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Addiction therapists & psychiatrists in Saint Paul, MN


Top addiction and substance use disorder therapists and psychiatrists in Saint Paul, MN
In Saint Paul, Headway's network of 255 providers supports individuals navigating alcohol addiction, drug dependence, and behavioral addictions using harm reduction, 12-step facilitation, and mindfulness-based relapse prevention. Most clients save 75% on sessions through insurance coverage, with some paying as low as $0 per session.
Taking that initial step into therapy can be daunting. Sharing your story is a vulnerable position no doubt, and I am proud of you for even making the decision to seek help. Because I know how much courage this takes, I absolutely promise to honor you and walk alongside of you as you work towards your goals in counseling. In addition to helping individuals with anxiety and depression, I am certified in dialectical behavior therapy and practice accelerated resolution therapy. I also incorporate christian counseling, sand-tray therapy, mindfulness based-therapy, cognitive-behavioral therapy, and incorporate narrative therapy techniques.
I have worked collectively for 31 years in public safety, crisis work, training and mental/chemical health. During my 16 years in law enforcement (LE) my experiences included being a Sergeant, SWAT Team Leader, Negotiator, Critical Incident Facilitator and Trainer. My experience in LE has led me to my passion in how trauma impacts our first responders. I have used my own experience as a first responder and woman in recovery, to transcend into my current role of a mental health and chemical health therapist working with not only first responders - police, fire, military, dispatchers, front line workers and corrections officers, but also any survivor, individual struggling with LGBT issues, addiction, relational struggles or trauma. I am able to be a conduit of change, sharing the journey with those who face the everyday stressful events, trauma or finding one's true identity. We are never alone. I am here to be a safe place and safe person to share and divide your pain. I am here to honor your experiences, share your success and build your resilience and healing.
Hello! I'm Sylvia Nnamdi-Enwerem, DNP, APRN, PMHNP-BC, a board-certified Psychiatric Mental Health Nurse Practitioner. I have over a decade of nursing experience caring for patients in medical, surgical, and mental health settings across three continents. These experiences have given me a deep appreciation for how mental and physical health are connected.
I provide psychiatric evaluations and medication management for adolescents and adults experiencing anxiety, depression, adjustment disorder, ADHD, bipolar disorder, PTSD, OCD, schizophrenia, personality disorders, insomnia, and substance use disorders.
I believe everyone deserves compassionate, respectful, and personalized care. My goal is to create a safe space where you feel comfortable sharing your concerns and confident that we will work together to help you feel better.
Choosing a mental health provider is an important decision, and I believe the best care begins with feeling heard and understood. I'm a triple board-certified Nurse Practitioner with certifications in Family Practice, Emergency Care, and Psychiatric-Mental Health. My background includes over two decades of experience caring for patients in both emergency medicine and psychiatry, which has given me the opportunity to work with people during some of their most challenging moments.
I founded Kraken Psychiatry because I wanted to create a practice that looks beyond symptoms and diagnoses. I believe mental health is influenced by many factors—including biology, life experiences, relationships, sleep, nutrition, stress, and physical health. My goal is to understand the whole person and help you develop an individualized treatment plan that reflects your unique needs and goals.
I work with adolescents and adults experiencing conditions such as ADHD, anxiety, depression, trauma, PTSD, OCD, mood disorders, and other complex mental health concerns. I also have a special interest in integrative and precision psychiatry, combining evidence-based psychiatric care with lifestyle medicine, nutrition, and other complementary approaches when appropriate.
Whether you're seeking medication management, looking for answers after years of struggling, or simply hoping to feel like yourself again, my goal is to partner with you and provide compassionate, thoughtful care every step of the way.
Maybe you've had enough of feeling bad and you're ready to do something about it. I'm a Licensed Professional Clinical Counselor (LPCC), and I've been a counselor since 1990. I started in rehabilitation counseling for people with brain injuries, saw how little mental health support they had, and went back to school to provide it. Since then, I've worked in schools, jails, methadone treatment, and employee assistance programs. Today, my practice focuses on individuals, teens, and families facing anxiety, depression, trauma, grief, anger, and substance use.
Choosing a therapist is a personal decision, and I believe you deserve someone who will meet you with compassion, curiosity, and respect. My goal is to create a space where you feel safe to be yourself—without judgment—and where we can work together to better understand the challenges you're facing and the strengths you already possess.
I hold a master's degree in Addictions and Rehabilitation Counseling and am a license professional clinical counselor in the Minnesota. Before becoming a therapist, I earned my medical degree in Mexico, an experience that deepened my appreciation for the connection between emotional and physical well-being.
About our therapists who can help with addiction and substance use located within 20 miles of Saint Paul, MN



- 100%Substance use / addiction
- 100%Anxiety
- 100%Depression
- 95%Stress management
- 95%PTSD

- 100%Aetna
- 95%Cigna
- 95%Carelon Behavioral Health
- 80%Blue Cross and Blue Shield of Minnesota
- 55%Blue Cross and Blue Shield of Minnesota Medicare Advantage

- 100%English
- 10%Hmong
- 5%Somali
- 5%Spanish
- 5%Yoruba

- 100%In-person or online

- 50%Woman
- 50%Man

- 45%Licensed Professional Clinical Counselor
- 20%Advanced Practice Registered Nurse
- 20%Licensed Independent Clinical Social Worker
- 10%Licensed Psychologist
- 5%Licensed Professional Counselor

- 100%Individual therapy
- 25%Couples therapy
- 25%Family therapy
- 15%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 Saint Paul
Finding addiction therapists in Saint Paul starts with knowing what kind of support fits your needs. Addiction care can include support for alcohol use, drug use, compulsive behaviors, relapse prevention, and the mental health concerns that may occur alongside substance use. As you compare therapists, look for experience with approaches such as motivational interviewing, cognitive behavioral therapy for substance use, harm reduction, or coordination with medication-assisted care. Some people may also work with a psychiatrist or other prescriber as part of their care team.
Saint Paul has a range of local therapy options, and virtual appointments can expand your search beyond offices near your home, work, or school. Recovery can take different paths, so it helps to find a therapist who describes their approach in clear, nonjudgmental terms and has experience with harm reduction, abstinence-based support, or both. Before booking, read therapist bios for details about addiction specialties, appointment availability, session structure, and whether a free phone consultation is offered.
Addiction counseling in Saint Paul can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before your first appointment. Headway helps you compare addiction therapists who are accepting new patients, review their profiles, verify your insurance, see estimated out-of-pocket 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
If you're already taking psychiatric medication and considering switching providers, talk to your current prescriber before changing or stopping any medication — most psychiatric medications shouldn't be stopped abruptly. Anyone experiencing thoughts of self-harm or in acute crisis should call 988 or go to the nearest emergency department rather than wait for an outpatient appointment.
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