Sometimes a behavior begins as a way of coping and gradually becomes something that feels difficult to control.
You may find yourself repeatedly engaging in a behavior or using a substance despite wanting to make a change. You may feel caught between wanting relief in the moment and dealing with consequences later.
Therapy can provide a nonjudgmental space to understand these patterns and consider what you want to change.
You may be seeking therapy because you notice:
Difficulty reducing or stopping a behavior
Repeated attempts to change that haven't lasted
Feeling preoccupied with a substance or behavior
Using substances or behaviors to manage difficult emotions
Relationship problems related to the pattern
Work or financial consequences
Feelings of shame or secrecy
A growing sense that the behavior is no longer aligned with your values
You don't have to wait until a problem becomes severe before seeking support.
Addictive behaviors often serve a purpose, even when they create problems over time.
A substance or behavior may temporarily provide relief from anxiety, loneliness, stress, boredom, difficult emotions, or other experiences. Addictive behavior may serve as a form of self-care, a way to obtain sexual or social connection, or a means of coping with underlying emotional pain or trauma.
Understanding that function is an important part of creating change.
Therapy can help you understand the immediate relief a behavior provides, navigate its long-term consequences, and discover healthier ways to meet valid needs.
Depending on your goals and circumstances, therapy may focus on:
Understanding triggers and patterns
Identifying emotional and situational cues
Developing alternative coping strategies
Exploring ambivalence about change
Building greater awareness of urges and behaviors
Addressing shame and self-criticism
Improving relationships
Clarifying personal values
Creating realistic goals for change
Developing strategies for maintaining progress
Change doesn't have to be approached as an all-or-nothing process. Therapy can help you understand where you are and determine what meaningful change looks like for you.
Substance use and emotional concerns can sometimes reinforce one another. Anxiety, depression, trauma, stress, relationship difficulties, and other concerns may influence substance use, while substance use can also affect mood, relationships, and functioning.
Therapy can provide space to consider these connections as part of a broader understanding of your experience.
I approach this work with curiosity rather than judgment. You don't need to arrive with everything figured out.
Together, we can explore what you're experiencing, what you want to change, and what approaches may be appropriate for your circumstances.
Some substance use concerns require a higher level of care or medical support than outpatient psychotherapy can provide. If that is the case, I can help identify whether additional services or referrals may be appropriate.
If you are experiencing an immediate medical or psychiatric emergency, please seek emergency care or call 911.
I provide individual therapy in downtown San Diego and secure telehealth throughout California.
If you're concerned about a pattern involving substance use or another addictive behavior, you can reach out to discuss whether therapy may be an appropriate fit.