Harm Reduction Therapy

Harm reduction, or harm minimization, accepts that idea that many people can’t or won’t completely stop using drugs or alcohol. The term “harm reduction” refers to a framework for helping reduce the harmful consequences of use when abstinence is not a realistic option. Although harm reduction was originally and most frequently associated with substance use, it is increasingly being applied to a multitude of other behavioral disorders. A core tenet of harm reduction is a relaxation on the emphasis on abstinence as the only acceptable goal and criteria of success. Instead, smaller incremental changes in the direction of reduced harmfulness of drug use are encouraged and accepted. Think a therapist armed with harm reduction techniques might be right for you? Reach out to one of TherapyDen’s harm reduction experts today.

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Meet the specialists

 

I treat addictive disorders using DBT for behavioral interventions and mindfulness strategies to manage distress and emotions. I provide neurological psychoeducation and use parts work to integrate all parts of the self, fostering healing for internal wounds. With ACT, I guide clients in building acceptance of pain, and CBT to challenge faulty beliefs. Additionally, I draw on Gabor Maté's insights all aligned with a person-centered, empathic approach to support lasting change

— Sabrina Gramatica, Associate Marriage & Family Therapist in Los Angeles, CA

My specialization in this approach reflects my commitment to providing compassionate and effective care for individuals seeking support in managing risky behaviors. I have undergone specialized training and supervision in Harm Reduction Therapy, encompassing both theoretical foundations and practical applications.

— Sharif Khan, Licensed Clinical Social Worker
 

Harm Reduction Therapy is a modality that comes from the addiction treatment universe. While I don't treat addictions specifically, I have found that harm reduction is a very helpful framework for reducing unwanted behaviors, such as self-harm, over indulgent behaviors, and other maladaptive coping strategies that we seek to change and replace.

— Kristin Sanders, Clinical Social Worker in Cary, NC

At the core of harm reduction therapy is a respect for human rights. Working from a harm reduction approach means that I meet you where you are and on your own terms when it comes to substance use of any other behaviors deemed "harmful" by society. My question is, "what would you like your drug use or sexual behaviors to look like," and we can work from your answer to determine how you can be safe and comfortable.

— Liz Silverman, Licensed Clinical Social Worker in Brooklyn, NY
 

I don't believe that all people struggling with alcohol or drug addiction have to completely abstain to make positive changes in their lives. I'm comfortable and skilled at providing techniques to reduce substance use, or abstain from certain substances while continuing to use other ones. By using tracking and goal setting techniques I support those looking to making changes to substance use.

— Collin Wright, Licensed Clinical Social Worker in Portland, OR

Harm reduction can assist in helping clients who are ready to begin stages of change without completely eradicating undesired behaviors, such as self-harming, by replacing them with less harmful behaviors.

— Mariah Masell, Social Worker in Grand Rapids, MI
 

Harm reduction is a proactive and evidence-based approach that incorporates a spectrum of strategies that meet people “where they are” on their own terms and may serve as a pathway to reduce the negative personal and public health impacts of behavior associated with alcohol and other substance use at both the individual community level.-SAMSA. I have used this model for more than just substance use; because humans are complex, and attempt "escape" in many different ways.

— Holli Engelhart, Licensed Clinical Social Worker in Edina, MN

Harm-Reduction used to be a term that professionals were afraid to use, particularly when it comes to treating substance use disorders. Harm reduction is more than treating individuals with behavioral disorders with dignity and respect. It is also about reducing the harm to the community. This is done by providing strategies that aims to minimize the negative health, societal, and legal consequences associated with substance use.

— Brian McCann, Clinical Social Worker in Chicago, IL
 

Harm Reduction aims to decrease the negative consequences of a person's drug use without necessarily reducing the consumption of drugs. It honors an array of goals - not just abstinence. Although harm reduction is most commonly applied in a substance use context, it can be applied to any behavior that is concerning to you (self harm, isolation, overworking, etc). It can be helpful for reducing the downsides of that risky, exciting thing you do or that familiar coping mechanism you cherish.

— Aerin Riegelsberger, Associate Clinical Social Worker in Oakland, CA

Harm reduction begins with the basic assumption that it is possible to have healthy relationships with the behaviors and substances you choose to engage with in your life. Harm reduction does not demand abstinence, but sometimes taking a break can help you get a new perspective. If you are concerned that you have an unhealthy relationship with a substance, habit, or even a person, let's take an honest look together to find ways to reduce harm and increase your sense of satisfaction in life.

— Lucius Wheeler, Licensed Professional Counselor in , OR
 

My career has been spent working towards reduced harm for all clients. That often requires out of the box and individualized thinking. Often, mental health treatment is given and it is required that a client fit into the modality to 'succeed'. Harm Reduction leads to more authentic and improved outcomes as it meets the person where they are at and builds upon small successes. It is an Empowerment-based practice utilizing one's own knowledge, skills and experience.

— Laurie Smith, Licensed Clinical Social Worker in Belleville, MI

We have focused our careers on providing harm reduction therapy for people who want to change their relationship with substances. Our Founder and Clinical Director has written a workbook on harm reduction and regularly trains other professionals on the topic. We are passionate about working with clients from a compassionate approach to reduce the impact of shame and stigma.

— California Center for Change, Addictions Counselor in San Francisco, CA
 

I have training in harm reduction that I have used both in clinical practice and community organizing.

— Willa Beckman, Psychotherapist in Philadelphia, PA

Professor Bisher is an addiction specialist helping men quickly overcome compulsive sexual behavior (porn and sex addiction). He brings an empathic & empowering approach with a focus on achieving sustainable sobriety quickly.

— Blair Bisher, Addictions Counselor in Needham, MA
 

I have worked with this approach within LGBTQ+ populations and with people struggling with addiction. I have also presented professionally on this topic.

— Margaret Keig, Licensed Marriage & Family Therapist in Maitland, FL