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Substance Use & Addiction Support

A curated list of support groups and recovery resources in Seattle and Western Washington. The list includes 12-step programs, non-12-step alternatives, substance-specific groups, gambling support, peer community spaces, and crisis helplines.

Most of these resources are free and open to anyone. Clinician-led groups are listed in their own category and may have associated costs.

If you need help now

Crisis Helplines

  • SAMHSA National Helpline: 1-800-662-4357, free, confidential, 24/7, English and Spanish
  • Washington Recovery Help Line: 1-866-789-1511, state-funded SUD assessment and referral
  • National Problem Gambling Helpline: 1-800-697-3738, call, text, or chat, 24/7
  • ECPG Gambling Helpline (WA): 1-800-547-6133, 24/7, no eligibility restrictions for WA residents
Seattle / Western Washington

Support Groups & Recovery Resources

Scan names and tags. Tap the arrow on any row to see notes, contact, and meeting details. Filter by modality, cost, or addiction type to narrow the list.

35 of 35 resources

12-step programs

(5)
In-person and online Free Alcohol
In-person and online Free Alcohol
In-person and online Free Alcohol
In-person and online Free Codependency / relationship

Non-12-step alternatives

(6)
In-person and online Free Any addiction (substance and behavioral, including gambling)
In-person Free Any addiction (family / friends support)
In-person and online Free Any addiction (substance and behavioral)
In-person and online Free Any addiction
In-person and online Free Alcohol / drugs
In-person and online Free Alcohol / drugs Verify before use

Identity-affinity programs

(4)
In-person and online Free Alcohol / drugs (women)
In-person and online Free Alcohol / drugs / mental health (LGBTQ+ centered)
In-person Free Any addiction

Substance-specific groups

(7)
In-person and online Free Drugs (all)
In-person and online Free Drugs (all)
Online only Free Drugs (all)
In-person and online Free Cocaine / stimulants (and all mind-altering substances)
In-person and online Free Methamphetamine
In-person and online Free Opioids / heroin

Gambling resources

(5)
In-person and online Free Gambling
In-person and online Free Gambling (family / friends support)
Online only Free Gambling
Online only Free Gambling

Helplines and referral lines

(4)
Phone / online referral Free Gambling
Phone / online Free Any addiction
Phone / online Free Any addiction
Phone / online / chat Free Gambling

Clinician-led groups Paid

(4)
Online Paid, varies by provider Trauma and substance use (co-occurring)
Online Paid, varies by provider Any addiction (men only)
In-person Paid, varies by provider Substance use and gambling

Data compiled April 2026. Availability and details may change. Verify directly with each organization before referring patients. This list is not exhaustive and does not constitute a clinical referral or endorsement.

Substance use and psychiatric care often intersect.

If substance use is part of what you are navigating, bring it up in your session. Integrated treatment leads to better outcomes than managing each separately.

From the practice

These guides are educational. Care at Cognia Health draws on training in both psychology and psychiatry, with longer appointments and individualized planning. Read about my approach to care or explore services .