Serene Therapy Environment
Specialized Support

Addictions & Substance Use Support

We understand that substance use is complex, personal, and deeply human. There is no single path to change and no requirement that you be "ready," abstinent, or certain about what you want in order to seek support.

A Biopsychosocial Approach

Our work is grounded in a biopsychosocial model, recognizing that substance use is influenced by the interaction of biology, psychology, relationships, environment, stress, trauma, and life experiences. We look beyond substances themselves to understand the whole person and the context in which change happens.

Our Approach

We practice harm reduction–informed psychotherapy, working along a continuum that includes harm reduction and abstinence-based care. This means:

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No Abstinence Required

You do not need to be abstinent to begin therapy.

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No Certainty Needed

You do not need to know whether you want to quit.

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Met Where You Are

You are met where you are, without judgment or pressure.

Together, we explore what substance use does for you, what it costs you, and what feels possible right now. For some, this may involve reducing harm, increasing safety, or improving control. For others, it may involve working toward abstinence. Readiness can change over time — and your care can change with it.

What We Support

We work with individuals across all stages of change, including:

  • check Curiosity or concern about substance use
  • check Ambivalence about cutting back or quitting
  • check Relapse prevention and sustained recovery
  • check Co-occurring anxiety, depression, trauma, or stress
  • check Shame, guilt, or secrecy around substance use
  • check Relationship, work, or health impacts related to use

A Non-Judgmental Space

Addiction is not a failure of willpower or character. It is often a response to pain, stress, loss, or unmet needs.

Therapy offers a space to understand your relationship with substances, strengthen coping, rebuild trust with yourself, and move toward change at a pace that feels realistic and respectful.

"You deserve support at every point in your story — not just after a decision has been made."

Common Questions

Helpful answers about our approach to substance use support.

Q. Do I need to be abstinent to start therapy?

No. You do not need to be abstinent to begin therapy. You do not need to know whether you want to quit. You are met where you are, without judgment or pressure.

Q. What approach do you use for substance use support?

We practice harm reduction–informed psychotherapy, working along a continuum that includes harm reduction and abstinence-based care. Our work is grounded in a biopsychosocial model that looks beyond substances to understand the whole person.

Q. What if I'm not sure I have a problem?

You deserve support at every point in your story — not just after a decision has been made. Whether you're curious, concerned, or ambivalent about your substance use, therapy can meet you where you are.

St. Lawrence Wellness Therapy Office

Ready to take the first step?

You deserve support at every point in your story. Our team is here to meet you where you are — without judgment or pressure.