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Addiction therapists & psychiatrists in Richmond, TX


Top addiction and substance use disorder therapists and psychiatrists in Richmond, TX
Addiction recovery support in Richmond, Texas is accessible through Headway's network of 2,846 licensed providers who specialize in evidence-based approaches like CBT, DBT, and motivational interviewing. Whether you're addressing alcohol use disorder, substance misuse, or behavioral addiction, virtual and in-person sessions help you work toward sobriety with flexible scheduling and insurance coverage.
I believe healing begins with feeling heard, understood, and supported without judgment. As a Licensed Professional Counselor (LPC), I have over a decade of experience working with children, adolescents, adults, and families across outpatient, community mental health, crisis intervention, emergency departments, and behavioral health settings.
Throughout my career, I have helped individuals navigate anxiety, depression, trauma, grief, life transitions, relationship challenges, ADHD, mood disorders, and crisis situations. My background also includes leadership roles within behavioral health, allowing me to advocate for clients while providing compassionate, evidence-based care.
My goal is to create a safe, supportive environment where clients feel empowered to build resilience, gain insight, and create meaningful, lasting change.
If you've been struggling with anxiety, depression, addiction, anger, or behaviors that keep getting in the way of the life you want, you don't have to figure it out alone. I'm a Licensed Professional Counselor (LPC) and Licensed Chemical Dependency Counselor (LCDC) with 18 years of experience helping people rebuild their lives through criminal reentry. Today, I work with children, teens, adults, and couples who are looking for real change. Over the years, I've learned that no one is defined by their past, and I believe every person is capable of growth when they're given the right support.
It's easy to feel stuck in life with limited support. As a Licensed Professional Counselor with experience in private practice and inpatient settings, I strive to make my clients seen and heard for who they are.
I have my LPC-Licensed Professional Counselor and LMFT-Licensed Marriage and Family Counselor licenses. I have my Juris Doctorate and I am an expert in family law. My approach is collaborative, practical, and I make sure the client has something they can use to help themselves by the end of every session. I work with all types of clients, but mostly with adults, individually and as couples.
doing. I have been married, divorced, lived in other countries for several years and had a wide variety of life experiences that I draw on to help my clients.
Life can feel overwhelming at times, and you don't have to navigate it alone. I'm a Licensed Professional Counselor who works with adults facing depression, anxiety, trauma and PTSD, and the kind of stress that quietly wears you down — and I especially enjoy supporting men who may be trying therapy for the first time. My goal is to provide a space where you feel genuinely heard, understood, and respectfully challenged to grow. Together, we'll identify what's keeping you stuck, build on your strengths, and create practical strategies that move you toward the life you want to live. I hold a Master of Education from Lamar University and bring a warm, empowering, judgment-free approach to every session.
I am a Licensed Clinical Social Worker(LCSW) with over 10 years of experience in the mental health field. I have worked with individuals experiencing depression, anxiety, and grief, as well as those impacted by incarceration and major life transitions.I am especially passionate about helping clients build confidence, strengthen self-esteem, and develop coping skills that support long-term emotional wellness. I believe therapy should feel practical, affirming, and tailored to each individual's needs.
Hello, I’m Henrietta Pieh, MSN, APRN, PMHNP-BC, a Board-Certified Psychiatric Mental Health Nurse Practitioner. I provide compassionate, patient-centered care to individuals across the lifespan through comprehensive psychiatric evaluations, medication management, and supportive collaboration.
My background includes years of nursing experience in inpatient psychiatry, crisis stabilization, addiction recovery, and geriatric mental health. I believe in meeting clients where they are, building trust through empathy, and working together toward meaningful progress and emotional well-being.
Whether you are navigating stress, depression, anxiety, trauma, or other life challenges, my goal is to create a safe and supportive space where you feel heard, respected, and empowered in your healing journey.
I have a passion for helping people navigate life's challenges. Seeking help can feel like a big step, but it's also a powerful one. I offer a collaborative and nonjudgemental space for discovering strengths and with helping you feel empowered.
Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.
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 Richmond, TX
Finding addiction therapists in Richmond starts with understanding the kind of support that fits your needs. Addiction care can include support for alcohol use, substance use, prescription drug misuse, behavioral addictions, and concerns that overlap with anxiety, depression, or trauma. Look for a therapist whose profile lists experience with addiction, substance use, harm reduction, motivational interviewing, cognitive behavioral therapy for substance use, or coordination with medication-assisted care. Some people may also work with a psychiatrist or other prescriber as part of their care team.
Richmond is a smaller market, so local in-person options may be more limited than in larger Texas cities. Virtual appointments can expand your search while still letting you choose a therapist who understands addiction care and fits your schedule. As you compare Richmond counselors, look at whether each therapist is accepting new patients, offers appointment times that work for you, and describes a non-judgmental approach to care. Reading bios can help you understand how a therapist talks about recovery, relapse, harm reduction, and long-term support before you book.
Therapy in Richmond can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs. Headway helps you search for addiction therapists who accept a wide range of insurance plans, review estimated out-of-pocket costs before booking, and compare virtual and in-person availability. You can browse therapists, read profiles, 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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