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Addiction therapists & psychiatrists in Houston, TX


Top addiction and substance use disorder therapists and psychiatrists in Houston, TX
Headway connects Houston residents with 3,130 licensed providers experienced in addiction recovery, offering evidence-based approaches like CBT, motivational interviewing, and harm reduction strategies. Access virtual or in-person sessions with support for substance use disorder, alcohol addiction, and behavioral addictions.
There are moments where each of us experience difficult and stressful points in our lives. Whether it's a painful divorce, the loss of a loved one, the loss of a job, going through stress in a relationship, unresolved self-esteem issues, questions about gender or sexuality, dealing with a troubled child, family stress, or facing pain from childhood and/or adult trauma. Life can be hard at times; there is no doubt about that. I have come to view those challenging times that we all experience, albeit in different ways, as opportunities for us to make positive changes and adjustments - what I like to call "reset moments."
As a Licensed Professional Counselor, I rely on Cognitive Behavioral Therapy to help move my clients to lasting change. I have experience working in schools, hospitals, and in my own private practice. Through individual counseling, we move from places of stagnation and fear into the amazing future that each of us deserves and I believe we can have.
I am always amazed at the strength and courage of my clients. It's never easy to take that first step, to commit to the process of change, to put in the effort to do the hard work, and to hope for more. We must always remember that each of us has the power to be who we are intended to be and to create the lives we want. I look forward to working with you...
I’ve been where you are. As someone in long-term recovery, I understand the challenges firsthand and bring both empathy and 11 years of professional counseling experience to support you in finding your own path and developing your strengths. I work with adolescents, people struggling with substance use, and those facing anxiety, depression, grief, or trauma.
I specialize in working with individuals in recovery and LGBTQ+ clients, helping you build resilience, explore your goals, and discover practical strategies that fit your life.
My approach is collaborative and empowering—you set the pace, and I walk alongside you with understanding, guidance, and support as you create meaningful change and uncover the strengths you already have within.
Hello and Welcome,
My name is Nancy Twining, LPC, LCDC in Lubbock, Texas with M.Ed. (Counseling), BA (Psychology). Accepting New Clients with services: in -person, virtual, hybrid
If you are here looking for ways to have a better connection with yourself and others and find yourself thinking:
*What do I do now"?
(Neurodivergent informed therapy, Life stages, Sp. Ed. disabilities advocacy, chronic conditions/illnesses)
"I wish I had someone to talk to about this"
(Relationships, Grief, Communication skills, aging & life stages)
"I am tired of feeling like this and want to feel better
(Anxiety, Depression, Self - Love, Empowerment)
"What is it that makes me feel/believe like this"?
(Understanding yourself, what makes you You)
I can help. I want you to feel better, have a lighter spirit and help you find your personal best ways as we walk on your journey together.
This is what I know:
In my family, we have Neurodivergence, some anxiety, depression, grief, life stages, chronic illnesses and conditions and pain issues.
My belief: You are the Key to your Solutions!
I came to counseling after realizing at age 16 that I was meant to be counselor. Since then, working as a Sp. Ed. teacher and a regular education and Sp. Ed. counselor and in IOP therapy have added up while I persisted to make my dream come true to be an LPC. Yes, dreams do come true!
Personally, I offer experience and life perspective learned from nearly all the eras of our human experience and I hope to share it with my clients.
Therapies and techniques, and plans are customized just for you: Person-Centered, Cognitive - Behavioral, Solution Focused, and Self - Expression and Mindfulness through art and nature. All are holistically for your mind, body and spirit benefit.
Taking the first step to therapy can be hard and such a relief once that first step is taken. I am here to offer a safe, nonjudgmental space of compassion and empathy. Through a holistic lens we will work together to navigate life's challenges and achieve your personal goals. With over 20 years in education, I now find myself working with clients from diverse backgrounds and all ages. My approach will be tailored to meet your unique needs. We will discuss your needs and find a treatment that best fits your needs and goals. I offer help navigating trauma, depression, ADHD, grief and life transitions. Together we will conquer the root of life's deeper issues or places you may feel stuck. You already have the strength and resilience to write your new story - it is my job to create a safe, authentic and sometimes humorous space where you can begin to rewrite it.
About our therapists who can help with addiction and substance use located within 20 miles of Houston, TX



- 100%Substance use / addiction
- 99%Anxiety
- 95%Depression
- 89%Stress management
- 82%Relationship issues

- 100%Aetna
- 89%Cigna
- 82%Carelon Behavioral Health
- 81%Blue Cross and Blue Shield of Texas
- 74%Ascension

- 99%English
- 4%Spanish
- 3%Igbo
- 1%Haitian Creole
- 1%Hindi

- 100%In-person or online

- 70%Woman
- 29%Man
- 1%Non-binary

- 49%Licensed Professional Counselor
- 16%Advanced Practice Nurse
- 15%Licensed Clinical Social Worker
- 7%Licensed Marriage/Family Therapist
- 5%Licensed Clinical Social Worker - Supervisor

- 99%Individual therapy
- 25%Couples therapy
- 25%Family therapy
- 8%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 Houston
Finding addiction therapists in Houston starts with matching your needs to the right kind of care. Addiction care can include support for alcohol use, drug use, substance use disorder, behavioral addictions, cravings, and relapse prevention. Some therapists use approaches like motivational interviewing, cognitive behavioral therapy for substance use, and harm reduction-informed care. Some people also work with a prescriber as part of their care team, so it can help to look for therapists who note coordination with medication management or other healthcare professionals in their bios.
Houston has a large mental health care market, which gives you many choices across neighborhoods, schedules, and care formats. That range can make it harder to narrow your search. Consider whether you want in-person sessions near your home, work, or school, or virtual appointments that fit more easily around your week. Recovery is often not linear, so it can be useful to look for a therapist who describes a clear, nonjudgmental approach and experience with counseling and recovery services. Reading therapist profiles can help you compare specialties, therapy style, availability, and whether a free phone consultation is offered before booking.
Addiction counseling in Houston can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway helps you search for therapists who are accepting new patients, review detailed bios, verify your insurance, and see estimated out-of-pocket costs before you book. From there, you can compare Houston therapists, choose the format that fits your schedule, 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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