Addictions (Substance Use Disorders) Therapy in Miami:

You might waver at times, but deep down in your core, you know there's a problem.

It's too much, and you know it.

Your drinking or drug use has gotten out of control.  Others have noticed. Drinking or using has resulted in negative consequences for you, perhaps impacting your work, relationships, or mental health.

For a while, you tried to tell yourself that things were fine, that your use was normal, or that you were just using to relax or have fun. But now it's more than that. You tried to rein it in yourself but have had trouble on your own.

It doesn't have to be this way.

It's time to consider working with a therapist who specializes in addictions.

Gatewell Therapy Center offers individual and group therapy designed to target addictions, primarily alcohol and substance use disorders. Whether you struggle with alcoholism or alcohol misuse, addiction or drug problems, Gatewell assesses the severity of your substance misuse and either treats you in our center or refers you to a higher level of care. Gatewell therapists work with clients who misuse the following substances:

  • alcohol
  • cannabis
  • cocaine and other stimulants (e.g., prescription pills)
  • opiates
  • benzodiazepines
  • designer/club drugs (e.g., Ecstasy/Molly, GHB, acid, methamphetamine)

Treatment for Substance Use Disorders:

Gatewell therapists recognize that clients may present at different Stages of Change regarding their willingness to stop or curb their substance use. We are skilled at Motivational Interviewing approaches in order to help you move toward positive behavioral change. Some clients, particularly those who struggle with addictions, may choose sobriety as a goal and may benefit from participation in 12-step meetings, such as AA or NA, for additional support. Others may be unwilling or unable to commit to sobriety from all substances and might instead choose the goal of Harm Reduction. We are willing to work with your regardless of your goals.

Sobriety Versus Harm Reduction:

Harm reduction, rather than focusing exclusively on sobriety, seeks to address the negative consequences associated with use. The movement began with programs designed to reduce the spread of HIV by decreasing the frequency of shared needles. It expanded to include other forms of reducing harm associated with use, including methadone programs, the use of designated drivers, and moderated use (moderation management) as a strategy for decreasing harm. Those who try to moderate their use might explore reducing the amount of their use, their use in particular situations, and other problematic behaviors (e.g., combining substances, self-medicating psychiatric problems, etc.).

For some, typically for those who might have misused alcohol/drugs and experienced some negative consequences but did not develop an addictive relationship to the substance, harm reduction strategies might be appropriate if closely monitored. But harm reduction is certainly not for everyone. For those who are substance dependent, and for those who have experienced significant consequences associated with use, a trial of harm reduction will often help them discover that abstinence is the only way to ensure that harm is eliminated. 

Those exploring their relationship to alcohol and/or other drugs can benefit from an initial period of sobriety. How they respond to the absence of substances may provide valuable information about their relationship to these substances - and direction for long-term goals. If this initial period of sobriety is challenging, it is possible that alcohol/drugs played a larger role than previously understood, and this might provide more of an argument for abstinence as a long-term goal.