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Substance Use Disorders

Substance use disorder treatment in West Michigan

Supporting your journey to recovery and lasting sobriety.

Overview

Addiction rarely starts as a decision

Substance use disorders (SUD) can have a devastating impact on every aspect of your life, affecting your physical health, mental well-being, relationships, and daily functioning. Addiction can begin gradually, often as a way to cope with stress, trauma, or emotional pain, but over time it can take control, making it feel impossible to stop. Whether it involves alcohol, prescription medications, or illicit drugs, substance use can become a destructive cycle that damages not only the individual but also their loved ones.

Those struggling with substance use disorders may experience feelings of shame, guilt, or isolation, making it difficult to seek help. The stigma surrounding addiction can often prevent people from reaching out, leading to a sense of hopelessness.

At Hope & Healing Counseling, we understand that addiction is a complex issue that requires compassionate, non-judgmental support. Recovery is possible, and we are here to guide you through every step of your journey.

If you are thinking about harming yourself, call or text 988 right now, or go to your nearest emergency room. Therapy is for the long road — a crisis line is for tonight.

Substance Use Disorders feature image

At a glance

Ages served Adults 18+
Format In person or telehealth
Session length Dependent on needs, typically 30–60 minutes
Credentials CAADC-certified clinicians

Signs

What it can look like

You don't need a diagnosis to start therapy. If several of these sound like your last few weeks, it's worth a conversation.

Signs it has become a disorder

Needing more for the same effect
Trying to cut back and not managing it
Time lost to using, recovering, or planning
Cravings that crowd out other thinking
Continuing despite clear consequences
Withdrawal symptoms when you stop

What often sits underneath

Untreated trauma or PTSD
Anxiety, depression, or a mood disorder
Chronic pain and prescription dependence
Grief that never had anywhere to go
Job stress in high-exposure professions
A family history nobody talked about
Therapist and client in session

How we help

Comprehensive care, tailored to you

Our approach to treating substance use disorders is comprehensive and tailored to your unique needs. We begin by helping you identify the root causes of your addiction, whether it stems from trauma, mental health struggles, or environmental factors. Understanding these underlying issues is crucial to developing a sustainable path to recovery. Our therapists use Cognitive Behavioral Therapy (CBT) to help you challenge the thought patterns and behaviors that contribute to your substance use, teaching you healthier coping mechanisms to manage stress and emotional triggers.

In addition to CBT, we integrate Motivational Interviewing (MI), a client-centered approach designed to enhance your motivation and commitment to change. MI helps you explore your ambivalence about quitting, empowering you to take control of your recovery process. We also offer relapse prevention strategies to prepare you for the challenges of maintaining sobriety, teaching you practical tools to handle cravings, triggers, and high-risk situations without turning to substances.

Our support extends beyond therapy sessions. We recognize the importance of building a strong support system during recovery, so we encourage involvement in group therapy or community resources such as 12-step programs. These connections provide ongoing encouragement and accountability, helping you stay on track long after formal treatment has ended.

By addressing both the emotional and physical aspects of addiction, we help you regain control of your life, restore your relationships, and build a future free from the grip of substance use. Recovery isn't just about stopping the substance — it's about rediscovering a healthier, more fulfilling way of living.

Alcohol use

From cutting back to sustained sobriety, without requiring a rock bottom.

Prescription & opioid use

Including pain-management-related dependence, coordinated with prescribers.

Co-occurring disorders

Trauma, anxiety, and depression treated alongside the substance use.

Families

Support for partners and parents living with someone else's use.

Therapies we use

The tools behind the work

Cognitive Behavioral Therapy

Challenge the thought patterns and behaviors that contribute to substance use.

Motivational Interviewing

Meets ambivalence honestly instead of arguing you into readiness.

Relapse prevention

Practical tools for cravings, triggers, and high-risk situations.

Community & group support

Connection to group therapy and 12-step resources that outlast treatment.

Getting started

What the first few weeks look like

No surprises, no paperwork ambush. Here is the whole process.

Step 1

Reach out

Fill in the form or call. We ask what is going on and what you want to change.

Step 2

Coverage verified

We check your insurance and tell you the cost before you commit to anything.

Step 3

First session

Mostly listening. Your therapist learns your history and what you have already tried.

Step 4

A plan you agreed to

Goals, cadence, and approach set together — and revisited as things shift.

Questions

Substance use disorder FAQ

Still deciding whether therapy is the right next step? Call us and ask — there's no obligation.

Contact our office →
Do I have to be abstinent to start therapy?

No. You can start where you are. Many clients begin while still using and set goals with their therapist rather than arriving with the outcome already achieved.

Is my treatment confidential?

Yes, and substance use records carry additional federal protection beyond standard HIPAA. Your therapist will explain exactly what that means for employers, courts, and family.

Do you provide detox or residential treatment?

We provide outpatient therapy. If detox or a higher level of care is clinically indicated, we will tell you and help coordinate the referral, then continue with you afterward.

What if I relapse?

Relapse is a common part of the course of this disorder, not a failure that ends treatment. Tell your therapist — the plan gets adjusted, not withdrawn.

Can I be treated for trauma at the same time?

Yes, and often you should be. Treating trauma and substance use together generally produces better outcomes than treating them in sequence.

Do you accept Medicaid for substance use treatment?

Yes. We accept Michigan Medicaid along with 12 other major plans, and we verify benefits before your first visit.

Related care

Often paired with

All services

You can start before you are certain

CAADC-certified clinicians, confidential care, and 13+ insurance plans accepted including Michigan Medicaid.