Addiction Counseling in North Carolina
for adults struggling with substance use and its impact on relationships, mental health, and daily functioning. Evidence-based treatment using Motivational Interviewing and Cognitive Behavioral Therapy helps clients build intrinsic motivation, challenge harmful thought patterns, and develop lasting strategies for recovery and relapse prevention.
Addiction Counseling in North Carolina
Quick Facts
- Who this is for: Adults in North Carolina struggling with substance use and addiction, particularly those experiencing impacts on relationships, work, mental health, and daily functioning
- Conditions treated: Addiction and substance use disorders, co-occurring depression, anxiety, and other mental health conditions commonly linked to addiction
- Modalities offered: Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT)
- Session types and lengths: Individual therapy; first appointment is 60 minutes; ongoing frequency is flexible based on client needs
- Telehealth: Available statewide across all of North Carolina
- Locations: Durham, NC (3710 University Drive, Suite 302) and Cary, NC (570 New Waverly Place, Suite 210)
- Hours: Monday through Friday, 9AM to 8PM; Saturday, 9AM to 3PM
- Insurance: Aetna, Blue Cross Blue Shield, NC State Health Plan, and Medicaid plans including Healthy Blue, Carolina Complete, and Wellcare; out-of-network superbills and private pay also accepted
What is addiction counseling?
Addiction counseling is structured, evidence-based therapy that doesn’t treat addiction as a moral failing or lack of willpower. At Acacia Collaborative, counseling focuses on understanding the root causes of addictive behavior, building intrinsic motivation for change, and developing practical strategies for long-term recovery.
Experienced Addiction Counseling for Breaking The Hardest Habits
Addiction is a disease of the brain which interferes with our natural reward system and greatly disrupts one’s judgment and motivation. In addition to the physiological impacts of addiction, it can wreck havoc on one’s personal life by destroying relationships, disrupting one’s overall ability to function, and leading to mental health disorders such as depression and anxiety. If you are a resident of NC and struggling with controlling your use of addictive substances, you can start addiction counseling in North Carolina at Acacia.
Can addiction counseling help with depression and anxiety too?
Depression and anxiety are among the most common co-occurring conditions alongside addiction, and each can make the other worse. Acacia addresses both simultaneously, using CBT to target the thought patterns that contribute to low mood, worry, and substance use all at once.
Treatment That Treats Addiction As The Disease It Is
Just as you would seek treatment for diseases such as diabetes or hypertension, it is critical to seek treatment for disease of addiction. At Acacia Collaborative we use a combination of Motivational Interviewing and Cognitive Behavioral Therapy which have be researched and found to be effective in treating individuals with addiction.
With motivational interviewing, your therapist will work with you to encourage you to find your own intrinsic motivation for making positive changes in your life. With Cognitive Behavioral Therapy, your therapist will discuss and challenge the negative thoughts and behaviors that are present, which perpetuate your addiction and risk for relapse.
How Addiction Counseling Works
1. Reach Out: Call or email to ask questions and take the first step at whatever pace feels manageable.
2. Intake: Complete electronic forms before your first appointment. Insurance and scheduling details are confirmed at this stage.
3. First Session (60 Minutes): Share what brought you in, discuss how addiction is affecting your life, and begin building a personalized treatment plan with your therapist.
4. Building Motivation: Using Motivational Interviewing, your therapist helps you identify your own reasons for change, exploring your values and goals without pressure or judgment.
5. Challenging Harmful Patterns: Through Cognitive Behavioral Therapy, you and your therapist identify the thoughts, triggers, and behaviors that fuel substance use and work to replace them with healthier responses.
6. Relapse Prevention: Develop practical coping strategies and early warning systems to recognize and manage high-risk situations before they lead to setbacks.
7. Ongoing Support: Adjust session frequency as you progress, with flexible scheduling available to support long-term recovery at whatever pace works for you.
How Do You Get Started?
STEP ONE: CONTACT US
At any point in your decision to pursue therapy or assessment, feel free to contact us with questions. We will gladly talk with you over the phone to determine if one of us will be a good fit. Visit our Contact Page.
STEP TWO: INTAKE
Once you have scheduled an appointment, you will be emailed forms to complete electronically prior to your first appointment. If we are in-network with your Aetna, Blue Cross Blue Shield, or State Health Plan insurance benefits will be processed.
STEP THREE: FIRST SESSION
Your first appointment will be 60 minutes. In this first appointment, we will discuss what brought you in, your history, and will develop a “game plan” with you to work toward your goals.
Frequently Asked Questions
Is addiction really a disease?
Yes. Addiction is a recognized brain disease that interferes with the brain’s natural reward system, affecting judgment, motivation, and behavior. Treating it as a disease rather than a personal failing is central to the approach at Acacia Collaborative.
What substances does addiction counseling address?
Acacia’s addiction counseling addresses a range of substance use concerns. If you are unsure whether your situation qualifies, reach out for a conversation before committing to anything.
How many sessions will I need?
This varies depending on the nature and history of the addiction and any co-occurring conditions. Many clients begin with weekly sessions and adjust frequency over time as they build stability and confidence in their recovery.
Can I do addiction counseling via telehealth?
Yes. Addiction counseling is available via telehealth across all of North Carolina, making consistent care accessible regardless of where you are located or what your schedule looks like.
Contact Acacia Collaborative
Ask a question or book an appointment below.
Hours
Monday through Friday
9AM-8PM
Saturday: 9AM-3PM
Durham Office:
3710 University Drive #302, Durham, NC 27707
Cary Office:
570 New Waverly Pl #210, Cary, NC 27518
Online Therapy
All of North Carolina
Insurance
Accepting Aetna, Blue Cross Blue Shield, Blue Home with UNC Health Alliance, State Health Plan, Out-of-Network Superbills & Private Pay. We are credentialed with the following Medicaid plans: Healthy Blue, Carolina Complete, and Wellcare.
Services
Mental Health Therapy & Psychological Assessments