--- title: "Substance use & recovery therapy · California telehealth" description: "Trauma-informed therapy for substance use, recovery, and codependency across California. Works alongside 12-step or harm reduction. 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Works alongside 12-step or harm reduction.", "url": "https://withlovewellnesstherapy.com/services/substance-use-therapy", "provider": { "@id": "https://withlovewellnesstherapy.com/#joshua" }, "areaServed": { "@type": "State", "name": "California" }, "serviceType": "Substance use, recovery & codependency" }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Do I have to be sober to start?", "acceptedAnswer": { "@type": "Answer", "text": "No. What matters is that you're honest with me about what's happening." } }, { "@type": "Question", "name": "Do you work with harm reduction or only abstinence?", "acceptedAnswer": { "@type": "Answer", "text": "Both. Your goals shape the work." } } ] } ] --- [Skip to content](#main) [](/) [About](/about)[Approach](/approach) [Services](/services) [Who I work with](/who-i-work-with) [Insights](/insights)[Español](/es)[Contact](/contact) [Book a free call](/book) ![A grassy clearing opening out of a stand of dense pines with sunlight breaking through the trunks](/assets/nature-substance-use-C5Ev0DEb.jpg) [All services](/services) 06 Depth work # Substance use, recovery & codependency Sobriety without depth work is a longer sentence. What this actually is ## The long version. Whether you're newly sober, years in, questioning your use, or working with harm reduction — the substance is rarely the whole story. This work sits with what the substance was doing for you and what your life can look like when it doesn't have to do that anymore. Sound familiar? ## You might recognize — - You've achieved sobriety before and lost it more than once - You're in recovery and still feel like something's missing - You're questioning your relationship with alcohol or other substances - You want depth work alongside your recovery community, not instead of it How we work ## The work itself. Trauma-informed, non-shaming, and honest. I've worked extensively with substance abuse, codependency, and intimacy issues in recovery. We integrate with your sponsor, group, or program — we don't replace them. [Book your free 15-min call](/contact) [See full approach ](/approach) FAQ ## Questions people actually ask. Do I have to be sober to start? No. What matters is that you're honest with me about what's happening. Do you work with harm reduction or only abstinence? Both. Your goals shape the work. Related services ## Where this work often overlaps . [ Specialization Trauma & PTSD EMDR-led reprocessing for what your body still remembers. Read more ](/services/trauma-ptsd-therapy)[ Specialization Men's issues For men who were taught to figure it out alone. Read more ](/services/mens-therapy)[ Depth work Depression For the flat, grey version of yourself that won't lift. Read more ](/services/depression-therapy) ## Ready to actually work on this? [Book your free 15-min call ](/contact) With Love Wellness Center Depth-oriented therapy across California. Sessions in English & Español. Telehealth-only practice. Begin [Book your free 15-min call](/contact) In a crisis or emergency, call or text [988](tel:988) or [911](tel:911). Services - [All services](/services) - [EMDR therapy](/services/emdr-therapy) - [Anxiety & chronic stress](/services/anxiety-therapy) - [Trauma & PTSD](/services/trauma-ptsd-therapy) - [Relationship & attachment patterns](/services/relationship-therapy) - [Depression](/services/depression-therapy) - [Substance use, recovery & codependency](/services/substance-use-therapy) - [Burnout & high-achiever therapy](/services/burnout-therapy) - [Life transitions](/services/life-transitions-therapy) - [Grief & loss](/services/grief-therapy) - [Men's issues](/services/mens-therapy) Who I work with - [Overview](/who-i-work-with) - [Latino/a/x adults](/who-i-work-with/latino-therapy) - [LGBTQ+ adults](/who-i-work-with/lgbtq-therapy) - [Veterans & first responders](/who-i-work-with/veterans-therapy) - [High achievers](/who-i-work-with/high-achievers) Serving California - [California online therapy](/california-online-therapy) - [Los Angeles](/california/los-angeles) - [Orange County](/california/orange-county) - [San Diego](/california/san-diego) - [San Francisco](/california/san-francisco) - [San Jose](/california/san-jose) - [Sacramento](/california/sacramento) Insights - [All insights](/insights) - [High-functioning anxiety](/insights/high-functioning-anxiety) - [When therapy didn't work](/insights/when-therapy-didnt-work) - [Are my problems bad enough?](/insights/are-my-problems-bad-enough) - [Perfectionism & anxiety](/insights/perfectionism-and-anxiety) - [Can't think your way out](/insights/why-you-cant-think-your-way-out) Practice - [About Joshua](/about) - [Approach](/approach) - [Rates & insurance](/rates) - [Reviews](/reviews) - [Contact](/contact) En Español - [Inicio](/es) - [Sobre mí](/es/sobre-mi) - [Terapia de ansiedad](/es/terapia-de-ansiedad) - [Terapia de trauma](/es/terapia-de-trauma) - [Contacto](/es/contacto) With Love Wellness Center · Telehealth across California · sessions in English & Español. Individual results vary; therapy outcomes are not guaranteed. This website is for informational purposes only and is not a substitute for clinical care. Website by [Automaus.ai](https://automaus.ai) © 2026 With Love Wellness Center · Joshua Acosta-Duque, LCSW · CA LCSW #121584