I'm Marlene Altman-Kutler. I've been working in addiction treatment since the early 1990s — inpatient detox, community mental health, outpatient programs, and now private practice. I've done it long enough to have sat with people who were court-ordered and furious about it, people who had tried to stop dozens of times, people who were ready and just needed someone to help them figure out where to start.
I work primarily with adults dealing with alcohol and drug dependency, often alongside depression, anxiety, or trauma. I also work with family members — spouses, parents, adult children — who are living with someone in active addiction and need their own space to figure out what to do.