Alex Douglas TherapyAlex Douglas Therapy

Addiction

A harm-reduction approach to substance use and addictive behaviors. Without the dogma. Without the shame.

Recovery Without the Twelve Steps

Most addiction programs start with the same premise: you're broken, and only by giving yourself over to a higher power, and following a rigid set of steps, can you be fixed. They teach that anything other than total abstinence equals failure.

For a lot of people, that framework doesn't work. It feels too strict, too religious, too judgmental. And the shame that creates can actually make the struggle with addiction even worse.

I take a different approach. One rooted in harm-reduction, self-understanding, and the belief that you're not defined by your struggles, your past, or the substance you've used.

Counter-intuitively, we actually owe gratitude to our addiction: The substance (or behavior) may have been unhealthy, but it was the only thing we knew at that time that kept our pain from swallowing us. And - I speak from experience - it worked. For a while. Maybe even a long while. Problem is, it also has some pretty big costs. And its benefits tend to fade over time. So we end up doubling our pain: the initial pain we were trying to medicate is still there, now joined by the additional pain of being an "addict."

What We Work On

Addiction isn't born in a vacuum: It grows in the spaces where pain has become too much, emotions are overwhelming, where the pressure to hold it together has become unbearable. The substance or behavior is the symptom; to cure that we have to heal what's underneath. Together, we will uncover the stressors you've been using addiction to cope with, then build healthier coping skills in its place, as we also work to heal old wounds.

Alcohol and substance use: spanning the spectrum from daily drinking to full-blown dependency
Compulsive behaviors: pornography, gambling, workaholism, spending
Process addictions: the patterns that don't involve a substance but control your life all the same, such as porn, workaholism, exercise, or shopping
Relapse patterns: understanding what triggers the cycle and building genuine resilience
Dual diagnosis: when addiction coexists with anxiety, depression, trauma, or PTSD

Harm Reduction, Not Abstinence-Only

Harm reduction means meeting you where you are at your stage of recovery, not where a program's dogma thinks you should be. This approach recognizes that change doesn't happen through ultimatums. It happens through grit, yes, but also understanding and great self-compassion.

It acknowledges that sobriety isn't always the starting point (or end goal), and certainly isn't the only metric of success. Harm reduction sets you up for success by creating achievable goals, using tangible skills, toward decreasing risky behaviors.

If you want to quit entirely, I'll support that. If you want to understand your relationship with a substance and find a healthier balance, I'll support that, too. The goal is your goal; not mine, not a program's, not society's.

How EMDR Helps With Addiction

Many addictive patterns are rooted in unresolved trauma. EMDR (Eye Movement Desensitization and Reprocessing) can help process the underlying traumatic memories that fuel compulsive behaviors, often reaching material that traditional talk therapy, alone, cannot access.

By addressing the root cause rather than just the behavior, EMDR can reduce cravings, interrupt automatic triggers, and create lasting change that goes deeper than willpower can.

You're Not a Diagnosis

The language of addiction can be dehumanizing, reducing you to your unhealthy patterns. "Addict." "Alcoholic." "Junkie." In our work, you're a person, not a label. You're someone who found a way to cope with pain, and now you're looking for something that works better.

This may be the hardest road you ever walk. That takes courage, not shame.

I see clients in person at my Hermosa Beach office in the South Bay area of Los Angeles; at locations of your choice (such as home or office) in a concierge capacity; and via secure telehealth throughout California, including greater Los Angeles, San Francisco, San Diego, and Sacramento.

If this sounds like what you're looking for, let's talk.

Your Therapist

Alex Douglas, LCSW 127148

15+ years in entertainment before becoming a therapist. EMDRIA-approved EMDR training. LGBTQIA+ affirmative.

Frequently Asked Questions

No. Alex Douglas, LCSW practices harm reduction, which means meeting you where you are. You don't need to be sober or committed to sobriety to begin. Many clients start therapy while still actively using, and that's okay.
Alex Douglas Therapy is individual therapy, not a group program. There are no steps, no sponsors, no higher power requirement. Alex Douglas works one-on-one to understand what's driving the behavior, process underlying trauma, and build sustainable change at your pace.
Alex Douglas works with substance use (alcohol, drugs), behavioral addictions (pornography, gambling, workaholism), and process addictions. His therapeutic approach adapts to the specific patterns and underlying issues each client is dealing with.
Yes. Research supports EMDR as an effective treatment for addiction, particularly when addiction is rooted in trauma. By processing traumatic memories that fuel compulsive behaviors, EMDR can reduce cravings and interrupt automatic triggers. Alex Douglas is EMDRIA-trained and integrates EMDR into his addiction work.

A Different Kind of Help

No judgment. No labels. Just honest work toward the life you actually want.