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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 More 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)

1,646 meetings/week across 397 locations. Hotline: (206) 587-2838. Office: 5507 6th Ave S, Seattle WA 98108. Spanish, Native American, and LGBTQ+ meetings available.

In-person and online Free Alcohol

Broader WA state coverage. Searchable meeting directory. No dues or fees.

In-person and online Free Alcohol

Covers Bellevue and Eastside. Hotline: (425) 454-9192.

In-person and online Free Alcohol

South Snohomish and North King counties. Hotline: (425) 672-0987.

In-person and online Free Codependency / relationship

WA-specific schedule at codawa.org/schedules.htm. National site: coda.org.

Non-12-step alternatives

(6)
In-person and online Free Any addiction (substance and behavioral, including gambling)

Non-12-step, evidence-based (CBT/REBT). MAT-friendly. Seattle: 8498 Seaview Pl NW (Mon 5-6 PM) and 4202 6th Ave S SODO (Mon 10 AM). Shoreline: 17018 15th Ave NE. Multiple online meetings.

In-person Free Any addiction (family / friends support)

Good Shepherd Center, 4649 Sunnyside Ave N Suite 347, Seattle. First Thursday monthly, 12:00-1:30 PM. Contact: Jessie Brooks-Janzen (206) 717-8536.

In-person and online Free Any addiction (substance and behavioral)

Buddhist-inspired, non-theistic. Seattle meetings: Recovery Cafe (Sun 1 PM), All Pilgrims Church (Wed 8 PM), University Congregational UCC (Thu 7 PM). WA site: refugerecoverywashington.org.

In-person and online Free Any addiction

Buddhist-informed and secular. 200+ online meetings at recoverydharma.online. Meditation and peer sharing. No dues or fees.

In-person and online Free Alcohol / drugs

Non-12-step, non-religious, self-empowerment model. National site: lifering.org.

In-person and online Free Alcohol / drugs Verify before use

CAUTION: multiple sources describe SOS in past tense. No active WA meetings confirmed as of 2026. Organization may be defunct or dormant. Verify before referring.

Identity-affinity programs

(4)
In-person and online Free Alcohol / drugs (women)

95+ online meetings/week via Zoom at wfsonline.org. LGBTQ+ inclusive. No confirmed WA in-person locations as of 2026.

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

Program of Peer Washington (peerwa.org). Peer coaching, support groups, employment, housing. Phone: (206) 322-2437.

2022 Boren Ave, Seattle, WA 98121. Tue-Sat 12:00 PM - 6:00 PM. Phone: (206) 374-8731. Peer coaches on-site. Also hosts Refuge Recovery Sundays 1 PM.

In-person Free Any addiction

4202 6th Ave S, Seattle WA 98108. Community-based peer support. Also hosts SMART Recovery Mondays 10 AM.

Substance-specific groups

(7)
In-person and online Free Drugs (all)

24/7 helpline: (206) 790-8888. Zoom meetings available. Multiple locations throughout Seattle.

In-person and online Free Drugs (all)

Covers Auburn, Kent, Renton, Federal Way. Hotline: (253) 872-3494.

Online only Free Drugs (all)

Global virtual meeting finder. Search by language, day, or time.

In-person and online Free Cocaine / stimulants (and all mind-altering substances)

24-hour hotline: (425) 244-1150. Annual WA state convention. No dues or fees.

In-person and online Free Methamphetamine

Seattle meetings near 98112 zip and at Gay City. Full directory at crystalmeth.org/meetings/.

In-person and online Free Opioids / heroin

WA site: hawaarea.org. One Seattle in-person meeting: 300 NW 85th St #200, Seattle WA 98117 (10 PM). Virtual meetings also available.

Hotline: (206) 414-9270. In-person locations in Seattle, Bothell, Everett, Lynnwood, Kirkland. Zoom and phone options available.

Gambling resources

(5)

3 in-person Seattle meetings at 7:30 PM. Zoom ID: 512189313 at 7:00 PM. Dial-in: (253) 215-8782. No dues or fees.

In-person and online Free Gambling

National virtual and telephone meeting finder. Hotline: (855) 222-5542.

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

For spouses and family members of compulsive gamblers. Often co-located with GA meetings.

Online only Free Gambling

Moderated online forums and chat for gambling support. Migrating to Evive platform in 2026 (getevive.com/gamtalk). Verify current access before referring.

Online only Free Gambling

Mobile app, video courses, forums, community of 3,400+ members. Available 24/7.

Helplines and referral lines

(4)
Phone / online referral Free Gambling

24/7 helpline: 1-800-547-6133. Referrals to free/low-cost treatment, GA meetings, and peer support. No eligibility restrictions for WA residents.

Phone / online Free Any addiction

State-funded SUD assessment and referral. Call: 1-866-789-1511. Links to DSHS programs and WA Healthplanfinder.

Phone / online Free Any addiction

Free, confidential, 24/7, English and Spanish. Call: 1-800-662-4357 (1-800-662-HELP). Links to treatment locator.

Phone / online / chat Free Gambling

Call, text, or chat: 1-800-MY-RESET (1-800-697-3738). Available 24/7 in all 50 states.

Clinician-led groups Paid

(4)

Clinician-facilitated (LCSW). Thursdays 6:00-7:30 PM. Mindfulness-based. Verify current availability on Psychology Today directory.

Online Paid, varies by provider Trauma and substance use (co-occurring)

Evidence-based group for trauma and substance use. Find via Psychology Today Seattle groups. Contact provider for insurance and fees.

Online Paid, varies by provider Any addiction (men only)

Covers alcohol, drugs, gambling, and compulsive behaviors. Group size limited to 8-10. Find via Psychology Today Seattle groups.

In-person Paid, varies by provider Substance use and gambling

One hour per session; all stages welcome. Last Tuesday of the month open to family/friends. Call (206) 800-7633.

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 is built on continuity: one clinician across your whole course of treatment. Read about our approach to care or explore services .