Addiction Counseling & Substance Use Evaluations in Nebraska

Addiction Recovery Support That Treats the Whole Person

At Alfrey & Pruitt Counseling, we provide compassionate, evidence-based addiction treatment for adolescents and adults struggling with alcohol use, drug use, and other substance-related concerns. We understand that addiction is rarely just about the substance itself. Many individuals also experience anxiety, depression, trauma, grief, relationship difficulties, or life stressors that contribute to substance use.

Our trauma-informed approach focuses on healing the whole person while building the skills needed for lasting recovery.

Whether you are seeking treatment voluntarily, have been referred by a court or probation officer, or are supporting a loved one through recovery, our team is here to help.

Substance Use Evaluations

Recovery often begins with understanding the full picture.

We provide professional substance use evaluations to assess the impact of alcohol or drug use and determine appropriate treatment recommendations.

Substance use evaluations may be requested by:

• Individuals seeking treatment
• Attorneys
• Probation officers
• Courts
• Schools
• Employers
• Families

Our evaluations provide clear recommendations that support recovery, treatment planning, and informed decision-making.

Co-Occurring Mental Health Assessments

Many people struggling with substance use also experience mental health concerns that contribute to or result from addiction.

Common co-occurring conditions include:

• Anxiety disorders
• Depression
• Trauma and PTSD
• Bipolar disorder
• ADHD
• Chronic stress
• Grief and loss

Our assessments help identify these concerns so treatment can address both substance use and mental health needs simultaneously.

Individualized Addiction Treatment Plans

No two recovery journeys are exactly alike.

Following evaluation, we work collaboratively with clients to develop personalized treatment plans based on their unique needs, goals, strengths, and circumstances.

Treatment recommendations may include:

• Individual therapy
• Family involvement
• Relapse prevention planning
• Trauma-focused therapy
• Co-occurring mental health treatment
• Community support resources
• Coordination with healthcare providers when appropriate

Our goal is to help clients build sustainable recovery and long-term wellness.

Alcohol and Drug Addiction Counseling

Substance use can affect every area of life, including relationships, work, school, health, and emotional well-being.

Our therapists help clients:

• Identify triggers and high-risk situations
• Develop healthy coping skills
• Improve emotional regulation
• Address underlying causes of substance use
• Build relapse prevention strategies
• Strengthen support systems
• Create meaningful recovery goals

Recovery is about more than stopping substance use—it is about creating a healthier and more fulfilling life.

Court-Ordered and Probation-Referred Treatment

We provide treatment services for individuals involved with:

• Probation
• Diversion programs
• Court-ordered treatment
• Juvenile justice systems
• Substance-related legal concerns

When appropriate and authorized, we collaborate with probation officers, attorneys, courts, and other professionals to support compliance while helping clients make meaningful progress in recovery.

Our focus remains on accountability, growth, and long-term success.

Family Support for Addiction Recovery

Addiction affects entire families, not just individuals.

Family members often experience confusion, frustration, fear, and emotional exhaustion while trying to support a loved one.

Our therapists help families:

• Better understand addiction and recovery
• Improve communication
• Rebuild trust
• Establish healthy boundaries
• Develop supportive coping strategies
• Strengthen family relationships

Family involvement can play an important role in successful long-term recovery.

Trauma-Informed Addiction Treatment

Many individuals struggling with addiction have experienced trauma, adverse childhood experiences, loss, chronic stress, or significant life challenges.

Our trauma-informed approach recognizes the connection between trauma and substance use while creating a safe and supportive environment for healing.

Treatment emphasizes:

• Emotional safety
• Respect and dignity
• Individualized care
• Understanding underlying experiences
• Building resilience and self-awareness

Healing often involves addressing both substance use and the experiences that contributed to it.

EMDR Therapy and Addiction Recovery

For some individuals, unresolved trauma contributes to ongoing substance use and relapse patterns.

EMDR (Eye Movement Desensitization and Reprocessing) therapy may help clients process traumatic experiences, reduce emotional distress, and support recovery when clinically appropriate.

EMDR is often used alongside addiction treatment as part of a comprehensive recovery plan.

Relapse Prevention and Recovery Planning

Recovery is a long-term process that benefits from preparation and support.

Our therapists help clients develop personalized relapse prevention plans that include:

• Identifying warning signs
• Managing triggers
• Strengthening coping skills
• Building support networks
• Preparing for setbacks
• Maintaining long-term recovery goals

Recovery is not about perfection—it’s about continuing to move forward.

Telehealth Addiction Counseling Across Nebraska

Many clients benefit from the convenience and accessibility of online therapy.

We offer secure telehealth counseling throughout Nebraska for individuals seeking support with:

• Alcohol use concerns
• Drug use concerns
• Recovery maintenance
• Relapse prevention
• Co-occurring mental health conditions

Telehealth can be especially helpful for individuals living in rural communities, balancing work and family responsibilities, or facing transportation challenges.

Why Choose Alfrey & Pruitt Counseling?

Our team provides compassionate, evidence-based care in a welcoming and nonjudgmental environment.

We understand that seeking help can feel overwhelming, and we believe recovery is possible with the right support, resources, and treatment.

Whether you’re taking the first step toward change or continuing your recovery journey, we’re here to help.

Schedule a Substance Use Evaluation or Consultation

If you or someone you care about is struggling with alcohol use, drug use, addiction, or co-occurring mental health concerns, support is available.

📞 Call us at (308) 675-2858

📩 Request an Appointment Online

💻 In-Person and Telehealth Appointments Available

Frequently Asked Questions About Addiction Counseling

What is a substance use evaluation?

A substance use evaluation is a professional assessment that examines substance use history, risk factors, mental health concerns, and treatment needs. The evaluation helps determine appropriate recommendations and next steps.

Do I need an evaluation before starting treatment?

Not always. However, evaluations may be recommended or required by courts, probation officers, employers, schools, or treatment providers.

What are co-occurring disorders?

Co-occurring disorders occur when a person experiences both a substance use disorder and a mental health condition such as anxiety, depression, PTSD, bipolar disorder, or ADHD.

Do you provide court-ordered substance use treatment?

Yes. We provide treatment services for individuals referred through probation, diversion programs, juvenile justice systems, and other court-related situations.

Can family members participate in treatment?

When appropriate, family involvement can be an important part of recovery and may help improve communication, trust, accountability, and long-term outcomes.

Do you treat both alcohol and drug addiction?

Yes. We provide counseling and treatment support for a wide range of substance use concerns, including alcohol, marijuana, prescription medications, stimulants, opioids, and other substances.

Can trauma contribute to addiction?

Yes. Trauma, grief, chronic stress, and adverse life experiences can significantly impact substance use patterns. Addressing these underlying factors is often an important part of recovery.

Is relapse part of recovery?

For some individuals, relapse may occur during the recovery process. Treatment focuses on understanding setbacks, strengthening coping skills, and continuing progress toward long-term recovery goals.

Do you offer online addiction counseling?

Yes. Secure telehealth appointments are available throughout Nebraska for many addiction and recovery services.

Does insurance cover addiction counseling?

Many insurance plans cover substance use treatment and addiction counseling services. Our team can help verify your benefits before treatment begins.