Addiction Counselling


A recent survey found that 95% of people who’ve had counselling or psychotherapy believe it should be available to anyone who needs it, proof of just how powerful the right support can be. This is especially true for addiction counselling, where a structured space to explore addiction can mean the difference between relapse and long-term recovery.

In this guide, we’ll break down what addiction counselling involves, how it fits into rehab and why it could be the turning point in your journey to lasting recovery.

One to one addiction consultation

What is addiction counselling?

Addiction counselling helps people understand and overcome addiction by addressing both the emotional and behavioural factors involved. It’s a space where you can make sense of why addiction developed and learn methods to keep relapse at bay.

Beyond stopping substance use or addictive behaviours, addiction counselling focuses on:

  • Rebuilding confidence
  • Improving relationships
  • Creating a more fulfilling life
  • Recognising triggers
  • Developing strategies to prevent relapse
  • Finding a renewed sense of purpose

There are different types of therapy used in addiction counselling, each serving a unique role in recovery. The approach is tailored to your needs, ensuring the right support for long-term change.

What types of therapies are used in addiction counselling?

Addiction counselling incorporates a variety of therapies designed to help individuals overcome both substance and behavioural addictions. Each therapy takes a unique approach, helping people address their struggles in a way that resonates with them personally.

Below, we explore some of the key therapies used in addiction counselling and how they can support recovery in different scenarios:

Cognitive Behavioural Therapy (CBT)

Example in addiction counselling:
Someone struggling with alcohol addiction may have deeply ingrained beliefs like, “I need a drink to unwind.” In CBT, a therapist helps them challenge this assumption, exploring healthier alternatives such as mindfulness exercises or physical activity to relieve stress. Over time, these new habits replace old patterns, making relapse less likely.

Dialectical Behaviour Therapy (DBT)

Originally developed for individuals with emotional regulation challenges, DBT helps people manage overwhelming emotions, tolerate distress and build healthier relationships. It’s particularly useful for those whose addiction is driven by intense feelings.

Example in addiction counselling:
A person with a gambling addiction may experience powerful urges when feeling anxious or stressed. DBT teaches distress tolerance skills, like deep breathing or grounding techniques, to help them navigate these moments without resorting to gambling. This approach helps them regain control rather than feeling at the mercy of their impulses.

Motivational Interviewing (MI)

MI is a collaborative, non-judgmental therapy that helps individuals resolve ambivalence about recovery. Instead of telling someone what they should do, the therapist helps them discover their own reasons for change.

Example in addiction counselling
A person addicted to cocaine may feel trapped between wanting to quit and fearing what life will be like without the drug. Through MI, the therapist guides them in weighing the pros and cons of their addiction, helping them tap into their own motivation for recovery. This self-driven approach often makes lasting change feel more achievable.

Family Therapy

Many forget about the impact that addiction can have on loved ones. Family therapy helps improve communication, rebuild trust and address patterns of enabling or codependency.

Example in addiction counselling
A teenager struggling with gaming addiction may join sessions with their parents, where they work together to set healthy screen-time boundaries without resorting to conflict. Parents learn how to support their child’s recovery while also understanding their own role in fostering a balanced home environment.

Holistic Therapies

Holistic therapies focus on treating the whole person—mind, body and spirit. By incorporating activities like yoga, meditation, art therapy and equine therapy, these approaches help individuals reconnect with themselves in meaningful ways.

Example in addiction counselling
A teenager struggling with gaming addiction may join sessions with their parents, where they work together to set healthy screen-time boundaries without resorting to conflict. Parents learn how to support their child’s recovery while also understanding their own role in fostering a balanced home environment.

How addiction counselling supports long-term recovery

Addiction counselling’s main aim is to equip you with specific tools to prevent relapse. But, of course, there isn’t just one ‘magic’ therapy that solves everything.

Example in addiction counselling
Someone in recovery from shopping addiction may use art therapy to process their emotions in a non-verbal way, allowing them to express feelings they might have previously numbed through compulsive spending. These creative outlets can become powerful tools for emotional regulation and self-discovery.

Instead, counselling is part of a wider plan, helping to fill in the blanks that may be missing in your journey toward recovery. It’s about building a solid foundation that not only supports you through the toughest moments but also strengthens your ability to move forward.

Group addiction councelling

Understanding triggers and how to manage them

One of the biggest challenges in recovery is learning how to handle situations that previously led to substance use. Counselling helps you identify these triggers, whether they’re stress, certain environments or difficult emotions and teaches you ways to cope with them in healthier ways.

Cognitive behavioural therapy (CBT) is especially helpful in this area, as it focuses on recognising negative thought patterns and replacing them with practical coping strategies.

Building healthier thought patterns

Addiction often comes with negative self-beliefs that can make recovery feel impossible. Counselling works to challenge these thoughts, replacing them with more constructive ways of seeing yourself and your situation.

Dialectical behaviour therapy (DBT) is particularly useful for managing intense emotions, helping you develop mindfulness and distress tolerance skills. Motivational interviewing (MI) can also be beneficial, as it focuses on increasing your motivation and self-belief in your ability to change.

Strengthening emotional resilience

Life doesn’t stop being difficult just because you’ve stopped using substances. Counselling provides a space to process emotions, whether it’s past trauma, anxiety or everyday stress.

Holistic therapies such as yoga and meditation can complement more structured therapies by promoting relaxation and emotional balance. Group therapy also plays an important role, as sharing experiences with others can help build confidence and resilience in your recovery.

Rebuilding relationships and trust

Addiction can strain relationships, sometimes leading to feelings of isolation or guilt. Counselling can help repair these connections, whether it’s through open discussions, family therapy or simply learning how to communicate more effectively.

Family therapy, in particular, can help rebuild trust by addressing past conflicts and creating a healthier dynamic between you and your loved ones.

Providing ongoing support and accountability

Recovery isn’t something you do alone. Even after rehab, counselling remains a valuable space where you can discuss setbacks and celebrate progress. Group therapy offers a continued sense of connection, while MI can help keep you focused on your long-term goals.

Having this ongoing support can be the difference between struggling in silence and feeling confident in your ability to keep going, no matter what challenges come your way.

I suffered a relapse, does that mean addiction counselling didn’t work for me?

A relapse doesn’t mean addiction counselling didn’t work for you. It means you’re still in the process of recovery and that’s perfectly normal. Remember, healing from addiction is an ongoing journey, and setbacks can happen. What matters most is what you do next.

Addiction counselling doesn’t guarantee perfection. Instead, it’s about equipping you with tools to deal with challenges, including relapses. It doesn’t erase the progress you’ve made, though. Instead, it can be an opportunity to reflect on what led to it.

Was there an unexpected trigger? Were certain coping strategies harder to apply at the moment?

These are the kinds of things you and your counsellor can explore to strengthen your recovery moving forward.

Rather than seeing relapse as a failure, consider it a signal that something needs adjusting. Maybe you need to revisit certain techniques or focus more on emotional regulation. These are the things your counsellor can help guide you through. The important thing is that you don’t isolate yourself or fall into the mindset that recovery isn’t possible for you, it absolutely is.

Does Liberty House use addiction counselling in its rehab programmes?

Addiction counselling is an integral part of our addiction rehab programmes, helping individuals address both addiction symptoms and the underlying causes of their struggles. Whether you’re facing alcohol addiction, drug addiction or a behavioural addiction, counselling plays a crucial role in addiction treatment.

At Liberty House, our rehab approach includes evidence-based therapies like CBT, DBT, group therapy and motivational interviewing. Addiction is complex, but with the right support, recovery is possible. If you’re ready to take the next step, reach out to learn how our addiction rehab can help you.

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