Substance Use Psychiatrists in Sheffield Village, OH

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Check out psychiatrists located nearby or offering teletherapy in Ohio below.

More Psychiatrists Nearby

Photo of Dr. Allen Masry, Psychiatrist in Sheffield Village, OH
Dr. Allen Masry
Psychiatrist, MD
Verified Verified
Elyria, OH 44035
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
(937) 862-0573 View (937) 862-0573
Photo of Kelly D Brill, Psychiatric Nurse Practitioner in Sheffield Village, OH
Kelly D Brill
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
Westlake, OH 44145
Opened September 1 2023 in Westlake, Ohio. Songbird Psychiatric and Recovery Services. My patients have a variety of concerns, including substance use disorder, ADHD, depression, anxiety, and chronic illness. I provide services for those aged 5-105. LGBTQIA+ inclusive. Goals for many include long-term recovery, learning coping strategies, and improving behavioral cognitive functioning. Please schedule at SongbirdPsychiatric.com
Opened September 1 2023 in Westlake, Ohio. Songbird Psychiatric and Recovery Services. My patients have a variety of concerns, including substance use disorder, ADHD, depression, anxiety, and chronic illness. I provide services for those aged 5-105. LGBTQIA+ inclusive. Goals for many include long-term recovery, learning coping strategies, and improving behavioral cognitive functioning. Please schedule at SongbirdPsychiatric.com
(440) 864-2802 View (440) 864-2802
Photo of Dr. Andrea Papa-Molter, Psychiatrist in Sheffield Village, OH
Dr. Andrea Papa-Molter
Psychiatrist, MD
Verified Verified
Elyria, OH 44035
I treat an array of psychiatric disorders, however my true passion is treating clients with Substance Use Disorders.
I am double board-certified in Psychiatry and Addiction Medicine. I believe in using both medication when indicated as well as therapy. I was trained in CBT and was given the Excellence in Cognitive Behavioral Therapy during my residency program. I use supportive therapy with each client I see. During my residency I served as Chief Resident and was awarded the Overall Excellence in Psychiatry Award as well as the Clinical Excellence Award.
I treat an array of psychiatric disorders, however my true passion is treating clients with Substance Use Disorders.
I am double board-certified in Psychiatry and Addiction Medicine. I believe in using both medication when indicated as well as therapy. I was trained in CBT and was given the Excellence in Cognitive Behavioral Therapy during my residency program. I use supportive therapy with each client I see. During my residency I served as Chief Resident and was awarded the Overall Excellence in Psychiatry Award as well as the Clinical Excellence Award.
(937) 795-8896 View (937) 795-8896
Photo of VirtualPsych™, Psychiatrist in Sheffield Village, OH
VirtualPsych™
Psychiatrist, MD
Verified Verified
2 Endorsed
Elyria, OH 44035
VirtualPsych allows for telepsych healthcare remotely in an easy to use environment. Our physicians specialize in the treatment of conditions such as anxiety, depression and bipolar disorder and have over 30 years of experience in psychiatry and mental health. We accept a variety of insurance plans from providers including Aetna, CareSource and United Healthcare. We also cover most Medicaid and Medicare plans as well. We have appointments available on a daily basis and the time to see a physician is typically less than a few days. Please call us at (216) 238-3555 if you have any questions or would like to set up an appointment.
VirtualPsych allows for telepsych healthcare remotely in an easy to use environment. Our physicians specialize in the treatment of conditions such as anxiety, depression and bipolar disorder and have over 30 years of experience in psychiatry and mental health. We accept a variety of insurance plans from providers including Aetna, CareSource and United Healthcare. We also cover most Medicaid and Medicare plans as well. We have appointments available on a daily basis and the time to see a physician is typically less than a few days. Please call us at (216) 238-3555 if you have any questions or would like to set up an appointment.
(216) 238-3555 View (216) 238-3555
Photo of Elizabeth Shelley, Psychiatrist in Sheffield Village, OH
Elizabeth Shelley
Psychiatrist, MD
Verified Verified
Lorain, OH 44053  (Online Only)
My name is Dr. Elizabeth Shelley, I am a board-certified psychiatrist. I am dedicated to providing expert and compassionate medication management and therapy to individuals starting from the age of 8 through adulthood. I'm fluent in both English and Spanish. For more information, visit my website at elizabethshelleymd.com.
My name is Dr. Elizabeth Shelley, I am a board-certified psychiatrist. I am dedicated to providing expert and compassionate medication management and therapy to individuals starting from the age of 8 through adulthood. I'm fluent in both English and Spanish. For more information, visit my website at elizabethshelleymd.com.
(440) 970-0921 View (440) 970-0921
Photo of VirtualPsychiatricCare.com, Psychiatric Nurse Practitioner in Sheffield Village, OH
VirtualPsychiatricCare.com
Psychiatric Nurse Practitioner, MSN, PMHNP, APRN
Verified Verified
Lorain, OH 44052  (Online Only)
Accepting new patients for telehealth visits in Ohio for psych evaluation and medication management. We treat anyone suffering with depression, anxiety, or other mental health issue adversely affecting optimal functioning at work, deterring their best social self, or preventing being fully present for loved ones. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make your appointment on our website. Evening and weekend hours are available. Affordable rates out of pocket rates. Also accepting some insurance plans.
Accepting new patients for telehealth visits in Ohio for psych evaluation and medication management. We treat anyone suffering with depression, anxiety, or other mental health issue adversely affecting optimal functioning at work, deterring their best social self, or preventing being fully present for loved ones. Our clients are looking to be properly diagnosed and treated using the safest prescribing principles. Make your appointment on our website. Evening and weekend hours are available. Affordable rates out of pocket rates. Also accepting some insurance plans.
(513) 434-6732 View (513) 434-6732
Photo of Ascension Counseling and Therapy Services, Psychiatric Nurse Practitioner in Sheffield Village, OH
Ascension Counseling and Therapy Services
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Lorain, OH 44052
Do anxiety, stress, depression, anger or even mood swings interrupt you realizing your best self? Is talk therapy by itself just not enough? If you experience sleep difficulties, disturbing traumatic memories or even panic attacks, you may need some additional support. Medication management is one option, however, sometimes people may see this as the only option. Many people are better served when treated by a specialist who is trained to carefully consider a person’s unique personality, life stressors and even family history before issuing a prescription. I also offer genetic testing to help inform best treatment options.
Do anxiety, stress, depression, anger or even mood swings interrupt you realizing your best self? Is talk therapy by itself just not enough? If you experience sleep difficulties, disturbing traumatic memories or even panic attacks, you may need some additional support. Medication management is one option, however, sometimes people may see this as the only option. Many people are better served when treated by a specialist who is trained to carefully consider a person’s unique personality, life stressors and even family history before issuing a prescription. I also offer genetic testing to help inform best treatment options.
(216) 930-6350 View (216) 930-6350
Photo of Nirvana Health & Wellness, Inc., Psychiatrist in Sheffield Village, OH
Nirvana Health & Wellness, Inc.
Psychiatrist, MD, MBBS, MRCPsy, DipAB
Verified Verified
Lorain, OH 44053
I am excellent at what I do. I provide evidence based, state of the art, medication management for Psychiatric Disorders. I have practiced Psychiatry for 40 years in diverse settings. I specialize in services for treatment resistant patients. I also provide expert opinion for guardianship applications. We provide Cognitive Testing, Pharmacogenomic Counseling, Pre-Nuptial Counseling & Telehealth services on pre-paid cash payment basis. We also provide individual therapy in selected cases. Same day appointments are available on cash payment basis only. No-shows and cancellation fees apply. TMS services available at Lorain office now.
I am excellent at what I do. I provide evidence based, state of the art, medication management for Psychiatric Disorders. I have practiced Psychiatry for 40 years in diverse settings. I specialize in services for treatment resistant patients. I also provide expert opinion for guardianship applications. We provide Cognitive Testing, Pharmacogenomic Counseling, Pre-Nuptial Counseling & Telehealth services on pre-paid cash payment basis. We also provide individual therapy in selected cases. Same day appointments are available on cash payment basis only. No-shows and cancellation fees apply. TMS services available at Lorain office now.
(440) 210-9479 View (440) 210-9479
Photo of Mark Tuvelle, Psychiatric Nurse Practitioner in Sheffield Village, OH
Mark Tuvelle
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP
Verified Verified
Elyria, OH 44035  (Online Only)
I strive to provide a safe and welcoming environment and want to always ensure that my clients feel they are “being listened to”. I believe a provider must truly listen to understand their client’s concerns, thus ensuring that the patient's priorities are being addressed. I prioritize health promotion, patient education, and psychotherapy.
I strive to provide a safe and welcoming environment and want to always ensure that my clients feel they are “being listened to”. I believe a provider must truly listen to understand their client’s concerns, thus ensuring that the patient's priorities are being addressed. I prioritize health promotion, patient education, and psychotherapy.
(380) 207-1922 View (380) 207-1922

Online Psychiatrists

Photo of Dr. Andrea Papa-Molter, Psychiatrist in Sheffield Village, OH
Dr. Andrea Papa-Molter
Psychiatrist, MD
Verified Verified
Perrysburg, OH 43551
I treat an array of psychiatric disorders, however my true passion is treating clients with Substance Use Disorders.
I am double board-certified in Psychiatry and Addiction Medicine. I believe in using both medication when indicated as well as therapy. I was trained in CBT and was given the Excellence in Cognitive Behavioral Therapy during my residency program. I use supportive therapy with each client I see. During my residency I served as Chief Resident and was awarded the Overall Excellence in Psychiatry Award as well as the Clinical Excellence Award.
I treat an array of psychiatric disorders, however my true passion is treating clients with Substance Use Disorders.
I am double board-certified in Psychiatry and Addiction Medicine. I believe in using both medication when indicated as well as therapy. I was trained in CBT and was given the Excellence in Cognitive Behavioral Therapy during my residency program. I use supportive therapy with each client I see. During my residency I served as Chief Resident and was awarded the Overall Excellence in Psychiatry Award as well as the Clinical Excellence Award.
(614) 412-2036 View (614) 412-2036
Photo of Dr. Allen Masry, Psychiatrist in Sheffield Village, OH
Dr. Allen Masry
Psychiatrist, MD
Verified Verified
Newark, OH 43055
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
(740) 200-8746 View (740) 200-8746
Photo of Dr. Andrea Papa-Molter, Psychiatrist in Sheffield Village, OH
Dr. Andrea Papa-Molter
Psychiatrist, MD
Verified Verified
Newark, OH 43055
I treat an array of psychiatric disorders, however my true passion is treating clients with Substance Use Disorders.
I am double board-certified in Psychiatry and Addiction Medicine. I believe in using both medication when indicated as well as therapy. I was trained in CBT and was given the Excellence in Cognitive Behavioral Therapy during my residency program. I use supportive therapy with each client I see. During my residency I served as Chief Resident and was awarded the Overall Excellence in Psychiatry Award as well as the Clinical Excellence Award.
I treat an array of psychiatric disorders, however my true passion is treating clients with Substance Use Disorders.
I am double board-certified in Psychiatry and Addiction Medicine. I believe in using both medication when indicated as well as therapy. I was trained in CBT and was given the Excellence in Cognitive Behavioral Therapy during my residency program. I use supportive therapy with each client I see. During my residency I served as Chief Resident and was awarded the Overall Excellence in Psychiatry Award as well as the Clinical Excellence Award.
(740) 639-5909 View (740) 639-5909
Photo of Dr. Allen Masry, Psychiatrist in Sheffield Village, OH
Dr. Allen Masry
Psychiatrist, MD
Verified Verified
Westerville, OH 43081
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
(380) 212-2412 View (380) 212-2412
Photo of Kimberly Anne Sanders, Psychiatric Nurse in Sheffield Village, OH
Kimberly Anne Sanders
Psychiatric Nurse, APRN-BC
Verified Verified
1 Endorsed
Mentor, OH 44060
She has experience providing treatment of mood disorders, anxiety disorders, psychotic disorders, and substance use disorders for patients 18 years of age and above.
Kim Sanders is a board certified psychiatric nurse practitioner. She received her Bachelors of Arts from Kent State University in psychology, her Masters of Education in counseling from the University of Cincinnati. She worked at a counselor for 2 years then worked as part of the crisis team in Cleveland, Ohio. She then graduated from Lakeland community College with her Associates in nursing. She practiced as a nurse for 8 years before receiving her Masters of Nursing from Kent State University.
She has experience providing treatment of mood disorders, anxiety disorders, psychotic disorders, and substance use disorders for patients 18 years of age and above.
Kim Sanders is a board certified psychiatric nurse practitioner. She received her Bachelors of Arts from Kent State University in psychology, her Masters of Education in counseling from the University of Cincinnati. She worked at a counselor for 2 years then worked as part of the crisis team in Cleveland, Ohio. She then graduated from Lakeland community College with her Associates in nursing. She practiced as a nurse for 8 years before receiving her Masters of Nursing from Kent State University.
(440) 616-8108 View (440) 616-8108
Photo of Dr. Andrea Papa-Molter, Psychiatrist in Sheffield Village, OH
Dr. Andrea Papa-Molter
Psychiatrist, MD
Verified Verified
Delaware, OH 43015
I treat an array of psychiatric disorders, however my true passion is treating clients with Substance Use Disorders.
I am double board-certified in Psychiatry and Addiction Medicine. I believe in using both medication when indicated as well as therapy. I was trained in CBT and was given the Excellence in Cognitive Behavioral Therapy during my residency program. I use supportive therapy with each client I see. During my residency I served as Chief Resident and was awarded the Overall Excellence in Psychiatry Award as well as the Clinical Excellence Award.
I treat an array of psychiatric disorders, however my true passion is treating clients with Substance Use Disorders.
I am double board-certified in Psychiatry and Addiction Medicine. I believe in using both medication when indicated as well as therapy. I was trained in CBT and was given the Excellence in Cognitive Behavioral Therapy during my residency program. I use supportive therapy with each client I see. During my residency I served as Chief Resident and was awarded the Overall Excellence in Psychiatry Award as well as the Clinical Excellence Award.
(740) 660-3748 View (740) 660-3748
Photo of Sikira Mukaila, Psychiatric Nurse Practitioner in Sheffield Village, OH
Sikira Mukaila
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
2 Endorsed
Willoughby Hills, OH 44092  (Online Only)
I manage patients with Substance Use Disorder, ADHD, Anxiety Disorder, Bipolar Disorder, Panic Disorder, Depression, OCD, PTSD, Eating disorders and Adjustment Disorder.
I am a dedicated Mental Health Nurse Practitioner who has a strong commitment to providing compassionate healthcare services to those experiencing a wide range of mental health challenges. With over 15 years in healthcare, I possess a profound comprehension of mental healthcare and an unwavering commitment to improving the overall well-being of my clients. I have acquired the requisite proficiencies to cultivate meaningful rapport with clients, tailor individualized treatment methodologies, and employ a diverse array of therapeutic modalities, including non-pharmacological interventions such as motivational interviews and meditation
I manage patients with Substance Use Disorder, ADHD, Anxiety Disorder, Bipolar Disorder, Panic Disorder, Depression, OCD, PTSD, Eating disorders and Adjustment Disorder.
I am a dedicated Mental Health Nurse Practitioner who has a strong commitment to providing compassionate healthcare services to those experiencing a wide range of mental health challenges. With over 15 years in healthcare, I possess a profound comprehension of mental healthcare and an unwavering commitment to improving the overall well-being of my clients. I have acquired the requisite proficiencies to cultivate meaningful rapport with clients, tailor individualized treatment methodologies, and employ a diverse array of therapeutic modalities, including non-pharmacological interventions such as motivational interviews and meditation
(440) 553-8939 View (440) 553-8939
Photo of Dr. Allen Masry, Psychiatrist in Sheffield Village, OH
Dr. Allen Masry
Psychiatrist, MD
Verified Verified
Perrysburg, OH 43551
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
(614) 482-3576 View (614) 482-3576
Photo of Andrea Balluch-Dean, Psychiatric Nurse Practitioner in Sheffield Village, OH
Andrea Balluch-Dean
Psychiatric Nurse Practitioner, MSN, APRN, FNP-C, PMHNP
Verified Verified
1 Endorsed
Cleveland, OH 44114  (Online Only)
I specialize in the diagnosis and treatment of anxiety, depression, bipolar disorder, PSTD, OCD, insomnia, ADHD, schizophrenia, schizoaffective disorders, and substance use disorders.
Hi, I’m Andrea. Welcome to my private practice, New Leaf Mental Health & Wellness, LLC. I presume you found my profile because you are seeking to make a positive change in your life? I applaud your efforts. Taking the first step on your path to wellness is the most important, and for some, the most intimidating. Lets face it, it’s not easy to open up to a total stranger about your mental health needs. That’s why it is important to find a mental health clinician with whom you can connect. A clinician who possesses the qualities and skills essential to developing and growing a therapeutic relationship with you.
I specialize in the diagnosis and treatment of anxiety, depression, bipolar disorder, PSTD, OCD, insomnia, ADHD, schizophrenia, schizoaffective disorders, and substance use disorders.
Hi, I’m Andrea. Welcome to my private practice, New Leaf Mental Health & Wellness, LLC. I presume you found my profile because you are seeking to make a positive change in your life? I applaud your efforts. Taking the first step on your path to wellness is the most important, and for some, the most intimidating. Lets face it, it’s not easy to open up to a total stranger about your mental health needs. That’s why it is important to find a mental health clinician with whom you can connect. A clinician who possesses the qualities and skills essential to developing and growing a therapeutic relationship with you.
(513) 643-1325 View (513) 643-1325
Photo of Jennifer Joseph, Psychiatric Nurse Practitioner in Sheffield Village, OH
Jennifer Joseph
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
East Liverpool, OH 43920
I strive to provide a place of comfort and safety, free of judgment or demands. I see myself as part of your treatment team. I provide education, options, and support. I will help you set goals and we work together to achieve these. I have successfully helped clients achieve remission of their depression, anxiety, mood disorders, PTSD, and psychosis. You will be treated as an individual and will be given the respect and consideration you deserve.
I strive to provide a place of comfort and safety, free of judgment or demands. I see myself as part of your treatment team. I provide education, options, and support. I will help you set goals and we work together to achieve these. I have successfully helped clients achieve remission of their depression, anxiety, mood disorders, PTSD, and psychosis. You will be treated as an individual and will be given the respect and consideration you deserve.
(330) 964-5150 View (330) 964-5150
Photo of Madia Pewu, Psychiatric Nurse Practitioner in Sheffield Village, OH
Madia Pewu
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Cleveland, OH 44118  (Online Only)
Madia Pewu is dually board-certified as a Psychiatric Mental Health Nurse Practitioner, and a Family Nurse Practitioner (FNP). Licensed in Ohio, Madia has over 23 years of experience as a Registered Nurse. She obtained her bachelor's of nursing degree from Cleveland State University, her master's degree from United States University, and her post-masters certificate from Purdue University Global, and certified through the American Nurses Credentialing Center (ANCC). She is trained in medication management and provides therapy sessions through telehealth for children, adolescents, adults, and seniors.
Madia Pewu is dually board-certified as a Psychiatric Mental Health Nurse Practitioner, and a Family Nurse Practitioner (FNP). Licensed in Ohio, Madia has over 23 years of experience as a Registered Nurse. She obtained her bachelor's of nursing degree from Cleveland State University, her master's degree from United States University, and her post-masters certificate from Purdue University Global, and certified through the American Nurses Credentialing Center (ANCC). She is trained in medication management and provides therapy sessions through telehealth for children, adolescents, adults, and seniors.
(440) 586-4993 View (440) 586-4993

See more therapy options for Sheffield Village

Substance Use Psychiatrists

How do substance and drug recovery or rehabilitation programs work?

In inpatient programs, individuals live in a facility with other clients in recovery; in outpatient programs, individuals reside at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff often also includes people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other methods.

How do 12-step programs combined with psychotherapy work?

Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.

How does harm reduction combined with psychotherapy work?

According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for substance use reduce the amount of drugs they consume. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.

Are there specific medications for substance and drug use?

There are medications approved to treat substance use disorder—such as buprenorphine, methadone, naltrexone, and acamprosate. These medications do help people cope with substance use as well as avoid the problem of relapse. Naltrexone can help reduce cravings, methadone is an opioid medication used to treat severe pain, and acamprosate may help ease symptoms like poor sleep and anxious feelings.