Come as you are. We will start from there.
Outpatient assessment and treatment for alcohol and drug use, without requiring you to have stopped first, and without judgment about where you are.
What is Substance Use Treatment?
Substance Use Treatment is structured outpatient care for people whose drinking or drug use has become harmful, difficult to control, or simply something they want to change. It begins with an assessment of what you are using, how it fits into your life, and what has and has not worked before. From there you and your clinician agree on a plan.
Treatment usually combines counseling with medication where appropriate, and addresses mental health at the same time, because depression, anxiety, and trauma very often sit alongside substance use, and treating one while ignoring the other tends not to hold. Outpatient means you continue living at home and keep working or studying while you receive care.
Who this may help
- You are drinking or using more than you intend to, or more often than you meant to
- You have tried to cut down or stop on your own and it has not lasted
- Your use is affecting work, money, health, or the people close to you
- Someone else has raised concerns and you are not certain whether they are right
- You have completed detox or inpatient treatment and need ongoing outpatient support
- You are managing both substance use and a mental health condition and want one team handling both
Types of Substance Use We Treat
Substance Use Treatment Services
Substance Use Assessment
A clinical assessment helps Starfish understand patterns of substance use, mental health needs, medical considerations, previous treatment, recovery goals, risks,…
Recovery-Focused Treatment
Individualized around the person’s needs and goals — individual therapy addressing substance use, triggers, coping strategies, relapse prevention, and mental…
Medication-Assisted Treatment(MAT)
Medication-assisted treatment for substance use, including Suboxone, managed carefully as part of a broader care plan.
Substance Use Treatment FAQs
Do I have to be abstinent to start?
No. You will not be turned away for currently using, and being honest about it makes your care better rather than putting it at risk. Treatment starts where you are.
Do I have to commit to quitting completely?
Not at the outset. For some people the goal is abstinence; for others it is reducing use and the harm around it. Your goal is part of the conversation, and it is allowed to change.
What conditions do you treat?
Alcohol use, opioid use, stimulant use, cannabis use, prescription medication misuse, and polysubstance use.
Will you tell my employer, my family, or the courts?
No, not without your written consent. Substance use treatment records carry additional federal confidentiality protections beyond standard medical privacy. If you need information released, that is your decision, and it is done in writing.
Is MAT the same as substituting one addiction for another?
No. MAT medications are prescribed and monitored by a clinician at a stable, therapeutic dose, and are used alongside counseling, not in place of treatment.
Can I receive therapy and MAT together?
Yes. Many people combine ongoing therapy with MAT, and the two are designed to work together rather than in competition.