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Let's work together to create change.


Who we are:

We are a network of harm reduction practitioners in Northern California serving the mental health needs of individuals who use drugs. We focus our practice on helping people create the positive changes they choose to work toward. We don’t require that they stop using alcohol and other drugs in order to access our support. Instead, we work in a non-judgmental manner with our clients to help them determine the goals that are meaningful to them, as well as their relationship to alcohol and other drugs, which may or may not include changing their use. 

Our network includes psychologists, licensed marriage and family therapists, substance use counselors, nurse practitioners, social workers, psychiatrists, coaches, and others who practice Harm Reduction Therapy or harm reduction-informed services in private practice settings. 


What We Offer:

A professional organization that supports our work and nurtures future therapists to provide harm reduction treatment services. 

A resource for clients looking for a harm reduction practitioner who will support any efforts in their choice to change their drug use. 


Our Mission:

  • To build a local community of providers for support, referrals, mutual education, and the nurturing of the next generation of Harm Reduction practitioners.

  • To provide potential clients, who often face stigma and rejection by professionals, with a centralized list of people we trust who practice Harm Reduction Therapy, counseling, and other harm reduction services. 

  • To foster a commitment to social justice in our work and promoting diversity within our group and in our larger professional community. 

  • To work with knowledge of the disabling effects of the War on Drugs and the racial inequalities contained in it; to study the best ways to serve clients whose trauma and substance use is intertwined with these sociological realities.

  • To promote inclusionary practices which support racial justice and equality among multiple marginalized groups such as BIPOC, LGBTQAI+, women, people with disabilities, and those who are socio-economically challenged. 

  • To provide referrals to each other, attempting to match the client’s needs and requests with the best fit for a practitioner.

Our providers differ in terms of availability, skills, experience and online/in person services.


There are a couple of ways to access our services:
1) Look through our bios and directly contact providers who might be a good match for your needs. 
2) Contact us directly through our "contact us" page and someone will get back to you regarding your query within 72 hours. If your availability is limited or you are looking for a specific type of support, please let us know in your message so we can try to find the right match for you.

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Patt Denning, PhD

I have been a therapist for over 45 years and am one of the primary developers of Harm Reduction Therapy (HRT).


Cynthia Hoffman, LMFT

I have been practicing and providing training in Harm Reduction Therapy (HRT) for over 21 years in both agency and private practice settings.


Claudia Figallo, MPH, LAADC

I am a substance use counselor who provides treatment within the principles of Harm Reduction Therapy.


Dee-Dee Stout, MA

Consultant, Counselor, Coach, Trainer. In private practice for individuals and other family members since 1988; HRT since 2000.

Darcy Dittrich, MA

I emphasize self-compassion, mindfulness, and relational healing in my practice, often utilizing creative approaches and humor (when appropriate).

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Perri Franskoviak, PhD

Trained in harm reduction psychotherapy, Sensorimotor Psychotherapy and Systems-Centered Training, my practice focuses on working with individuals and couples who are experiencing difficulty managing their relationship to drugs and alcohol


Randy Daron, PhD

I'm a licensed psychotherapist specializing in Harm Reduction Therapy with diverse clientele.

Joey Hess, MSW

I believe a collaborative, safe, and strong relational connection is the foundation for providing a therapeutic space for clients to experience empowered growth and change.

Jeremy Prillwitz, LAADC

Harm Reduction Psychotherapy is the holistic treatment philosophy I have embraced throughout my career..

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Erica Saini, PsyD

I provide harm reduction based psychodynamic psychotherapy to individuals and couples affected by substance misuse.

Erica Saini

Karla Amanda Brown, LMFT

I work systemically with couples, groups and adult family members using approaches that are heart-based, counter-shaming and anti-oppressive.


Allison Horky, LCSW

I combine intellectual, thoughtful and non-judgmental perspectives to help folks move toward self-acceptance, less suffering, and more joy.


Veronica Peregrino Foster, MA, LMFT 

I am a Marriage and Family Therapist with over 14 years of clinical experience providing individual, family, couples and group therapy. 

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© 2023 CAHRT.  All Rights Reserved. 

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