Substance Use Therapy
Virtual Appointments In Oregon
Does this sound like you?
You may be wondering whether what you’re experiencing is mental health, substance use, or something in between. Many people don’t fit neatly into one box—and that doesn’t mean anything is wrong with you.
Anxiety, depression, mood swings, or intrusive thoughts that feel hard to manage on their own
Using substances to calm your mind, sleep, feel more like yourself, or get relief from emotional overwhelm
Feeling temporarily better after using—then more anxious, low, or disconnected afterward
Wanting to cut back or stop, but finding it harder than expected
Feeling stuck in a cycle where mental health symptoms and substance use seem to feed into each other
Feeling shame, confusion, or self-judgment about how you cope
Being sober or reducing use, yet still not feeling regulated or emotionally well
Wondering which came first—or if that question even matters
Substance use therapy with me does not focus just on the use, but on the big picture — your nervous system, life experiences, coping patterns, and the unmet needs underneath, so change can feel supportive rather than forced.
Treating Mental Health & Substance Use Together
Healing is not about perfection—it’s about building awareness, flexibility, and healthier ways of coping. I support clients in creating change that feels realistic and meaningful.
Substance use therapy with me supports individuals experiencing mental health concerns alongside substance use or addiction, recognizing that these challenges rarely exist in isolation. Anxiety, depression, trauma, and substance use often interact in complex and reinforcing ways—each influencing the other and shaping how you cope, relate, and move through daily life.
Rather than treating these concerns separately, dual diagnosis therapy addresses the full picture of your experience. We explore how substances may function as coping strategies for emotional pain, stress, or trauma, while also working to heal the underlying factors that drive those patterns. This integrated approach allows space for curiosity and understanding, not blame or pressure.
The work is nonjudgmental, collaborative, and tailored to your needs, focusing on harm reduction, self-awareness, and sustainable change. Therapy supports both emotional healing and the development of healthier coping skills, helping you build stability, resilience, and a sense of choice that aligns with your values and long-term goals.
$200 per 60 minute individual session
Virtual Substance Use Therapy in Oregon
I offer virtual substance use therapy across Oregon that addresses both mental health and substance use together — not as separate issues, but as interconnected patterns.
Online substance use therapy may be helpful if you:
Are questioning your relationship with alcohol or other substances
Feel stuck in a stress → relief cycle
Notice anxiety, burnout, or emotional shutdown underneath your use
Identify as high-achieving but privately exhausted
Want support without labels, ultimatums, or shame
This work is not about immediate abstinence unless that’s your goal. It’s about understanding function first.
In virtual sessions, we explore:
What your substance use is helping you manage
The nervous system patterns driving urges
Trauma triggers and stress responses
Practical regulation skills to create more choice
How to reduce reliance on coping strategies that no longer feel sustainable
As a licensed therapist in Oregon specializing in trauma and substance use, I integrate nervous system education, trauma-informed care, and EMDR therapy when appropriate. When we address underlying trauma and chronic stress, substance use often shifts naturally — because the original drivers are being supported.
If you’re looking for virtual substance use therapy in Oregon, online addiction counseling in Oregon, or therapy that understands both mental health and substance use, you don’t have to figure it out alone.
Support can be steady, collaborative, and grounded — even through telehealth.
Meet Meghan Hanes, LCSW
Hi, I’m Meghan, a Licensed Clinical Social Worker (LCSW) and EMDR-trained trauma therapist offering online therapy for adults across Oregon.
I work with people who feel stuck in trauma—replaying the past, reacting in ways that feel out of control, or relying on substances or other coping strategies just to get through the day. These responses make sense, but they can start to feel exhausting or limiting over time.
Using EMDR and trauma-informed talk therapy, I help clients process unresolved experiences, calm the nervous system, and develop healthier ways to cope—without judgment and at a pace that feels safe.
My practice is fully virtual and available to adults (18+) living in Oregon.