Substance Use Therapists in San Antonio, TX

Photo of Derek Collins - SAP Evaluations , Drug & Alcohol Counselor, MEd, SAP, CADC-II, MATS
SAP Evaluations
Drug & Alcohol Counselor, MEd, SAP, CADC-II, MATS
1 Endorsed
San Antonio, TX 78257
We provide Substance Abuse Professional (SAP) Evaluations, for individuals requiring clearance for return-to-duty testing. Over the past decade, we've assisted thousands in completing their alcohol and drug evaluations and SAP evaluations for work. Our straightforward process helps you meet all necessary requirements to resume your role with safety and confidence. Contact us at 800-451-2170 to get started today.
We provide Substance Abuse Professional (SAP) Evaluations, for individuals requiring clearance for return-to-duty testing. Over the past decade, we've assisted thousands in completing their alcohol and drug evaluations and SAP evaluations for work. Our straightforward process helps you meet all necessary requirements to resume your role with safety and confidence. Contact us at 800-451-2170 to get started today.
(210) 361-1489 View (210) 361-1489
Photo of Shad Stout, Clinical Social Work/Therapist, LCSW
Shad Stout
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Life can bring challenges that leave you feeling anxious, stuck, or unsure of your next step. Whether you’re facing relationship struggles, battling depression or self-doubt, or working through the effects of past experiences, therapy offers a space for understanding and growth. I provide a supportive, professional environment where you can make sense of what’s been weighing you down and begin moving toward greater peace and fulfillment.
Life can bring challenges that leave you feeling anxious, stuck, or unsure of your next step. Whether you’re facing relationship struggles, battling depression or self-doubt, or working through the effects of past experiences, therapy offers a space for understanding and growth. I provide a supportive, professional environment where you can make sense of what’s been weighing you down and begin moving toward greater peace and fulfillment.
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Photo of Joslyn Drzymalla, Licensed Professional Counselor, MA, NCC, LPC-S
Joslyn Drzymalla
Licensed Professional Counselor, MA, NCC, LPC-S
1 Endorsed
San Antonio, TX 78217
Welcome to my practice! For over ten years I have worked as a licensed counselor, with experience in addictions, family violence, at-risk adolescents, and working with the HIV/AIDS population. I have specific training in Cognitive-Behavioral, Rational Emotive Behavioral, and Solution-Focused Brief therapies. These therapies have been shown through research to be effective in treating depression, anxiety, addictions, and other mental health diagnoses. I also like to incorporate relaxation, mindfulness, Dialectical Behavioral Therapy (DBT) techniques, and art therapy techniques in my work with clients.
Welcome to my practice! For over ten years I have worked as a licensed counselor, with experience in addictions, family violence, at-risk adolescents, and working with the HIV/AIDS population. I have specific training in Cognitive-Behavioral, Rational Emotive Behavioral, and Solution-Focused Brief therapies. These therapies have been shown through research to be effective in treating depression, anxiety, addictions, and other mental health diagnoses. I also like to incorporate relaxation, mindfulness, Dialectical Behavioral Therapy (DBT) techniques, and art therapy techniques in my work with clients.
(210) 625-8178 View (210) 625-8178
Photo of Chris Chandler, Counselor, LPC, LPCC, CSAT-S
Chris Chandler
Counselor, LPC, LPCC, CSAT-S
Online Only
I am a Christian counselor/coach and I am passionate about helping men experience freedom from compulsive behaviors and, as a result, a deeper connection with God, themselves, and others. I specialize in helping men struggling with addictive and compulsive behaviors like pornography, sex, drugs, alcohol, food, work, video games, relationships, etc. After more than 20 years of experience, I have found that true lasting healing does not happen in isolation. Weekly recovery groups provide the accountability, honesty, and brotherhood required for lasting transformation. That is why I now fully focus on the power of group work.
I am a Christian counselor/coach and I am passionate about helping men experience freedom from compulsive behaviors and, as a result, a deeper connection with God, themselves, and others. I specialize in helping men struggling with addictive and compulsive behaviors like pornography, sex, drugs, alcohol, food, work, video games, relationships, etc. After more than 20 years of experience, I have found that true lasting healing does not happen in isolation. Weekly recovery groups provide the accountability, honesty, and brotherhood required for lasting transformation. That is why I now fully focus on the power of group work.
(512) 812-9185 View (512) 812-9185
Photo of Gwendolyn Smith, Clinical Social Work/Therapist, LCSW
Gwendolyn Smith
Clinical Social Work/Therapist, LCSW
Online Only
Hello and welcome! If you are seeking help with relationships, marriage, addiction, depression, or anxiety, and you are ready to put in the work, I would be honored to assist you. If you've decided you want something different and better in your life, I am here to support you on your journey to find happiness within and become your best self. The reward of a happier and more fulfilling life at the end of this journey far outweighs the struggles and efforts it takes to achieve this transformation. I want to reassure you that people do heal, and I am deeply committed to helping you create your unique story of growth and healing.
Hello and welcome! If you are seeking help with relationships, marriage, addiction, depression, or anxiety, and you are ready to put in the work, I would be honored to assist you. If you've decided you want something different and better in your life, I am here to support you on your journey to find happiness within and become your best self. The reward of a happier and more fulfilling life at the end of this journey far outweighs the struggles and efforts it takes to achieve this transformation. I want to reassure you that people do heal, and I am deeply committed to helping you create your unique story of growth and healing.
(210) 742-5379 View (210) 742-5379
Photo of Robert Ludke, Licensed Professional Counselor Associate, LPC-A
Robert Ludke
Licensed Professional Counselor Associate, LPC-A
San Antonio, TX 78240
He has a special interest in PTSD, substance use recovery, and helping individuals manage the emotional demands of high-stress professions.
Robert L. Ludke is a Licensed Professional Counselor Associate and was born in Wisconsin and lived in several parts of the country, including many years in Chicago, shaping his appreciation for diverse communities. He earned his Master’s degree in Clinical Mental Health Counseling from Liberty University. He has clinical experience supporting teens, adults, and seniors in behavioral health settings. Robert has worked with military members, veterans, law enforcement professionals, and older adults navigating transitions related to aging, caregiving, and long-term care.
He has a special interest in PTSD, substance use recovery, and helping individuals manage the emotional demands of high-stress professions.
Robert L. Ludke is a Licensed Professional Counselor Associate and was born in Wisconsin and lived in several parts of the country, including many years in Chicago, shaping his appreciation for diverse communities. He earned his Master’s degree in Clinical Mental Health Counseling from Liberty University. He has clinical experience supporting teens, adults, and seniors in behavioral health settings. Robert has worked with military members, veterans, law enforcement professionals, and older adults navigating transitions related to aging, caregiving, and long-term care.
(830) 423-5822 View (830) 423-5822
Photo of Shannon Casares, Clinical Social Work/Therapist, LCSW-S
Shannon Casares
Clinical Social Work/Therapist, LCSW-S
Online Only
Hi, I’m a licensed clinical social worker with 8 years of experience supporting adults through complex & often overwhelming life challenges. My background includes extensive work in community mental health, where I provided care to individuals navigating trauma, severe stress, mood disorders, psychosis, and major life transitions. I believe therapy should feel like a genuine and collaborative space where you can process your emotions openly while also gaining practical tools for change. I value honesty in the therapeutic relationship and work to create an environment where clients feel understood, supported, and gently challenged.
Hi, I’m a licensed clinical social worker with 8 years of experience supporting adults through complex & often overwhelming life challenges. My background includes extensive work in community mental health, where I provided care to individuals navigating trauma, severe stress, mood disorders, psychosis, and major life transitions. I believe therapy should feel like a genuine and collaborative space where you can process your emotions openly while also gaining practical tools for change. I value honesty in the therapeutic relationship and work to create an environment where clients feel understood, supported, and gently challenged.
(726) 727-4054 View (726) 727-4054
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 feel that it is a privilege to walk beside clients as they navigate their lives and that they trust me to be part of the process. It is not lost on me how much the power of being a safe space to land is. I feel that everyone can use the support of a therapist to help teach them new skills, refresh their mind on old ones, and look at how a positive mindset can have a big impact on things!
I have been a therapist for 15 years and have experience with substance use counseling. I feel that it is a privilege to walk beside clients as they navigate their lives and that they trust me to be part of the process. It is not lost on me how much the power of being a safe space to land is. I feel that everyone can use the support of a therapist to help teach them new skills, refresh their mind on old ones, and look at how a positive mindset can have a big impact on things!
(726) 215-9666 View (726) 215-9666
Photo of Julie Estrada, Licensed Professional Counselor, LPC, LCDC, NCC
Julie Estrada
Licensed Professional Counselor, LPC, LCDC, NCC
San Antonio, TX 78230
I am a Licensed professional counselor and chemical dependency counselor. I provide trauma-informed, culturally sensitive therapy. With experience in diverse settings, I have helped individuals from a wide range of cultural and spiritual backgrounds navigate challenges from everyday stress to severe mental health issues. I am passionate about guiding those who feel stuck in the past, are facing life transitions, or are working on self-improvement toward creating meaningful and fulfilling lives.
I am a Licensed professional counselor and chemical dependency counselor. I provide trauma-informed, culturally sensitive therapy. With experience in diverse settings, I have helped individuals from a wide range of cultural and spiritual backgrounds navigate challenges from everyday stress to severe mental health issues. I am passionate about guiding those who feel stuck in the past, are facing life transitions, or are working on self-improvement toward creating meaningful and fulfilling lives.
(210) 941-4794 View (210) 941-4794
Photo of Kent Slayton, Licensed Professional Counselor, MA, LPC
Kent Slayton
Licensed Professional Counselor, MA, LPC
Online Only
I've been a therapist for over 45 years and thoroughly enjoy my work. I understand the personal nature of therapy and the difficulty it takes to ask for help when already feeling overwhelmed and vulnerable. I appreciate the responsibility and privilege given me when invited to join you in discussing personal and even painful issues. I'll listen, assume nothing, judge nothing, impose nothing and try to find a solution as individual and personal as your dilemma, as quickly as possible.
I've been a therapist for over 45 years and thoroughly enjoy my work. I understand the personal nature of therapy and the difficulty it takes to ask for help when already feeling overwhelmed and vulnerable. I appreciate the responsibility and privilege given me when invited to join you in discussing personal and even painful issues. I'll listen, assume nothing, judge nothing, impose nothing and try to find a solution as individual and personal as your dilemma, as quickly as possible.
(210) 429-7108 View (210) 429-7108
Jim Carter
Licensed Professional Counselor, MA, LPC
San Antonio, TX 78209
Jim has a Masters in Counseling and is a Licensed Professional Counselor. He has extensive experience working with people dealing with various issues such as personal and relationship problems, as well as depression, anxiety and substance abuse. Often when people are given the right information and support they are able to make the changes necessary to improve their lives. In his practice, Jim offers a nonjudgmental, safe, and often enjoyable experience.
Jim has a Masters in Counseling and is a Licensed Professional Counselor. He has extensive experience working with people dealing with various issues such as personal and relationship problems, as well as depression, anxiety and substance abuse. Often when people are given the right information and support they are able to make the changes necessary to improve their lives. In his practice, Jim offers a nonjudgmental, safe, and often enjoyable experience.
(210) 714-2676 View (210) 714-2676
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 Efrem D. DeHughes - Genesis Hope for Growth Counseling and Consulting, Clinical Social Work/Therapist, LCSW, SAP, LCDC-I
Genesis Hope for Growth Counseling and Consulting
Clinical Social Work/Therapist, LCSW, SAP, LCDC-I
Online Only
Genesis Hope for Growth is committed to providing quality counseling and consultation services with emphasis placed on competence, compassion and diversity. Specializing in empowering individuals in fulfilling your highest level of potential. Instilling hope and optimism in becoming your better self. Providing services to individuals, groups and organizations/businesses.
Genesis Hope for Growth is committed to providing quality counseling and consultation services with emphasis placed on competence, compassion and diversity. Specializing in empowering individuals in fulfilling your highest level of potential. Instilling hope and optimism in becoming your better self. Providing services to individuals, groups and organizations/businesses.
(210) 934-1783 View (210) 934-1783
Photo of Alexandria Harville, Licensed Professional Counselor, MA, LPC, NCC
Alexandria Harville
Licensed Professional Counselor, MA, LPC, NCC
Online Only
There are so many things going on in the world nowadays that even seeking help can be overwhelming. Sometimes, we don't know where to start. Sometimes, we just need someone to help encourage us and tell us that we can do this. We all need help sometimes and that help comes in many different forms. My name is Alex Harville and my goal is to help you become the best version of yourself by overcoming the barriers created by mental illness to achieve your goals. Mental illness is part of us, but it doesn't have to be the only part.
There are so many things going on in the world nowadays that even seeking help can be overwhelming. Sometimes, we don't know where to start. Sometimes, we just need someone to help encourage us and tell us that we can do this. We all need help sometimes and that help comes in many different forms. My name is Alex Harville and my goal is to help you become the best version of yourself by overcoming the barriers created by mental illness to achieve your goals. Mental illness is part of us, but it doesn't have to be the only part.
(830) 465-2683 View (830) 465-2683
Photo of Robert Jones, Drug & Alcohol Counselor, LCDC, DOT-SAP, ADC, Vet
Robert Jones
Drug & Alcohol Counselor, LCDC, DOT-SAP, ADC, Vet
San Antonio, TX 78245
I believe healing shouldn't come with a price tag that adds to your issues: Substance Use sessions are $50 per hour, out-of-pocket.
I believe an effective Counselor is one who supports individuals on their journey towards healing, and serves as a co-pilot guiding them through the challenges of process to a healthier, more fulfilling life. As a compassionate and empathetic individual, I have always been drawn to helping others overcome their struggles and find their path to happiness. My desire to become a counselor stems from a deep-rooted belief in the power of human connection and the transformative impact it can have on people's lives. Just as a co-pilot supports the pilot in navigating through rough weather, I aspire to be a trusted, unwavering guide.
I believe healing shouldn't come with a price tag that adds to your issues: Substance Use sessions are $50 per hour, out-of-pocket.
I believe an effective Counselor is one who supports individuals on their journey towards healing, and serves as a co-pilot guiding them through the challenges of process to a healthier, more fulfilling life. As a compassionate and empathetic individual, I have always been drawn to helping others overcome their struggles and find their path to happiness. My desire to become a counselor stems from a deep-rooted belief in the power of human connection and the transformative impact it can have on people's lives. Just as a co-pilot supports the pilot in navigating through rough weather, I aspire to be a trusted, unwavering guide.
(210) 880-6480 View (210) 880-6480
Photo of Wendy Ashley Paulsen, Licensed Professional Counselor, MS, LPC, LCDC
Wendy Ashley Paulsen
Licensed Professional Counselor, MS, LPC, LCDC
San Antonio, TX 78249
I love being a counselor. Watching my clients transform and grow is the most rewarding part of my job. I have specialized for over a decade in addiction and trauma, with emphasis on issues facing today's teens.. I meet my clients where they are emotionally, encouraging them to find their inner strengths and work toward goals together. We all have the innate ability to handle whatever life throws our way. However, it is often overwhelming and feels too heavy to walk through alone. My mission is to listen without judgment and help my clients find solutions that increase their overall well-being.
I love being a counselor. Watching my clients transform and grow is the most rewarding part of my job. I have specialized for over a decade in addiction and trauma, with emphasis on issues facing today's teens.. I meet my clients where they are emotionally, encouraging them to find their inner strengths and work toward goals together. We all have the innate ability to handle whatever life throws our way. However, it is often overwhelming and feels too heavy to walk through alone. My mission is to listen without judgment and help my clients find solutions that increase their overall well-being.
(210) 985-5290 View (210) 985-5290
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 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 Gerardo Torres, Licensed Professional Counselor Associate, LPC-A, LCDC-I
Gerardo Torres
Licensed Professional Counselor Associate, LPC-A, LCDC-I
3 Endorsed
San Antonio, TX 78228
Reaching out for support can feel overwhelming, but you don’t have to navigate it alone. I offer a client-centered, trauma-informed space for adolescents (13+) and adults to feel supported, seen, and empowered. I believe therapy isn’t about fixing what’s broken, but about uncovering the strengths you already have and using them as a foundation for growth and healing.
Reaching out for support can feel overwhelming, but you don’t have to navigate it alone. I offer a client-centered, trauma-informed space for adolescents (13+) and adults to feel supported, seen, and empowered. I believe therapy isn’t about fixing what’s broken, but about uncovering the strengths you already have and using them as a foundation for growth and healing.
(210) 941-4112 View (210) 941-4112
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.
(830) 326-4152 View (830) 326-4152

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.