Therapy for Burnout & Overuse

Specialized Addiction Counseling for Professionals Navigating Burnout and High-Pressure Lives

Convenient & Confidential Online Sessions Anywhere in Iowa

Freedom | Peace | Control | Sobriety

When High Achievement Leads to a Vicious Cycle

You’re used to handling pressure. But lately, the “work hard, play hard” ethos feels less like a choice and more like a necessity. The drink to unwind, the pill to focus, the late-night scrolling, they were supposed to be tools to help you keep your edge. What started as a way to manage burnout is beginning to look and feel like a compulsive cycle you can't break.

Mornings are hazy with regret, while evenings feel empty or unmanageable without a crutch. You notice the disconnect between your external success and your internal reality as your relationship with a substance or behavior becomes more consuming. You crave control, but the way out feels unclear. You are not alone, and a future free from this struggle is closer than you think.

A Direct, Private, and Strategic Path Forward

At Sabrina Vonderhaar Counseling, as a Licensed Mental Health Counselor (LMHC) with a specialized certification in addiction counseling (IADC), I offer specialized online therapy across Iowa for professionals whose burnout has led to problematic substance use or compulsive behaviors. This is your confidential space to be direct about your struggles without judgment. Whether you're questioning your relationship with alcohol, marijuana, or stimulants, looking to reduce harm, or pursuing sobriety, my role is to meet you with understanding and provide a clear, actionable plan.

Therapy Designed for Your Reality

Your life is demanding. Your therapy should be a strategic asset, not another source of stress. Our work together is designed to provide focused, high-impact support.

A Strategic, Personalized Plan:

Our work is molded entirely around your unique story, your specific pressures, and your vision for recovery and a more sustainable life.

Absolute Confidentiality:

Engage in sessions from the privacy of your home, office, or any secure space across Iowa.

Designed for Your Demanding Schedule:

Online availability makes prioritizing this work seamless.

Get to the Root of the Pattern:

We will look beyond the surface to explore the core drivers - the stress, anxiety, or past experiences - fueling the addictive cycle.

Build Sustainable Strategies:

You will gain practical, actionable tools to manage triggers, navigate pressure, and build resilience against the pull of old habits.

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Imagine a Life of Alignment and Control

Imagine what it would feel like if...

Your Focus and Drive Are Your Own:

The mental energy once spent managing or hiding your use is now directed toward the passions and goals that truly excite you.

Peace Becomes Your Default:

That persistent, low-grade anxiety gives way to a quiet confidence and inner calm, even under pressure.

You Master Your Stress:

You develop a new toolkit for managing difficult emotions, knowing you have the strength to navigate challenges without relying on an external fix.

Your Relationships Flourish:

You reconnect authentically with loved ones, building trust and sharing your true self without secrets.

Your Mornings Are Clear:

You wake up feeling present and ready to engage, free from the physical and mental haze of yesterday.

Our Framework for Change

Your journey is unique, but our process is clear and structured to ensure we make tangible progress toward your goals.

1. Understanding Your Reality:

In our initial sessions, we’ll have a direct conversation about your life right now. We will explore your experiences with substances or compulsive behaviors, what you hope to change, and what a future free from this struggle looks like for you.

2. Crafting Your Action Plan:

We will build a clear, strategic plan. This means identifying specific triggers, understanding your emotional patterns, and developing practical ways to manage urges and respond to pressure differently.

3. Building Skills & Resilience:

In our ongoing sessions, you will actively learn and practice new skills. This includes concrete techniques for managing cravings, regulating your emotions, communicating effectively, and building a strong foundation for a more sustainable way of living.

4. Sustaining Your Progress:

As you gain momentum, we will focus on maintaining lasting change. This includes developing a personalized relapse prevention plan, addressing new challenges, and ensuring your progress is fully integrated into every aspect of your life.

My Approach: An Addiction Specialist Who Understands

As an addiction specialist, my approach is both compassionate and direct. I use evidence-based methods like Cognitive Behavioral Therapy (CBT) to help you reshape thinking patterns, and Motivational Interviewing (MI) to harness your own drive for change. I believe in your strength and capacity. I will challenge you when needed, always with the goal of helping you take ownership of your recovery. Our work is a collaborative partnership focused on practical steps that lead to real, lasting results.

This Is the Right Fit For You If…

Success Has Come at a Cost:

Your pursuit of success and the pressure to perform have led to a problematic relationship with alcohol, marijuana, stimulants, or compulsive behaviors like porn use.

You're Losing Your "Off-Switch":

You feel like the choice to engage or not is no longer fully yours, and the cycle of overuse is starting to dictate your evenings, mornings, and mental energy.

You Require a Confidential Expert:

You need a private, strategic solution from a licensed addiction counselor who understands the unique pressures you face and guarantees absolute confidentiality.

You Want a Practical Toolkit, Not Just Talk:

You're looking for actionable strategies and concrete skills to manage cravings, navigate triggers, and handle the daily pressures that lead to use.

You Are Ready for Decisive Action:

You recognize that change requires commitment and are prepared to invest the time and energy necessary to build a more sustainable and aligned life.

You're an Iowa Resident Seeking Flexibility:

You need high-quality, specialized therapy that is fully online and fits seamlessly into your demanding schedule, accessible from anywhere in Iowa.

This May Not Be the Immediate Fit If…

You Need Immediate Medical Detox:

If you are experiencing severe withdrawal symptoms or require medically supervised detoxification, inpatient medical care is the crucial first step. I can offer referrals to appropriate facilities.

You Are Being Forced Into Treatment:

For therapy to be truly effective, your genuine willingness and active participation are essential.

Your Primary Goal is to "Fix" Someone Else:

This therapy focuses on your individual journey and personal change within yourself.

You are seeking only medication management:

While I can collaborate with your prescribing medical providers, my practice does not directly offer medication services.

You Don’t Have to Navigate This Alone

The cycle of addiction can feel incredibly isolating, but you are not defined by this struggle. Reaching out is a sign of strength. Imagine waking up with clarity, facing challenges with confidence, and truly owning your life. That future, where you feel truly free, is absolutely possible.

If you are ready to break the cycle and build a life that feels as good on the inside as it looks on the outside, I invite you to connect.

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Frequently Asked Questions (FAQs)

About Online Addiction Therapy in Iowa

How much does individual addiction therapy cost?

My fee for individual therapy sessions is $200 for 45 minutes. Your initial assessment session, which is a deeper dive into your history and goals, is $250 for 60 to 90 minutes.

Do you accept insurance for addiction counseling?

No, I am an out-of-network provider, meaning I do not directly bill insurance companies. However, I can provide you with a superbill (detailed receipt) that you can submit to your insurance provider for potential reimbursement. It is highly recommended that you contact your insurance company directly to inquire about your specific out-of-network mental health benefits for addiction treatment.

What is the difference between individual addiction therapy and traditional therapy?

While general therapy can address many life challenges, individual addiction therapy offers a specialized focus on the unique complexities of problematic substance use. This includes targeted strategies for managing cravings, building relapse prevention skills, and understanding the specific psychological and behavioral patterns linked to addiction, alongside broader emotional healing.

Can online therapy truly be effective for addiction recovery?

Yes, numerous studies support the effectiveness of online therapy for addiction. It provides comparable outcomes to in-person sessions, offering you flexibility, increased privacy, and accessibility that can be crucial for your healing journey from anywhere in Iowa. My secure online platform ensures your confidentiality and a comfortable therapeutic environment.

What if I am not ready to commit to complete abstinence?

That is a common and valid place to be, and it is perfectly okay. We will work together at your pace, focusing on your goals for change. Whether your initial aim is to reduce harm, explore the impact of your use, or work towards full sobriety, I will support you in making the choices that align with your personal values and readiness.

How long does recovery therapy typically take?

The duration of individual addiction therapy varies significantly for each person. Factors like your history of use, underlying issues, and personal goals all play a role. Some individuals may experience significant progress in a few months, while others benefit from longer term support for deeper healing and sustained recovery. We will regularly review your progress and tailor the duration to best suit your unique journey.

What if I have a slip or relapse during my therapy journey?

Recovery is a process, not a perfect linear path, and a relapse does not erase your progress or signify failure. If you experience a slip or relapse, we will approach it with compassion and curiosity, analyzing what happened to strengthen your coping strategies and reinforce your commitment to your long term goals. It is an opportunity for growth, not judgment, and we will work through it together.

What specific types of addiction/problematic use do you treat?

I specialize in supporting individuals grappling with problematic use across a range of substances and behaviors, including alcohol, opioids, benzodiazepines, cannabis, and compulsive behaviors like pornography. My approach is tailored to your unique relationship with the substance or behavior.