You don't have to hit "rock bottom" first
A lot of people wait because they think their use is not "bad enough" yet. You do not need a crisis, a court order, or a certain number of years of use to start counseling. If alcohol or drugs are causing problems in your health, relationships, work, or peace of mind, that is reason enough to talk to someone.
What the first session looks like
The first session is mostly a conversation. We talk about what brought you in, your history with substances, your health, your family, and what you want to be different. There is no lecture and no shaming. You share as much as feels comfortable.
We also cover the practical parts up front: confidentiality, fees or insurance, and how scheduling works. By the end, you should have a clearer picture of your options and a next step.
Approaches that are commonly used
- Motivational Interviewing: a collaborative way to explore your own reasons for change, without pressure.
- Cognitive Behavioral Therapy (CBT): practical tools for handling cravings, triggers, and the thoughts that lead to using.
- Trauma-informed care: many people who use substances have lived through trauma, and care is paced with that in mind.
- Relapse prevention: planning for high-risk situations and what to do if a slip happens.
Abstinence or cutting back? Both are welcome
Some people know they want to stop completely. Others want to cut back, use more safely, or are not sure yet. Counseling can meet you where you are. The goal is progress that you choose, not a program you are forced into.
When counseling is not the right level of care
Outpatient counseling is a good fit for many people, but not everyone. If you are at risk of dangerous withdrawal, especially from alcohol, benzodiazepines, or opioids, you may need medical detox or a higher level of care first. Part of a good assessment is helping you find the right fit, including referrals for Medication-Assisted Treatment (MAT) when it would help.
What about family?
Addiction affects the whole family. Loved ones often feel worried, angry, exhausted, or unsure how to help. Family members can get support too, whether or not the person they love is ready for help. Groups like Al-Anon and Nar-Anon are also available across Acadiana and online.
Counseling by telehealth
All sessions at Pride Healing & Recovery Services are held by secure video, so you can meet from home in Lafayette, Abbeville, Kaplan, New Iberia, or anywhere in Louisiana. There is no waiting room and no one sees you walk in, which many people find makes that first step easier.