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Online Sessions Available Across New York

THERAPY for SUBSTANCE USE IN GARDEN CITY, NY

Feel more in control of your choices, your habits, and the life you want to build.

IT’S always SEEMED HARMLESS.

Another drink, another hit, another ‘something’...it’s just part of the fun, right? And on top of the buzz—or the way it helps you unwind at the end of a long day—you also get to tune out of the world for a bit. But lately, it doesn’t feel quite as harmless anymore. You’re more tired, less productive, and maybe skipping things you normally care about.

You might tell yourself you’ll cut back and then not follow through the way you planned (again). Maybe it’s not totally out of control, but it’s also not feeling as casual as it used to.

Or maybe you already know this has become something bigger—something that’s starting to take up more space in your life than you want it to. You want to understand why you keep reaching for these things so often, and some part of you knows it might help to stop trying to figure it all out on your own. That doesn’t mean you’re weak or incapable—it means you’re human.

SUBSTANCE USE LOOKS different FOR EVERYONE.

For a lot of people, it can look like this:

  • Having an extra glass of wine at night after the kids go to bed to relax—and then not feeling great about it the next day

  • Using alcohol, pot, or something else to take the edge off your stress—and not really knowing what else to do instead

  • Planning to have just one or two drinks on your night out…and it inevitably turns into a whole bottle and a bag of cocaine by the end of the night

  • Feeling more comfortable socially when you’re drinking or high—and then feeling frustrated that it’s the only way you can relax or be yourself around people

  • Noticing your habits affecting work—like calling in sick because you’re consistently hungover

  • Feeling stuck, unmotivated, or “off” in your life—and using substances to avoid it or push it aside

  • Your partner or loved ones expressing concern or distaste with your use, causing you to downplay it or hide it altogether

  • Becoming a bit obsessed or dependent on the rush and wondering if it’s something you should get ahead of

MY APPROACH

Sometimes the goal isn’t “never again.” It’s understanding why the pattern exists in the first place—and deciding what you want your relationship with substances to look like moving forward.

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Just by being here, you probably have some sense that something isn’t working the way you want it to. Some people come in knowing exactly what they want to change, while others are still figuring that out—and both are okay. The hard part isn’t knowing—it’s following through in the moment—after a long day at work, once the kids are finally asleep, when you’re lying in bed, and your mind won’t shut off, or when you’re out with people, and it feels like the easiest way to unwind.

My role isn’t to tell you what you should be doing, decide what’s right for you, or pass judgment or criticism. It’s to help you feel more in control of your choices again. Because substance use looks different for everyone, therapy should too. For some people, moderation is possible. And for others, knowing their limits and pursuing a sober lifestyle may be the key.

My job is to help you better understand your relationship with substances—what they’re helping with, what they’re getting in the way of, and what you want to be different. A lot of our work is slowing things down enough to really look at what’s happening before, during, and after you drink or use, so the patterns start to make more sense. 

When you start to understand the function of “why” you’re doing this, it becomes a lot clearer what needs to change—and what you can do to replace the habits that aren’t working anymore.

Dr. Kristina Burke, therapist based in Garden City, NY, with long brown hair, glasses, wearing a navy blazer over a white top, smiling with one hand in her pocket, against a plain gray background.

THIS WORK CAN help YOU…

  • Realize you don’t have to criticize or shame yourself to make a change

  • Understand you don’t need to turn to alcohol, pot, or other drugs to relax, unwind, or handle life

  • Feel comfortable being around people without always needing to take the edge off

  • See that sober experiences—socializing, relaxing, or getting through a hard day are possible, even if that’s not where you’re starting 

  • Feel more confident in your ability to make different choices in the moment

  • Understand the function of your use, what need it meets, and how to meet that need in more effective ways

YOU DON’T HAVE TO HIT ROCK BOTTOM TO WANT SOMETHING TO change.

Questions?

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