Substance Use
Substance use therapy in Frederick helps you look at your relationship with alcohol or drugs, without judgment. At Silver Psychotherapy, some of our therapists offer a supportive space to work through this at your own pace.
For example, you might want to cut back, stay steady in recovery, or simply understand why a substance has become a bigger part of your life. In each case, substance use therapy in Frederick meets you where you are.
What Is Substance Use Therapy?
Substance use therapy focuses on the thoughts, feelings, and habits connected to alcohol or drug use. According to the National Institute on Drug Abuse, addiction is a treatable disorder. NIDA also notes that treatment should fit each person and address the whole person.
In other words, there is no single plan that works for everyone. Substance use therapy in Frederick starts with your goals, whether you are just thinking about change or already working toward it.
How Does Substance Use Therapy Work?
First, you and your therapist talk about what you want to change and what gets in the way. Then substance use therapy in Frederick may include:
- Cognitive behavioral skills: learning to recognize, avoid, and cope with situations that lead to use
- Motivational work: building on your own reasons for change, at your own pace
- Relapse prevention: planning ahead for high-risk moments and setbacks
- Coping skills: finding new ways to handle stress, cravings, and strong emotions
Over time, your therapist adjusts the plan as your goals shift.
Who Can Benefit From Substance Use Therapy?
Adults often look for substance use therapy in Frederick when alcohol or drugs start to affect their health, work, or relationships. It can also help people who have finished a treatment program and want ongoing support. For related approaches, see our Motivational Enhancement and CBT pages.
Frequently Asked Questions
Do I need to be ready to quit before I start?
No. Many people begin while they are still deciding what change looks like. Your therapist will work with you at whatever stage you are in.
Is it only for severe addiction?
No. Substance use therapy in Frederick can also help if you are simply worried about how much or how often you drink or use.
What if I slip back after making progress?
That happens to many people. In fact, NIDA explains that relapse does not mean treatment has failed. Instead, it signals that your plan may need to change.
Will I need medication too?
It depends on your situation. Some people do well with substance use therapy in Frederick alone, while others also work with a prescriber. Your therapist can talk through your options with you.
For free, confidential treatment referrals at any time, you can also call the SAMHSA National Helpline at 1-800-662-4357. If you are in crisis or thinking about harming yourself, call or text 988 to reach the 988 Suicide and Crisis Lifeline right away.
We offer substance use therapy at our Frederick, Maryland office, as well as online for clients located in Maryland. If substance use therapy sounds like it could help you, our team is here to help.


