Prayer plant in a Berkeley therapy office

You don't need to hit rock bottom to deserve help.

Alcohol & Addiction Therapy in Berkeley

What started as a way to cope is starting to cost you.


The drink to take the edge off. The cannabis to wind down. The hours that disappear into your phone. They worked, at first, they helped you cope, relax, or feel something other than stress. That's not a character flaw. It's how these patterns get their hook in.

The problem is what they're costing you now: the mornings you're not proud of, the strain on the people you love, the sense that this isn't who you want to be. You don't have to hit some dramatic bottom for it to be worth looking at.

  • Drinking or smoking more than you meant to, more often than you'd like

  • Telling yourself you'll cut back, then not sticking with it

  • Tension or distance with the people closest to you

  • Scrolling, gaming, or other habits you use to check out

  • Spending so much time with AI you’re losing yourself

You're ready for some relief.

How therapy works

Sobriety, moderation, or still deciding, you're welcome here.

Some people come in wanting to quit or stay sober. Others want to cut back, take a break, or better understand their relationship with alcohol, cannabis, or a habit like scrolling, gambling, or AI use. I work with all of it, and I won't push you toward an outcome you didn't choose.

On the practical side, I draw on Motivational Interviewing, the leading evidence-based approach for addiction, to work through the pull of wanting to change and not wanting to, and to build motivation that lasts because it comes from you, not from someone lecturing you. Alongside that, we look at what the drinking, using, or habit is really for: the stress it manages, the feelings it numbs, the patterns underneath it. That's the part that leads to clarity and makes change hold.

I've done this work for years, while also supervising others and training groups, across community mental health, veterans services, and a harm-reduction residential program. Very little surprises me, and there's nothing you could tell me that would make me judge you.

Therapy for alcohol and addiction can help you…

  • Get honest about your drinking or use, without the shame

  • Figure out whether cutting back or quitting fits your life

  • Repair the strain it's put on your relationships

  • Feel back in control, on your own terms

Jacob Donnelly, LCSW, addiction and alcohol therapist in Berkeley, CA

Common Questions

Frequently asked questions about addiction therapy

You don't have to stay stuck in the same cycle.