Adam Zimbardo
Marriage and Family Therapist
Psychotherapy for individuals and couples
What is Harm Reduction?
Traditional approaches to substance abuse treatment have assumed that the
only appropriate outcome of therapy is lifelong abstinence from all drugs
and alcohol. This is based on a model which sees addiction is a disease from
which one must recover.
In the real world, not every substance abuse problem is the same, and so not
every problem requires the same treatment. People use alcohol and drugs for
a variety of reasons, and some people develop problematic habits around
substance use which interfere with their lives and the lives of those around
them. Harm reduction treatment focuses on the harm caused by the drug or
alcohol problem, and how to minimize that harm. Abstinence is one possible
outcome among many in this model.