--- title: "Substance Use Therapy in Washington, DC — Cura Tempos" description: "Outpatient therapy for alcohol and substance use concerns in DC — honest, unshaming, motivational-interviewing based. 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Some clients choose abstinence; others aim for genuinely moderate use. We're honest about what the evidence and your own data suggest for your situation." } }, { "@type": "Question", "name": "Will this go on a record?", "acceptedAnswer": { "@type": "Answer", "text": "Therapy records are confidential within the standard legal limits, which we'll explain plainly. We know careers in this city carry clearances and licensures — bring those concerns to the consultation." } }, { "@type": "Question", "name": "What if I'm not ready to change?", "acceptedAnswer": { "@type": "Answer", "text": "Ambivalence is the starting line, not a disqualification. Motivational Interviewing was built precisely for not-sure. Come as you are." } } ] } ] --- [![Cura Tempos](/__l5e/assets-v1/50a70a4f-7979-497e-9338-0a69569aa15d/logo.png)Cura Tempos Washington, DC ](/) [Home](/)[Our Team](/team-3)[Specialties](/specialties)[Services](/book-online)[Office](/therapy-office-washington-dc)[Investment](/rates)[Journal](/blog)[Media](/media)[Contact](/contact) [Book a free consult](https://www.therapyportal.com/p/curatempos/) Specialties # Substance Use Therapy Maybe it's the after-work drinks that stopped being optional. The prescription that outlived the prescription. The habit that started as an off-switch for a demanding life and is now quietly running parts of it. You don't need to call yourself an addict to take this seriously, and you don't need to have decided anything to come in. This is outpatient therapy for people examining their relationship with a substance — honestly, without shame, and on their own steam. ## Where this work fits - Alcohol use that's drifted past where you want it - Prescription medication concerns - Substances woven into stress, sleep, or social survival - Gray-area use: functional, private, and increasingly non-negotiable - Staying steady after cutting back or stopping - Partners and family carrying someone else's use ## How we approach it The foundation is Motivational Interviewing — an evidence-based approach that works with your ambivalence instead of bulldozing it. No lectures, no scare slides. We get precise about what the substance does for you, what it costs, and what you actually want — and let honest arithmetic do what willpower couldn't. Because use is usually load-bearing — managing [anxiety](/specialties/anxiety-therapy), trauma, burnout, or disconnection — we treat what it's holding up at the same time, drawing on the practice's trauma and anxiety work. This is outpatient therapy, not detox or an intensive program. If your situation calls for medical support or a higher level of care, we'll say so plainly and help you find it. ## Practical details 55-minute sessions, $215 with [sliding scale](/rates) from $150–194, [free 15-minute consultation](/book-online). In person downtown or telehealth across DC. Discretion is treated as a professional norm here — within the standard legal limits of any therapy, which we'll explain plainly before you share anything. FAQ ## Common questions ### Do I have to quit entirely? That's your call, made with better information. Some clients choose abstinence; others aim for genuinely moderate use. We're honest about what the evidence and your own data suggest for your situation. ### Will this go on a record? Therapy records are confidential within the standard legal limits, which we'll explain plainly. We know careers in this city carry clearances and licensures — bring those concerns to the consultation. ### What if I'm not ready to change? Ambivalence is the starting line, not a disqualification. Motivational Interviewing was built precisely for not-sure. Come as you are. Related - [Stress & burnout →](/specialties/stress-burnout) - [Trauma therapy →](/specialties/trauma-therapy) - [Motivational approach →](/approach) ## Ready to begin? The 15-minute consult is where most people begin. [Book a free 15-minute consultation](https://www.therapyportal.com/p/curatempos/)[Rates & investment](/rates) Curated mental health & wellness for a life fully lived. [Book a free consult](/book-online) Cura Tempos A boutique DC practice — sex-therapy-led, holistic, unhurried. Sessions in English · Français Explore - [Home](/) - [Our Team](/team-3) - [Specialties](/specialties) - [Services](/book-online) - [Office](/therapy-office-washington-dc) - [Investment](/rates) - [Journal](/blog) - [Media](/media) - [Contact](/contact) Specialties - [Sex Therapy](/specialties/sex-therapy) - [Couples Therapy](/specialties/couples-therapy) - [Trauma & EMDR](/specialties/trauma-therapy) - [LGBTQIA+ Therapy](/specialties/lgbtq-therapy) - [Online Therapy](/online-therapy-dc) - [All Specialties](/specialties) Contact Cura Tempos LLC 1301 K Street NW, Washington, DC 20005 [202-643-2846](tel:2026432846) [Info@CuraTempos.com](mailto:Info@CuraTempos.com) Crisis In a crisis or emergency, call or text [988](tel:988) or [911](tel:911). Individual results vary; therapy outcomes are not guaranteed. Contacting Cura Tempos does not establish a therapist–client relationship. Coaching services are not psychotherapy and are not licensed mental-health treatment. 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