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Addiction therapists & psychiatrists in Lexington, KY


Top addiction and substance use disorder therapists and psychiatrists in Lexington, KY
Recovery from addiction in Lexington is supported by 249 providers offering DBT skills, acceptance and commitment therapy, and medication management for withdrawal and cravings. Headway's network helps you navigate triggers, build coping strategies, and work toward lasting sobriety with flexible virtual and in-person care options.
In life the most important aspect is the relationship we have with ourselves and others. As a mental health therapist I believe healing happens through connection, understanding, and feeling truly heard. I help individuals navigate the effects of trauma, strengthen relationships, and develop the tools needed to create lasting emotional well being in a warm, nonjudgmental environment.
I am a Licensed Marriage and Family Therapist with 16 years of experience in Kentucky, offering counseling for anxiety, depression, substance abuse, and a wide range of mental health concerns. I work with children, adults, couples, and families to help clients build effective coping skills and create meaningful, positive change.
As a dual-licensed mental health professional in Kentucky, I bring over 20 years of experience in clinical counseling and substance use treatment. My approach is warm, collaborative, and tailored to meet you exactly where you are. I specialize in supporting individuals facing anxiety, depression, ADHD, trauma, and addiction, helping them move forward with resilience and confidence.
I am an EMDRIA-trained EMDR therapist and integrate a variety of evidence-based approaches, including CBT, DBT, EMDR, Motivational Interviewing, Seeking Safety, and Living in Balance. This allows me to create a treatment plan unique to your story, fostering healing, growth, and lasting change.
My practice is grounded in authenticity, hope, and compassion. Whether you’re feeling overwhelmed, stuck, or ready to begin a new chapter, you don’t have to go through it alone. I offer both in-person and online sessions, along with a complimentary 15-minute consultation so you can feel informed and comfortable before we begin.
Take the step toward reclaiming your life you deserve it.
Professional & Reassuring
I’m a dedicated provider who values professionalism, discretion, and creating a comfortable experience for every client. I take time to understand individual needs and ensure each interaction is respectful, safe, and enjoyable. Clear communication and reliability are very important to me, and I strive to make every appointment smooth and stress-free.
I work with teens and adults who are dealing with trauma, PTSD, anxiety, shame, guilt, self-doubt, substance use, and painful relationship patterns. Many of the people I support feel stuck in survival mode. They may be having nightmares, flashbacks, anger outbursts, self-harm, low self-worth, codependent patterns, or the constant feeling that they are doing everything wrong. Some are trying to heal after domestic violence, sexual abuse, addiction, or other painful experiences that changed how safe life feels. My goal is to help you feel supported, understood, and more able to imagine what comes next.
If you've been putting off therapy — telling yourself you'll handle it on your own, or that it's not for you — you're exactly who I'm glad to work with. I'm a Licensed Professional Clinical Counselor with 22 years of experience, and I help adults get to the root of what's actually going on and do something about it. Whether it's anxiety, depression, anger that's costing you, the weight of past trauma, stress that won't let up, or questions about identity and who you are, I'll meet you head-on and help you build a real way forward.
I work with a lot of men and people from diverse backgrounds who want a therapist they can be straight with — someone direct, who respects your time and helps you see results, not just talk in circles. That's the work I'm built for.
I strongly believe in "meeting my clients where they are." I empower my clients to know their strengths and believe in their ability to reach their goals. I have never been one to do what everyone else is doing, so I try to help individuals be themselves and reach their own goals.
Hello! I am a warm and welcoming therapist with a doctorate in clinical social work. I use cognitive-behavioral techniques, along with acceptance and commitment therapy, to guide you along your chosen path. I work with people who are living complicated lives, along with past trauma, toxic relationships, occupational uncertainty, and a need to solve psychosocial problems. I hope you will give therapy a chance to work! See you soon!
Great to meet you! My name is Linda Smiley, and I am a Licensed Professional Clinical Counselor. I enjoy being a therapist because everyone deserves to be validated, listened to, and given the opportunity to live their best life. I am born and raised in Kentucky, and have also lived in a couple of other states — experiences that have shaped how I practice. Working with individuals from other cultures has given me a multicultural lens, and that perspective is part of every session I offer.
Hi, I'm a Licensed Professional Clinical Counselor in Kentucky, working with adults navigating anxiety, depression, trauma, PTSD, and substance use. I know reaching out for therapy takes real courage, and my goal is to make our first conversation feel grounded and easy. When I'm not in session I'm usually writing, hiking, or keeping up with my grandkids — I believe therapy works best when it feels like a genuine human conversation, not a script. If you're looking for a warm, non-judgmental space to work through what's weighing on you.
Here's what I want you to know up front: I'm not going to make you feel like a case file. My background is in crisis intervention, case management, and advocacy — which means I've sat with people at their most unraveling moments, and I've learned that the most important thing isn't having a perfect therapeutic technique. It's making someone feel genuinely seen before asking them to do anything hard.
I specialize in trauma and substance use, and I work with individuals and families across all of Kentucky via telehealth. I'm also one of the very few therapists in the state who is fluent in American Sign Language — so if you or someone in your family communicates in ASL, you don't have to compromise on the quality of care you receive.
I'm openly LGBTQIA+-affirming, and I mean that in practice, not just on a checklist. I've worked with people across the gender and sexuality spectrum and genuinely enjoy holding that space.
Frequently asked questions


Find the right addiction counselor for you
Headway makes it easier to find support for overcoming addiction — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing an Addiction Therapist in Lexington, KY
Finding addiction therapists in Lexington starts with understanding what kind of support fits your needs. Addiction care can include support for alcohol use, drug use, prescription substance concerns, gambling, or other behavioral patterns. Some therapists focus on motivational interviewing, cognitive behavioral therapy for substance use, harm reduction, or relapse prevention planning. Some people also work with a prescriber as part of their care team, depending on their needs and goals.
Lexington has a steady mental health care community, and the right fit may depend on more than specialty alone. You may want a therapist with in-person availability near your usual routine, or you may prefer virtual sessions if travel, work, or privacy shape your schedule. Recovery can change over time, so it can help to look for a therapist who describes a non-judgmental style, experience with harm reduction, and clear session structure. Reading bios can show how each therapist talks about addiction care, substance use, motivation, and long-term support before you book.
Therapy in Lexington can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand your expected out-of-pocket expense before starting care. Headway helps you find addiction therapists who accept a wide range of insurance plans, offer virtual or in-person appointments, and have availability for new clients. You can compare profiles, check estimated costs, and book directly when you’re ready.
If you or someone you know is experiencing severe withdrawal symptoms — especially from alcohol or benzodiazepines — talk to a medical provider or seek emergency care before starting outpatient therapy. If you or someone you know is struggling with addiction or substance use and is in a crisis, immediately reach out to:
* 988 Suicide & Crisis Lifeline — call or text 988 * SAMHSA National Helpline — 1-800-662-HELP (4357), free, confidential, 24/7 * Crisis Text Line — text HOME to 741741
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