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Addiction Therapists

The Job

Addiction therapists help clients recover from addiction to alcohol or drugs or to modify problem behaviors (such as unhealthy eating, problem gambling or shopping, and overuse of video games). They meet with clients one-on-one or in group counseling sessions. They see and counsel patients in offices and/or through telephone or online video communication platforms. They also work at inpatient treatment centers, where the patient participates in a 30-, 60-, 90-, or 120-day treatment program. Sometimes, therapists meet with the loved one of addicts at the same time as they meet with the addict, or in separate sessions.

When a therapist meets with a client, they encourage him or her to discuss their emotions and experiences and the triggers that may have prompted them to become addicted to drugs or alcohol or developed unhealthy relationships with food, gambling, or other activities. These might include poor self-worth, depression, anxiety, or peer pressure. Many use cognitive behavioral therapy, a goal-oriented approach that helps clients obtain a better understanding of negative, thoughts, behaviors, and beliefs and how to replace them with positive ones. Therapists also help clients develop coping skills and behaviors that allow them to better navigate negative emotions and/or challenging situations. Of course, most addictions also have a biological basis, so therapists may prescribe medications that help the patient reduce or eliminate cravings, anxiety, or other negative feelings and behaviors. If necessary, the therapist refers their client to support groups or inpatient treatment facilities and coordinates patient treatment with other professionals, such as psychologists, social workers, nutritionists, and psychiatrists.

Therapists who work in private practice also spend time operating their businesses. They hire and train employees, prepare invoices and collect payment from clients, complete and submit documentation to request reimbursement from insurance companies, and maintain patient records. They also must market their practice to attract new clients.

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