Clinical Social Worker (LCSW) in undefined, undefined and has been in practice for 8 years. They treat Addiction, Burnout, Loneliness/Isolation.

    Hello! I practice from an individualized, collaborative, and insight-oriented approach to meet the unique needs of each client.

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  • Dr. Austin Slade, Psychologist

    Dr. Austin Slade

    Psychologist

    3660 Clairemont Drive, San Diego, California 92117

    Dr. Austin Slade is a Psychologist in San Diego, California. They treat Addiction, Depression, Trauma.

    I work with a variety of issues with people from all backgrounds. I enjoy working with athletes and the unique problems they face.

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Finding Support for Substance Abuse in San Diego

Living with Substance Abuse is tough, and you don’t have to face it alone. You’re in the right place—MiResource is a trusted guide to caring support tailored to your needs. MiResource makes it simple to connect with therapists in San Diego, both online and in-person.

An Overview of Substance Abuse

Substance Abuse means misusing prescription meds or using illicit substances in ways that harm your health, relationships, or daily life. In San Diego, people from all walks of life face this, and seeking help early matters—you’re not alone. Therapy and coordinated care—like counseling, peer support, and medication-assisted treatment—can help you understand triggers, build healthier coping skills, and create a personalized plan for recovery.

Defining Substance Abuse

Substance Abuse means taking illegal drugs or misusing prescription or over‑the‑counter medicines, which can lead to health, legal, and relationship problems in San Diego. Hallmark signs include strong cravings, needing more to get the same effect, withdrawal symptoms, trouble cutting down, and continuing to use despite problems at work, school, or home. Day-to-day effects may include mood swings, sleep issues, missed shifts or classes, risky driving, money stress, and conflicts with family or friends. Trusted sources like the National Institute on Drug Abuse, the Centers for Disease Control and Prevention, and the Substance Abuse and Mental Health Services Administration provide clear guidance on symptoms and treatment options. If you or someone you know in San Diego is struggling, consider exploring the broader Substance Abuse therapy resources on MiResource.

Benefits of Therapy for Substance Abuse

Therapy works for Substance Abuse by offering evidence-based tools that reduce cravings, stabilize mood, and rebuild confidence. Cognitive Behavioral Therapy (CBT) teaches coping skills and relapse-prevention plans that lower triggers and strengthen daily routines. Motivational Interviewing (MI) increases readiness for change, helping you set achievable goals and feel hopeful about progress. Contingency Management (CM) uses positive reinforcement to support sobriety, improving motivation and repairing relationships. Dialectical Behavior Therapy (DBT) and, when appropriate, medication-assisted treatment coordinated with counseling enhance emotion regulation, reduce risky use, and support lasting recovery in San Diego.

The Therapy Journey – What to Expect

Starting therapy for Substance Abuse in San Diego begins with a compassionate initial assessment where you can share your history, strengths, and concerns to shape a plan that fits your life. Together, you and your therapist set realistic, measurable goals—such as reducing use, building coping skills, and strengthening support—so progress feels clear and achievable. Ongoing sessions blend evidence-based approaches like Cognitive Behavioral Therapy, Motivational Interviewing, Contingency Management, and relapse-prevention planning, with referrals or coordination for medication-assisted treatment when appropriate. Your therapist will personalize strategies to your culture, values, and schedule, checking in regularly to adjust the plan as your needs evolve. Expect a collaborative, judgment-free space that focuses on steady steps forward and celebrates progress, however small.

Tips for Choosing the Right Therapist in San Diego

Search MiResource by entering San Diego as your location, then select Substance Abuse as the condition to see relevant providers. Use the Therapy Approach filter (e.g., CBT, harm reduction, motivational interviewing) to match your preferences. Narrow results by Insurance to confirm who accepts your plan, then choose Language to find providers who speak your preferred language. Set Availability for times that work for you and apply Neighborhood filters (e.g., Downtown, La Jolla, North Park, Hillcrest, Chula Vista) to stay close to home or work. Review profiles for experience, style, and communication to ensure the personal fit that matters most. Start exploring the directory now and take your next step toward support.

Why a Local San Diego Therapist Can Make a Difference

San Diego’s binational identity, military presence, and diverse neighborhoods shape how Substance Abuse shows up and how people seek help. Border proximity and cross-border culture influence access to substances and attitudes toward harm reduction, while the city’s strong recovery community and widespread Spanish- and Tagalog-speaking providers support culturally responsive care. College hubs like UC San Diego, SDSU, and USD see unique pressures around stimulants and party drugs, and many veterans navigate co-occurring Post-Traumatic Stress Disorder (PTSD) and substance use. A local therapist who knows San Diego’s fentanyl trends, cannabis landscape, and community stigma can tailor strategies that fit your life and supports.

In-person care can be easier here than you think: the Trolley, COASTER, and MTS buses connect Downtown, La Jolla/UTC, Mission Valley, Chula Vista, and Sorrento Valley, and major routes like I‑5, I‑8, and SR‑163 cut travel time between sessions. Therapists near recognizable hubs—Hillcrest, North Park, City Heights, and the Gaslamp—often offer flexible hours and parking, which helps reduce no-shows. With mild weather most of the year, some clinicians incorporate outdoor or walk-and-talk elements in Balboa Park or along Mission Bay, which can ease cravings and stress. Local clinicians also understand campus schedules, shipyard shifts, and base life, helping you plan relapse prevention around real San Diego routines.

Helpful resources: County of San Diego Behavioral Health Services – Alcohol and Drug info and treatment access , San Diego Access and Crisis Line 24/7 (888-724-7240, chat/text), Family Health Centers of San Diego Syringe Services and harm reduction , McAlister Institute treatment programs , SAY San Diego prevention and youth services , A New PATH family support , and County naloxone resources . National supports: SAMHSA Helpline 1-800-662-HELP  and Poison Control 1-800-222-1222 . Emergencies: call 911 or 988 for the Suicide & Crisis Lifeline. Nearby emergency departments include UC San Diego Health – Hillcrest Medical Center ED , Scripps Mercy Hospital San Diego ED , and Sharp Memorial Hospital ED .

Substance Abuse Therapy in San Diego: FAQ Guide

When should I consider seeking help for Substance Abuse?

Consider seeking help for Substance Abuse when cravings, use, or withdrawal symptoms persist or worsen, or when cutting back feels hard. It’s time to reach out if substance use starts interfering with daily routines, work or school performance, relationships, or leads to avoidance and ongoing distress. If you have safety concerns—such as using in risky situations, blackouts, or any thoughts of self-harm—get support right away. Early support makes recovery easier, and you can access in-person or virtual Substance Abuse therapy in San Diego.

What if I don’t click with my therapist right away?

It’s normal not to click with the first therapist you meet—finding the right fit is key, and a strong therapeutic alliance is linked to better outcomes for Substance Abuse. You can switch at any time, and MiResource can help you compare therapists’ approaches, insurance acceptance, and availability across San Diego.

Does online therapy really work for Substance Abuse?

Yes—many people find online therapy effective for Substance Abuse, especially for evidence-based approaches like CBT, MI, and relapse-prevention delivered via secure video. Online care offers convenience, privacy, and easier access to consistent support, but it depends on reliable internet and a private space, and some people benefit from drug testing or hands-on structure. In-person therapy in San Diego may be preferred if you need medical detox, intensive outpatient or residential care, frequent monitoring, co-occurring severe mental health symptoms, or crisis support. If you’re unsure, a local San Diego provider can help you choose the right level of care and blend online and in-person options.

How do I prepare for my first session?

- Clarify your goals: Jot down what you want from therapy, your patterns of use, triggers, recent changes, and any concerns about withdrawal, cravings, or mental health.
- Gather essentials: Bring photo ID, insurance card, payment method, a list of substances used (type, amount, frequency), current medications, past treatment records, and any legal/employer paperwork. Pack water and a small snack if you tend to get anxious.
- Prepare your questions: Ask about their approach (harm-reduction vs. abstinence), experience with substance use, how progress is measured, session length and frequency, options like medication-assisted treatment, confidentiality limits, crisis support between sessions, and coordination with other providers.
- Know what to expect: You’ll complete intake forms, review confidentiality, and discuss your history, goals, and safety. Expect a nonjudgmental space, possible screening tools, and a first-step plan; some clinics may request a urine screen.
- Plan logistics: Confirm location/parking or telehealth setup, arrive 10–15 minutes early, bring a notepad or phone notes, and have emergency contacts handy. If helpful, arrange a trusted person for transportation or support afterward.
- Care for yourself after: Schedule time to decompress, hydrate, and reflect on takeaways; note any urges or feelings that come up and share them next session.
If you’re looking for Substance Abuse therapy in San Diego, we’re here to help you take a safe, supported first step.

Can therapy truly help with Substance Abuse?

Yes—therapy is proven to help with Substance Abuse. Approaches like cognitive behavioral therapy, motivational interviewing/enhancement, and contingency management consistently reduce use, cravings, and relapse risk and improve mood, relationships, and daily functioning; many people also benefit when therapy is coordinated with medications for addiction treatment. Working with a therapist in San Diego offers structured coping skills, relapse-prevention planning, and support to rebuild routines and networks. Progress is strongest with regular sessions, practice between visits, and a sustained commitment to your goals.


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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