Therapy
Substance Use and Addiction
What begins as a way to unwind, cope, or escape can slowly become something harder to control.
Substance use doesn’t always look dramatic. Often, it builds quietly—until it starts affecting your health, your relationships, your work, or your sense of self.
You might find yourself using more than you intended, struggling to stop, or wondering if things have gotten out of hand. What once felt like relief now feels like a trap.
Someone struggling with substance use might find themselves asking:
“Do I really have a problem?”
“Why do I keep doing this when I say I won’t?”
“Is this just stress—or something deeper?”
“Am I hiding this from people?”
“How do I get out of this cycle?”
Substance use issues can show up in many forms, including:
Drinking to cope with stress or emotions
Difficulty cutting back or quitting
Using in secret or lying about use
Strained relationships due to substance use
Legal or financial consequences
Feelings of shame, guilt, or loss of control
Increased tolerance or withdrawal symptoms
You don’t have to hit rock bottom to seek help.
Whether you’re just beginning to question your relationship with substances or already know it’s time for change, therapy can offer clarity, support, and a new path forward.
I offer compassionate, evidence-based treatment that respects your autonomy and focuses on your values. Drawing from approaches like Motivational Interviewing, CBT, CRAFT, and medication-assisted treatment when appropriate, we’ll work together to understand what’s driving your use—and build healthier, more fulfilling alternatives.
If you’re ready to take back control, support is here.
Reach out today and take the first step toward freedom.
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Licensed Providers
Hannah K. Howell, PhD, JD, MSCP
[CA PSY17487 / WA PY 61076404]
[PSYPact/APIT 20176]
Alison Bateman, PhD, C-DBT
[CA PSY19916]
Paula Wilbourne, PhD
[HI PSY-1029]
We provide personalized therapy, advanced professional training, and expert consultation, leveraging decades of clinical expertise and research to address complex mental health challenges.
Licensed Provider
Hannah K. Howell, PhD, JD, MSCP [CA PSY17487 / WA PY 61076404] [PSYPact/APIT 20176]
Alison Bateman, PhD [CA PSY19916]
Paula Wilbourne, PhD [HI PSY-1029]
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