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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 240 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.
I am a military veteran with over 20 years of experience in the mental health field, with a specialized focus over the past decade on men’s mental health, including court-ordered assessments and mandated treatment services. My clinical approach is grounded primarily in evidence-based modalities such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), which I utilize to support clients in developing emotional regulation, coping skills, and sustainable behavioral change. In my current role, I conduct comprehensive mental health screenings, coordinate and oversee integrated care services, and provide direct clinical support within a substance use inpatient treatment setting. Additionally, I dedicate part of my practice to serving a rural Tribal Native American community through a mental health clinic, where I provide culturally responsive and community-informed care.
I also strongly advocate for men navigating systems where they are often disproportionately penalized or misunderstood, working to ensure their mental health needs are appropriately recognized and addressed within legal, correctional, and treatment environments. My professional focus includes supporting fair, trauma-informed approaches that balance accountability with rehabilitation. I have specialized experience working with individuals diagnosed with psychotic disorders and mood disorders, providing psychoeducation to clients and their families—particularly during the early stages of diagnosis—and delivering life skills training to promote stability, independence, and long-term success in community living.
I am a Licensed Independent Clinical Social Worker (LICSW) with a Master's degree in Social Work. I have specialized training in Infant and Early Childhood Mental Health, Permanency and Adoption, and have dedicated my career to supporting children, families, and caregivers through life's challenges.
Over the past two decades, I have worked in a variety of settings, including child protection, foster care and adoption services, early intervention programs, family home visiting, and community mental health. These experiences have given me a deep understanding of the complex systems that impact children and families, as well as the resilience and strengths they bring to the healing process.
My areas of expertise include early childhood mental health, parenting support, foster care and adoption-related concerns, attachment and relationship challenges, trauma, family transitions, and helping caregivers navigate developmental and behavioral concerns. I am passionate about partnering with families to build on their strengths, strengthen relationships, and create meaningful, lasting change.
I am empathetic, compassionate and listen actively to my patients.
As a Licensed Independent Clinical Social Worker (LICSW) and Licensed Alcohol and Drug Counselor (LADC), I bring over 15 years of experience supporting individuals through significant life challenges and personal transformation. My background includes working in crisis mental health, emergency department settings, substance use treatment, and behavioral health, giving me a deep understanding of how mental health impacts every aspect of wellness.
My practice specializes in supporting individuals who are on a transformation journey, whether that involves weight loss surgery, GLP-1 medications, recovery from emotional eating patterns, improving self-esteem, managing anxiety or depression, or creating sustainable lifestyle changes. Major physical changes often bring unexpected emotional challenges, and many people find they need support adjusting to their “new normal.
Hello there, my name is Josie! I enjoy being a therapist because I have experienced the benefits of therapy myself, I enjoy working with people, and I believe life is worth living, but sometimes we need an extra person in our corner to help us navigate the ups and downs of this life.
I provide a space rooted in safety, deep listening, and compassion. Healing is a sacred journey—a process of growing insight, clarity, and wisdom while reclaiming wholeness and transforming pain into purpose. Together, we can explore the paths that lead to a satisfying life filled with peace, joy, and mastery.
I believe in meeting people where they are—with honesty, warmth, and a steady presence. My approach is calm and straightforward, focused on creating a space where you can be fully yourself.
When a child, teen, or family is struggling, it can affect every part of daily life. You may be noticing emotional changes, behavioral challenges, increased conflict at home, difficulties at school, or a growing sense that something just doesn't feel right. It can be hard to know how to help, especially when the strategies that once worked no longer seem effective. I work with children, adolescents, adults, and families navigating anxiety, ADHD, trauma, PTSD, stress, depression, relationship difficulties, OCD, eating disorders, and behavioral concerns. Many of the families I support are looking for practical solutions while also wanting to strengthen communication and connection. My goal is to create a supportive space where children, teens, and families feel understood, build on their strengths, and develop healthier patterns that promote resilience and long-term emotional well-being.
Hello, my name is Betsy Walter MSW, LICSW.
I use a relational approach to working with adolescence. I am easy to talk to and like to listen.
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, MN
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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