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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 3,131 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.
Something happened to you, and it is still with you. Maybe it shows up in your sleep, or in your body, or in the way you brace for things that have not happened yet. Maybe you have carried it long enough that you have stopped expecting it to change. I'm Lacresa, a Licensed Professional Counselor in Texas, and helping adults heal from trauma and PTSD is the center of my work. I hold a Master's degree in Counseling and Development from Lamar University, and I work with adults ages 18 and older. What I offer is a safe, welcoming, and open-minded space where you can tell me what happened without managing my reaction to it and without any fear of being judged for it. I'm passionate about partnering with people who are ready to process difficult experiences and make meaningful changes, and I want to be clear that ready does not have to mean certain. Most people arrive unsure. Wanting something to be different is enough to start. Trauma has a way of convincing you that you are the exception to everything, including help. You are not.
I am a Licensed Professional Counselor (LPC), who is trained in Play Therapy and Autplay Therapy, which is a specialized therapeutic approach for children and adolescents with neurodevelopmental differences, including autism, ADHD, sensory differences, social anxiety, learning differences, and other developmental or physical disabilities. It is neurodiversity-affirming, meaning it values the unique strengths of each child while addressing areas of challenge in a supportive and inclusive manner. AutPlay Therapy is designed so that parents are not just observers but active, trained “co‐therapists” who work alongside the child and the therapist to meet therapy goals at home twccllc.net. This collaborative approach ensures that the child’s progress is sustained beyond the therapy session, creating a “Co‐Regulation Loop” where parents and children regulate emotions and behaviors together.
With adults or couples, I take a holistic approach to counseling that looks at the mind, body, and spirit. I integrate spiritual practices into my counseling sessions by creating a safe and open space for clients to explore their beliefs and values. My aim is to assist you in overcoming life’s challenges and achieving your fullest potential by exploring deeper meaning and purpose in your life. I use a mix of different methods to tailor my approach to each person, creating a supportive and empathetic environment for growth and healing. My diverse experience helps me connect with people from all walks of life.
Outside of work, I enjoy horseback riding, spending time with my pups, serving at my church’s Youth Ministry, and staying active with CrossFit. These activities keep me balanced and fulfilled, and I bring that energy into my counseling practice.
Double board-certified Psychiatric Mental Health Nurse Practitioner and Family Nurse Practitioner specializing in depression, ADHD, women’s mental health concerns, and the unique pressures faced by high-functioning professionals and students. My approach is collaborative, respectful, and nonjudgmental.
20 Years of experience and 35 years of recovery experience in substance use and trauma work.
I am a compassionate cognitive behavioral therapist with over 20 years in the field. I will meet you were you are to help you create individualized change to get you to your next level goals for a happier, healthier, safer, and prosperous you.
I bring both clinical depth and genuine warmth to every therapeutic relationship. I earned my Master's in Counseling from St. Mary's University and have spent my career walking alongside adults navigating some of life's most challenging moments — anxiety, depression, grief, trauma, women's issues, and so much more. As a Hispanic woman, I understand firsthand the importance of feeling truly seen and understood by your therapist, and I am committed to creating a space where your full identity is honored and welcomed. I work with adults across Texas, and if any of this resonates, I would love to connect. Reaching out is the hardest step, and I will meet you with the same warmth I bring to every session.
I care about my clients and have several years of experience providing solutions.
Hi my name is Cordell Spears, and I am a clinical psychologist who specializes in helping people with anxiety, depression, stress, relationship issues, culture/identity specific issues and issues related to neurodivergence (ADHD, Autism). I am trained as a generalist thus I am equipped to treat most issues that clients bring in. I also write gender reassignment surgery letters. In addition, I am Houstonian through and through even though I lived in the Chicagoland area for over a decade. I am an avid dog lover and gamer who also likes to be active and exercise.
Are you feeling overwhelmed by anxiety, relationship stress, or difficult life experiences? You might be struggling to manage emotions, feeling stuck in patterns that aren’t working, or unsure how to move forward. I work with children, teens, adults, and couples facing challenges like depression, trauma, family conflict, and major life transitions. Together, we’ll create a space where you feel understood, supported, and equipped with tools to build confidence, improve relationships, and feel more in control of your life.
About our therapists who can help with addiction and substance use located within 20 miles of Richmond, TX



- 100%Substance use / addiction
- 100%Anxiety
- 98%Depression
- 93%PTSD
- 88%Stress management

- 100%Aetna
- 93%Cigna
- 85%Blue Cross and Blue Shield of Texas
- 83%Carelon Behavioral Health
- 80%Ascension

- 100%English
- 10%Spanish
- 5%Twi
- 2%Haitian Creole
- 2%Hindi

- 90%In-person or online
- 10%In-person only

- 76%Woman
- 24%Man

- 49%Licensed Professional Counselor
- 17%Advanced Practice Nurse
- 12%Licensed Marriage/Family Therapist
- 7%Advanced Practice Registered Nurse - Certified Nurse Practitioner
- 5%Licensed Clinical Social Worker

- 100%Individual therapy
- 41%Family therapy
- 29%Couples 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 Richmond
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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