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Addiction therapists & psychiatrists in Lexington, MA


Top addiction and substance use disorder therapists and psychiatrists in Lexington, MA
If you're navigating substance use disorder, alcohol addiction, or other addictive behaviors in Lexington, Headway's network of compassionate providers offers personalized treatment including harm reduction, 12-step facilitation, and dual diagnosis support. Many sessions are covered by insurance, and free consultations are available to help you find the right fit.
I'm Mark, a bilingual (English/Spanish) therapist with experience working in a broad range of ethnic communities, including urban, suburban and on the South American continent. After earning my MSW at Boston University, I spent years working in psychiatric day treatment centers, juvenile justice programs, community health clinics, schools, and home visits in Boston — with clients from age 6 to 70, representing diverse cultural and ethnic backgrounds. I bring that depth of real-world experience, and a genuine commitment to understanding your world on your own terms, to every session.
Life doesn't come with a roadmap and it's normal to feel overwhelmed at times. I work with adults navigating anxiety, depression, ADHD, substance use, cultural or identity concerns, grief/loss, and relationship challenges. My goal is to create a safe, supportive, and approachable space where you can explore your experiences and take meaningful steps towards change.
I am a Licensed Mental Health Counselor with over 15 years of experience supporting individuals across outpatient and emergency settings I bring a grounded and compassionate perspective to therapy. This background allows me to meet clients where they are whether they're seeking immediate relief or working toward deeper personal growth.
Hi would you want to join me in your success story?I have been licensed in MA for over twenty years. I have helped families, couples and individuals navigate rough times with great success. I would love to help you!
Want to make the most of your life, but something keeps getting in the way?
I work with thoughtful, high-energy adults who feel held back by patterns they can’t seem to break—whether that’s anxiety, addiction, trauma, self-criticism, relationship difficulties, depression, or persistent overthinking. Stop letting your lizard brain run the show.
Together, we’ll identify the emotional and behavioral patterns that no longer serve you, understand where they came from, and develop practical ways to move forward. My goal is not simply symptom reduction, but helping you create a life that feels meaningful, connected, and fully your own.
My philosophy is very Jungian-based. I offer a masculine perspective to help those in learning about how to help relate to themselves better and then offer better relationships with others. My work is centered on the truth that when we see reality we are set free. The matrix keeps you stuck and enslaved. My mission is to help people free themselves so they can connect to their true nature and feel more fulfilled. I use health, nature, sexuality, and spirit to help others.
I’m Sean Bourgeoise, a licensed therapist with a Master’s in Psychology. I specialize in helping adults and young professionals work through problem gambling, substance use, and anxiety. My style is supportive, practical, and focused on helping you build insight and create meaningful change.
I am a down-to-earth, approachable therapist with over a decade of experience supporting teenagers, young adults, and their families. Many clients arrive hesitant about therapy but quickly find a comfortable, nonjudgmental space where they can talk about anything. I strive to be responsive to each person’s life experiences, including gender- and race-based toxic stress and trauma. I completed my training at Boston University and spent several years working with a multidisciplinary team at a safety-net hospital.
About our therapists who can help with addiction and substance use located within 20 miles of Lexington, MA



- 100%Substance use / addiction
- 100%Anxiety
- 100%Depression
- 88%Trauma
- 88%PTSD

- 100%Aetna
- 88%Harvard Pilgrim Healthcare
- 85%Cigna
- 76%Carelon Behavioral Health
- 67%Blue Cross Blue Shield of Massachusetts

- 97%English
- 12%Spanish
- 9%Igbo
- 3%Cantonese
- 3%Haitian Creole

- 97%In-person or online
- 3%In-person only

- 67%Woman
- 33%Man

- 48%Advanced Practice Registered Nurse
- 36%Licensed Mental Health Counselor
- 9%Licensed Independent Clinical Social Worker
- 3%Clinical Psychologist

- 100%Individual therapy
- 15%Couples therapy
- 15%Family therapy
- 9%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 the type of support you want. Addiction care can address alcohol use, substance use, compulsive behaviors, relapse prevention, and co-occurring concerns like anxiety, depression, or trauma. As you compare therapists, look for training and listed specialties that match your needs, such as motivational interviewing, cognitive behavioral therapy for substance use, harm reduction, or coordination with medication-assisted care when a prescriber is part of your care team.
Lexington has a smaller local therapist market than nearby Boston or Cambridge, so virtual care can expand your options while keeping access close to home. As you narrow your search, consider appointment availability, whether the therapist is accepting new patients, and the style of care described in their profile. A therapist’s bio can help you see whether they take a nonjudgmental approach, have experience with harm reduction frameworks, and describe how they support people through changes that may not follow a straight path.
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 out-of-pocket estimate before booking. Headway helps you compare addiction therapists who accept a wide range of insurance plans, review bios, check availability, 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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