Alcohol and drug concerns exist on a spectrum. Some people seek help because they are using more than they want to. Others are worried about dependence, cravings, secrecy, relationship conflict, work impacts, health concerns or using substances to cope with stress, anxiety, trauma, depression or sleep problems.
You do not need to “hit rock bottom” before speaking with a psychologist. Therapy can be useful whether your goal is to reduce harm, cut down, stop completely, prevent relapse or better understand the role alcohol or drugs are playing in your life.
At Darlinghurst Psychologists, we provide non-judgemental support for alcohol and drug concerns, including co-occurring anxiety, depression, trauma, ADHD, sleep issues and relationship stress.
Signs alcohol or drug use may be becoming a problem
You may benefit from support if you notice using more than intended, difficulty cutting down, cravings, secrecy, shame, relationship problems, work consequences, increased tolerance, withdrawal symptoms, or using substances to cope with emotions.
If you are physically dependent on alcohol, benzodiazepines or other substances, it is important to seek medical advice before stopping suddenly, as withdrawal can be medically risky.
Evidence-based therapy for alcohol and drug concerns
Therapy often begins with understanding the pattern rather than judging it. What triggers use? What does it provide in the short term? What does it cost over time? What would you like to be different?
At Darlinghurst Psychologists, therapy may include Motivational Interviewing, Cognitive Behavioural Therapy, Schema Therapy, relapse prevention, urge management, harm-reduction planning, values-based work, emotional regulation strategies and treatment for co-occurring mental health concerns.
Therapy may help you clarify your goals, understand triggers, manage cravings, plan for high-risk situations, reduce shame, rebuild routines and address underlying anxiety, trauma, depression or sleep problems.
Where more intensive support is needed, we can help you consider appropriate referral options and work alongside your GP, psychiatrist or specialist alcohol and drug services where relevant.
How Darlinghurst Psychologists can help
Many people delay seeking help because they fear being judged. We work respectfully and collaboratively, with a focus on your goals, your context and what kind of support would be useful.
You may also find it helpful to read about Anxiety, Depression, Trauma Therapy, Sleep Issues, Workplace Stress and Burnout and Relationship Issues.
Common questions about alcohol and drug counselling
Do I have to want abstinence to start therapy?
No. Some people want to stop completely. Others want to reduce harm, cut down or better understand their use. Therapy can start from your goals.
Can therapy help with cravings?
Yes. Therapy can help you understand triggers, manage urges, plan for high-risk situations and build alternative coping strategies.
What if substance use is linked to trauma or anxiety?
That is common. Therapy can address both the substance use pattern and the underlying distress that may be contributing to it.
Should I stop alcohol or drugs before starting therapy?
Not necessarily. It depends on the substance, your level of use and your goals. If withdrawal may be medically risky, speak with a GP before stopping suddenly.
Can a psychologist work with relapse prevention?
Yes. Relapse prevention can include identifying triggers, planning for high-risk situations, managing urges and responding to lapses without giving up.
