Substance Use Counseling in Chicago
At Balanced Awakening, we offer compassionate, nonjudgmental substance use counseling for adults who want to explore or change their relationship with alcohol, cannabis, nicotine, or other substances. Whether you’re questioning your habits, noticing that substance use is affecting your well-being, or feeling ready to make a change, therapy can help you better understand your patterns and take meaningful steps forward.
Our therapists work with clients whose substance use concerns can be safely addressed in an outpatient psychotherapy setting. You don’t need to identify as having an addiction or commit to complete abstinence to seek support. Together, we can explore your goals, develop healthier coping strategies, and work toward a relationship with substances that feels more intentional and aligned with your values.
Meet Our Substance Use Therapists
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Do you want to change your relationship with substances?
Maybe you’ve noticed that you’re drinking more frequently than you’d like, and you’re curious about cutting back.
Perhaps you’ve been using cannabis to manage stress, anxiety, or sleep, but you’re wondering whether it’s still helping.
You might be thinking about quitting smoking or vaping and want support navigating that change.
Maybe you’ve noticed that substance use is affecting your mood, relationships, motivation, or overall well-being.
Someone close to you may have expressed concern about your drinking or substance use.
Or perhaps you’re simply curious about what life might feel like with fewer substances in the picture.
Your relationship with substances can change over time, and so can your goals. You might want to cut back, take a break, stop using a particular substance, or simply better understand the role it plays in your life.
At Balanced Awakening, we take a collaborative, nonjudgmental approach. We meet you where you are, without assuming that abstinence is the right goal for everyone. Whether you’re just beginning to question your habits or actively working toward change, therapy can help you explore your options and move forward with greater awareness and intention.
Specialties
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SMART Recovery
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Recovery Support & 12-Step Approaches
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Women’s Substance Use & Recovery
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Harm Reduction
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Families Impacted by Addiction
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Values Identification and Clarification
Is Outpatient Substance Use Counseling Right for You?
Substance use concerns exist on a spectrum, and not everyone needs the same level of support.
At Balanced Awakening, we provide outpatient psychotherapy for adults who want help understanding their substance use, changing established habits, managing cravings, or addressing the emotional and relational factors that may contribute to their patterns.
This approach may be a good fit if you’re looking to reduce your use, explore sobriety, strengthen your coping skills, or work through concerns such as anxiety, stress, or relationship difficulties alongside substance use.
Some situations require more specialized or intensive treatment. If you’re experiencing significant physical dependence, potentially dangerous withdrawal symptoms, or substance use that makes it difficult to remain safe between appointments, a medical evaluation or higher level of care may be necessary.
Our team can help you determine whether outpatient psychotherapy is an appropriate starting point or whether another type of support would better meet your needs.
What is Substance Use Counseling?
Substance use counseling is a form of talk therapy or counseling that supports you in making adjustments or improvements in your relationship with substances, including drugs, alcohol, or any other substance that’s negatively impacting your life. Our substance use counselors work directly with individuals who are using substances or in recovery, and with friends and family of those who use or have used substances in the past.
Substance use counseling can focus more specifically on:
Assessing and Working with Readiness to Change: We can help you take an inventory of your options when it comes to your substance use, and help you feel more ready to make changes with your substance use patterns.
Identifying Triggers and Cravings: We help clients understand the situations, emotions, or people that may trigger their desire to use substances. Clients can learn to recognize early signs of cravings and develop healthy ways to cope and avert substance use in the moment.
Behavioral Change Techniques: Techniques like cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT) can be utilized to help you identify and change thought patterns and behaviors that contribute to substance use. This often involves breaking down automatic responses to stressors and replacing them with healthier habits.
Building Coping Skills: Developing practical skills for managing stress, anxiety, anger, and other emotions without relying on substances is key. This may include problem-solving skills, mindfulness, or relaxation techniques.
Planning for Setbacks and Maintaining Progress: Changing established habits isn’t always a straightforward process. Therapy can help you recognize warning signs, prepare for challenging situations, and respond to setbacks with curiosity and self-compassion rather than shame.
Addressing Co-Occurring Mental Health Concerns: Substance use can be connected to anxiety, depression, trauma, stress, and other emotional challenges. When clinically appropriate, our therapists can explore these concerns together, helping you understand how they interact and develop healthier ways of coping.
Developing a Support System: Counselors often encourage clients to build or reconnect with a supportive network, including family, friends, or support groups like AA or NA, to strengthen recovery efforts.
Benefits of Substance Use Counseling
Engaging in substance use counseling can be important to build momentum in your improving relationship with substances. Some that come to mind are below:
Building Self-Awareness: We can help clients understand the root causes of their substance use, such as unresolved trauma, stress, or mental health challenges. This self-awareness is foundational for making sustainable changes.
Developing Coping Skills: A major focus in substances use counseling is teaching clients healthier ways to handle stress, anxiety, depression, and other difficult emotions without relying on substances. These coping strategies can include mindfulness, relaxation techniques, and problem-solving skills.
Identifying Triggers and Cravings: We work with clients to recognize the specific triggers that lead to substance use. Learning to identify these can help clients avoid high-risk situations or manage them in healthier ways.
Supporting Sustainable Change: Whether you’re reducing your substance use, taking a break, or working toward sobriety, therapy can help you identify potential challenges, develop coping strategies, and maintain progress over time.
Improving Mental Health: Many individuals with substance use issues also face co-occurring mental health conditions. We are well equipped to understand and work with all of the variable affecting your treatment, addressing both mental health and substance use.
Strengthening Relationships: Substance use can often strain relationships. We often help clients with rebuilding trust, enhancing communication, and setting boundaries, which can create a supportive network for recovery.
Enhancing Motivation and Goal Setting: Techniques like motivational interviewing help clients set realistic and meaningful recovery goals. These goals serve as a roadmap, motivating clients and giving them a sense of purpose and direction. Even if you’re not ready to change your relationship with substances now, by exploring your broader vision for yourself and your life, you may discover later that you’re motivated to make changes in substance use.
Creating a Support Network: We can help clients connect with support groups and other resources that continue to provide encouragement, community, and accountability beyond counseling sessions.
Encouraging Accountability: Regular sessions provide clients with a space to reflect on their progress, discuss setbacks, and adjust their recovery plans. This accountability helps clients stay committed to their goals and develop resilience.
Improving Physical Health: Reducing or stopping substance use through counseling can have major health benefits, including better sleep, improved energy levels, and lower risks for substance-related illnesses or accidents.
Boosting Self-Esteem and Confidence: As clients achieve their recovery goals, they often experience an increase in self-confidence and self-worth, which can encourage them to continue making positive changes in other areas of their lives.
Substance Use Blog Posts
Substance Use Counseling FAQs
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Substance use counseling is a type of psychotherapy that is focused on helping people change or improve their relationship with substances such as drugs or alcohol. This type of counseling can help you feel more motivated to change your substance use, and discover ways to make the changes that you desire - or remain in recovery.
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The frequency and duration of substance use counseling depends on your unique relationship with substances. Your therapist will assess your experience of day-to-day life, current substance use, and advise you on how many sessions you may need to feel better and how frequently those sessions may occur. Most people benefit from weekly therapy sessions for a few months in order to see bigger changes in their life.
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In the first two sessions, your therapist will ask you questions about your life currently, your history, your substance use, and where you hope to be in the future. From there, you and your therapist will discuss goals for your recovery, and life as a whole, and a plan of action to help you feel better sooner.
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If you at all feel like you’re struggling with substance use and would like to change that - or if you’ve just finished up a larger substance abuse treatment program, substance abuse counseling at Balanced Awakening could be a great fit for you. We don’t have to just focus on substance use, we can look at a lot of other areas of your life and help you overall with your mental health.
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Yes! But with some exceptions. There are 3 situations where, legally and ethically (whether we want to or not) we would have to break your confidentiality. These include if we learn of any potential child or elder abuse from you, we determine that you are at risk of harming yourself or someone else, or we receive a court order for your medical records. Also, some of our providers are under supervision and regularly consult with their supervisor about their client sessions. Supervisors have the same obligation to client confidentiality.
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Our therapy rate for the first two sessions is $250. After that, 55 minute sessions are $225.
Most of our therapists are in network with United Healthcare/Optum, BCBS PPO and Aetna insurance.
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Yes! We offer virtual therapy as well as in-person. Sometimes, while also juggling other facets of your life, it’s easier to get support from a therapist over video.
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No. You don’t need to be abstinent to begin exploring your relationship with substances in therapy. Some clients want to reduce their use, while others are considering sobriety or aren’t yet sure what changes they want to make. Your therapist can help you clarify your goals and determine what kind of support is appropriate for your needs.
If physical dependence or withdrawal risks are present, medical support may be necessary alongside or before outpatient counseling.
What Our Clients Are Saying
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During our first session Hannah was proactive in creating a plan of action to properly diagnose me and address my concerns. Detailed. Office is beautiful. Love the decor, relaxing ambiance and free tea.
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She was very kind and thorough during intake and the entire office looks like something out of a lifestyle magazine.
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The office is lovely and welcoming, the in-take paperwork helped me prepare for what I wanted to talk about and gave me a starting point.
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Dr. Yang is warm and empathic, and made me feel comfortable from the very beginning.
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Emma has been very supportive through major life changes for me. Her sweet and gentle nature made it easy for me to feel safe to open up to her. I am very grateful for her support and kindness.
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It was my first visit and she made me feel so safe. I opened up right away!
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Ready to Rethink Your Relationship With Substances?
You don’t have to wait until substance use becomes a crisis to ask for support. Whether you’re considering cutting back, exploring sobriety, or simply wanting to better understand your habits, our therapists can help you take the next step with compassion and without judgment.


My colleagues and I just published a new pilot study on Acceptance and Commitment Therapy (ACT) for Smoking Cessation in Veterans with Posttraumatic Stress Disorder (PTSD). If you've been trying to quit smoking and you experience some symptoms related to trauma, you may be having a more difficult time quitting. In the Veteran population, Veterans with PTSD are 2-3 times more likely to smoke cigarettes or tobacco products than the general population. This tends to be true, as well, for the non-Veteran population among those who have PTSD or some trauma symptoms.