Addiction Counselling in Vancouver

Confidential, Evidence-Based Support for Substance Use & Compulsive Behaviours

You don’t have to hit bottom to get help. Whether it’s alcohol, substances, or a behaviour that’s taken more space in your life than you want it to, change is possible — and it starts with one honest conversation.

Most people who reach out here don’t feel ready to talk on the phone. Start whichever way feels safest.

Text me what’s going on

The message is already written — just press send. I reply personally: usually within a few hours, always within 24.

Or have me call you — you pick the time →

📞 Call for a Free 20-Minute Consultation

A Different Approach to Addiction

I’m Dr. Samuel Ezzatilord, PhD, RCC, CCC, LMCC, a Registered Clinical Counsellor (RCC #23405) with a doctorate degree and over a decade of trauma specialization, including addiction rehabilitation experience at a residential treatment centre. My approach treats addiction not as a moral failing but as a strategy that once protected you — and that you can now outgrow.

How We Work Together

Motivational Interviewing (MI) — no lectures, no pressure. We start where you actually are, and strengthen your own reasons for change.

Internal Family Systems (IFS) — addiction often involves a part of you doing a protective job. IFS helps you understand that part instead of fighting it, so the urge loses its grip.

CBT & DBT skills — practical tools for cravings, triggers, distress tolerance, and the thought patterns that lead back to use.

Neurofeedback — a distinctive addition to talk therapy: brain training that supports calmer baseline arousal and better impulse control during recovery.

SMART Recovery-aligned — self-empowering, science-based recovery support that fits alongside (or instead of) 12-step programs.

Who I Work With

Adults concerned about alcohol, cannabis, stimulants, prescription medication, gambling, or compulsive behaviours — and family members trying to support a loved one without losing themselves. Services available in English and Farsi (فارسی), in person in Vancouver or online across BC.

Fees & Coverage

Fees and expenses are covered by ICBC, CVAP, FNHA, IFHP, RCMP, VAC, and most other insurers, and direct billing is available. Registered Clinical Counsellor receipts are accepted by most extended health plans. Approved provider for First Nations Health Authority (FNHA), Veterans Affairs Canada (VAC), RCMP, and Canadian Armed Forces members.

Please note: counselling supports recovery but does not replace medical care. If you are experiencing withdrawal symptoms, please speak with your physician or call 811 before reducing use of alcohol, benzodiazepines, or opioids.

Take the First Step

A free, confidential 20-minute phone consultation — no commitment, no judgment. We’ll talk about what’s going on and whether this approach fits.

📞 6047210604 — Free Consultation

25+
years clinical
Doctorate
LMCC · FSMB verified
2
languages — EN · فارسی
3
countries · frontline trauma
Therapy+
neurofeedback, one practice

Who you’re talking to

I’m Samuel Ezzatilord, PhD, RCC, CCC, LMCC. Over 25 years I’ve worked with trauma, anxiety, and relationships — from Red Crescent refugee camps and veterans’ clinics to community mental health here in Vancouver. I won’t be shocked by what you bring me, and I won’t rush you.

As an Iranian-Canadian clinician working in both English and Farsi, I understand the weight of آبرو, the pull between cultures, and how hard it can be to say “I need help” out loud. We go at your pace, find what’s really driving things, and work through it together.

My full story →

Certified Trauma Professional (CTP) — Evergreen CertificationsCertified Youth Mental Health Specialist (CYMHS) — Evergreen CertificationsCertified in Dialectical Behavior Therapy (C-DBT) — Evergreen Certifications

And no — your problem doesn’t need to be a crisis to belong here. Most of the people Samuel sees are simply tired, stuck, or quietly carrying something heavy.

What happens when you call?

1
You call or text.

Dr. Samuel answers personally. No secretary, no forms, no gatekeeping.

2
You talk — 20 minutes, free.

Ask anything: fees, insurance, whether this approach fits you. Completely confidential.

3
You decide.

Book a first session — or don’t. Either way you leave with clarity and zero obligation.

Fees and expenses are covered by ICBC, CVAP, FNHA, IFHP, RCMP, VAC, and most other insurers, and direct billing is available.

Frequently Asked Questions — Addiction & Substance Use Counselling

Do I have to stop completely before I can start counselling?

No. You can start where you are. Many people begin counselling while still using, still drinking, or still unsure whether they want to stop; the first work is understanding what the substance is doing for you and what it is costing. Samuel Ezzatilord, PhD, RCC, CCC, LMCC, does not require abstinence as a condition of the first conversation.

Is addiction counselling confidential?

Yes. Nothing leaves the practice without your written consent — not to your employer, your family or your doctor — within the narrow legal limits every BC counsellor must observe. For clients from close-knit communities, including Vancouver’s Iranian community, discretion is treated as part of confidentiality, and video sessions from home are available.

What approach does Samuel use for substance use?

Counselling that treats the pattern underneath — the anxiety, trauma, low mood or relationship strain the substance has been managing — alongside practical work on triggers, routines and sleep. Internal Family Systems (IFS) is well suited to the part of you that reaches for a drink; EMDR helps where trauma is driving it; neurofeedback training is available where a settled nervous system is part of recovery. Samuel coordinates with your doctor where medical support is needed.

Is addiction counselling covered by insurance or FNHA?

Registered Clinical Counsellor sessions are covered by most extended health plans and direct-billed; First Nations clients may be covered through FNHA. Fees and expenses are covered by ICBC, CVAP, FNHA, IFHP, RCMP, VAC, and most other insurers, and direct billing is available. Coverage is confirmed on the free call.

Can family members get help too?

Yes. Substance use lands on the whole household, and partners and parents often need their own support and a way to stop the pattern of rescue and resentment. Samuel sees family members individually and, where everyone is willing, together. See couples and family therapy.

How do I start?

With a free 20-minute phone call directly with Samuel — no receptionist, no forms, no judgment. Call or WhatsApp 604-721-0604, or text a single line and he will call you back within a day, in English or Farsi.

More questions about addiction counselling in Vancouver

What if I’m not sure it counts as an addiction?
You do not need to decide that before calling. If the drinking, using, gambling or other habit is costing you more than you want and you have tried to cut back and it did not hold, that is enough reason to talk. The label matters less than the pattern.
Do you treat gambling, gaming or other behavioural addictions?
Yes. The mechanisms and the treatment overlap heavily with substance use — the same relief-seeking, the same shame, the same effect on relationships — and the counselling approach is the same.
Is trauma often behind substance use?
Very often. Substances are frequently the first thing that made a braced nervous system tolerable, and treating the trauma is what makes stopping sustainable. Samuel’s 25 years of trauma-informed practice began in refugee camps; EMDR and IFS are available in the same work. See Trauma therapist in Vancouver.
Can I combine counselling with medical treatment or a program?
Yes. Counselling works alongside medical detox, medication and other programs, and Samuel coordinates with your doctor where that is needed. His doctorate-level understanding of medication and physiology makes those conversations informed ones.
What is the relapse rate — is it worth it?
Relapse is part of most recoveries, not a sign of failure, and it is treated that way here: what happened, what it means, and what to change. Recovery that starts earlier and includes the underlying issues holds better than white-knuckling.
Are sessions available in Farsi?
Yes. Substance use carries particular stigma in many Iranian-Canadian families, and being able to talk about it in Farsi, confidentially, is often the first relief. جلسات به فارسی برگزار می‌شود.
Where are sessions held?
In person at 1300–1500 West Georgia Street in downtown Vancouver, or by secure video anywhere in British Columbia. Evening and weekend times are available.
How is this different from a treatment centre?
It is private, one-to-one, ongoing, and built around your whole life rather than a program’s timetable — and it can run before, alongside or after a program. Samuel keeps a small caseload and answers his own phone.
Where can I read more?
See the individual therapy page for how this fits with anxiety, trauma and mood work, then call or WhatsApp 604-721-0604 for the free 20-minute conversation.
Dr SamuelCounselling · Therapy · Neurofeedback Certified Trauma Professional (CTP) — Evergreen CertificationsCertified Youth Mental Health Specialist (CYMHS) — Evergreen CertificationsCertified in Dialectical Behavior Therapy (C-DBT) — Evergreen Certifications
Call Now — FreeDirect line · No formsتماس مستقیم با ساموئل بدون دخالت منشی WhatsApp / Textواتساپ / پیامک Request a Callbackدرخواست تماس کتبی

Suite 1300, 1500 West Georgia Street, Vancouver, BC

6047210604

[email protected]

AFFILIATED WITH
BCACC
RCC
BCACC RCC
CCPA
CCC
CCPA CCC
✚
Red Cross (IFRC)
⛰
Hollyburn Support
☀
Sun Life Lumino
SHIFA
Shifa Therapy
FNHA
FNHA Provider
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