Substance Abuse Treatment in Brooklyn, NY
At New Directions, we provide outpatient treatment for substance use disorders, combining evidence-based therapies, medical support, and peer advocacy. Recovery isn’t one-size-fits-all, and we tailor care to your unique journey.
Whether you’re struggling with opioids, stimulants, benzodiazepines, marijuana, or multiple substances, we’re here to help you break free and reclaim control.
What Is Substance Use Disorder?
Substance use disorder (SUD) is a medical condition where someone continues to use drugs despite harmful consequences. It involves compulsive drug seeking and use, often leading to physical dependence, tolerance, and withdrawal symptoms.
Common signs of substance use disorder include:
- Using more or longer than intended
- Failed attempts to cut down or stop
- Intense cravings for the substance
- Spending large amounts of time obtaining, using, or recovering from the drug
- Neglecting responsibilities at home, work, or school
- Continuing to use despite relationship or health problems
- Needing more of the substance for the same effect (tolerance)
- Experiencing withdrawal when not using
Types of Substance Use We Treat

Opioid Addiction
Opioids, including prescription painkillers like oxycodone, hydrocodone, and illicit drugs like heroin, are highly addictive and can lead to overdose. Opioid addiction often develops after legitimate medical use or recreational experimentation.
Signs of opioid use may include:
- Drowsiness or sedation
- Small, constricted “pinpoint” pupils
- Slurred speech
- Itching or flushed skin
- Withdrawal symptoms (muscle aches, nausea, sweating, agitation)
At New Directions, we offer medication-assisted treatment (MAT) options like Suboxone® to reduce cravings and withdrawal symptoms, alongside counseling and support groups to address the underlying drivers of opioid use.

Cocaine & Stimulant Addiction
Stimulants such as cocaine, crack cocaine, methamphetamine, and prescription ADHD medications increase energy, alertness, and euphoria, but at a high cost. Prolonged use can lead to heart problems, paranoia, aggression, and severe depression when the drug wears off.
Signs of stimulant use may include:
- Dilated pupils
- Restlessness or hyperactivity
- Rapid speech
- Weight loss or reduced appetite
- Irritability or agitation
- Risky, impulsive behavior
Our treatment addresses both the physical and psychological toll of stimulant addiction, providing therapy, relapse prevention strategies, and support for rebuilding a stable, healthy routine.

Benzodiazepine Addiction
Benzodiazepines like Xanax®, Valium®, and Klonopin® are prescribed for anxiety, insomnia, or seizures, but prolonged use or misuse can lead to dependence. Stopping benzodiazepines abruptly can cause dangerous withdrawal symptoms.
Signs of benzodiazepine use may include:
- Drowsiness or fatigue
- Confusion or memory problems
- Slurred speech
- Poor coordination
- Mood swings or irritability
We offer safe, supervised tapering plans and therapeutic support to help individuals reduce dependence while managing anxiety and insomnia with healthier tools.

Marijuana Use Disorder
While many perceive marijuana as harmless, regular or heavy use can interfere with motivation, memory, mood, and functioning. Some individuals develop marijuana use disorder, finding it difficult to stop despite negative impacts on daily life.
Signs of marijuana use disorder may include:
- Using marijuana daily or frequently
- Trouble cutting back or quitting
- Using causes problems at school, work, or home
- Feeling anxious or irritable when not using
- Needing more to achieve the same effects
Our outpatient treatment provides education, therapy, and relapse prevention to support individuals ready to reduce or stop marijuana use.
Our Approach to Substance Use Disorder Treatment
At New Directions, we believe in patient-centered, nonjudgmental care. Every treatment plan is customized to align with your goals, values, and challenges.
We also offer care for co-occurring mental health conditions, ensuring a comprehensive approach to recovery.
Treatment options may include:
- Individual Counseling: Explore underlying causes of substance use and develop healthier coping skills
- Group Therapy: Build connection and accountability through supportive, therapist-led groups
- Medication-assisted Treatment (MAT): Access medications when appropriate for opioid or alcohol use
- Psychoeducation: Learn how substances impact the brain, body, and mental health
- Peer Recovery Support: Gain guidance from people who’ve experienced recovery firsthand
- Family Support: Help loved ones understand addiction and heal relationships
Flexible & Accessible
Addiction Treatment in Brooklyn
We know that balancing treatment with daily responsibilities can be challenging. That’s why we offer:

Evening and weekend hours

In-person and virtual appointments

Services in both English and Spanish

Medicaid and most major insurance accepted
No matter your schedule or situation, we make it easier to access the care you deserve.
Take the First Step Toward Recovery
If you or a loved one is struggling with substance use, help is available. At New Directions, you’ll find a compassionate team ready to support you with real support for real recovery.
Contact us today to learn more or speak with an intake coordinator.
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