When substance abuse or questions about substance use are part of the treatment, I work flexibly with clients and incorporate both harm reduction and abstinence-based approaches.  I work with clients to achieve their identified goals, which may include safer use, moderation, or abstinence in addition to other goals.  I am familiar with and supportive of clients involved in 12-step programs, SMART Recovery, and other support programs.  If you want help changing or maintaining changes to your substance use, please feel free to contact me.