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Offered in-person & online

Our counselors offer substance abuse counseling in Richmond, VA

Start in-person or online sessions with a provider you can trust. We accept most major insurances. Book online or by giving us a call

Get in-person or online care, and cover the majority of the costs with your insurance. Scheduling is easy — call our team and they’ll help you find your perfect match.

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686,000 people sought help with Thriveworks in the last year

Discover how starting substance abuse counseling can support your own journey toward a happier, more fulfilling life.

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Starting Substance abuse counseling in Richmond

What is substance abuse counseling?

Substance abuse counseling can help people manage their urges to use the substance they’re addicted to. In addition, it can help people manage the challenges that stem from their substance abuse from relationship issues to problems at work as well as those that their addiction may stem from like trauma.

How does substance abuse counseling work?

Thriveworks substance abuse counseling in Richmond, VA works by helping one understand the underlying causes of their substance abuse, teaching them coping strategies, and recognizing their specific triggers. Long-term or ongoing substance abuse counseling can also help to prevent relapse.

Is substance abuse counseling conducted in person or online?

Thriveworks substance abuse counseling in Richmond, VA is conducted both in person and through online therapy. We encourage you to choose the option that works best for you.

How long does substance abuse counseling last?

The length of substance abuse counseling depends on the individual’s needs, the extent and severity of their substance abuse, and the problems that might stem from it. That said, people can make meaningful progress in substance abuse counseling in the first weeks to months.

Need more help deciding?

If you are in need of a SAP evaluation in Richmond, Virginia, contact:

Thriveworks Counseling
5310 Markel Rd., Suite #102
Richmond, Va. 23230
Tel: (804) 554-0356
If your job falls under the U.S. Department of Transportation (DOT) guidelines, there are certain policies and regulations that must be followed. In the hiring process for this position, you were asked to submit to a drug and/or alcohol screening. After you are on the job, you are also subject to random screenings. If an accident occurs on the job, you may have to undergo an additional screening for drugs and/or alcohol as part of the investigation process.

The Office of Drug and Alcohol Policy and Compliance advises the Secretary on national and international drug testing and control issues and is the principal advisor to the Secretary on rules related to the drug and alcohol testing and safety-sensitive transportation employees in aviation, trucking, railroads, mass transit, pipelines and other transportation industries. The Office publishes regulations and provides official interpretations on drug and alcohol testing, including how to conduct tests, and the evaluation and treatment procedures necessary for returning employees to duty after testing violations.

What is a Substance Abuse Professional?

If you have failed a DOT drug and alcohol test, you have probably read about SAPs—or Substance Abuse Professionals. SAPs, according to DOT regulations, are the professionally licensed, credentialed individuals who are responsible for the following:

  • Conducting an initial face-to-face employee evaluation and clinical assessment to determine the level of assistance necessary for an employee who is identified as having alcohol and/or drug-associated problems.
  • Recommending and referring the employee to an appropriate education and/or treatment program.
  • Monitoring the employee’s progress in the education and/or treatment process through regular contact with the treatment provider to check on the employee’s progress and to determine if the recommendation needs to be adjusted or changed. The next contact the SAP has with the employee will be for a follow-up evaluation at the completion of education and/or treatment.
  • Providing the Designated Employer Representative with the follow-up evaluation of the employee and a drug and/or alcohol-testing plan for the employee.

Substance Abuse Professionals represent the major decision point (and, in some cases, the only decision point) an employer may have in choosing whether or not to place an employee behind the steering wheel of a school bus, in the cockpit of a plane, at the helm of an oil tanker, at the throttle of a train, in the engineer compartment of a subway car, or at the emergency control valves of a natural gas pipeline, according to the U.S. DOT.

The SAP is the person who verifies if the employee has successfully complied with his initial recommendation.

SAPs Do Not

SAPs do not provide counseling of the employee. Instead, the SAP is the professional who makes the recommendations for the appropriate education and/or treatment, follow-up tests and aftercare.

SAPs do not make a “fitness for duty” determination as part of the re-evaluation (unless required to do so under an applicable DOT agency regulation). The employer (the DOT) decides whether the employee should be placed back to work in a safety-sensitive position.

Thriveworks Richmond SAPs

At Thriveworks Richmond, we are very serious about the responsibilities and vital role of SAPs. As “gatekeepers” of the process by providing a crucial service to the employee, the employer and the millions of people who travel throughout the nation, SAPs have an immense obligation to the public. The SAP is the individual who ensures that the employee has successfully complied–or has not complied–with the SAP recommendation. The SAPs at Thriveworks Richmond are professionally licensed and knowledgeable of the DOT guidelines. They have:

  • Clinical experience in the diagnosis of substance abuse-related disorders.
  • An understanding of how the SAP role relates to the responsibilities employers have for ensuring the safety of the traveling public.
  • Meet all SAP standards and training requirements.
  • Hold qualifications and credentials to fill the role of SAP.
  • Regularly attend continuing education activities.
  • Knowledge and understanding of reporting that the employee has or has not complied with the SAP’s recommendation.
  • Have a passing score on the examination for the role of SAP.
  • Understanding of the U.S. DOT’s expanded and revised drug use and alcohol misuse prevention rules for the commercial transportation industries.
  • The background and reasoning of the DOT’s drug and alcohol testing program.
  • Knowledge the DOT’s drug and alcohol testing rules.
  • Knowledge of DOT drug testing requirements, such as laboratory testing and collections.
  • Understanding of the role of the SAP in the initial employee evaluation, referrals for education and/or treatment, the follow-up evaluation, continuing treatment recommendation and the follow-up testing plan.
  • Knowledge of reporting and record-keeping requirements.

What Credentials are Necessary to be a SAP?

Credentials are mandatory to fill the role of a SAP. A SAP must hold one of the following credentials.

  • Licensed physician (Doctor of Medicine or Osteopathy).
  • Licensed or certified social worker.
  • Licensed or certified psychologist.
  • Licensed or certified employee assistance professional.
  • State-licensed marriage and family therapist.
  • A drug and alcohol counselor certified by the National Association of Alcoholism and Drug Abuse Counselors Certification Commission; or by the International Certification Reciprocity Consortium/Alcohol and Other Drug Abuse; or by the National Board for Certified Counselors, Inc. and Affiliates/Master Addictions Counselor.

Drug Addiction

Many people don’t understand why or how other people become addicted to drugs. They may mistakenly think those who use drugs lack moral principles or willpower and that they could stop their drug use simply by choosing to. In reality, drug addiction is a complex disease, and quitting usually takes more than good intentions or a strong will. Drugs change the brain in ways that make quitting hard, even for those who want to. Fortunately, researchers know more than ever about how drugs affect the brain and have found treatments that can help people recover from drug addiction and lead productive lives.*

*National Institute on Drug Abuse

How Soon Can I Get an Appointment With the SAP?

Thriveworks Richmond SAPs typically schedule initial evaluations within five business days. In addition, the SAP’s recommendation about appropriate education and/or treatment program is dependent on your specific needs, which includes the presence of and, if identified, severity of your drug or alcohol problem. The SAP will identify the level of drug and/or alcohol use in order to make the recommendation about education and/or treatment.

Pricing & insurance

Our therapists accept most major insurances. We accept 360+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our therapists and counselors in Richmond accept 30 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS HMO

  • Anthem Blue Cross and Blue Shield Virginia | BCBS PPO

  • Anthem Blue Cross and Blue Shield Virginia | Exchange

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS HMO

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Carelon | Medicare Advantage

  • Cigna | Evernorth

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Self-pay costs at Richmond
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

4.8 Learn about verified reviews
★★★★★
Counselor is great meets my needs
Clara Sep 2025
Thriveworks.com verified review
★★★★★
I loved how much my provider listened and communicated with me!
Sierra Sep 2025
Thriveworks.com verified review
★★★★★
Opening my eye to the reality of my life
Jwan Sep 2025
Thriveworks.com verified review
★★★★★
Thriveworks makes everything easy and seamless. I appreciate having providers that are able to connect and see progress notes because they are part of the same system. My therapist, Paula O'Leary, is an absolutely wonderful therapist and is helping me transform my life. She is able to work with me in the way I need it and helps me more every single session. Additionally, my Psychiatrist Dr. Ileana Asanache is also spectacular and is the only psychiatrist I've ever felt comfortable with. She listens to my concerns and needs and eases me into every medication/transition so that I am comfortable. This new med regimen she has me on has literally changed my life for the better. I the following diagnoses: Bipolar 2, Anxiety, PTSD, Nightmare Disorder, and we are exploring a SUD disorder as well. They have helped me not just with my mental health, but my addiction, my career, my relationships/boundaries, and overall are helping me improve my life immensely.
Read more Thriveworks makes everything easy and seamless. I appreciate having providers that are able to connect and see progress notes because they are part of the same system. My therapist, Paula O'Leary, is an absolutely wonderful therapist and is helping me transform my life. She is able to work with me in the way I need it and helps me more every single session. Additionally, my Psychiatrist Dr. Ileana Asanache is also spectacular and is the only psychiatrist I've ever felt comfortable with. She listens to my concerns and needs and eases me into every medication/transition so that I am comfortable. This new med regimen she has me on has literally changed my life for the better. I the following diagnoses: Bipolar 2, Anxiety, PTSD, Nightmare Disorder, and we are exploring a SUD disorder as well. They have helped me not just with my mental health, but my addiction, my career, my relationships/boundaries, and overall are helping me improve my life immensely.
Katherine Sep 2025
Thriveworks.com verified review
★★★★★
He is a great listener and gives great advice.
William Sep 2025
Thriveworks.com verified review
★★★★★
I appreciate her identifying my tells in my body language and helping me see them as well. She lets me talk through my experiences. She validates my experiences and has shed light on them with her objective perspective. She was honest enough to tell me when I needed more support and refer me to an IOP program. I am thankful for that. She educates me on her techniques and talks through strategies. .
Read more I appreciate her identifying my tells in my body language and helping me see them as well. She lets me talk through my experiences. She validates my experiences and has shed light on them with her objective perspective. She was honest enough to tell me when I needed more support and refer me to an IOP program. I am thankful for that. She educates me on her techniques and talks through strategies. .
Katrina Jun 2025
Thriveworks.com verified review
★★★★★
She listens. She is helpful. She tells me the truth. I need to be hit with a 2x4 sometimes and sometimes she does. Thanks
Matthew Jun 2025
Thriveworks.com verified review
★★★★★
Very easy to get started and scheduled with a great therapist, Tameka Boone, who immediately made me feel comfortable.
Alexandra Jun 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Richmond is located off of Markel Rd, just south of Libbie Place Shopping Center. Our building is across the street from the Faison Center and next to Pandora’s Lashes and Coates and Davenport, P.C. Our office is in the Enterprise Center, which we share with Liquid Talent Agency and SIL Insurance, among other businesses.

Phone number

(804) 312-5498

Languages spoken by VA providers

  • English
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm

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Sunday 8:00am - 6:00pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm

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