Introduction
When addressing substance use, one of the first questions many New Yorkers face is: Should I stop entirely, or can I work toward safer use? Both harm reduction and abstinence are valid approaches to recovery—each grounded in evidence-based practice.
Defining the Two Paths
Harm reduction aims to reduce the negative consequences of substance use without requiring complete abstinence. It focuses on safety, stability, and improving quality of life. Examples include clean syringe programs, medication-assisted treatment (such as buprenorphine or methadone), or gradual reduction in use while building coping tools.
Abstinence, on the other hand, involves completely stopping substance use. It may be the goal for those whose use has become severely disruptive or unsafe.
According to the National Institute on Drug Abuse (NIDA), recovery can look different for everyone, and the most effective treatments are individualized to match each person’s readiness and goals.
The NYC Context
In Manhattan, harm reduction has become an essential part of public health strategy. Programs supported by New York State’s Office of Addiction Services and Supports (OASAS) and the New York City Department of Health promote overdose prevention and safe-use education, while connecting individuals to treatment when they’re ready.
At City Behavioral Health, clients are never judged for where they are in their recovery journey. Clinicians use a collaborative approach, integrating harm reduction and abstinence principles based on each person’s clinical needs and personal goals.
Finding What Works for You
For some, harm reduction provides stability that makes future abstinence achievable. For others, abstinence is the cornerstone of recovery. CBH therapists help clients define what recovery means to them, whether that involves complete sobriety or safer use.
Recovery is not about perfection—it’s about progress, safety, and connection.
Contact City Behavioral Health at info@citybehavioralhealth.com to learn more or schedule a consultation.
