Substance Abuse Counseling

Struggling with alcohol or drug use can feel overwhelming — but you don’t have to figure it out alone. At Cuda Counseling, we offer nonjudgmental, supportive substance abuse counseling for adults in-person at our Herkimer and Rome, NY offices, and online via our telehealth services. Our goal is to help you feel safe, understood, and in control of your path forward.

Whether you’re looking to reduce your use, work through triggers, or rebuild stability in your life, our team will guide you with compassion and practical tools.

How Substance Abuse Counseling Works

Your therapist will take time to understand your story, your goals, and what’s been getting in the way. From there, you’ll work together on:

• Understanding the patterns behind use

• Managing triggers and cravings

• Learning healthier coping skills

• Rebuilding confidence and trust in yourself

• Strengthening support systems

• Reducing harmful behaviors

• Setting both short- and long-term goals

This isn’t a one-size-fits-all program — it’s therapy tailored to you.

Who This Service Is For

Substance abuse counseling can help if you:

• Want to cut back, reduce harm, or stop using substances

• Feel like stress or trauma has increased your use

• Are navigating major life changes

• Struggle with guilt, shame, or secrecy around alcohol or drugs

• Want a therapist who understands but doesn’t judge

• Need support while also doing Progressive Counting, EMDR, or other therapy

You don’t have to hit “rock bottom” to get help. You just need a starting point — and we can be that for you.

What You Can Expect

• A caring, judgment-free environment

• A therapist who meets you exactly where you are

• Holistic treatment that looks at your life as a whole

• Integration with trauma therapy when appropriate

• Support for motivation, accountability, and self-compassion

If substance use is connected with trauma, anxiety, depression, or stress, we can work on those pieces too.