Addiction & Substance Use Counseling in Los Angeles

Support for your relationship with alcohol or drugs, whether you're aiming for abstinence, moderation, or just trying to figure out where you stand. In person and online across California.

Man with arms raised in recovery — addiction counseling Los Angeles
Alan Meier, LMFT — gay therapist in Los Angeles
Alan Meier, LMFT

California Licensed Marriage and Family Therapist #116845

I'm a gay, queer-identified therapist working with the LGBTQ+ community since 2012. I specialize in LGBTQ+ individual and couples therapy, addiction and substance use, and anxiety. I received my MA in Psychology at University of the West. I'm trained in EMDR (EMDRIA-Approved Basic Training), the Trauma Resiliency Model, and Motivational Interviewing. I have offices in Larchmont Village and on Melrose Avenue near West Hollywood.

Read more about Alan · Last reviewed: August 2026

It worked, until it stopped working

People often use substances to get some relief from life's challenges. For a while, it does the job. Then somewhere along the line, the thing that was helping quietly becomes the problem.

You don't need to have hit some dramatic bottom for this to be worth looking at. If it's on your mind, that's reason enough.

You set the goal, not me

There's no single right way to change your relationship with substances, so we start with what you actually want. That might be full abstinence. It might be harm reduction, cutting back, or getting honest about the patterns first. All of those are real, valid goals, and we can work toward any of them.

This is a non-judgmental space. I'm not here to shame you or hand you an ultimatum. Together we look at what the substance is doing for you, what it's costing you, and what has to be in place for something different to feel possible.

Man looking upward with resilience — addiction recovery therapy

Who I work with

I have particular experience supporting gay and bisexual men around substance use, including the specific dynamics of chemsex, party culture, and using to manage shame or connection.

For a deeper look at why this happens, read Why Gay Men Struggle With Substance Use.

You might be sober-curious, actively trying to cut back, questioning your relationship with alcohol, or somewhere in between. You're welcome here wherever you are on that spectrum.

Sessions are 50 minutes and cost $200. I'm an out-of-network provider and can give you a superbill for possible insurance reimbursement. Sliding-scale slots are sometimes available.

Common questions about addiction counseling

No. You set the goal. For some people that's abstinence, for others it's harm reduction or cutting back, and we can work toward whichever fits your life.

Harm reduction is an approach focused on reducing the negative effects of substance use rather than requiring immediate abstinence. It meets you where you are and lets you make changes at a pace you can sustain.

Yes. I have specific experience supporting gay and bisexual men around chemsex and party culture, without judgment.

Sessions are 50 minutes and $200. I'm out-of-network and can provide a superbill, and sliding-scale slots are sometimes available.

No. This is one-on-one outpatient counseling. It can complement a recovery program if you're in one, or stand on its own if that's what you prefer.

A first step that doesn't ask you to have it figured out

If your relationship with substances has been on your mind, let's talk about it.