
Substance Use Counseling in Baltimore, MD
Support for the high-functioning adult who's silently struggling
At LifeSpring Counseling Services, we know that when life feels overwhelming, people often reach for something—alcohol, cannabis, cigarettes—to take the edge off. Most of our clients don’t come to us because of substance use. They come in feeling anxious, down, overwhelmed by racing thoughts, or stuck in relationship patterns that no longer serve them. But as the therapeutic process unfolds, we often uncover that substance use is playing a quiet, but powerful role behind the scenes.
Whether you’re a college student trying to manage the pressures of academic life, or a working professional juggling deadlines and personal responsibilities, you may be doing well in many areas of life. But if alcohol, THC , or smoking has become your go-to way to unwind, cope, or get through the day—and it’s starting to take a toll—it might be time to take a closer look.
We Make Scheduling Easy!
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1. Call Us
Give us a call at 443-726-1318, Monday through Friday, 9am-5pm and speak with our office admin who will help you get scheduled!
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2. Schedule With One of Our Therapists
Click on the “Make an Appointment” button with the therapist of your choice here (make sure they’re accepting new clients). Follow the prompts to create your account, schedule an appointment, and complete the biography section. You got this!
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3. Send Us a Message to Get Started!
Need help deciding which therapist is the best fit for you? Send us a message to get started.
We Accept Insurance!
How We Help
At LifeSpring Counseling Services in Baltimore, MD, we offer in-person and online counseling services for individuals navigating substance use concerns alongside their mental health.
Our approach is non-judgmental, collaborative, and rooted in evidence-based practices like Motivational Interviewing, which helps you understand where you are in the stages of change and how to move forward on your terms. Here’s how we support you:
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Screening to ensure outpatient care is the right fit
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Individualized treatment planning that aligns with your life, goals, and values
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Motivational Interviewing techniques to help you clarify your readiness and build momentum for change
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Referrals to trusted community providers when a higher level of care is needed
Who We Work Best With
Our substance use counseling services are designed for individuals who are:
✔ High-functioning in most areas of life
✔ Motivated and ready to make meaningful change
✔ Able to attend and commit to weekly therapy appointments
✔ Supported by friends or family in their healing journey
✔ Living with structure and routine, such as employment, school, or caregiving responsibilities
If you’ve been navigating this struggle largely in silence—perhaps even hiding it from others—you're not alone. Many of our clients appear to have it all together, yet internally feel weighed down by shame, stress, or habits they no longer feel in control of.
Who May Need a Higher Level of Care
While we offer compassionate, skilled support, we are not the best fit for everyone. You may need more intensive support if:
✘ You experience significant withdrawal symptoms when not using
✘ Your substance use causes frequent disruptions in daily functioning
✘ You are navigating crises, including harm to self or others
✘ Your life feels increasingly unstable due to the extent of your use
If this sounds like you, please know that there are excellent treatment centers in Baltimore and throughout Maryland that specialize in higher levels of care. We’ll gladly refer you to a program that matches your needs.

Get Started with Substance Use Counseling in Maryland, Online (Telehealth) or In-Person
How to Sign Up for Individual Therapy Services at Our Office!
Scheduling your first session is simple:
Click Here to book online 24/7 with the therapist of your choice or give us a call at 443-726-1318 Mon-Fri from 9am-5pm.
Complete your intake paperwork.
Attend your first session and start feeling better with professional support!
You don’t have to figure this out on your own. We’re here to help. Schedule your first session today!
Other Mental Health Services at LifeSpring
Counseling for LGBTQ+ individuals isn’t the only counseling service offered at our office. Our Greater Baltimore mental health counseling office also offers individual counseling services for adults and college students dealing with anxiety, depression, grief and loss, interpersonal violence, and trauma. We also offer specialized counseling services including online therapy, Brainspotting, faith-based counseling, and mindfulness-based counseling.