Substance Use & Harm Reduction Therapy in New York

You can talk about your substance use without apology. This is therapy that meets you where you are.

I help high-achieving New Yorkers with substance use issues let go of shame and better understand their relationships with substances through compassionate, no-BS online therapy that starts where they are.

Supportive therapy for substance use in NY and NYC without judgment

You don’t need to be "clean" to be worthy of help.

You’ve been coping. Maybe barely. Maybe you use substances to get through the day. Maybe your coping strategies look a little… unorthodox. Maybe you’ve been told (subtly or loudly) that you can’t get support until you’ve stopped “messing up.”

You may have heard:

Let’s translate that: “We only help people once they look fixed.”

substance abuse wall painting

You don’t have to be “fixed” to get support.

I don’t do that. You don’t have to be abstinent. You don’t even have to know what change would look like. You just have to be willing to tell the truth about where you are, even if it’s messy, confusing, or not all that flattering.

Ready to feel less alone?

NYC therapist online for substance use and addiction that doesn’t require abstinence

Imagine life without so much struggle.

Real therapy doesn’t require perfection. You don’t have to overhaul your entire life to feel different. Small shifts can make things steadier, clearer, more livable.

You’re entitled to relief that fits your real life.

Imagine:

stairs with paintings on the wall

Want substance use therapy that treats you like a full human? Schedule a consult today.

Who harm reduction therapy can support online in NY and NYS

Why work with me? Because you want help, not judgment.

How do you know if therapy with me is the right fit? Maybe:

Sound familiar? Then we may be a great fit.

You are ready for care that sees the whole picture. I’d be honored to hear your story. The whole thing.

substance use

Online NY and NYC therapist approach to substance use therapy and harm reduction

Harm reduction simply means we begin where you are.

We start with where you are, not where someone else thinks you should be. Abstinence is one possible goal, but not the only one. If it’s what you want? Great! If not? That’s okay too.

With me, you define what progress looks like, at your pace, with your values.

I don’t confuse struggle with failure, or ambivalence with shame. (And no, I won’t take your vape away like a mean camp counselor.)

I’m here to help you:

harm reduction

Harm reduction therapist online in New York not abstinent based

You don’t have to follow someone else’s rules to “deserve” care.

Here’s what therapy with me is not:

No ultimatums. No shame. Just truth.

You don’t have to have all the answers. You don’t even have to want to change. You just have to talk, as honestly as you are able, about what’s real.

Important Note on Safety

If your substance use might be causing serious medical risk, we may need to explore a different level of care.

We’ll talk it through together during our consult and make sure you get what ‘s right for you.

Therapist with experience in substance use and complex mental health in NY and NYC

Think you can make me flinch? Meh.

I’ve seen a lot in 25 years of practice. I’ve sat with people in ambivalence, in relapse, and in recovery. I’m trained in harm reduction, trauma-informed care, and Internal Family Systems.

So I don’t flinch when people tell the truth about their lives. I’ve seen the guilt, the relapses, the parts that still want to use even when things are going okay, and the parts that “want to want to” quit.

I’ve seen what shame does. I’ve also seen what works.

I’ve worked in abstinence-only programs that framed setbacks as moral failures. I saw people walk away not because they didn’t care, but because they weren’t allowed to be human. Starting where people are, on their own timeline, with their real lives? That actually helps.

You can say it here. So no, your story won’t scare me (unless there are rodents, especially rats, because EEK!). Other than that, I’m all ears.

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Frequently Asked Questions for Substance Use

No. You don’t have to stop. You don’t even have to want to stop. We’ll talk about what you want and start there.
Yes. Many (if not most) of my clients do. We can talk about it all: anxiety, depression, trauma, ADHD, complicated diagnoses, and how it intersects with substance use.
Only if enabling means treating people like humans and not demanding they be perfect to “deserve” care. Spoiler: it doesn’t.
Perfect. That’s what therapy is for. You don’t need a clear plan. You just need to show up.

Book A Consult

If you’re ready to take the next step, please book a consultation or request an appointment today!