Substance use issues can often come to light over the course of therapy when they were not initially part of the presenting issue bringing someone in for care. Substance use issues, if not appropriately acknowledged and addressed, can derail or stall progress in therapy. I provide brief consultation as well as on-going supervision to clinicians who would like additional support in addressing substance use problems with their clients. I have more than a decade of providing general supervision, as well as supervision specific to treating substance use disorders using evidence based approaches.