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Addiction and substance abuse
Written by Luisa Kos
Table of contents
Why therapy is essential for addiction recovery
Addiction is not just about substance use—it often stems from deeper emotional pain, trauma, stress, or mental health challenges. Many people turn to substances or addictive behaviours as a way to cope, only to find themselves caught in a cycle that feels impossible to break. Therapy offers a structured and supportive way to understand and address addiction at its core.
Key benefits of therapy for addiction:
- Identifying the root causes – Understanding the emotional, psychological, and environmental factors that contribute to substance use.
- Developing healthier coping strategies – Replacing addictive behaviours with sustainable, positive coping mechanisms.
- Managing triggers and cravings – Learning how to recognise and handle situations that increase the risk of relapse.
- Rebuilding relationships and restoring trust – Addressing the impact of addiction on family, friendships, and work.
- Addressing co-occurring mental health issues – Many people with addiction also experience anxiety, depression, PTSD, or other mental health conditions that need attention.
- Creating a sustainable plan for long-term recovery – Recovery is an ongoing process, and therapy helps build a personalised strategy for maintaining progress.
Addiction recovery is not about willpower alone—it’s about having the right support system, tools, and guidance to make lasting changes.
Understanding different types of addiction
Addiction is not limited to substances like alcohol or drugs. Many individuals struggle with compulsive behaviours that can negatively impact their lives. Therapy can help with:
- Alcohol addiction – Understanding dependency, withdrawal, and strategies for moderation or sobriety.
- Drug addiction – Addressing both prescription and recreational drug misuse and its underlying causes.
- Gambling addiction – Overcoming compulsive gambling and financial consequences.
- Sex and love addiction – Managing unhealthy relationship patterns, compulsive behaviours, and self-worth issues.
- Internet and social media addiction – Reducing excessive screen time and dependency on digital platforms.
- Food addiction and emotional eating – Developing a healthier relationship with food and body image.
Regardless of the type of addiction, therapy provides a structured path towards regaining control and improving overall well-being.
Therapists who understand addiction
Seeking therapy for addiction can feel daunting, but finding a professional who truly understands your experience can make all the difference. Our directory features therapists with expertise in addiction treatment, using a variety of evidence-based approaches, including:
- Cognitive Behavioural Therapy (CBT) – Identifying negative thought patterns and developing healthier behaviours.
- Motivational Interviewing (MI) – Strengthening your motivation and commitment to change.
- Trauma-informed therapy – Addressing past experiences that may contribute to substance use.
- Mindfulness & stress reduction – Learning techniques to manage cravings, stress, and emotional distress.
- 12-step facilitation – Exploring structured recovery programs such as Alcoholics Anonymous or Narcotics Anonymous if they align with your needs.
- Harm reduction therapy – Supporting individuals who are not ready for complete abstinence but want to reduce harmful behaviours.
Our therapists take a compassionate, non-shaming approach, focusing on empowerment and progress rather than blame or guilt.
A Supportive and non-judgmental space
Many people struggling with addiction fear being judged, misunderstood, or labelled. The therapists in our directory provide a confidential and understanding space where you can talk openly about your challenges.
Whether you’re in the early stages of recognising a problem, actively working towards recovery, or maintaining sobriety, therapy can be a powerful tool for lasting change.
Does therapy work for addiction?
Therapy has been shown to be highly effective in treating addiction, especially when combined with other forms of support such as medical care, peer support groups, and lifestyle changes. Many people find that therapy helps them:
- Gain deeper self-awareness about their addiction
- Replace harmful habits with healthier alternatives
- Improve emotional regulation and stress management
- Build confidence in their ability to maintain recovery
No matter how long you have been struggling, it is never too late to seek help.
My identify shifted when I got into recovery. That’s who I am now, and it actually gives me greater pleasure to have that identity than to be a musician or anything else. It gives me a spiritual anchor.
Find a specialist
Recovery looks different for everyone, and finding the right therapist can be a crucial step in your journey. Our directory allows you to search for addiction specialists based on location, therapy style, and specific areas of expertise. Whether you’re looking for in-person sessions or online support, you can find a therapist who aligns with your needs.
Start your search today and take the first step towards a healthier, more fulfilling life.
Therapists who can help with addiction and substance abuse
Luisa Kos
I am a psychodynamic psychotherapist trained at WPF and Tavistock Relationships, and a registered member of the BACP. Since qualifying in 2015, I have worked with both couples and individuals in South London, offering short and long-term therapy in person and online. I founded Dulwich Psychotherapy and South London Therapy Group, where I run a private practice and manage therapy rooms that host a community of around 20 practitioners. Before retraining, I spent 15 years in advertising and publishing, holding senior roles in user experience in New York and London, which gives me a unique perspective on the challenges of high-pressure professional environments.
Julie Smith
I trained in psychodynamic psychotherapy and have several years’ experience working with adults in both private practice and charitable settings in London. My background includes supporting clients with anxiety, depression, relationship difficulties, low self-esteem, family conflict, and life transitions.