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Therapy by the numbers
Based on 2748 licensed therapists across the United States · Updated July 2026
Specialization breakdown
Online vs. in-person therapy
Compare the two formats to find what works best for you
| Aspect | Online | In-Person |
|---|---|---|
| Convenience | Sessions from home, no commute | Dedicated space away from daily life |
| Cost | Usually similar rates, no travel costs | Standard rates, plus travel time |
| Scheduling | More flexible, evenings/weekends | Standard office hours |
| Privacy | Private from your own space | Confidential office setting |
| Effectiveness | Equally effective for most conditions | Gold standard, all conditions |
| Best for | Anxiety, depression, stress, coaching | Complex trauma, severe conditions, children |
| Technology | Requires stable internet + camera | No technology needed |
| Accessibility | Anywhere in the therapist's licensed state(s) | Limited to local area |
What to expect from therapy
Honest assessment
Your therapist will assess the nature and severity of your addiction without judgment. This includes understanding triggers, patterns, and any co-occurring mental health conditions.
Building motivation
Using motivational interviewing, your therapist helps you explore your own reasons for change — not lecturing, but helping you find your internal motivation.
Developing strategies
You'll build a personalized toolkit — identifying triggers, developing coping strategies, building support networks, and creating a plan for high-risk situations.
Long-term recovery
Recovery is ongoing. Therapy helps you build sustainable habits, repair relationships, and develop a relapse prevention plan that works for your life.
Why FindSupport, not a directory
Traditional directories list everyone. We match you with the right one.
AI-powered matching, not endless scrolling
Traditional directories show you hundreds of profiles and leave you to figure it out. FindSupport asks what you're going through and matches you with therapists who specialize in exactly that.
Comparable profiles, not just names
Profiles are built from public professional listings — license type, specialties, session formats and insurance where the therapist lists them — so you can compare like for like and confirm details directly.
Matches on what matters to you
Matching weighs what you tell us — your concern, location, language, insurance and budget, online or in person — against what each therapist lists, not just proximity.
From search to contact in minutes
Instead of bookmarking profiles and comparing them later, you can describe your situation, see your matches, and reach out — all in one conversation.
When substance use becomes a problem
Substance use becomes a problem when it starts costing more than it gives: using more than you meant to, trying to cut back and not managing, needing more for the same effect, or carrying on despite harm to health, work or relationships. The same pattern can show up with gambling and other behaviors. You don't have to hit rock bottom to get help, and earlier is generally easier.
Safety first: stopping alcohol or benzodiazepines suddenly after heavy, regular use can cause dangerous withdrawal, and opioid withdrawal is hard to get through without support. Talk to a doctor before you stop. For free, confidential treatment referrals, SAMHSA's National Helpline (1-800-662-4357) is open around the clock.
How addiction is treated in therapy
Motivational interviewing helps you work through your own reasons for change without being pushed. CBT for substance use focuses on triggers, cravings and high-risk situations. Contingency management, which uses small rewards for meeting goals, has good evidence for stimulant use in particular. Family approaches such as CRAFT teach relatives how to encourage a loved one toward treatment.
For opioid and alcohol use, medications such as buprenorphine, methadone or naltrexone are an established part of treatment. They are prescribed by a medical provider and often combined with therapy. Mutual-help groups like AA, NA or SMART Recovery can add support between sessions.
What an addiction assessment covers
Expect detailed questions about what you use, how much and how often, past attempts to stop, and your physical and mental health. That isn't judgment. It helps the therapist recommend the right level of care, from weekly sessions to intensive outpatient or residential treatment. Many people also have anxiety, depression or trauma alongside substance use, and a good assessment covers those too.
Telehealth widened access to addiction treatment considerably, including for medication-assisted treatment. In-person care still connects more easily to the things that surround therapy — group work, testing, intensive outpatient programs — so the right format partly depends on what level of care you need.
Picking an addiction therapist or counselor who fits your goals
Ask about their approach (abstinence, moderation or harm reduction) and whether they will work with your goal. Ask whether they hold an addiction-specific credential or specialist training; the credential names vary by state. Ask whether they coordinate with prescribers if medication is part of the plan, and what happens if you slip.
Ask whether the therapist bills insurance for substance use treatment and, if you might need more support, what intensive outpatient or residential care would cost. State-funded programs may offer treatment on a sliding scale. FindSupport doesn't verify coverage or take payment, so check with the provider and your plan.
Addiction in FindSupport's listings
13% of FindSupport profiles nationwide name addiction as a specialty, the seventh most common tag, after anxiety (36%), relationship issues (32%), and depression (30%) and others. A therapist can list several specialties, so these shares overlap.
By city, the most profiles that list addiction are in Bethesda, MD (3 of 27), Tulsa, OK (2 of 5), and Lincoln, NE (2 of 9). In all, 18 cities have at least one, and each city has its own addiction therapy page with the local listings.
Only about 6% of profiles nationwide say they offer online sessions, so if you'd like addiction therapy by video, check each profile or ask. Our city guides put typical fees between $70 and $300 a session, depending mostly on the city.
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Find addiction help now →Frequently Asked Questions
How do I find a good addiction therapist?
Decide what you're looking for first: stopping completely, cutting down, or support alongside medication. Describe it on FindSupport and you'll see licensed therapists who list addiction. Ask each whether they work with your goal before you book.
Is online addiction therapy effective?
Yes, and remote delivery has made treatment reachable for people who could not attend in person. Withdrawal from alcohol or benzodiazepines can be medically dangerous, though — that needs in-person medical supervision, not a video call.
How much does addiction therapy cost?
Weekly therapy generally runs $80–$300 a session. Higher levels of care — intensive outpatient, residential — cost substantially more, and this is an area where insurance coverage varies a lot, so confirm what is covered before committing.
How long does addiction therapy take?
Therapy is usually the shorter part of a longer arc. Active treatment often runs several months, with many people continuing lower-intensity support well past it. Relapse is common and is treated as part of the process rather than a failure.
Do I need to stop using before I start therapy?
No. Many therapists will start where you are, and some use harm-reduction approaches that don't require abstinence at the outset. If you drink heavily or use benzodiazepines regularly, though, talk to a doctor before stopping suddenly, because withdrawal can be medically dangerous.
What's the difference between an addiction counselor and a therapist?
Addiction counselors focus on substance use and hold a state credential, and both the credential's name and the training behind it vary by state. Licensed therapists, such as counselors, clinical social workers and psychologists, may also specialize in addiction and can treat anxiety, depression or trauma alongside it. Many treatment programs use both. Ask what license or credential someone holds and what it covers.
Is weekly therapy enough, or do I need rehab?
It depends on how much you use, your physical health, past attempts to stop and the support around you. Many people do well with outpatient therapy; others need intensive outpatient or residential care, at least at first. A clinician who assesses you can recommend a level of care, so ask for that recommendation directly.
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