Substance Use Therapists in San Antonio, TX

Photo of Anna Gomez, Licensed Professional Counselor, LPC
Anna Gomez
Licensed Professional Counselor, LPC
Online Only
My counseling services address concerns including, but not limited to depression, anxiety, PTSD, grief, substance use disorders, and anger management.
My experience ranges from individual, family, and group therapy and I possess the experience necessary to work with children, adolescents, and adults with varying physical and cognitive disabilities, however, the bulk of my client population centers around adolescents and adults.
My counseling services address concerns including, but not limited to depression, anxiety, PTSD, grief, substance use disorders, and anger management.
My experience ranges from individual, family, and group therapy and I possess the experience necessary to work with children, adolescents, and adults with varying physical and cognitive disabilities, however, the bulk of my client population centers around adolescents and adults.
(469) 599-4023 View (469) 599-4023
Photo of Monica Dombi, Licensed Professional Counselor, MA, LPC, LCDC
Monica Dombi
Licensed Professional Counselor, MA, LPC, LCDC
1 Endorsed
Online Only
I typically work with clients who struggle with substance use/abuse, various anxiety disorders, and depression related to their relationships and/or trauma.
When you're not sure where to start, what you're feeling, or how to handle what life has put you through; I am here to listen, to help you gain clarity, insight, and experience the possibility of transformation. I focus on building positive coping skills to help you effectively deal with and overcome any struggles you may be facing.
I typically work with clients who struggle with substance use/abuse, various anxiety disorders, and depression related to their relationships and/or trauma.
When you're not sure where to start, what you're feeling, or how to handle what life has put you through; I am here to listen, to help you gain clarity, insight, and experience the possibility of transformation. I focus on building positive coping skills to help you effectively deal with and overcome any struggles you may be facing.
(210) 405-3241 View (210) 405-3241
Photo of Angela Diehl, Marriage & Family Therapist, LMFT
Angela Diehl
Marriage & Family Therapist, LMFT
Online Only
My focuses are Depression, Anxiety, ADHD, Bipolar Disorder, Substance Use Disorder, Addiction, Infidelity, Family of Origin, Parenting, Communication, Career Related Issues.
My approaches are Brief Therapy, Solution Focused, Systems Theory, Cognitive Behavioral Therapy, with a communication style that is safe, comfortable, non-judgmental supportive environment with direct communication style.
My focuses are Depression, Anxiety, ADHD, Bipolar Disorder, Substance Use Disorder, Addiction, Infidelity, Family of Origin, Parenting, Communication, Career Related Issues.
My approaches are Brief Therapy, Solution Focused, Systems Theory, Cognitive Behavioral Therapy, with a communication style that is safe, comfortable, non-judgmental supportive environment with direct communication style.
(832) 753-6170 View (832) 753-6170
Photo of Johnny Ybarra, Drug & Alcohol Counselor, MS, LBA, LCDC, MAC, SAP
Johnny Ybarra
Drug & Alcohol Counselor, MS, LBA, LCDC, MAC, SAP
1 Endorsed
Online Only
I have over 15 years of experience working directly with persons diagnosed with substance use disorders.
My name is Johnny R. Ybarra and I'm a Licensed Chemical Dependency Counselor in San Antonio Texas, and nationally recognized by NAADAC as a Master Addiction Counselor (MAC) and a Department of Transportation - Substance Abuse Professional (DOT-SAP). I currently provide SAP evaluations and return-to-duty treatment planning for DOT professionals. Contact me to begin the SAP program! i also accept self pay clients who need 1:1 chemical dependency counseling through our secure video chat portal.
I have over 15 years of experience working directly with persons diagnosed with substance use disorders.
My name is Johnny R. Ybarra and I'm a Licensed Chemical Dependency Counselor in San Antonio Texas, and nationally recognized by NAADAC as a Master Addiction Counselor (MAC) and a Department of Transportation - Substance Abuse Professional (DOT-SAP). I currently provide SAP evaluations and return-to-duty treatment planning for DOT professionals. Contact me to begin the SAP program! i also accept self pay clients who need 1:1 chemical dependency counseling through our secure video chat portal.
(210) 714-2741 View (210) 714-2741
Photo of Stephanie Rae Fernandez-DeGroat, Licensed Professional Counselor, MA, LPC
Stephanie Rae Fernandez-DeGroat
Licensed Professional Counselor, MA, LPC
Online Only
5 years of experience working with active duty military to address substance use, addictions and codependency.
Struggling to see the end in sight? Doubting yourself, your choices and who you show the world you are? Together we can make sense of it all. Life has a way of challenging us with experiences and situations we are not always prepared for. Growth from adversity isn’t fun but you can do it! I’m here to walk this journey with you! My goal in life is to help others find the best parts of themselves, learn to love and accept all the beautiful scars that have created who you are today! Love working with all ages, individuals, couples and families. Proud member of the LGBTQIA community!
5 years of experience working with active duty military to address substance use, addictions and codependency.
Struggling to see the end in sight? Doubting yourself, your choices and who you show the world you are? Together we can make sense of it all. Life has a way of challenging us with experiences and situations we are not always prepared for. Growth from adversity isn’t fun but you can do it! I’m here to walk this journey with you! My goal in life is to help others find the best parts of themselves, learn to love and accept all the beautiful scars that have created who you are today! Love working with all ages, individuals, couples and families. Proud member of the LGBTQIA community!
(210) 791-0978 View (210) 791-0978
Photo of Angie DeWaard, Licensed Professional Counselor, LPC
Angie DeWaard
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
I have been a therapist for 15 years and have experience with substance use counseling.
I'm a therapist with Octave and Evernorth Behavioral Care Group. Octave is a mental health practice providing high-quality care covered by multiple insurances. Evernorth Behavioral Care Group is a behavioral health provider group in-network with Cigna Healthcare and Evernorth. For my availability, please reach out to Octave’s team by emailing or calling.
I have been a therapist for 15 years and have experience with substance use counseling.
I'm a therapist with Octave and Evernorth Behavioral Care Group. Octave is a mental health practice providing high-quality care covered by multiple insurances. Evernorth Behavioral Care Group is a behavioral health provider group in-network with Cigna Healthcare and Evernorth. For my availability, please reach out to Octave’s team by emailing or calling.
(726) 215-9666 View (726) 215-9666
Photo of Kelley Logans-Ali, Clinical Social Work/Therapist, LCSW -S, ACSW, LCDC, CCTP
Kelley Logans-Ali
Clinical Social Work/Therapist, LCSW -S, ACSW, LCDC, CCTP
San Antonio, TX 78229
I specialize in working with clients affected by trauma and substance use/ dual diagnosis.
I am Kelley Logans-Ali, LCSW, ACSW, LCDC, CCTP are you looking for total mental wellness ? I offer innovative paths to wellness by offering an array of therapeutic services. I retired after 28 years as The Mental Health Program Specialist for the State of Texas to focus primarily on my private practice. I have experience with the child welfare system, I understand the dynamics involved with families in crisis. I have experience with individual group and family therapy. I provide psychiatric evaluations for acute hospitalizations, individual/group psychotherapy and LCSW Supervision. I am certified trauma specialist.
I specialize in working with clients affected by trauma and substance use/ dual diagnosis.
I am Kelley Logans-Ali, LCSW, ACSW, LCDC, CCTP are you looking for total mental wellness ? I offer innovative paths to wellness by offering an array of therapeutic services. I retired after 28 years as The Mental Health Program Specialist for the State of Texas to focus primarily on my private practice. I have experience with the child welfare system, I understand the dynamics involved with families in crisis. I have experience with individual group and family therapy. I provide psychiatric evaluations for acute hospitalizations, individual/group psychotherapy and LCSW Supervision. I am certified trauma specialist.
(210) 899-7103 View (210) 899-7103
Photo of Shannon Lyn Sorensen, Licensed Professional Counselor, LPC, LCDC
Shannon Lyn Sorensen
Licensed Professional Counselor, LPC, LCDC
Online Only
I specialize in addressing issues related to anger, anxiety, depression, stress management, substance use, trauma, and offering tailored interventions to meet the specific needs of my clients.
In the intricate tapestry of human experiences, each individual carries a unique story, woven with threads of joy, sorrow, triumphs, and challenges. As a therapist, I am committed to creating a safe and empathetic space where clients can unravel the layers of their inner self, fostering a journey toward increased self-awareness and personal growth. With a deep-rooted passion for understanding the complexities of the human mind, my therapeutic approach is rooted in empathy, respect, and collaboration, recognizing that each individual's journey is especially unique.
I specialize in addressing issues related to anger, anxiety, depression, stress management, substance use, trauma, and offering tailored interventions to meet the specific needs of my clients.
In the intricate tapestry of human experiences, each individual carries a unique story, woven with threads of joy, sorrow, triumphs, and challenges. As a therapist, I am committed to creating a safe and empathetic space where clients can unravel the layers of their inner self, fostering a journey toward increased self-awareness and personal growth. With a deep-rooted passion for understanding the complexities of the human mind, my therapeutic approach is rooted in empathy, respect, and collaboration, recognizing that each individual's journey is especially unique.
(210) 742-5115 View (210) 742-5115
Photo of Jagee' L Valentine, Licensed Professional Counselor Associate, MA, LCDC
Jagee' L Valentine
Licensed Professional Counselor Associate, MA, LCDC
1 Endorsed
San Antonio, TX 78213
My strengths: Addiction, Substance Use Disorders, ACT, Dialectical Behavioral Therapy-DBT, Cognitive Behavioral Therapy-CBT, Motivational Interviewing-MI.
Coming to therapy can be scary. Most of us have been there. My goal is to help you walk that scary path and find helpful, hopeful, and successful ways to walk that path. You are not broken, I can't "fix" you. I am not that powerful by any measure. My role IS to walk with you, help you find ways to heal and mend that which has caused pain so that YOU can go forward and grow and be that authentic person you so desire to be. We can do this together. Sometimes we just need another perspective, someone who will listen completely, let you know you are heard and deeply valued.
My strengths: Addiction, Substance Use Disorders, ACT, Dialectical Behavioral Therapy-DBT, Cognitive Behavioral Therapy-CBT, Motivational Interviewing-MI.
Coming to therapy can be scary. Most of us have been there. My goal is to help you walk that scary path and find helpful, hopeful, and successful ways to walk that path. You are not broken, I can't "fix" you. I am not that powerful by any measure. My role IS to walk with you, help you find ways to heal and mend that which has caused pain so that YOU can go forward and grow and be that authentic person you so desire to be. We can do this together. Sometimes we just need another perspective, someone who will listen completely, let you know you are heard and deeply valued.
(726) 240-7978 View (726) 240-7978
Photo of J. Isaac Lucero, Licensed Professional Counselor, MA, LPC
J. Isaac Lucero
Licensed Professional Counselor, MA, LPC
3 Endorsed
San Antonio, TX 78217
I see a myriad of clients: the walking wounded, substance use, and mental health (depression, anxiety, bi-polar, schizophrenia).
Human interaction is difficult, both interpersonal and intrapersonal; I assist with relationships with others, and most importantly yourself. I specialize in Trauma. Change is a difficult process, but may be attainable. Lasting change requires: desire, awareness, education, and committed, consistent, constant effort towards the goal. I assist individuals and couples in identifying their position in life, and support the formulation and implementation of a plan of action. I encourage with motivation. In office sessions by appointment only, please call first.
I see a myriad of clients: the walking wounded, substance use, and mental health (depression, anxiety, bi-polar, schizophrenia).
Human interaction is difficult, both interpersonal and intrapersonal; I assist with relationships with others, and most importantly yourself. I specialize in Trauma. Change is a difficult process, but may be attainable. Lasting change requires: desire, awareness, education, and committed, consistent, constant effort towards the goal. I assist individuals and couples in identifying their position in life, and support the formulation and implementation of a plan of action. I encourage with motivation. In office sessions by appointment only, please call first.
(726) 213-3381 View (726) 213-3381
Photo of Angela Diehl, Marriage & Family Therapist, LMFT
Angela Diehl
Marriage & Family Therapist, LMFT
Online Only
My focuses are Depression, Anxiety, ADHD, Bipolar Disorder, Substance Use Disorder, Addiction, Infidelity, Family of Origin, Parenting, Communication, Career Related Issues.
My approaches are Brief Therapy, Solution Focused, Systems Theory, Cognitive Behavioral Therapy, with a communication style that is safe, comfortable, non-judgmental supportive environment with direct communication style.
My focuses are Depression, Anxiety, ADHD, Bipolar Disorder, Substance Use Disorder, Addiction, Infidelity, Family of Origin, Parenting, Communication, Career Related Issues.
My approaches are Brief Therapy, Solution Focused, Systems Theory, Cognitive Behavioral Therapy, with a communication style that is safe, comfortable, non-judgmental supportive environment with direct communication style.
(346) 525-3830 View (346) 525-3830
Photo of Kathy Carter, Clinical Social Work/Therapist, LCSW, LCDC, CCTP-II, CCST-AC, CAGCS
Kathy Carter
Clinical Social Work/Therapist, LCSW, LCDC, CCTP-II, CCST-AC, CAGCS
2 Endorsed
San Antonio, TX 78232
I specialize in working with teens and adults struggling with trauma, mood disorders, or substance use such as alcohol or drugs.
Trauma and PTSD leaves us feeling broken, damaged, and disconnected from our true selves. It also often leads us to self-medicate with alcohol, drugs, or other substances. You're someone who takes care of others, but still finding yourself falling short, feeling exhausted and unsure what to do. You work hard and thrive in many areas of your life, yet peace escapes you, you feel empty and sometimes hopeless. But you are ready to make a change. You're ready to feel empowered and hopeful. You're ready to work hard and take your life back. My extensive training in trauma, EMDR and substance abuse will help you heal!
I specialize in working with teens and adults struggling with trauma, mood disorders, or substance use such as alcohol or drugs.
Trauma and PTSD leaves us feeling broken, damaged, and disconnected from our true selves. It also often leads us to self-medicate with alcohol, drugs, or other substances. You're someone who takes care of others, but still finding yourself falling short, feeling exhausted and unsure what to do. You work hard and thrive in many areas of your life, yet peace escapes you, you feel empty and sometimes hopeless. But you are ready to make a change. You're ready to feel empowered and hopeful. You're ready to work hard and take your life back. My extensive training in trauma, EMDR and substance abuse will help you heal!
(281) 915-0486 View (281) 915-0486
Photo of Adrienne Gilmore-Thomas, Psychologist, MS, PhD, LP
Adrienne Gilmore-Thomas
Psychologist, MS, PhD, LP
Online Only
From anxiety and depression to trauma and substance use, I’m here to help.
Start your therapy journey in a safe, welcoming space where you set the pace. In our first session, you’ll share your story as comfortably as you wish. This judgment-free zone is all about exploring your goals and answering any questions, helping you feel at ease. Together, we’ll create a plan that aligns with your needs and path to healing.
From anxiety and depression to trauma and substance use, I’m here to help.
Start your therapy journey in a safe, welcoming space where you set the pace. In our first session, you’ll share your story as comfortably as you wish. This judgment-free zone is all about exploring your goals and answering any questions, helping you feel at ease. Together, we’ll create a plan that aligns with your needs and path to healing.
(832) 974-2889 View (832) 974-2889
Photo of Elyse Greenamyre, Clinical Social Work/Therapist, LCSW
Elyse Greenamyre
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
With a deep passion for helping others navigate life’s challenges, I specialize in ADHD, depression, anxiety, and substance use.
I'm a therapist with Octave and Evernorth Behavioral Care Group. Octave is a mental health practice providing high-quality care covered by multiple insurances. Evernorth Behavioral Care Group is a behavioral health provider group in-network with Cigna Healthcare and Evernorth. For my availability, please reach out to Octave’s team by emailing or calling.
With a deep passion for helping others navigate life’s challenges, I specialize in ADHD, depression, anxiety, and substance use.
I'm a therapist with Octave and Evernorth Behavioral Care Group. Octave is a mental health practice providing high-quality care covered by multiple insurances. Evernorth Behavioral Care Group is a behavioral health provider group in-network with Cigna Healthcare and Evernorth. For my availability, please reach out to Octave’s team by emailing or calling.
(737) 332-4900 View (737) 332-4900
Photo of Jessica Elliott - A Strand of Hope Counseling LLC, Marriage & Family Therapist Associate, MS
A Strand of Hope Counseling LLC
Marriage & Family Therapist Associate, MS
2 Endorsed
Online Only
Using research-based strategies, I help couples strengthen their connection, resolve conflicts, and navigate the unique challenges of addiction and substance use within relationships.
You and your partner love each other—but lately, it’s felt hard. Maybe you're stuck in the same arguments, feeling more like roommates than partners. Or perhaps life has thrown more at you than you ever imagined—addiction, trauma, infertility, loss, betrayal—and now you're wondering how to find your way back to each other.
Using research-based strategies, I help couples strengthen their connection, resolve conflicts, and navigate the unique challenges of addiction and substance use within relationships.
You and your partner love each other—but lately, it’s felt hard. Maybe you're stuck in the same arguments, feeling more like roommates than partners. Or perhaps life has thrown more at you than you ever imagined—addiction, trauma, infertility, loss, betrayal—and now you're wondering how to find your way back to each other.
(817) 482-3109 View (817) 482-3109
Photo of Olivia Cole, MA, LPC
Olivia Cole
Verified Verified
1 Endorsed
Serves Area
I specialize in helping those struggling with anxiety, depression, substance use, grief, loss, and trauma.
As a holistic therapist, I believe that mental health is not just about the mind, but also about the body and spirit. That's why I consider all aspects of my clients' lives when developing a counseling plan. I help clients identify areas for growth and support them in achieving balance.
I specialize in helping those struggling with anxiety, depression, substance use, grief, loss, and trauma.
As a holistic therapist, I believe that mental health is not just about the mind, but also about the body and spirit. That's why I consider all aspects of my clients' lives when developing a counseling plan. I help clients identify areas for growth and support them in achieving balance.
(361) 264-5773 View (361) 264-5773
Photo of Rachel Evans, Clinical Social Work/Therapist, LCSW
Rachel Evans
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Whether you're navigating the impact of a loved one’s substance use, looking for clarity and relief, or simply craving space to breathe, I’m here to support you.
We’ll clarify your goals and explore tools to strengthen your confidence and build a space of peace and safety within. I’ll help you shift how you relate to your symptoms and challenges. Perspective is powerful. I'll help you process your struggles and build positive coping skills.
Whether you're navigating the impact of a loved one’s substance use, looking for clarity and relief, or simply craving space to breathe, I’m here to support you.
We’ll clarify your goals and explore tools to strengthen your confidence and build a space of peace and safety within. I’ll help you shift how you relate to your symptoms and challenges. Perspective is powerful. I'll help you process your struggles and build positive coping skills.
(346) 644-6684 View (346) 644-6684
Photo of Nikole Gutierrez, Licensed Professional Counselor, LPC-S, LCDC, NCC
Nikole Gutierrez
Licensed Professional Counselor, LPC-S, LCDC, NCC
Serves Area
I have experience working with individuals facing mental health challenges, substance use disorders, and trauma-related concerns.
I have extensive experience working with a wide range of mental health challenges. I am deeply committed to understanding and addressing my clients' needs with compassion and empathy, creating a meaningful connection that fosters healing and growth.
I have experience working with individuals facing mental health challenges, substance use disorders, and trauma-related concerns.
I have extensive experience working with a wide range of mental health challenges. I am deeply committed to understanding and addressing my clients' needs with compassion and empathy, creating a meaningful connection that fosters healing and growth.
(956) 673-0587 View (956) 673-0587
Photo of Cassandra L. Lozano, Licensed Professional Counselor, MEd, LPC, LCDC
Cassandra L. Lozano
Licensed Professional Counselor, MEd, LPC, LCDC
1 Endorsed
Online Only
Whether you are struggling with substance use, seeking to improve your self-esteem, or looking for ways to manage stress more effectively, I am here to support you on your journey to well-being.
Hello, my name is Cassandra L. Lozano, LPC, LCDC. I have had the privilege of working with a Local Mental Health Authority for the past 8 years, where I have dedicated myself to assisting clients with co-occurring disorders. In 2015, I obtained my Master’s degree in Counseling and Guidance, which has provided a strong foundation for my practice. My areas of specialization include addiction, self-esteem, and mood disorders. I am currently providing Tele-health services through some online platforms including: Headway, Betterhelp and talkspace. Check out my website for more information.
Whether you are struggling with substance use, seeking to improve your self-esteem, or looking for ways to manage stress more effectively, I am here to support you on your journey to well-being.
Hello, my name is Cassandra L. Lozano, LPC, LCDC. I have had the privilege of working with a Local Mental Health Authority for the past 8 years, where I have dedicated myself to assisting clients with co-occurring disorders. In 2015, I obtained my Master’s degree in Counseling and Guidance, which has provided a strong foundation for my practice. My areas of specialization include addiction, self-esteem, and mood disorders. I am currently providing Tele-health services through some online platforms including: Headway, Betterhelp and talkspace. Check out my website for more information.
(956) 398-5638 View (956) 398-5638
Photo of Kelley Allen, Pre-Licensed Professional, LCDC-I
Kelley Allen
Pre-Licensed Professional, LCDC-I
1 Endorsed
Online Only
Are you feeling overwhelmed by the challenges of substance use and unsure of where to turn?
Struggling with substance use can feel isolating, but you don’t have to face it alone. I specialize in substance abuse and recovery, providing a supportive, nonjudgmental space for healing. Using evidence-based approaches, I help clients understand addiction, build coping strategies, and reclaim their lives. Together, we can create lasting change.
Are you feeling overwhelmed by the challenges of substance use and unsure of where to turn?
Struggling with substance use can feel isolating, but you don’t have to face it alone. I specialize in substance abuse and recovery, providing a supportive, nonjudgmental space for healing. Using evidence-based approaches, I help clients understand addiction, build coping strategies, and reclaim their lives. Together, we can create lasting change.
(346) 545-5953 View (346) 545-5953

See more therapy options for San Antonio

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.