Substance use support in Denver
Support for understanding substance use, reducing shame, and building a steadier relationship with coping and recovery.
Substance use can become a way to manage stress, trauma, pain, disconnection, pressure, or emotions that feel hard to hold alone. Therapy offers a nonjudgmental space to understand the pattern, strengthen support, and move toward choices that fit your life and values.
Substance use support may help when you are navigating:
- Alcohol, cannabis, or other substance use that feels harder to manage
- Using substances to cope with anxiety, trauma, grief, stress, or loneliness
- Ambivalence about change, moderation, abstinence, or next steps
- Shame, secrecy, relationship strain, or difficulty asking for support
Substance use support
A compassionate place to understand what the pattern is doing for you.
Substance use is often more complex than willpower. It may be connected to stress, trauma, depression, anxiety, social pressure, sleep, loneliness, pain, identity, or simply trying to get through the day.
Therapy can help you look honestly at the role substances are playing without shame or fear-based judgment. Your therapist can support motivation, values, coping tools, harm reduction conversations, relapse prevention, emotional regulation, and deeper work around the experiences underneath the pattern.
The goal is to help you build more choice, safety, support, and self-trust.
Common reasons people seek substance use support
People often reach out when substance use has started to feel less like a choice and more like a loop.
Support can be helpful whether you are questioning your relationship with substances, actively changing use, rebuilding after relapse, or trying to understand what keeps the pattern in place.
Coping with stress
Substances have become a way to manage pressure, overload, or emotional exhaustion.
Anxiety or trauma
Use increases around triggers, panic, memories, social stress, or nervous system activation.
Shame or secrecy
You feel guilty, hidden, defensive, or afraid to be honest about what is happening.
Relationship strain
Substance use has affected trust, communication, conflict, intimacy, or family life.
Loss of control
You set limits and then find yourself using more, longer, or more often than intended.
Ambivalence
Part of you wants change, and part of you is unsure what life would look like without the pattern.
Relapse concerns
You want support for prevention, repair, and understanding what led back to use.
Identity and belonging
Substance use is tied to social connection, community, culture, or fear of being left out.
How therapy can help
Therapy can help you understand the function of substance use and build more support around change.
A therapist can help you identify triggers, strengthen coping skills, reduce shame, and explore the needs that substance use has been trying to meet.
Name the pattern
Understand when, where, and why substance use becomes more likely.
Build support
Develop emotional, relational, and practical tools for urges, stress, and recovery.
Move with choice
Clarify goals around moderation, abstinence, harm reduction, or next steps that fit your situation.
Our approach
Nonjudgmental, practical, and trauma-informed care.
Substance use support at Denver Mental Health Collective may include motivational interviewing, CBT, ACT, DBT skills, mindfulness, trauma-informed therapy, relational work, and support around values, boundaries, and coping.
Your therapist can help you explore substance use honestly without reducing you to the problem.
Nonjudgmental
We make space for honesty without shame, labels, or moralizing.
Motivation-aware
Therapy can help clarify what you want to change and what feels hard about changing.
Skills-based
Support may include coping tools, urge surfing, relapse prevention, and communication.
Whole-person
We consider stress, trauma, relationships, identity, mood, body cues, and support systems.
Meet Our Denver Substance Use Therapists
Our Denver therapists support clients exploring substance use, recovery, shame, trauma responses, stress, relationship strain, and more sustainable coping.

Sarah Hall
Licensed Clinical Social Worker
Offers collaborative, empowerment-based therapy for healing, resilience, trauma recovery, and meaningful change.

Casey Behr
Licensed Professional Counselor Candidate
Supports trauma survivors, queer and questioning clients, and people healing from relational or developmental trauma.

Andrew Bako
Licensed Clinical Social Worker
Supports people working through trauma, anxiety, depression, life transitions, identity concerns, and relationship patterns.

Jamie Golden
Licensed Professional Counselor
Offers grounded support for clients navigating emotions, relationships, identity, and personal growth.
WHAT TO EXPECT
A grounded process for starting substance use-focused care
Starting substance use-focused therapy does not require you to have everything figured out. The first step is a conversation about what you need, what feels difficult, and which therapist may be the right fit.
Start with a consultation
Use the free consultation to ask questions, share what brings you in, and see whether this support may fit.
Clarify the focus
Your therapist helps you identify goals, patterns, strengths, and the kind of support that feels useful.
Begin with support
Together, you build a steady process that can include insight, skills, practice, and reflection between sessions.
Caitlin NicolaTrustindex verifies that the original source of the review is Google. Having worked closely with the team at Denver Mental Health Collective, I’ve seen how much care and intention goes into the work they do. The clinicians are thoughtful, collaborative, and deeply committed to supporting clients in a meaningful way. It’s a team that truly cares about showing up for the people they support. Jodi EscalanteTrustindex verifies that the original source of the review is Google. Alex is an exceptional therapist who specializes in relationships and relationship trauma. He is incredibly insightful, articulate, and intelligent, and he has a remarkable ability to quickly understand complex dynamics and offer meaningful perspectives. I would highly recommend him to anyone looking for thoughtful, skilled support looking to heal from relationship challenges. Caroline AbateTrustindex verifies that the original source of the review is Google. Jamie is amazing and always helps me to detangle the mess in my brain. I always look forward to seeing her because she cares and wants to help. She is also incredibly quick to come up with thoughtful suggestions or responses. Thank you Jamie for always providing A+ service! Julieanna, PalaciosTrustindex verifies that the original source of the review is Google. I have loved both of my therapists here. Currently working with Kaitlin and it’s been exactly what I need, I couldn’t be more impressed with how much I’ve grown since starting. Also the intake process and even transitioning process was super smooth and easy, everyone had been really kind and communicative. Love dmhc ???? Shelby OsmondTrustindex verifies that the original source of the review is Google. Impressed with the intentional and professional approach the new management has taken and making sure their clients are well taken care of.
Questions
Common questions about substance use support.
Do I have to identify as addicted to start therapy?
No. You can start therapy if you are simply questioning your relationship with substances or wanting more choice.
Will therapy require abstinence?
Goals are discussed collaboratively. Some people want abstinence, some want harm reduction, and some are still clarifying what change means.
Can therapy help if substance use is connected to trauma or anxiety?
Yes. Many people use substances to manage distress. Therapy can support both the substance use pattern and the underlying pain or stress.
What if I have relapsed before?
Relapse can be explored with curiosity and care. Therapy can help identify what happened and strengthen support for next steps.
Can substance use therapy include relationships or family stress?
Yes. Substance use often affects and is affected by relationships, communication, boundaries, and support systems.
How do I start?
A free consultation can help you share what you are noticing and explore which therapist may be a good fit.
Related support
You may also be interested in
If this focus area is not the exact fit, these related services may also support your next step in therapy.
Individual Counseling
One-on-one support for anxiety, depression, trauma, identity, transitions, and stress.
Family Counseling
Support for families navigating communication, conflict, parenting stress, transitions, or repair.
Teen Therapy
Support for adolescents navigating emotions, identity, school stress, family dynamics, and mental health concerns.
EMDR Treatment
Structured support for trauma, distressing memories, anxiety, and experiences that feel hard to process.
You do not have to sort through substance use, shame, or recovery questions alone. Support can begin with one honest conversation.

