Substance Use and Addictive Disorders Therapy in Roanoke, VA
Support for alcohol use, drug use, and other addictive patterns affecting health, relationships, and daily life.
Substance use and addictive behaviors can affect nearly every part of a person’s life, including relationships, work, health, and emotional wellbeing. Some individuals may notice difficulty cutting back, increased reliance on substances or behaviors to cope with stress, or patterns that continue despite negative consequences. Others may feel stuck in cycles of guilt, frustration, or loss of control.
At The Manassas Group, we provide therapy for substance use and addictive disorders in Roanoke, Virginia. Therapy offers a supportive and structured space to better understand patterns, reduce harm, strengthen coping skills, and work toward meaningful and sustainable change.
We offer both in-person therapy at our Roanoke office and telehealth sessions across most of Virginia when clinically appropriate.
Substance Use and Addictive Concerns
• Alcohol Use Concerns – difficulty controlling alcohol use, increased tolerance, or continued use despite negative impact.
• Drug Use Concerns – challenges related to prescription or non-prescription substances affecting functioning or wellbeing.
• Behavioral Addictions – patterns such as gambling, internet use, or other behaviors that become difficult to control.
• Relapse Patterns – returning to substance use or behaviors after attempts to stop.
• Co-Occurring Mental Health Concerns – substance use connected to anxiety, depression, trauma, or stress.
Understanding Addiction and Change
Addiction is often not just about willpower. Many individuals use substances or behaviors as a way to cope with stress, emotional pain, trauma, or overwhelming life circumstances. Over time, these patterns can become more automatic and harder to change.
Therapy focuses on understanding what is driving the behavior while helping individuals build healthier ways to cope, regulate emotions, and make decisions. Change can happen at different paces, and therapy supports progress in a way that is realistic, respectful, and sustainable.
Treatment Approaches We Use
• Cognitive Behavioral Therapy (CBT)
Helps identify thought patterns and triggers that contribute to substance use and addictive behaviors.
• Motivational Interviewing (MI)
Supports individuals in strengthening motivation and making meaningful changes at their own pace.
• Relapse Prevention Planning
Focuses on identifying high-risk situations and building practical strategies to maintain progress.
• Trauma-Informed Therapy
Addresses underlying trauma or emotional pain that may be connected to substance use patterns.
• Mindfulness-Based Therapy
Helps individuals become more aware of urges and respond more intentionally rather than automatically.
• Family and Relationship Support
When appropriate, therapy can involve improving communication and support within relationships impacted by addiction.
And Others
How Therapy Can Help
Therapy for substance use and addictive disorders focuses on increasing awareness, strengthening coping skills, and helping individuals regain a sense of control. Many people benefit from learning how to manage cravings, reduce triggers, and build healthier routines that support long-term change.
With consistent support, individuals often experience improved relationships, greater stability, and increased confidence in their ability to make lasting changes.
Substance Use and Addictive Disorders Therapy FAQs
How do I schedule an appointment for addiction therapy?
You can call our office or use the contact form on our website to request an appointment. We will help connect you with a therapist who fits your needs and availability.
Do I have to be fully ready to stop before starting therapy?
No. Many people begin therapy while still feeling unsure. Therapy can help you explore your goals, understand patterns, and move toward change at a pace that feels manageable.
Can therapy help with relapse or repeated setbacks?
Yes. When appropriate, therapy can include support for family members and help improve communication and understanding within the household.
Do you offer telehealth sessions for bipolar disorder therapy?
Yes. Telehealth sessions are available across most of Virginia when clinically appropriate.
Schedule an Appointment
If substance use or addictive behaviors are affecting your life or relationships, support may be available. Our clinicians at The Manassas Group are here to help.