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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 1,150 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 am licensed in Virginia with 13 years of professional work experience. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
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.
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.
I'm not a regular therapist—I'm a cool therapist. You'll likely find me using humor in sessions because it's one of my favorite coping skills (when it's appropriate). I strive to create a warm, supportive, and nonjudgmental environment where you can feel comfortable being yourself.
Helping others has always been my passion, and I love supporting clients as they create meaningful changes in their lives. I also value learning and believe that knowledge can be a powerful tool for growth, so don't be surprised if I recommend a book or two during our time together.
I specialize in working with clients experiencing anxiety, ADHD, PTSD, substance use concerns, burnout, and adjustment disorders or other life transitions. I also love supporting new moms as they navigate the perinatal period and the unique challenges that can come with it.
I believe therapy works best when clients feel safe, heard, and genuinely supported. I strive to create a warm, nonjudgmental, and collaborative environment where clients can show up as their authentic selves. My approach is compassionate, direct when needed, and focused on helping clients build practical tools for everyday life while also exploring deeper emotional patterns and experiences.
I enjoy working with individuals navigating anxiety, life transitions, relationship concerns, self-esteem challenges, stress, identity exploration, and emotional overwhelm. I am passionate about supporting LGBTQIA+ and BIPOC clients and creating an affirming therapeutic space where clients feel respected and understood.
I understand that starting therapy can feel vulnerable, and my goal is to meet clients where they are while helping them move toward healing, clarity, and meaningful growth.
My path into psychiatry is both professional and personal. I moved to the U.S. alone at 17 while navigating complex PTSD and periods of misdiagnosis, which shaped how I understand mental health today. I began with a bachelor’s degree in psychology at Nankai University, then trained as a nurse and nurse practitioner at Charles R. Drew University and Purdue University.
Over the past 7 years, I’ve worked across medical and mental health settings, developing an approach that balances clinical precision with individualized care. I specialize in anxiety, depression, bipolar disorder, and complex PTSD, particularly for individuals who feel stuck or haven’t found relief in traditional treatment.
I’m licensed in California, Virginia, New York, Washington, and Oregon, and provide care via telehealth.
I am a Licensed Clinical Social Worker (LCSW) with extensive experience providing evidence-based mental health services to adolescents, adults, couples, families, and elite athletes. Help athletes in their mental skills and performance.
My approach is compassionate, collaborative, and goal-oriented, helping clients develop practical strategies to overcome challenges while building resilience and lasting emotional well-being.
I earned my Master of Social Work degree from the University of Puerto Rico and have worked across outpatient mental health, crisis intervention, community behavioral health, and professional sports. I currently serve as a Mental Health Team Counselor with the Baltimore Orioles organization, where I support professional athletes in managing stress, anxiety, performance demands, life transitions, and overall psychological wellness.
My clinical experience includes treating anxiety, depression, trauma, adjustment disorders, relationship concerns, grief and loss, stress management, self-esteem, and life transitions. I integrate evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Solution-Focused Therapy, and strengths-based interventions, tailoring treatment to each client’s unique goals and needs.
I believe that meaningful change begins with a trusting therapeutic relationship. My goal is to provide a safe, supportive, and nonjudgmental environment where clients feel heard, empowered, and equipped with the tools they need to thrive both personally and professionally.
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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