Substance Abuse Counselors in Richmond, VA

Drug Abuse Treatment & Therapy

If you’re looking for substance abuse counselors in Richmond, VA, our licensed professionals are here to help. We treat various forms of drug abuse & substance use disorders.

Not only do we provide counseling, but our therapists work closely with our board-certified nurse practitioners to provide more comprehensive care. Our PMHNPs can perform substance abuse evaluations, diagnose certain conditions, and prescribe medication, if needed.

Mental health care should never be a one size fits all approach.
  • Our substance abuse counselors are available for in-person sessions in Richmond, VA, as well as telehealth throughout Virginia
  • We never take a one-size-fits-all approach; every client is unique
  • Our PMHNPs work alongside our counselors to help diagnose conditions, run tests, and prescribe medication, if needed

If you’re curious how a substance abuse counselor might be able to help, let’s define some commonly used terms, talk about the signs & symptoms of substance abuse, and discuss a few treatment options that you might find helpful.

What Is Substance Use Disorder?

Substance Use Disorder (SUD) is a medical condition characterized by an uncontrollable use of substances such as alcohol, prescription medications, or illicit drugs despite harmful consequences.

It affects the brain’s reward, motivation, and memory systems, making it difficult for individuals to stop on their own.

Key Facts About Substance Use Disorders:

  • According to the National Institute on Drug Abuse, approximately 20 million Americans aged 12 or older have a substance use disorder.
  • SAMHSA reports that only about 10% of individuals with SUD receive treatment.
  • Substance use disorders can impact physical health, mental health, relationships, and occupational performance.

Understanding SUDs is the first step in seeking professional support and effective treatment.

Substance Abuse Disorders vs. Substance Use Disorders (SUDs)

While these terms are often used interchangeably, there is a slight distinction:

TermDefinitionExample
Substance Abuse DisorderHistorically used to describe repeated harmful use of substancesRepeated alcohol binge drinking affecting work and relationships
Substance Use Disorder (SUD)Modern, clinical term encompassing a spectrum from mild to severeAlcohol use disorder, opioid use disorder, cannabis use disorder

Using the “SUD” terminology aligns with DSM-5 diagnostic standards and is more precise for treatment planning.

We will use both terms interchangeably throughout the rest of this page, but please know that our office aligns with current DSM-5 standards.

Substance Use Symptoms

Recognizing the signs of substance use is critical for early intervention. Symptoms may include:

  • Behavioral changes: secrecy, withdrawal from family/friends, neglecting responsibilities
  • Physical signs: bloodshot eyes, changes in appetite, unexplained weight loss or gain
  • Emotional signs: mood swings, anxiety, depression
  • Cognitive signs: poor concentration, memory problems

Examples of Substance Use Disorders:

  • Alcohol Use Disorder
  • Opioid Use Disorder
  • Cannabis Use Disorder
  • Stimulant Use Disorder (cocaine, methamphetamine)
  • Nicotine Use Disorder

For more information, see the CDC’s National Center for Health Statistics.

Substance Use Evaluations/Assessments

A substance use evaluation is often the first step in treatment. Evaluations help identify:

  • types of substances used
  • frequency and quantity of use
  • impact on physical, mental, and social health
  • co-occurring mental health conditions

What you can expect during a SUD evaluation:

  • Clinical interview with a licensed counselor or therapist
  • Screening questionnaires or standardized assessment tools
  • Review of medical and psychiatric history
  • Personalized treatment recommendations

Types of Therapy to Treat Substance Use Disorders

Evidence-based therapies for SUDs include:

Cognitive Behavioral Therapy

Identifies triggers and develops healthier coping strategies.

More about CBT Therapy →

Motivational Interviewing

Enhances motivation to change substance use behaviors.

Dialectical Behavior Therapy

Focuses on emotional regulation and coping with stress.

More about DBT Therapy →

Group Therapy

Provides peer support and accountability.

Family Therapy

Addresses relational patterns that affect recovery.

Combining multiple treatment approaches often yields the best outcomes. We have counselors on staff that provide all of these therapy options.

How Our Substance Abuse Counselors Can Help

Our substance abuse counselors in Richmond, VA specialize in individualized, evidence-based care. They can:

  • conduct thorough assessments to identify your unique needs
  • create a personalized treatment plan
  • provide ongoing counseling and support
  • teach coping strategies to prevent relapse
  • coordinate care with nurse practitioners for advanced care & medication management,  when necessary

Substance Abuse Counselors in Richmond, VA

Finding a local counselor is essential for convenient and consistent care. Our team offers:

  • licensed professionals trained in SUD treatment
  • confidential and compassionate sessions
  • flexible scheduling for adults and teens
  • integrated care addressing co-occurring mental health conditions
Carlie Powers, LMFT, CST, CAADC

Carlie Powers

LMFT, CST, CAADC

AVAILABILITY
In-Person & Virtual (Telehealth)
Specialties
AnxietyBipolar DisorderCognitive Behavioral TherapyCouplesDepressionEating DisordersGender DysphoriaGrief/LossProlonged ExposurePTSDSex TherapySubstance Abuse
Joshua Barefoot, LPC

Josh Barefoot

LPC

AVAILABILITY
In-Person & Virtual (Telehealth)
Specialties
AnxietyAutismBipolar DisorderBorderline Personality Disorder (BPD)Cognitive Behavioral TherapyDepressionEating DisordersERPFamilyGrief/LossOCDPTSDSubstance Abuse
Laurie Manns, LPC

Laurie Manns

LPC, CSAC

AVAILABILITY
In-Person & Virtual (Telehealth)
Specialties
AnxietyBipolar DisorderBorderline Personality Disorder (BPD)Cognitive Behavioral TherapyDepressionDialectical Behavior TherapyEating DisordersERPGender DysphoriaGrief/LossOCDProlonged ExposurePTSDSubstance Abuse
Robyn D'Reaux-Rodgers, LCSW

Robyn D’Reaux-Rodgers

LCSW

AVAILABILITY
In-Person & Virtual (Telehealth)
Specialties
AnxietyBipolar DisorderBorderline Personality Disorder (BPD)Cognitive Behavioral TherapyDepressionDialectical Behavior TherapyEating DisordersERPGender DysphoriaGrief/LossOCDProlonged ExposurePTSDSubstance Abuse
Shenika Whitaker-Carlos, LCSW

Shenika Whitaker-Carlos

LCSW, CSOTP

AVAILABILITY
In-Person & Virtual (Telehealth)
Specialties
AnxietyBipolar DisorderBorderline Personality Disorder (BPD)Cognitive Behavioral TherapyDepressionDialectical Behavior TherapyEMDRERPGender DysphoriaGrief/LossOCDProlonged ExposurePTSDSubstance Abuse

What to Expect During a Counseling Session

When you attend a substance abuse counseling session, you can expect:

  • a safe, non-judgmental environment
  • discussion of substance use history, triggers, and goals
  • development of coping strategies and relapse prevention plans
  • emotional support and skill-building exercises

Each session is tailored to your pace and comfort level.

Substance Abuse Treatment FAQs

Here are a few general questions about substance abuse counseling and the services we provide at our office in Richmond, VA.

What does “substance use” mean?

Substance use refers to the consumption of alcohol, drugs, or other psychoactive substances, whether recreationally or habitually.

What is the definition of a substance use disorder?

A substance use disorder (SUD) is a medical condition where substance use causes significant impairment or distress, interfering with daily life.

What is the most common type of substance use disorder?

Alcohol Use Disorder is the most prevalent SUD in the U.S., followed by cannabis and opioid use disorders.

Is substance use disorder a mental health disorder?

Yes. SUD is classified as a behavioral health disorder and often co-occurs with other mental health conditions such as depression or anxiety.

What causes substance use disorder?

SUDs can result from a combination of genetic, environmental, and psychological factors, including trauma, stress, and social influences.

Are substance abuse counselors covered by insurance?

Yes. Our office accepts many forms of insurance, including medicare. Check our insurance page for a complete list of insurance providers.

Our Therapy Office

Our therapy office is located in the heart of West End Richmond, in the Innsbrook business complex—at the crossroads of I-64, I-295, Hwy 288, and West Broad St. We share the Liberty Plaza I building with several law offices, financial services companies, and other Richmond-area businesses, at the corner of Cox Rd. & North Park Dr.

4801 Cox Road, Suite 205
Glen Allen, VA 23060
Directions →

Aspect Counseling and Psychiatry, Richmond office entrance
The front entrance to our therapy & counseling office in Innsbrook, in Richmond’s West End.

Take the First Step Toward Recovery

If you’re looking for substance abuse counselors in Richmond, VA, our licensed professionals are here to provide…

  • personalized therapy
  • evidence-based treatment plans
  • compassionate support
  • medication management

…so you can take control of your life and work toward lasting recovery.

Contact us today to schedule your first session.