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A new approach to managing substance use concerns tailored to your needs.

We are a network of harm reduction practitioners in Northern California serving the mental health needs of individuals who use drugs and alcohol.

   We focus our practice on helping people create the positive changes they choose to work toward and 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 provide
rs differ in terms of availability, skills, experience and online/in person services.


For information about how to access our services, look in the contact us page.

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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.


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.


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

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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