Book addiction counseling, covered by insurance
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.
Hi, I’m Nargis Ali, a Licensed Professional Counselor (LPC) in the state of Texas with over six years of experience in the counseling field. I hold a Master of Arts in Clinical Mental Health Counseling and am currently pursuing my PhD in Counseling and Supervision.
I believe that healing begins when we feel truly seen, heard, and supported. In my work, I strive to create a warm and nurturing space where you can show up exactly as you are — no judgment, just understanding. Together, we’ll explore your experiences, uncover patterns, and move toward emotional healing and personal growth at a pace that feels right for you.
Welcome. I’m glad you’re here.
Reaching out for support can feel overwhelming. I aim to create a safe, collaborative, and grounded space from the beginning. I meet clients where they are and move at a pace that feels manageable and respectful.
I work with children, adolescents, adults, couples, and families experiencing anxiety, trauma, addiction, and relationship challenges. I also specialize in complex and developmental trauma.
I support clients in integrating their spiritual and cultural values into therapy when desired and clinically appropriate. I was born in New Orleans and bring a culturally informed perspective shaped by my Latina, Indigenous, Christian, and Sephardic Jewish backgrounds.
I became a therapist because I have a deep commitment to helping people recognize and build their own strengths, especially during periods of feeling stuck, overwhelmed, or disconnected. I understand that seeking support takes courage, and I work to create a space where clients feel heard, understood, and supported throughout the process.
I earned a Master of Social Work (MSW) and PhD from Tulane University, as well as a Master of Public Health (MPH) from Tulane University’s School of Public Health and Tropical Medicine. I am a Licensed Clinical Social Worker (LCSW) in Louisiana and Texas, and a Licensed Independent Clinical Social Worker (LICSW) in Minnesota. I also hold a Licensed Addiction Counselor (LAC), Licensed Prevention Professional (LPP), and Certified Employee Assistance Professional (CEAP).
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.
Welcome! I'm glad you've taken this step to consider working with me. I'm here to listen without judgment and do my best to help you with your concerns. Whatever it is you're going through, I'm ready to use my knowledge and experience to support you every step of the way. Thank you!
For the last 8 years, I've had the privilege of helping clients navigate anxiety, depression, trauma, substance use, family challenges, and the moments in life that leave you feeling stuck or disconnected from yourself. I also support concerns including grief, OCD, panic, ADHD, and identity. My work is grounded in the belief that healing involves the whole person—mind and body. I bring warmth, curiosity, compassion, and humor into therapy while helping you recognize your strengths and create meaningful change. As Brene Brown says, "You can choose courage, or you can choose comfort. You can't have both".
- I work with adolescents, adults, and older adults experiencing concerns such as ADHD, anxiety, depression, bipolar disorder, PTSD, substance use, and panic symptoms. My background in inpatient psychiatry, crisis stabilization, addiction recovery, and geriatric mental health has shaped the way I understand mental health from both a clinical and whole-person perspective. I want my clients to feel respected, heard, and actively involved in their care.
My name is Siria Castro. I hold a Master of Science in Clinical Mental Health and am a Licensed Professional Counselor (LPC) and Licensed Chemical Dependency Counselor (LCDC). As a bilingual therapist fluent in English and Spanish, I provide comprehensive counseling services for adults, adolescents, and children, guiding clients through depression, anxiety, relationship challenges, family struggles, and more.
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.
Use left and right arrow keys to switch tabs. Press Shift+Tab to return to the tab list from links in the selected tab.

































.png)





