Individual addiction counseling is a one-on-one process where you work with a counselor to understand your relationship with substances and build a realistic path toward recovery.
Sessions typically cover what is driving continued use, what triggers cravings, how substances have been used to cope with stress or difficult emotions, and what has or has not worked in previous attempts to stop. From there, the focus shifts to relapse prevention, developing healthier responses to those same triggers, and addressing any underlying issues that are keeping the cycle going.
Every session is shaped around your specific situation. Someone dealing with alcohol use for ten years needs a different approach than someone whose prescription drug use started recently. The counseling adapts accordingly.
If you want to understand more about how this type of therapy works in practice, our post on the benefits of talk therapy for addiction recovery covers it in detail.
For clients who want to understand more about what individual versus other forms of therapy might offer, this breakdown of individual therapy vs family therapy for addiction may be helpful in deciding what direction makes the most sense.

Individual addiction counseling is for adults who are ready to address their substance use in a private, one-on-one setting. It works for people at different points in their relationship with drugs or alcohol.
You may be a good fit for individual counseling if you are:
Individual counseling is also a strong option for people who have been through group programs before without lasting results. The one-on-one format allows for a level of depth and personalization that group settings cannot always provide.
We work with adults dealing with alcohol, opioids, prescription drugs, methamphetamine, cocaine, marijuana, and other substances.
William Schneider is a Licensed Advanced Alcohol and Drug Counselor (LAADC-CA, ICADC) with over 19 years of experience working with individuals affected by substance use. His background spans nonprofit organizations, private practice, and medication-assisted treatment settings, giving him a well-rounded understanding of how addiction develops and what recovery actually requires.
His approach is direct and practical. Sessions are structured and goal-oriented, but there is no rigid formula. He adapts based on what each client brings to the table, whether that is a long history with alcohol, a recent problem with prescription drugs, or a relapse after years of sobriety.
William works with clients from all walks of life, including working professionals, parents, veterans, and people navigating the legal system. He understands that most people coming in for counseling have already tried to manage this on their own. The sessions are built around honest conversation, not judgment about how things got to this point.

Sessions are available in person across Sacramento and nearby areas, or online via HIPAA-compliant video conferencing. Online sessions follow the same structure as in-person. The only difference is location. You will need a private space, a reliable internet connection, and a device with a working camera and microphone.
Online counseling works well for clients with busy schedules, transportation challenges, or those who simply prefer the privacy of their own home. Some clients also find it easier to open up in a familiar environment, which can make online sessions just as productive as sitting in an office.
We serve clients throughout Sacramento and surrounding communities including Elk Grove, Roseville, Folsom, West Sacramento, Wilton, and San Jose. Online counseling is available to clients anywhere in California.
A lot of people can stop using for a period of time on their own. The harder part is staying stopped, and understanding why previous attempts did not hold. That is where individual counseling makes a real difference.
Recovery does not happen because someone decides to be stronger or more disciplined. It happens when a person genuinely understands what has been driving their substance use and builds practical skills to handle those same situations differently. Individual counseling creates the space to do that work properly, without rushing through it.
Over the course of sessions, clients typically work through several things that directly impact long term recovery:
Understanding triggers and patterns. Most substance use is connected to specific situations, emotions, or environments. Identifying those patterns clearly makes it possible to prepare for them rather than being caught off guard.
Building coping skills that actually work. Stress, difficult relationships, grief, and anxiety do not go away during recovery. What changes is how you respond to them. Sessions focus on developing responses that do not involve substances, and practicing them until they become second nature.
Addressing what is underneath. For many people, substance use has been a way of managing something else, whether that is trauma, depression, chronic stress, or something they have never fully worked through. Individual counseling goes into those areas in a way that group settings often cannot.
Staying accountable through difficult periods. Recovery is rarely a straight line. Having regular one-on-one sessions means there is a consistent point of support during the periods when things get harder, including after setbacks or relapse. If you want to understand more about what relapse looks like and how to respond to it, our post on how to help someone who refuses addiction treatment offers some useful perspective on the cycle many people go through before finding lasting recovery.
Building a life that supports sobriety. Toward the later stages of counseling, the focus shifts to the bigger picture. Relationships, daily structure, goals, and purpose all play a role in whether recovery holds long term. For clients who want to go deeper on this, life coaching is also available as a separate service that works alongside counseling.

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