Patient guide

Finding Help for Substance Use in Texas

Find mental health providers in Texas who can help with substance use. Substance use disorders are medical conditions, not moral failures, and they are treatable. Care ranges from outpatient counseling and medication to more intensive support, and recovery is possible at any stage.

Substance use disorders are treatable medical conditions, not moral failures. Care ranges from outpatient counseling and medication-assisted treatment to more intensive support, and recovery is possible at any stage. Find providers who treat substance use on HometownMind, or get matched for free. In an emergency, call 911 or 988.

Information current as of June 2026. General education, not medical advice.

Substance Use providers in Texas

Mental health providers are licensed by state, so your care needs to come from someone licensed in Texas. These providers practice there and treat a range of conditions, including substance use. Not sure who fits best? Get matched free for a personalized recommendation, or choose a different state.

Chika Galega-Sabum

Addiction Counselor
Houston, TX
Addiction & Substance Use Counseling

Mary Bolles, PMHNP

Addiction Counselor
Austin, TX
Addiction & Substance Use Counseling

Paula Hudgins, RNCS-BC

Addiction Counselor
Waxahachie, TX
Addiction & Substance Use Counseling

Susan Weeks, MS, RN, LMFT, LCDC

Addiction Counselor
Fort Worth, TX
Addiction & Substance Use Counseling

Aida Dabreo, APN-BC

Addiction Psychiatrist
Dallas, TX
Addiction Psychiatry

Kurt Smalley

Addiction Counselor
Lewisville, TX
Addiction & Substance Use Counseling

Albert Jameson, LPC

Addiction Counselor
Fort Worth, TX
Addiction & Substance Use Counseling

Emilio Cardona, MD

Addiction Psychiatrist
Houston, TX
Addiction Psychiatry

Joel Holiner, MD

Addiction Psychiatrist
Dallas, TX
Addiction Psychiatry

Joseph Gardzina, LCDC

Addiction Counselor
Angleton, TX
Addiction & Substance Use Counseling

Kevin Glasser, MA, LPC

Addiction Counselor
Houston, TX
Addiction & Substance Use Counseling

Johnny Nutt, MA

Addiction Counselor
Mineola, TX
Addiction & Substance Use Counseling

Henry Hardt, PHD

Addiction Counselor
Waco, TX
Addiction & Substance Use Counseling

Gary Drouillard, MD

Addiction Psychiatrist
San Antonio, TX
Addiction Psychiatry

Mary Way, LPC, LMFT, LCDC

Addiction Counselor
Adkins, TX
Addiction & Substance Use Counseling

Yvonne Secord, LPC, LCDC

Addiction Counselor
Fort Sam Houston, TX
Addiction & Substance Use Counseling

Kathleen Stanley, MD

Addiction Psychiatrist
Lubbock, TX
Addiction Psychiatry

Debra Osterman, MD

Addiction Psychiatrist
Houston, TX
Addiction Psychiatry

Rodolfo Arredondo, EDD

Addiction Counselor
Lubbock, TX
Addiction & Substance Use Counseling

Carmen Alspach, LPC, LCDC

Addiction Counselor
Ft Hood, TX
Addiction & Substance Use Counseling

Joseph Hawkins, MA LPC LCDC

Addiction Counselor
Houston, TX
Addiction & Substance Use Counseling

Satish Narayan, MD

Addiction Psychiatrist
Plano, TX
Addiction Psychiatry

Hallie Brown, LCDC

Addiction Counselor
Temple, TX
Addiction & Substance Use Counseling

Luis Rodriguez, LCDC

Addiction Counselor
Temple, TX
Addiction & Substance Use Counseling

Providers most relevant to substance use are listed first. For a precise condition fit, get matched free.

See all Texas providers

Find substance use providers in another state

Common signs

How substance use is treated

Medication-assisted treatment

For some substances, prescribers can offer medications that reduce cravings and support recovery.

Counseling and therapy

Evidence-based therapies address the patterns and stressors that drive use.

Which provider treats substance use?

Choose a provider who treats substance use with a nonjudgmental, evidence-based approach. In an emergency, call 911 or 988. Psychiatrists and psychiatric nurse practitioners can prescribe and manage medication, while therapists provide talk therapy such as CBT. Many people work with both.

How psychiatrists, psychiatric nurse practitioners, and therapists differ
PsychiatristPsychiatric nurse practitionerTherapist
Can prescribe medicationYesYesNo
Typical trainingMedical degree (MD or DO) plus a psychiatry residencyGraduate nursing degree (MSN or DNP) with psychiatric certificationMaster's or doctoral degree in counseling, psychology, or social work
Primary focusDiagnosis and medication managementDiagnosis and medication managementTalk therapy and counseling
Often best forComplex or severe conditions and medication needsMedication management, frequently with shorter wait timesTalk therapy, coping skills, and ongoing support

Frequently asked questions

Is substance use disorder a disease?

Yes. Substance use disorders are recognized medical conditions, not a lack of willpower. They are treatable, and effective, evidence-based care is available.

What is medication-assisted treatment?

Medication-assisted treatment (MAT) uses FDA-approved medications, alongside counseling, to reduce cravings and support recovery for substances such as opioids and alcohol. A qualified prescriber can determine if it is right for you.

Where can I find compassionate, nonjudgmental treatment?

On HometownMind you can find providers who treat substance use with an evidence-based, nonjudgmental approach, or get matched for free. In an emergency, call 911 or 988.

Authoritative resources

Other conditions

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