

Addiction recovery support in Richmond, Texas is accessible through Headway's network of 2,816 licensed providers who specialize in evidence-based approaches like CBT, DBT, and motivational interviewing. Whether you're addressing alcohol use disorder, substance misuse, or behavioral addiction, virtual and in-person sessions help you work toward sobriety with flexible scheduling and insurance coverage.
If you've been searching for a therapist who truly gets where you're coming from, whether you're navigating anxiety, depression, family tension, ADHD, or struggling with substances, I want you to feel at home here from the first conversation. I work with individuals, couples, and families across all stages of life, including children, teens, and older adults. I offer sessions in both English and Spanish, and I warmly welcome clients of faith who want their beliefs to be a real part of the healing process.
This work found me early. I grew up watching my parents serve their community with unconditional love, and as a teenager I realized that was the path for me too. Over 10 years into this calling, that hasn't changed.
Experienced in providing care, interventions designed to promote mental and physical health. Empathetic, culturally competent and results oriented.
Hello, I’m Henrietta Pieh, MSN, APRN, PMHNP-BC, a Board-Certified Psychiatric Mental Health Nurse Practitioner. I provide compassionate, patient-centered care to individuals across the lifespan through comprehensive psychiatric evaluations, medication management, and supportive collaboration.
My background includes years of nursing experience in inpatient psychiatry, crisis stabilization, addiction recovery, and geriatric mental health. I believe in meeting clients where they are, building trust through empathy, and working together toward meaningful progress and emotional well-being.
Whether you are navigating stress, depression, anxiety, trauma, or other life challenges, my goal is to create a safe and supportive space where you feel heard, respected, and empowered in your healing journey.
My goal is to create a safe space where the superman cape, the mask, the facade that you've had to show the world can come down. That cape is really heavy.
I want to extend a special invitation to those in the helping professions: this is a safe place to discuss those crazy stories, and know you'll never feel judged or looked down on. As a former social worker, I can tell you I've seen my own share of the best and worst humanity has to offer. My dark sense of humor is a load-bearing structure.
Clients should know that I bring both professional expertise and genuine compassion to every session. I specialize in working with neurodiverse individuals, people managing anxiety or depression, and those navigating major life transitions. My approach is client-centered and collaborative, meaning I value your voice in the process and tailor our work together to your unique goals.
I believe in creating a safe, supportive space where you can be fully yourself without judgment. My role is to listen, guide, and equip you with tools that promote resilience, self-awareness, and growth. I also understand the importance of balancing mental health with real-life challenges like school, work, and relationships, and I integrate practical strategies to help you thrive in each area.
Most importantly, I want clients to know that they are not alone. Together, we will work at a pace that feels right for you, focusing on both healing and building the confidence to move forward.
What truly sets me apart is my calm, compassionate, and nonjudgmental approach. I believe in meeting every individual exactly where they are, creating a safe and affirming space for open, honest communication. Together, we’ll build a collaborative relationship where goals, preferences, and values guide every step of your care. I am committed to providing stigma-free care; including those navigating challenges related to neurodivergence, substance use, trauma, identity or difficult past experiences. Everyone deserves to be seen, heard, and respected without fear of shame or judgment.


Headway makes it easier to find support for overcoming addiction — from finding the right provider, to understanding costs, to scheduling with ease.
Finding addiction therapists in Richmond starts with understanding the kind of support that fits your needs. Addiction care can include support for alcohol use, substance use, prescription drug misuse, behavioral addictions, and concerns that overlap with anxiety, depression, or trauma. Look for a therapist whose profile lists experience with addiction, substance use, harm reduction, motivational interviewing, cognitive behavioral therapy for substance use, or coordination with medication-assisted care. Some people may also work with a psychiatrist or other prescriber as part of their care team.
Richmond is a smaller market, so local in-person options may be more limited than in larger Texas cities. Virtual appointments can expand your search while still letting you choose a therapist who understands addiction care and fits your schedule. As you compare Richmond counselors, look at whether each therapist is accepting new patients, offers appointment times that work for you, and describes a non-judgmental approach to care. Reading bios can help you understand how a therapist talks about recovery, relapse, harm reduction, and long-term support before you book.
Therapy in Richmond can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs. Headway helps you search for addiction therapists who accept a wide range of insurance plans, review estimated out-of-pocket costs before booking, and compare virtual and in-person availability. You can browse therapists, read profiles, and book directly when you’re ready.
If you or someone you know is experiencing severe withdrawal symptoms — especially from alcohol or benzodiazepines — talk to a medical provider or seek emergency care before starting outpatient therapy. If you or someone you know is struggling with addiction or substance use and is in a crisis, immediately reach out to:
* 988 Suicide & Crisis Lifeline — call or text 988 * SAMHSA National Helpline — 1-800-662-HELP (4357), free, confidential, 24/7 * Crisis Text Line — text HOME to 741741
If you're already taking psychiatric medication and considering switching providers, talk to your current prescriber before changing or stopping any medication — most psychiatric medications shouldn't be stopped abruptly. Anyone experiencing thoughts of self-harm or in acute crisis should call 988 or go to the nearest emergency department rather than wait for an outpatient appointment.
Use left and right arrow keys to switch tabs. Press Shift+Tab to return to the tab list from links in the selected tab.