Substance Use Therapists in Bryn Mawr, PA
![Photo of Chris J Malanga, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a4b3552e-5c4d-4a80-99b1-657eef9594d9/3/320x400.jpeg)
Chris J Malanga
Licensed Professional Counselor, MA, LPC
Verified Verified
6 Endorsed
Bryn Mawr, PA 19010
I support individuals and families navigating anxiety, depression, ADHD, substance use, professional challenges, and family issues.
Are you feeling like the happiness, peace of mind, and professional success which you desire is consistently out of your grasp? My typical client knows that something in their life is not working, and they are ready to seek out meaningful change. Making the first step to reach out and pursue support is often the most difficult step. The good news is that psychotherapy and professional coaching are powerful tools for creating lasting change; for those ready to make the leap.
I support individuals and families navigating anxiety, depression, ADHD, substance use, professional challenges, and family issues.
Are you feeling like the happiness, peace of mind, and professional success which you desire is consistently out of your grasp? My typical client knows that something in their life is not working, and they are ready to seek out meaningful change. Making the first step to reach out and pursue support is often the most difficult step. The good news is that psychotherapy and professional coaching are powerful tools for creating lasting change; for those ready to make the leap.
![Photo of Mary Salotto, PsyD, Psychologist](https://photos.psychologytoday.com/a42a6bb3-b57c-409e-b6d8-e778ad2dee17/1/320x400.jpeg)
Mary Salotto
Psychologist, PsyD
Verified Verified
3 Endorsed
Bryn Mawr, PA 19010 (Online Only)
Waitlist for new clients
I have experiences in clinical settings ranging from schools to substance use treatment & evaluation of severe mental illness.
I believe that therapy should be a partnership and strive to create a warm environment where trust can grow and people can thrive. I hope to help each of my clients identify what makes them their best selves and learn how to leverage those strengths. By finding ways to work with your unique brain instead of against it, we can create individualized strategies that are both practical and effective for you and your ADHD. As a person with ADHD myself, I also know that its effects often reach outside of productivity and organization into psychological and emotional wellbeing.
I have experiences in clinical settings ranging from schools to substance use treatment & evaluation of severe mental illness.
I believe that therapy should be a partnership and strive to create a warm environment where trust can grow and people can thrive. I hope to help each of my clients identify what makes them their best selves and learn how to leverage those strengths. By finding ways to work with your unique brain instead of against it, we can create individualized strategies that are both practical and effective for you and your ADHD. As a person with ADHD myself, I also know that its effects often reach outside of productivity and organization into psychological and emotional wellbeing.
![Photo of Michael M. Green, MDiv, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9d8f6af1-26f4-4fb1-b51e-7c269194aadf/2/320x400.jpeg)
Michael M. Green
Licensed Professional Counselor, MDiv, MA, LPC
Verified Verified
2 Endorsed
Bryn Mawr, PA 19010
As a Licensed Professional Counselor I provide therapy to individuals, couples, and families. I have several years of experience working with a diverse array of people and have had the privilege to walk alongside people as they navigated a variety of life conditions and issues. I treat individuals that are dealing with such issues as anxiety, depression, self-esteem issues, divorce recovery, grief and loss, ADHD, anger and conduct issues, trauma, substance use and abuse issues, gambling, sexual and process addictions, addict in the family issues, codependency, attachment issues, personality disorders, and spiritual conflicts.
As a Licensed Professional Counselor I provide therapy to individuals, couples, and families. I have several years of experience working with a diverse array of people and have had the privilege to walk alongside people as they navigated a variety of life conditions and issues. I treat individuals that are dealing with such issues as anxiety, depression, self-esteem issues, divorce recovery, grief and loss, ADHD, anger and conduct issues, trauma, substance use and abuse issues, gambling, sexual and process addictions, addict in the family issues, codependency, attachment issues, personality disorders, and spiritual conflicts.
![Photo of Michael E Silverstein, PhD, Psychologist](https://photos.psychologytoday.com/3de26b82-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I am a licensed psychologist in Pennsylvania, have completed Level 3 Gottman Method Couples Therapy Training, and am certified by the American Psychological Association in the Treatment of Alcoholism & Other Substance Use Disorders.
I am a clinical psychologist with 30 years experience helping individuals and couples find relief from depression, anxiety, addiction, OCD and relationship problems. We will use evidence-based approaches that have been scientifically proven to work, developing coping skills and new habits that are easy to learn and apply to everyday life. I believe we are all experts in our own lives and often already possess answers to our problems without realizing it. I work collaboratively to help set specific achievable goals, avoid previously hurtful thoughts and behaviors, and overcome barriers to finding effective solutions.
I am a licensed psychologist in Pennsylvania, have completed Level 3 Gottman Method Couples Therapy Training, and am certified by the American Psychological Association in the Treatment of Alcoholism & Other Substance Use Disorders.
I am a clinical psychologist with 30 years experience helping individuals and couples find relief from depression, anxiety, addiction, OCD and relationship problems. We will use evidence-based approaches that have been scientifically proven to work, developing coping skills and new habits that are easy to learn and apply to everyday life. I believe we are all experts in our own lives and often already possess answers to our problems without realizing it. I work collaboratively to help set specific achievable goals, avoid previously hurtful thoughts and behaviors, and overcome barriers to finding effective solutions.
![Photo of Emily B. Chaffin, PsyD, Psychologist](https://photos.psychologytoday.com/44eae869-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I further have extensive experience working with issues common in adolescence and adulthood including substance use, grief/loss, anxiety, depression, and relationship concerns.
The process of finding a psychologist who is a good fit for either yourself or a family member can be overwhelming and frustrating. I make it a point to ensure that clients who reach out to me feel heard and understood. Therapy can only be effective if it is a collaborative process in which clients feel they have a say in their own treatment. I mainly practice from a cognitive-behavioral perspective (CBT), but I also use other modalities in sessions in order to best meet the needs of my clients.
I further have extensive experience working with issues common in adolescence and adulthood including substance use, grief/loss, anxiety, depression, and relationship concerns.
The process of finding a psychologist who is a good fit for either yourself or a family member can be overwhelming and frustrating. I make it a point to ensure that clients who reach out to me feel heard and understood. Therapy can only be effective if it is a collaborative process in which clients feel they have a say in their own treatment. I mainly practice from a cognitive-behavioral perspective (CBT), but I also use other modalities in sessions in order to best meet the needs of my clients.
![Photo of David Yusko, PsyD, Psychologist](https://photos.psychologytoday.com/41d3d7a7-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a licensed clinical psychologist and Co-Founder of the Center for Anxiety & Behavior Therapy which specializes in providing compassionate evidence-based treatment for anxiety disorders including OCD, PTSD, social anxiety, generalized anxiety, panic, and phobias. I also treat substance use disorders and work with athletes seeking to enhance performance through the mental aspect of competition. My work is largely guided by cognitive behavioral therapy principles, but I often incorporate aspects of mindfulness and psychodynamic theory. I seek to help clients return to the meaningful parts of their lives through a collaborative, goal-oriented, and practical approach.
I am a licensed clinical psychologist and Co-Founder of the Center for Anxiety & Behavior Therapy which specializes in providing compassionate evidence-based treatment for anxiety disorders including OCD, PTSD, social anxiety, generalized anxiety, panic, and phobias. I also treat substance use disorders and work with athletes seeking to enhance performance through the mental aspect of competition. My work is largely guided by cognitive behavioral therapy principles, but I often incorporate aspects of mindfulness and psychodynamic theory. I seek to help clients return to the meaningful parts of their lives through a collaborative, goal-oriented, and practical approach.
![Photo of Dr. Thomas Le, PhD, Psychologist](https://photos.psychologytoday.com/1a7630df-9045-4755-82fb-ffdbfc669f60/1/320x400.jpeg)
As a person-centered, trauma-informed, and multicultural therapist, I strive to meet my clients where they are while also offering tangible strategies for growth, healing, and change. I specialize in the treatment of clinical concerns such as trauma and PTSD, grief and loss, relationship difficulties (e.g., romantic relationships and friendships, family dynamics), identity exploration, emotion regulation/dysregulation, substance use, disordered eating/body image concerns, and depression and anxiety. Clients have described me as warm, engaged, and nonjudgmental.
As a person-centered, trauma-informed, and multicultural therapist, I strive to meet my clients where they are while also offering tangible strategies for growth, healing, and change. I specialize in the treatment of clinical concerns such as trauma and PTSD, grief and loss, relationship difficulties (e.g., romantic relationships and friendships, family dynamics), identity exploration, emotion regulation/dysregulation, substance use, disordered eating/body image concerns, and depression and anxiety. Clients have described me as warm, engaged, and nonjudgmental.
![Photo of Jill M Ripkin, LPC, CADC, RN, MS, Licensed Professional Counselor](https://photos.psychologytoday.com/3c699a0a-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Jill M Ripkin
Licensed Professional Counselor, LPC, CADC, RN, MS
Verified Verified
Bryn Mawr, PA 19010
I am fortunate to work with individuals facing the challenges which arise in life's unpredictable way...separation, divorce, loss, relationship conflicts, parenting issues and substance use. Guiding and uncovering with them, their insight and motivation to resolve and heal from these uninvited events. I have developed special expertise in addressing the turbulence of addiction, trauma recovery and healing. As well as skills in meditation and mindfulness.
I am fortunate to work with individuals facing the challenges which arise in life's unpredictable way...separation, divorce, loss, relationship conflicts, parenting issues and substance use. Guiding and uncovering with them, their insight and motivation to resolve and heal from these uninvited events. I have developed special expertise in addressing the turbulence of addiction, trauma recovery and healing. As well as skills in meditation and mindfulness.
![Photo of Steve Bisgaier, PsyD, BCB, Psychologist](https://photos.psychologytoday.com/864a50e4-466a-4f0d-bdf4-52e89081b7f6/2/320x400.jpeg)
I help people who are struggling with the full range of psychological issues (including anxiety in all of its forms, depression, OCD, chronic health issues, substance use, and adjustment issues) find an easier, more satisfying, and more fulfilling path. I believe that good therapy should feel like progress from day one, and will help you identify the strategies needed to make that progress. This approach to therapy generates long-term improvements for people suffering from the broad spectrum of painful human emotions and challenges.
I help people who are struggling with the full range of psychological issues (including anxiety in all of its forms, depression, OCD, chronic health issues, substance use, and adjustment issues) find an easier, more satisfying, and more fulfilling path. I believe that good therapy should feel like progress from day one, and will help you identify the strategies needed to make that progress. This approach to therapy generates long-term improvements for people suffering from the broad spectrum of painful human emotions and challenges.
![Photo of Christina Mitrofanis, PsyD, MEd, Psychologist](https://photos.psychologytoday.com/ae314614-72cf-410d-9285-800f42e59969/2/320x400.jpeg)
Christina Mitrofanis
Psychologist, PsyD, MEd
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010 (Online Only)
I’ve worked with clients to manage ADHD, depression, anxiety, substance use, interpersonal issues and other life stressors.
Having ADHD can often feel like a daily battle with yourself to accomplish tasks, maintain relationships, and attend to your own needs, but it doesn’t have to be that way. Learning how to work with rather than against your ADHD can be a transformative experience, and I would be honored to work with you through this journey. Together in therapy, we can work to tackle the challenges of ADHD while also bolstering your natural strengths and coming into and honoring your most authentic self. I work to create a therapeutic space that is constructive, creative, and above all compassionate. I can’t wait to welcome you in.
I’ve worked with clients to manage ADHD, depression, anxiety, substance use, interpersonal issues and other life stressors.
Having ADHD can often feel like a daily battle with yourself to accomplish tasks, maintain relationships, and attend to your own needs, but it doesn’t have to be that way. Learning how to work with rather than against your ADHD can be a transformative experience, and I would be honored to work with you through this journey. Together in therapy, we can work to tackle the challenges of ADHD while also bolstering your natural strengths and coming into and honoring your most authentic self. I work to create a therapeutic space that is constructive, creative, and above all compassionate. I can’t wait to welcome you in.
![Photo of Jillian Jackson Williams, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ba0c2ca9-737f-4116-ab3e-3a000faf64e7/2/320x400.jpeg)
Life is not easy and I believe most people would benefit from someone impartial to help navigate that uneasiness. I use a holistic approach to help individuals, couples and families with depression, anxiety, PTSD, substance use, stress, ADHD and a myriad of other issues and conditions. The goal of my practice is to create a collaborative relationship where people can identify goals, reduce stress, and find peace. My practice is designed to assist people in all circumstances: whether you need to address something that happened years ago, a recent life event, or you just want guidance on living your best life.
Life is not easy and I believe most people would benefit from someone impartial to help navigate that uneasiness. I use a holistic approach to help individuals, couples and families with depression, anxiety, PTSD, substance use, stress, ADHD and a myriad of other issues and conditions. The goal of my practice is to create a collaborative relationship where people can identify goals, reduce stress, and find peace. My practice is designed to assist people in all circumstances: whether you need to address something that happened years ago, a recent life event, or you just want guidance on living your best life.
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![Photo of Brian McManus At Lift Off Therapy Center, PhD, Psychologist](https://photos.psychologytoday.com/516ce10b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Brian McManus At Lift Off Therapy Center
Psychologist, PhD
Verified Verified
2 Endorsed
Bryn Mawr, PA 19010
I am a licensed psychologist who specializes in a combination of individual & family therapy for the treatment of children & teens who have depressive, anxiety, stressor-related, conduct, or substance use disorders, as well as other social/behavioral difficulties & grief/loss/separation/divorce. I utilize an integrative theoretical approach informed by developmental, family systems, biopsychosocial, & cognitive-behavioral frameworks, including "3rd wave" acceptance & mindfulness-based approaches. I further emphasize thorough clinical assessment & accurate diagnosis to inform appropriate & evidence-based treatment.
I am a licensed psychologist who specializes in a combination of individual & family therapy for the treatment of children & teens who have depressive, anxiety, stressor-related, conduct, or substance use disorders, as well as other social/behavioral difficulties & grief/loss/separation/divorce. I utilize an integrative theoretical approach informed by developmental, family systems, biopsychosocial, & cognitive-behavioral frameworks, including "3rd wave" acceptance & mindfulness-based approaches. I further emphasize thorough clinical assessment & accurate diagnosis to inform appropriate & evidence-based treatment.
![Photo of Elana Gotfried, PsyD, Psychologist](https://photos.psychologytoday.com/4d94627b-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
I am a licensed clinical psychologist, specializing in the treatment of trauma, addiction, depression, grief/loss, and emotional dysregulation. When your coping mechanisms are no longer sufficient, and you're feeling overwhelmed, unhappy, anxious, or disconnected, therapy is an opportunity to learn how to increase your ability to manage life's demands, improve your quality of life, and achieve the change you are looking for. Therapy will begin with a conversation about your hopes for our work. Together we will deepen our understanding of your concerns, and establish new ways of feeling and being in the world.
I am a licensed clinical psychologist, specializing in the treatment of trauma, addiction, depression, grief/loss, and emotional dysregulation. When your coping mechanisms are no longer sufficient, and you're feeling overwhelmed, unhappy, anxious, or disconnected, therapy is an opportunity to learn how to increase your ability to manage life's demands, improve your quality of life, and achieve the change you are looking for. Therapy will begin with a conversation about your hopes for our work. Together we will deepen our understanding of your concerns, and establish new ways of feeling and being in the world.
![Photo of Brian James Flatley, MS, BS, Pre-Licensed Professional](https://photos.psychologytoday.com/2f5e4d54-1631-4392-b483-875e732b48a6/1/320x400.jpeg)
I am a firm believer in the power of the therapeutic relationship. My goal is to utilize your expert knowledge of your own life in combination with my clinical background to create a better quality of life for you. We will achieve this by identifying stressors, processing unconscious troubles, and utilizing your strengths! I really enjoy witnessing the positive change in people's life that counseling makes.
I am a firm believer in the power of the therapeutic relationship. My goal is to utilize your expert knowledge of your own life in combination with my clinical background to create a better quality of life for you. We will achieve this by identifying stressors, processing unconscious troubles, and utilizing your strengths! I really enjoy witnessing the positive change in people's life that counseling makes.
![Photo of Lisa Silk - Silk Counseling Group, LLC, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e81b334-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Silk Counseling Group, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
We are accepting new clients! SCG is a small group practice, we help our clients live their best life. We are honored to support you in gaining relief from anxiety, depression, loneliness, feeling stuck, and afraid. The journey to wellness is not easy, but worth everything. We are located on the Main Line in Haverford. Our approach is compassionate with a solution-focused and practical approach. Additionally, much of our work with clients includes developing coping strategies to deal with depression, anxiety, grief/loss, and separation and divorce.
We are accepting new clients! SCG is a small group practice, we help our clients live their best life. We are honored to support you in gaining relief from anxiety, depression, loneliness, feeling stuck, and afraid. The journey to wellness is not easy, but worth everything. We are located on the Main Line in Haverford. Our approach is compassionate with a solution-focused and practical approach. Additionally, much of our work with clients includes developing coping strategies to deal with depression, anxiety, grief/loss, and separation and divorce.
![Photo of Warren Schloss, BS, CADC, Drug & Alcohol Counselor](https://photos.psychologytoday.com/3c3cf5b3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Warren Schloss
Drug & Alcohol Counselor, BS, CADC
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
It's hard to get clean and sober, and staying clean and sober tends to bring out issues that also can be quite difficult. I provide private, confidential treatment for the chemically dependent. Since 1994 I have helped hundreds of men and women through counseling to address their alcoholism, drug addiction and related issues. I provide counsel, support and coaching for those in early recovery. I also counsel those in sustained recovery who are ready to work on recovery related life issues.
It's hard to get clean and sober, and staying clean and sober tends to bring out issues that also can be quite difficult. I provide private, confidential treatment for the chemically dependent. Since 1994 I have helped hundreds of men and women through counseling to address their alcoholism, drug addiction and related issues. I provide counsel, support and coaching for those in early recovery. I also counsel those in sustained recovery who are ready to work on recovery related life issues.
![Photo of Marc L Feldman, PsyD, CAADC, Psychologist](https://photos.psychologytoday.com/3d6b1613-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Marc L Feldman
Psychologist, PsyD, CAADC
Verified Verified
6 Endorsed
Bryn Mawr, PA 19010 (Online Only)
I believe that therapy can result in meaningful and long lasting changes, as long as an individual is provided with a trusting, supportive, and non-judgmental environment that will allow one to identify, discuss, and resolve one's current difficulties or problems. My clients tell me that they find it very easy to talk to me about difficult and sensitive matters, and that they feel calm and comfortable in my presence.We will work together to identify stressors and/or relationships that are contributing to your symptoms, and develop coping strategies to help you manage these problems more effectively.
I believe that therapy can result in meaningful and long lasting changes, as long as an individual is provided with a trusting, supportive, and non-judgmental environment that will allow one to identify, discuss, and resolve one's current difficulties or problems. My clients tell me that they find it very easy to talk to me about difficult and sensitive matters, and that they feel calm and comfortable in my presence.We will work together to identify stressors and/or relationships that are contributing to your symptoms, and develop coping strategies to help you manage these problems more effectively.
![Photo of Renee Perrette, MA, MFT, Pre-Licensed Professional](https://photos.psychologytoday.com/e396ce1c-cfa6-48c8-8053-e4fa66640a5b/1/320x400.jpeg)
Have you not been feeling yourself lately? Have you and your partner been struggling with communication or intimacy? Tackling these issues on your own can often feel overwhelming. I'm here to help. Outside of working with individuals, I specialize in working with couples who want to improve their communication, connection, and ability to work through conflicts. Through our work together, you will learn how to challenge and manage uncomfortable emotions and improve your relationships with your family, partner...or better yet, you!
Have you not been feeling yourself lately? Have you and your partner been struggling with communication or intimacy? Tackling these issues on your own can often feel overwhelming. I'm here to help. Outside of working with individuals, I specialize in working with couples who want to improve their communication, connection, and ability to work through conflicts. Through our work together, you will learn how to challenge and manage uncomfortable emotions and improve your relationships with your family, partner...or better yet, you!
![Photo of Cara DelMaestro, CAADC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/87431cf1-80d7-48f8-8af5-556eb83b69a1/2/320x400.jpeg)
Cara DelMaestro
Clinical Social Work/Therapist, CAADC, LCSW
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
Are you having a hard time managing your emotions, thoughts, relationships, and responsibilities? It may be time to reach out for help. As a licensed clinical social worker and certified addictions counselor, I provide a safe space for my clients to process their experiences, improve self- awareness, and find realistic solutions. By using a comprehensive and individualized treatment approach, I can assist you in meeting your personal goals.
Are you having a hard time managing your emotions, thoughts, relationships, and responsibilities? It may be time to reach out for help. As a licensed clinical social worker and certified addictions counselor, I provide a safe space for my clients to process their experiences, improve self- awareness, and find realistic solutions. By using a comprehensive and individualized treatment approach, I can assist you in meeting your personal goals.
![Photo of Patrick Smith, LPC, CAADC, Licensed Professional Counselor](https://photos.psychologytoday.com/a67f4cbd-f7ed-441d-9c9e-3a52798b4615/1/320x400.jpeg)
Patrick Smith
Licensed Professional Counselor, LPC, CAADC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010 (Online Only)
In my experience, all of us will ultimately experience problems that seem to overwhelm our normal abilities to cope. Life is hard and we need outlets to process those difficult times. I’ve worked with a variety of clients that have experienced anxiety, depression, bipolar disorder, codependency, PTSD, substance abuse/addiction, anger management, marital/relationship issues, grief and loss, trauma & abuse, stress management and OCD. All of my sessions are currently virtual.
In my experience, all of us will ultimately experience problems that seem to overwhelm our normal abilities to cope. Life is hard and we need outlets to process those difficult times. I’ve worked with a variety of clients that have experienced anxiety, depression, bipolar disorder, codependency, PTSD, substance abuse/addiction, anger management, marital/relationship issues, grief and loss, trauma & abuse, stress management and OCD. All of my sessions are currently virtual.
See more therapy options for Bryn Mawr
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.