Addiction Counseling in San Clemente

You don't have to hit bottom, check into a facility, or have everything figured out to get help with drinking or drug use. Brain Repair offers outpatient addiction counseling in San Clemente for people who want to change their relationship with alcohol, cannabis, stimulants, opioids, prescription medication or other substances, whether the goal is cutting back, stopping entirely, or staying stopped after treatment.

​

Addiction is our team's deepest specialty. Our clinical director is a Licensed Advanced Alcohol and Drug Counselor (LAADC) as well as an LCSW, and every clinician on our team holds a California addiction certification (CADC or CATC) in addition to their mental health training. That matters because substance use almost never shows up alone. Anxiety, depression, trauma and ADHD are usually part of the picture, and we treat the whole person rather than sending you to two different offices.

​

How we work

• Honest assessment, no lectures. We start by understanding what the substance does for you, what it's costing you, and what you actually want. Your goals drive the plan.

• Evidence-based tools. We use CBT to work on the thoughts and situations that lead to use, motivational interviewing to strengthen your own reasons for change, and DBT skills, which were developed partly for substance use, to handle cravings, stress and the emotions that drive relapse.

• Co-occurring care. Trauma, anxiety and depression are treated at the same time, by the same clinician.

• Relapse prevention and aftercare. If you've completed detox, residential treatment or an IOP, we help you hold onto what you gained and build a life that doesn't need the substance.

• Family involvement. With your consent, we can include partners or parents so the people around you know how to help instead of guess.

​

What a first session looks like

Your first session is free and confidential. We'll talk about what's going on without judgment and decide together whether outpatient counseling is the right level of care. If you need something more intensive, we'll say so and help you find it.

​

Who you'll work with

Every Brain Repair clinician holds an addiction credential alongside their mental health training, so you can choose the person who feels like the best fit. Visit our Meet the Team page to learn more about each of us.

​

Practical details

• In person at 3551 Camino Mira Costa, Suite K, San Clemente, or by telehealth anywhere in California

• Evening and weekend appointments available

• $150–250 per session after your free first session; superbills provided for PPO plans

• Our 12-week DBT Skills Group is a strong complement to individual addiction counseling

• Also see our Trauma & PTSD Therapy and Teen & Young Adult Therapy pages

​

Common questions

Do I have to be completely sober to start? No. We meet you where you are. Your goals, whether that's moderation or abstinence, are part of the conversation from day one.

​

Is this a rehab? No. We're an outpatient therapy practice. If you need medical detox, residential or intensive outpatient treatment, we'll help you find it and can continue working with you afterward.

​

Is it confidential? Yes. Your treatment is protected by federal and state confidentiality laws, including the extra protections that apply to substance use treatment records.

​

Can my spouse or parent come to a session? Yes, with your consent. Family sessions are often one of the most useful parts of treatment.

​

Take the first step

Call or text (949) 415-4204, email info@brain-repair.com, or send us a message below. We'll get back to you within 24 hours. Our office is at 3551 Camino Mira Costa, Suite K, San Clemente, CA 92672.

​

If you or someone you love is in crisis, call or text 988, or call 911.

​

Reviewed by Doug Pleiman, LCSW, LAADC, Clinical Director. Last updated October 2026.