Last Updated on June 5, 2025

Licensed Alcohol and Drug Counselors & Psychologists: Experts in Behavioral Therapy for Addiction Recovery

Recovery from addiction requires more than detoxing the body—it demands healing the mind. The psychological side of addiction is deeply rooted in patterns of thought, emotion, and behavior. This is where licensed alcohol and drug counselors (LADCs) and psychologists play a vital role.

These licensed professionals specialize in behavioral therapy for individuals struggling with substance use disorders. While they are not medical doctors and cannot prescribe medication, their contribution to recovery is irreplaceable. Through one-on-one sessions, group counseling, and specialized therapeutic techniques, they help individuals change their mindset, build healthy coping mechanisms, and sustain sobriety long after treatment ends.

In this blog, we’ll explore the roles of alcohol and drug counselors and psychologists in addiction recovery, the differences between their credentials, the therapies they use, and why their expertise is a cornerstone of any successful treatment plan.

Who Are Licensed Alcohol and Drug Counselors (LADCs)?

LADCs are trained professionals certified or licensed by their state to provide counseling services to individuals with substance use disorders. Their educational background typically includes:

• A degree in counseling, psychology, social work, or a related field

• Supervised clinical experience working with clients in addiction treatment settings

• Passing a licensure or certification exam (varies by state)

These counselors are often referred to as:

• Substance abuse counselors

• Chemical dependency counselors

• Certified addiction counselors (CACs)

• Licensed chemical dependency counselors (LCDCs)

While they cannot diagnose medical conditions or prescribe medication, LADCs are behavioral health experts who provide guidance, accountability, and therapeutic support throughout the recovery journey.

Who Are Psychologists in Addiction Treatment?

Psychologists hold advanced degrees—typically a PhD (Doctor of Philosophy) or PsyD (Doctor of Psychology)—and are licensed to practice clinical psychology. They specialize in diagnosing and treating mental health disorders, including substance use disorders, through a range of therapeutic techniques.

Psychologists differ from psychiatrists in that:

• Psychologists offer psychotherapy and psychological assessments

• Psychiatrists are medical doctors who can prescribe medications

In an addiction treatment setting, psychologists are often tasked with:

• Conducting psychological evaluations

• Developing individualized treatment plans

• Providing trauma-informed care

• Facilitating therapy for co-occurring disorders

• Guiding clients through cognitive and emotional transformation

The Role of Counselors and Psychologists in Addiction Recovery

Addiction doesn’t occur in a vacuum. It often stems from emotional pain, unresolved trauma, poor coping mechanisms, or underlying mental health issues. Licensed counselors and psychologists are trained to identify and address these root causes through therapy.

Their core responsibilities include:

• Conducting intake assessments and biopsychosocial evaluations

• Leading individual, group, or family counseling sessions

• Teaching relapse prevention skills

• Helping clients identify triggers and high-risk situations

• Facilitating support groups or 12-step integration

• Coordinating care with physicians, psychiatrists, and case managers

Ultimately, these professionals guide individuals through the psychological and behavioral transformation needed to maintain long-term recovery.

Types of Therapy Used by Counselors and Psychologists

These behavioral health professionals draw on a wide range of therapeutic techniques. Each is designed to address specific psychological challenges and support behavior change.

1. Cognitive Behavioral Therapy (CBT)

CBT is one of the most commonly used therapies in addiction treatment. It helps individuals recognize and change negative thought patterns that contribute to substance use.

CBT focuses on:

• Identifying automatic, self-defeating thoughts

• Reframing those thoughts into constructive ones

• Replacing harmful behaviors with healthier actions

• Building problem-solving and coping skills

For example, someone who thinks “I’ll never stay sober” may learn to reframe that belief into “I’ve made progress, and I have tools to keep going.”

2. Dialectical Behavior Therapy (DBT)

Originally developed for individuals with borderline personality disorder, DBT is highly effective for those with emotional regulation issues and addiction.

DBT emphasizes:

• Mindfulness

• Distress tolerance

• Emotional regulation

• Interpersonal effectiveness

Clients learn to manage intense emotions without turning to drugs or alcohol, especially in high-stress situations.

3. Motivational Interviewing (MI)

MI is a client-centered approach that enhances motivation to change. Counselors help individuals resolve ambivalence and commit to recovery on their own terms.

Key principles include:

• Expressing empathy

• Developing discrepancy (between goals and behavior)

• Rolling with resistance

• Supporting self-efficacy

It’s particularly useful in early recovery when individuals are unsure about quitting or feel resistant to treatment.

4. Trauma-Informed Therapy

Many people with addiction histories have experienced trauma. A trauma-informed approach ensures that therapy is conducted with sensitivity to past emotional wounds.

Goals of trauma-informed care:

• Establish emotional safety

• Rebuild trust and empowerment

• Avoid re-traumatization

• Process past experiences in a healthy way

This approach is often used alongside EMDR (Eye Movement Desensitization and Reprocessing) or other trauma-specific interventions.

5. Family and Couples Therapy

Addiction often disrupts family systems. Licensed counselors or psychologists may lead sessions that help:

• Repair communication and trust

• Set healthy boundaries

• Address enabling or codependent behavior

• Rebuild family dynamics to support sobriety

Involving family members creates a supportive network and increases the individual’s chance of staying in recovery.

How Counselors and Psychologists Fit Into the Treatment Team

Successful addiction treatment is rarely the work of one provider. Instead, it’s the result of a collaborative care team that may include:

• Addiction medicine physicians – Oversee medical detox and prescribe medications

• Psychiatrists – Manage co-occurring mental health conditions

• Licensed therapists and psychologists – Lead therapy sessions and behavioral interventions

• Case managers and social workers – Help with discharge planning, legal needs, or housing

• Peer recovery specialists – Offer lived experience and mentoring support

Counselors and psychologists work closely with these professionals to ensure each client’s treatment is comprehensive and individualized.

Why Counseling Is Essential for Long-Term Sobriety

While detox is necessary to clear substances from the body, therapy is essential for preventing relapse. Counselors and psychologists help clients:

• Understand the reasons behind substance use

• Address guilt, shame, or trauma

• Build emotional resilience

• Learn practical skills for managing cravings

• Develop a support system and recovery identity

Their guidance helps clients shift from survival mode to personal growth, equipping them to live fulfilling lives without drugs or alcohol.

What to Expect in Therapy

Many individuals entering treatment are unsure of what therapy entails. While each provider has their own approach, here’s what to expect:

1. Initial Assessment

The therapist will ask about:

• Substance use history

• Mental health symptoms

• Family background and trauma history

• Current stressors and supports

• Recovery goals

This helps guide the therapeutic approach and set objectives.

2. Regular Counseling Sessions

Depending on the program, clients may attend:

• Individual therapy (once or twice a week)

• Group counseling (daily or several times a week)

• Family or couples therapy (as needed)

Sessions are confidential and focused on building trust and progress.

3. Progress Reviews

Therapists monitor growth and adjust treatment as needed. They may use relapse prevention planning, goal setting, or journaling exercises to reinforce insights and skills.

Counselors and Psychologists in Different Levels of Care

These professionals are found in every stage of treatment:

• Detox – Offer emotional support and stabilization

• Residential/inpatient rehab – Provide daily therapy sessions

• Intensive Outpatient Programs (IOP) – Conduct scheduled therapy while clients live at home or in sober housing

• Outpatient counseling – Support long-term recovery with weekly sessions

• Aftercare – Offer continued check-ins, alumni support, and therapy maintenance

No matter where someone is in their journey, counselors and psychologists are available to guide them.

How to Find the Right Therapist or Counselor

If you’re considering entering treatment or continuing therapy, look for someone who:

• Is licensed or certified in your state

• Has experience with addiction or dual diagnosis

• Uses evidence-based practices

• Offers a compassionate and judgment-free environment

• Accepts your insurance or offers affordable rates

Your relationship with your therapist is personal and powerful—so finding the right fit is crucial for progress.

Final Thoughts: Healing the Mind Is Just as Important as Healing the Body

Addiction impacts more than your physical health—it affects your emotions, thoughts, behaviors, and relationships. Licensed alcohol and drug counselors and psychologists play an irreplaceable role in helping individuals heal, grow, and build sustainable lives in recovery.

Through evidence-based therapy, compassionate support, and behavioral change, these professionals empower people to not just stop using substances—but to transform how they think, feel, and live.

Get Expert Behavioral Support at Nova Recovery Center

At Nova Recovery Center, we believe in treating the whole person. Our team of certified counselors and licensed psychologists work hand-in-hand with medical providers to offer integrated, evidence-based care. Whether you’re starting treatment or looking for aftercare, we’re here to help you build a new life—one grounded in clarity, purpose, and lasting sobriety.