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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 266 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.
Life can be overwhelming. As your therapist, I can help you deal with life's changes without judgement. My goal is to assist you with enhancing your life and discovering your purpose.
I am a trauma informed therapist, here to help you. 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.
In 1986, my journey in the field of human services began, fueled by a lifelong passion for helping others. Majoring in the Human Services concentration at high school laid the groundwork for my unwavering commitment to this mission.
Upon earning a Bachelor's degree in Psychology and a Master's in Science with a counseling specialty, my formal training commenced in 2002. Over the years, I've gained extensive experience and expertise, working in diverse settings. Anxiety, stress, worry, uncertainty, addictions and fear don't have to define your life. With over 16 years of clinical experience, I help individuals, couples, and families identify the beliefs, thought patterns, and automatic behaviors that keep them feeling stuck.
Having over 25 years of hands on experience with a variety of clients, I am comfortable working with just about anyone who is ready and willing to look at new perspectives. During our time together, you will feel safe, understood, and empowered.
Hello, I'm Elizabeth Middleton, a Licensed Professional Clinical Counselor (LPCC) in Kentucky and the owner of Middleton Counseling and Wellness, LLC. I am passionate about helping children, adolescents, and adults navigate life's challenges in a supportive, nonjudgmental environment. I have experience working with anxiety, depression, trauma, grief, stress, life transitions, self-esteem concerns, behavioral challenges, and family-related issues. I also enjoy working with children and families through play-based interventions and developmentally appropriate therapeutic approaches.
My goal is to create a space where clients feel heard, understood, and empowered. I believe that healing happens through connection, trust, and collaboration, and I am committed to helping each client build on their strengths while developing practical tools for lasting change.
I am a Licensed Clinical Social Worker and Licensed Clinical Alcohol and Drug Counselor with years of experience working with adolescents and adults. I’ve worked in community mental health, substance use treatment, and leadership roles supervising other clinicians. I specialize in trauma, anxiety, depression, and substance use disorders. I believe therapy should be practical, respectful, and focused on real change.
( I currently only provide medication management no individual therapy)
I am a dual-certified Family Nurse Practitioner (FNP) and Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 15 years of experience in healthcare. My background spans primary care, urgent care, and mental health, allowing me to approach each client with a comprehensive understanding of both physical and emotional well-being.
I specialize in diagnosing and treating a wide range of mental health conditions, including anxiety, depression, trauma-related disorders, ADHD, and mood disorders. My practice focuses on providing evidence-based medication management paired with supportive, collaborative care. I believe in meeting clients where they are, empowering them through education, and tailoring treatment plans to their unique needs, preferences, and goals.
My approach is warm, non-judgmental, and holistic. I value building strong therapeutic relationships and creating a safe space where clients can feel heard, understood, and supported.
If you’re looking for compassionate, thorough, and personalized care, I’m here to help you take the next step in your mental health journey.
With over 11 years of experience as a therapist I am
passionate about helping individuals, couples, and families
navigate life’s challenges and find healing through evidence-
based and compassionate care. I hold a Master’s degree in
Social Work from Western Kentucky University and have
dedicated my career to supporting clients in achieving
emotional wellness and personal growth.
Hi, I’m a therapist who believes healing doesn’t have to feel stiff, awkward, or like you’re sitting in a room being judged by someone holding a clipboard.
My style is warm, down-to-earth, and often sprinkled with humor—because sometimes we need to laugh so we don’t fall apart, and sometimes we just need to laugh while we’re putting ourselves back together.
I specialize in working with people who don’t fit neatly into one diagnostic box—folks with dual diagnoses, complex histories, depression that doesn’t budge easily, and the “I’ve tried therapy before and it didn’t help” crowd. If you’ve been called “a lot,” “too much,” or “hard to treat,” you’re exactly my kind of person.
What therapy with me feels like:
Safe, supportive, and human—not clinical and cold
A place where you can be messy, honest, sarcastic, or quiet
Collaborative, with plenty of gentle challenge when you need it
Rooted in evidence-based strategies, but delivered in a way that feels real and doable
About our therapists who can help with addiction and substance use in Lexington, KY



- 100%Substance use / addiction
- 99%Anxiety
- 98%Depression
- 91%Stress management
- 87%PTSD

- 99%Aetna
- 96%Cigna
- 95%Carelon Behavioral Health
- 49%Horizon Blue Cross and Blue Shield of New Jersey

- 100%English
- 1%Hindi
- 1%American Sign Language
- 1%Spanish

- 85%Online only
- 15%In-person or online

- 70%Woman
- 30%Man

- 44%Licensed Clinical Social Worker
- 36%Licensed Professional Clinical Counselor
- 14%Advanced Practice Registered Nurse
- 4%Licensed Marriage/Family Therapist
- 1%Licensed Psychologist

- 99%Individual therapy
- 42%Family therapy
- 27%Couples therapy
- 14%Child or adolescent therapy
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
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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