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Addiction therapists & psychiatrists in Richmond, VA


Top addiction and substance use disorder therapists and psychiatrists in Richmond, VA
Headway connects Richmond residents with 1,149 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 flexible scheduling, and save up to 75% on care through insurance coverage.
I have practice as a Licensed Professional Counselor since 2012 and I also hold the license for Licensed Substance Abuse Treatment Practitioner.
For more than twenty years, I have had the privilege of walking alongside adolescents, adults, and couples during some of the most difficult and meaningful seasons of their lives. I believe that sometimes it can be difficult to see beyond the darkness in front of us. My role is to listen without judgement while helping you find your way toward the light again.
You’re used to holding it all together—but stress, anxiety, or emotional exhaustion may be catching up. I help high-functioning women navigate burnout, regain balance, and feel like themselves again. I provide collaborative psychiatric care including diagnostic clarification, medication management, and support to stabilize symptoms of burnout, anxiety, depression, and stress-related concerns.
I am a Licensed Professional Counselor with over 23 years of clinical experience and an approved supervisor to counseling residents. I earned my Bachelor’s degree in Mental Health Psychology in 2002 and a Master’s degree in Community/Clinical Psychology from Norfolk State University in 2005. Before going into private practice, I spent several years working in community services supporting client mental health journeys. I currently work with adults, families, and adolescents. My specialty includes treating culturally diverse patients, depression, anxiety, trauma, life transitions/adjustment, sexual abuse, anger management, and serious mental illness.
In supporting a new client, we will begin at the client's point of readiness. We will address the client's mental health needs/symptoms with CBT, mindfulness certifications/other required clinical skills.
I’m Karina Smith, LCSW, founder of Bloom Haven Therapeutic Services❀. I specialize in working with young adults and adults navigating anxiety, depression, trauma, ADHD, and life transitions related to relationships, career shifts, and family dynamics. I also support individuals experiencing the lasting impact of trauma or feeling stuck in patterns that are difficult to break.
My work is grounded in EMDR, DBT-informed therapy, somatic approaches, CBT, and mindfulness-based practices. I’m also an advocate and serve on the PAIMI Council for Disability Rights Florida.
Anxiety, stress, and addiction can make every day feel like a battle you're fighting alone. I'm Myra, an LPC and Licensed Substance Abuse Treatment Practitioner in Virginia. I meet you where you are, listen without judgment, and help you build a path toward what you actually want. Let's start talking.
Hi, my name is Austin and welcome to my private practice. As a man who has been deeply affected and healed by counseling, I get the need and role of counseling firsthand. This is why I love counseling: I believe humans were created to share their stories and to work through difficulties together. Counseling is my life’s passion. I am truly honored and delighted to now walk alongside others in dark places toward durable hope and lasting change.
I am personally acquainted with the pain of grief. After the loss of my mother to suicide, I began a counseling journey that revealed many unexplored areas in my life that needed compassion and care. These experiences have brought me face to face with life’s difficulties.
I received my Bachelor’s Degree from the United States Air Force Academy (Colorado Springs, CO) in Foreign Area Studies (Russia and Eastern Europe). After graduation, I worked as a military aviator and US Air Force Officer in domestic and international locations. I returned to graduate school to pursue a Master’s of Arts in Counseling and a Master’s of Divinity at Covenant Theological Seminary. Over the years, as a counselor, I have worked in a community-based counseling center, as a staff counselor for a church counseling center, and I am now in independent practice, working with men, veterans, couples, and families navigating trauma and PTSD, and the many ups and downs of life.
I have traveled throughout the world during my Air Force career. Seeing the many ways humans experience the world, in all its pain and joy, has only increased my passion to care for others. From working with teenagers and their struggles to individuals seeking hope to the married couple with decades of experience to everyone in between. I love working with people who are struggling and want change.
About our therapists who can help with addiction and substance use located within 20 miles of Richmond, VA



- 100%Substance use / addiction
- 100%Anxiety
- 95%Depression
- 82%Stress management
- 77%ADD/ADHD

- 100%Aetna
- 82%Cigna
- 82%Carelon Behavioral Health
- 55%Horizon Blue Cross and Blue Shield of New Jersey

- 100%English
- 5%Igbo
- 5%Spanish
- 5%Yoruba

- 100%In-person or online

- 64%Woman
- 32%Man
- 5%Non-binary

- 64%Licensed Professional Counselor
- 23%Nurse Practitioner
- 9%Licensed Clinical Social Worker
- 5%Medical Doctor

- 95%Individual therapy
- 27%Family therapy
- 18%Child or adolescent therapy
- 18%Couples 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
Searching for addiction therapists in Richmond starts with finding care that matches the concern you want support for. Addiction care can include support for alcohol use, drug use, substance use patterns, cravings, relapse prevention, and behavioral concerns. Look for a therapist whose listed specialties and approach match your needs, such as motivational interviewing, cognitive behavioral therapy for substance use, harm reduction-informed care, or coordination with medication-assisted treatment. Some people may also work with a psychiatrist or other prescriber as part of their care team.
Richmond offers both local office-based care and virtual appointments, giving you more ways to find a therapist who fits your schedule and preferences. As you compare options, consider appointment availability, whether the therapist is accepting new patients, and whether they offer a free phone consultation. Recovery can move at different speeds, so it helps to look for a therapist who describes a nonjudgmental style and experience with harm reduction or substance use care. Reading therapist bios can show how they talk about addiction, what populations they support, and what a first session may include.
Addiction counseling in Richmond can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to lower your out-of-pocket costs. Headway helps you find Richmond therapists who are accepting new patients, review detailed profiles, and see estimated session costs before you book. From there, you can compare therapists who match your needs, accept your plan, and offer the appointment format that works for you.
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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