Substance Abuse Counseling is not for the faint of heart. It requires steadfast effort, determination, and patience on behalf of the therapist. Clients struggling with a substance use disorder are usually resistant to change. My approach to substance abuse counseling is one of compassion and empathy. Together, we will remove the barriers of shame, guilt, and condemnation. The client will learn about their “recovery work” and what is required to maintain sobriety.