Substance Use Therapists in Platte County, NE

I specialize in substance use, personality disorders and postpartum depression and anxiety.
Hello and Welcome! I find that therapy begins by meeting you where you are at from a place of empathy, acceptance and through building an authentic and genuine relationship. We will work together to get you to a place of healing by building the life that you deserve. Whether you are coming here for help navigating life transitions, working through increasing anxiety and depression symptoms or wanting to improve your relationships with yourself and others I am here to help you do just that. We will spend time learning new coping skills and strategies to help your daily living and find confidence in building your relationships.
I specialize in substance use, personality disorders and postpartum depression and anxiety.
Hello and Welcome! I find that therapy begins by meeting you where you are at from a place of empathy, acceptance and through building an authentic and genuine relationship. We will work together to get you to a place of healing by building the life that you deserve. Whether you are coming here for help navigating life transitions, working through increasing anxiety and depression symptoms or wanting to improve your relationships with yourself and others I am here to help you do just that. We will spend time learning new coping skills and strategies to help your daily living and find confidence in building your relationships.
Online Therapists

I primarily work with substance use, whether that's something you're experiencing or you need some support as a family member, spouse, significant other, peer, or child of someone using substances.
I provide an integrative approach. I find the most success when we can pull from different types of therapeutic modalities. I am a genuine, understanding provider who recognizes the challenges of being a human. Together, I hope that we can create a space where it feels safe to be ourselves and find the beauty of life through self-discovery and connection.
I primarily work with substance use, whether that's something you're experiencing or you need some support as a family member, spouse, significant other, peer, or child of someone using substances.
I provide an integrative approach. I find the most success when we can pull from different types of therapeutic modalities. I am a genuine, understanding provider who recognizes the challenges of being a human. Together, I hope that we can create a space where it feels safe to be ourselves and find the beauty of life through self-discovery and connection.

I utilize interventions rooted in evidence based practices: attachment style parenting, healing from trauma, and substance use counseling.
Let’s come together to discover your courage to grow, adapt, and prosper! Therapy is a beautiful process that empowers us to deepen our self knowledge and make breakthroughs in whatever is holding us back; whether things have gotten too difficult or you’re in a longstanding battle of feeling unwell. Your experiences, relationships, mental health and physical health can all have an impact on how you show up in your life. These experiences can build up over time and erode our sense of peace and confidence. Our relationships become strained and we begin to feel more isolated.
I utilize interventions rooted in evidence based practices: attachment style parenting, healing from trauma, and substance use counseling.
Let’s come together to discover your courage to grow, adapt, and prosper! Therapy is a beautiful process that empowers us to deepen our self knowledge and make breakthroughs in whatever is holding us back; whether things have gotten too difficult or you’re in a longstanding battle of feeling unwell. Your experiences, relationships, mental health and physical health can all have an impact on how you show up in your life. These experiences can build up over time and erode our sense of peace and confidence. Our relationships become strained and we begin to feel more isolated.

As a dedicated mental health and substance use therapist, I am committed to guiding you towards a holistic approach to navigating life.
I am passionate about equipping you with the necessary skills and tools to implement the changes you desire. I provide therapy for individuals aged 12 and up, addressing issues such as Depression, Anxiety, Trauma, Grief, Addiction, Family Therapy, Couples Therapy, and more.
As a dedicated mental health and substance use therapist, I am committed to guiding you towards a holistic approach to navigating life.
I am passionate about equipping you with the necessary skills and tools to implement the changes you desire. I provide therapy for individuals aged 12 and up, addressing issues such as Depression, Anxiety, Trauma, Grief, Addiction, Family Therapy, Couples Therapy, and more.

I work with adolescents and adults with varying experiences such as substance use, trauma, anxiety, depression, adjustment issues, identity exploration, and burnout.
Therapy is jazz, and my history as a musician informs my clinical practice. I practice a variety of modalities in conversation with clients in real-time. The approaches I use most often include narrative therapy, psychodynamic therapy, harm-reduction, brainspotting, and relational therapy.
I work with adolescents and adults with varying experiences such as substance use, trauma, anxiety, depression, adjustment issues, identity exploration, and burnout.
Therapy is jazz, and my history as a musician informs my clinical practice. I practice a variety of modalities in conversation with clients in real-time. The approaches I use most often include narrative therapy, psychodynamic therapy, harm-reduction, brainspotting, and relational therapy.

In addition to therapy, I also complete Bariatric Assessments and Substance Use Evaluations.
I'm so passionate about therapy and I enjoy my work so much. There are so many goals across so many different people and I'm a firm believer that there is nothing that can't be tackled if you have someone in your corner. To do that, I use a variety of therapeutic techniques that are tailored specifically to your needs and goals.
In addition to therapy, I also complete Bariatric Assessments and Substance Use Evaluations.
I'm so passionate about therapy and I enjoy my work so much. There are so many goals across so many different people and I'm a firm believer that there is nothing that can't be tackled if you have someone in your corner. To do that, I use a variety of therapeutic techniques that are tailored specifically to your needs and goals.

I have experience working with adults and adolescents who have mental health and substance use issues.
I utilize various approaches to include DBT (managing moods with skills and mindfulness), CBT (exploring how thoughts influence feelings and actions), and person centered (focusing on your goals). I am also trained in Accelerated Resolution Therapy, which uses eye movements and image replacement to treat trauma, phobias, and various mental health concerns.
I have experience working with adults and adolescents who have mental health and substance use issues.
I utilize various approaches to include DBT (managing moods with skills and mindfulness), CBT (exploring how thoughts influence feelings and actions), and person centered (focusing on your goals). I am also trained in Accelerated Resolution Therapy, which uses eye movements and image replacement to treat trauma, phobias, and various mental health concerns.

My experience includes having worked with adults who struggle with PTSD, trauma (as well as military-related PTSD), depression, anxiety, OCD, ADHD, personality disorders, mood disorders, postpartum + pregnancy + fertility related struggles, grief/loss/bereavement, substance use/addiction, relationship issues, and suicidal ideation/crisis intervention.
I believe in meeting each client where they are at by encompassing a holistic, trauma-informed approach to the biopsychosocial model, while emphasizing the impact that trauma, childhood and past experiences have on our current situations and our disconnect from mind and body. Healing from trauma is a necessary first step.
My experience includes having worked with adults who struggle with PTSD, trauma (as well as military-related PTSD), depression, anxiety, OCD, ADHD, personality disorders, mood disorders, postpartum + pregnancy + fertility related struggles, grief/loss/bereavement, substance use/addiction, relationship issues, and suicidal ideation/crisis intervention.
I believe in meeting each client where they are at by encompassing a holistic, trauma-informed approach to the biopsychosocial model, while emphasizing the impact that trauma, childhood and past experiences have on our current situations and our disconnect from mind and body. Healing from trauma is a necessary first step.

I have experience working with adolescents, adults, couples, and families with various mental health and substance use diagnoses experiencing a variety of life changes and challenges.
Helping others become their best self and thrive in their relationships is my passion. Using evidenced-based treatments and open communication, I bring a collaborative, person-centered approach to therapy. I adjust my interventions to each individual and situation with an emphasis on cognitive behavioral techniques and strengths-based methods.
I have experience working with adolescents, adults, couples, and families with various mental health and substance use diagnoses experiencing a variety of life changes and challenges.
Helping others become their best self and thrive in their relationships is my passion. Using evidenced-based treatments and open communication, I bring a collaborative, person-centered approach to therapy. I adjust my interventions to each individual and situation with an emphasis on cognitive behavioral techniques and strengths-based methods.

Whether you’re dealing with mental health challenges, substance use, or life’s ups and downs, I’m here to support you in building healthy coping skills and creating a plan for your growth and healing.
Hi, I’m Tanna Spencer, a Licensed Alcohol and Drug Counselor (LADC) and Provisionally Licensed Mental Health Practitioner (PLMHP). Therapy is for everyone, and everyone deserves a chance to grow, heal, and feel whole. If you’re looking for personal growth, support, or just someone to listen, I’m here to help. I know therapy can be a big step, but investing in yourself—your mental health and well-being—is one of the best gifts you can give yourself. To make therapy accessible, I offer evening hours, telehealth options, and am in the office Monday through Thursday, 8 AM - 5 PM.
Whether you’re dealing with mental health challenges, substance use, or life’s ups and downs, I’m here to support you in building healthy coping skills and creating a plan for your growth and healing.
Hi, I’m Tanna Spencer, a Licensed Alcohol and Drug Counselor (LADC) and Provisionally Licensed Mental Health Practitioner (PLMHP). Therapy is for everyone, and everyone deserves a chance to grow, heal, and feel whole. If you’re looking for personal growth, support, or just someone to listen, I’m here to help. I know therapy can be a big step, but investing in yourself—your mental health and well-being—is one of the best gifts you can give yourself. To make therapy accessible, I offer evening hours, telehealth options, and am in the office Monday through Thursday, 8 AM - 5 PM.

I have 18 years of experience addressing mental health and substance use issues.
Whether this is your first time seeking support or if you've participated in counseling in the past, my goal is to meet you where you are in your journey to psychological wellness. You may have identified specific challenges and goals that you want to address or you may simply know that you are in need of support. Life is rarely easy and occasionally we all need to seek help and resources to help us navigate through the ups and downs. If you're struggling with challenging life circumstances that are impacting you, your relationships and/or your career, counseling can help you regain control and feel more fulfilled.
I have 18 years of experience addressing mental health and substance use issues.
Whether this is your first time seeking support or if you've participated in counseling in the past, my goal is to meet you where you are in your journey to psychological wellness. You may have identified specific challenges and goals that you want to address or you may simply know that you are in need of support. Life is rarely easy and occasionally we all need to seek help and resources to help us navigate through the ups and downs. If you're struggling with challenging life circumstances that are impacting you, your relationships and/or your career, counseling can help you regain control and feel more fulfilled.

I have over fifteen years of experience working with clients who may struggle with substance use and mental health.
“Your mental health is everything-prioritize it. Make the time like your life depends on it, because it does.” -Mel Robbins I believe that our mental health is the most important aspect in our lives, and affects so many different areas of our health. My approach includes building positive relationships to help you reach goals you have set to achieve a healthy lifestyle. We all deserve happiness in our lives.
I have over fifteen years of experience working with clients who may struggle with substance use and mental health.
“Your mental health is everything-prioritize it. Make the time like your life depends on it, because it does.” -Mel Robbins I believe that our mental health is the most important aspect in our lives, and affects so many different areas of our health. My approach includes building positive relationships to help you reach goals you have set to achieve a healthy lifestyle. We all deserve happiness in our lives.

Feeling overwhelmed by life’s challenges? You’re not alone—and you don’t have to face it alone. I’ll help you build practical coping strategies and set clear, achievable goals. Taking that first step toward change is an act of self-care and courage. Together, we’ll tap into your inner resilience and create a personalized set of strategies to support your well-being. You deserve fulfillment and joy—let’s begin your journey today.
Feeling overwhelmed by life’s challenges? You’re not alone—and you don’t have to face it alone. I’ll help you build practical coping strategies and set clear, achievable goals. Taking that first step toward change is an act of self-care and courage. Together, we’ll tap into your inner resilience and create a personalized set of strategies to support your well-being. You deserve fulfillment and joy—let’s begin your journey today.

Karla sees people ages 8 and up for a variety of issues, including but not limited to post-traumatic stress disorder (PTSD), anxiety, depression, bipolar disorder, obsessive compulsive disorder, autism spectrum, ADD/ADHD and/or substance use
Karla Wiedel is a Licensed Independent Mental Health Practitioner and a Licensed Alcohol and Drug Counselor. She has been providing behavioral health services for 20+ years. It was her interest in the brain and human behavior that led her into the field.
Karla sees people ages 8 and up for a variety of issues, including but not limited to post-traumatic stress disorder (PTSD), anxiety, depression, bipolar disorder, obsessive compulsive disorder, autism spectrum, ADD/ADHD and/or substance use
Karla Wiedel is a Licensed Independent Mental Health Practitioner and a Licensed Alcohol and Drug Counselor. She has been providing behavioral health services for 20+ years. It was her interest in the brain and human behavior that led her into the field.

With over 5 years of experience in the mental health/ substance use/ pre and post incarceration fields, Payton has a wealth of knowledge and wisdom to help you achieve the goals in positions in life you seek.
Our minds are our most powerful asset! Without our minds what are we ? But our minds may also be are biggest barrier... Are you a child, adolescent, or adult struggling with anxiety or depression ? Do you have thoughts constantly running through your mind day in and day out that you can’t seem to get a grasp of or make stop? Did you make some choices that landed you in a tough, not so desirable position with drugs, alcohol, or the legal system in general? If so, Payton is the person that can help.
With over 5 years of experience in the mental health/ substance use/ pre and post incarceration fields, Payton has a wealth of knowledge and wisdom to help you achieve the goals in positions in life you seek.
Our minds are our most powerful asset! Without our minds what are we ? But our minds may also be are biggest barrier... Are you a child, adolescent, or adult struggling with anxiety or depression ? Do you have thoughts constantly running through your mind day in and day out that you can’t seem to get a grasp of or make stop? Did you make some choices that landed you in a tough, not so desirable position with drugs, alcohol, or the legal system in general? If so, Payton is the person that can help.

I provide a warm approach for adults and adolescents navigating mental health, substance use, and other co-occurring and psychosocial challenges.
Hello! I am glad you're here.
I provide a warm approach for adults and adolescents navigating mental health, substance use, and other co-occurring and psychosocial challenges.
Hello! I am glad you're here.

My qualifications allow me to assist with a wide range of mental health issues, substance use problems, or career-related concerns.
Hello, and thank you for considering me as your therapist. I believe that much of our suffering stems from the ways we think about things. Through critically examining how we think, we can replace unhelpful ways of thinking with rational and helpful ways of thinking—leading to healthier emotions and behavior. In therapy, we will explore this and other possible solutions to address your concerns effectively. If you are apprehensive about starting therapy, rest assured that my aim is to provide a confidential and non-judgmental space where you will feel comfortable. You are in ultimate control of the direction your therapy takes.
My qualifications allow me to assist with a wide range of mental health issues, substance use problems, or career-related concerns.
Hello, and thank you for considering me as your therapist. I believe that much of our suffering stems from the ways we think about things. Through critically examining how we think, we can replace unhelpful ways of thinking with rational and helpful ways of thinking—leading to healthier emotions and behavior. In therapy, we will explore this and other possible solutions to address your concerns effectively. If you are apprehensive about starting therapy, rest assured that my aim is to provide a confidential and non-judgmental space where you will feel comfortable. You are in ultimate control of the direction your therapy takes.

My background includes treating patients with co-morbid medical issues, mental health, and substance use issues.
Searching for a counselor is no easy task. I encourage you to read my profile and if you have any questions, please contact me. A little bit about me. I grew up living all over the US. In total, I’ve lived in eight different states. Because of my life experiences, I'm able to connect to many different cultures and adapt easily to my surroundings. My early life experiences taught me that sometimes change can be difficult and scary but that even in the worst situations, people can and do prevail.
I've been a therapist for almost 18 years. I’ve spent the past 9 years working in integrated medical/behavioral health environments.
My background includes treating patients with co-morbid medical issues, mental health, and substance use issues.
Searching for a counselor is no easy task. I encourage you to read my profile and if you have any questions, please contact me. A little bit about me. I grew up living all over the US. In total, I’ve lived in eight different states. Because of my life experiences, I'm able to connect to many different cultures and adapt easily to my surroundings. My early life experiences taught me that sometimes change can be difficult and scary but that even in the worst situations, people can and do prevail.
I've been a therapist for almost 18 years. I’ve spent the past 9 years working in integrated medical/behavioral health environments.

Amanda L Austin-Mafilika
Independent Mental Health Practitioner, LIMHP, LADC, LPC
1 Endorsed
Lincoln, NE 68506
I am a licensed independent mental health practitioner and substance use counselor.
Mental health symptoms can often be a hindrance in life. Maybe you are experiencing emotional pain and anxiety. Or, perhaps depression, fatigue, and a lack in motivation. You are not alone. You deserve a helping hand during these tough times.
I am a licensed independent mental health practitioner and substance use counselor.
Mental health symptoms can often be a hindrance in life. Maybe you are experiencing emotional pain and anxiety. Or, perhaps depression, fatigue, and a lack in motivation. You are not alone. You deserve a helping hand during these tough times.

I work with children, adolescents, adults, and families to address complex life issues, such as depression, anxiety, PTSD, mood disorders, adverse life events, ADHD, grief and loss, relationship issues, and substance use.
Life is a journey. How often have you heard that? As we find our road through life, we all need inspiration and guidance. Having an outside perspective to navigate that journey can help us view our path through a different lens. It is my goal as your therapist to create a safe, supportive, and accepting environment for you to share your story. I believe that there is no one-size-fits-all approach for therapy. Whether it's learning coping skills, practicing mindfulness, or just having someone to talk to, I get it. Life isn't easy and you don't have to tackle this journey alone.
I work with children, adolescents, adults, and families to address complex life issues, such as depression, anxiety, PTSD, mood disorders, adverse life events, ADHD, grief and loss, relationship issues, and substance use.
Life is a journey. How often have you heard that? As we find our road through life, we all need inspiration and guidance. Having an outside perspective to navigate that journey can help us view our path through a different lens. It is my goal as your therapist to create a safe, supportive, and accepting environment for you to share your story. I believe that there is no one-size-fits-all approach for therapy. Whether it's learning coping skills, practicing mindfulness, or just having someone to talk to, I get it. Life isn't easy and you don't have to tackle this journey alone.
See more therapy options for Platte County
Substance Use Therapists
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.