Harm reduction psychotherapy for drug and alcohol problems helps individuals concerned with their substance use to create a healthy relationship with alcohol and drugs, by assessing what may be problematic about their substance use, and setting realistic goals. Whether that means reducing, moderating, or abstaining from use, clients are supported in developing the skills they need to achieve their goal. I have been trained by Andrew Tatarsky and Jenifer Talley, internationally recognized leaders in the treatment of substance misuse and the abstinence alternative, and I have helped countless clients navigate the challenges of regaining their sense of balance and wellbeing after the devastating consequences of years of substance misuse.