Addiction Treatment in Cranford, NJ
Nobody plans for it to get this far. It starts as something manageable, then one day you're organising your week around it and hoping nobody notices.
Substance use disorder is a medical condition, not a character flaw. It responds to treatment. And the fact that you're reading this page means the part of you that wants out is still there.
Bethel Behavioral Healthcare Services provides confidential treatment for substance use and co-occurring mental health conditions for adults in Cranford and across Union County — in person at our office or by secure telehealth. Many people choose telehealth for exactly this reason: no waiting room, and nobody sees you arrive.
You don't have to hit bottom first
Waiting for things to get bad enough to "qualify" for help is the single most common reason treatment starts years later than it should.
- You've tried to cut down or stop and it hasn't held
- You need more than you used to for the same effect
- You feel unwell, anxious, or shaky when you don't use
- Work, study, or family responsibilities are slipping
- You're hiding how much you use, or lying about it
- You're using to manage anxiety, sleep, pain, or memories
- People close to you have raised it, more than once
- You've stopped doing things you used to enjoy
For free, confidential, 24/7 treatment referral: SAMHSA National Helpline — 1-800-662-4357.
Substances and conditions we work with
Alcohol use disorder
From daily drinking that has quietly escalated, to long-standing dependence.
Opioid & prescription drug use
Including prescription painkillers that started legitimately and stopped being manageable.
Stimulant use
Cocaine, methamphetamine, and misuse of prescription stimulants.
Cannabis use disorder
When daily use is affecting motivation, memory, anxiety, or relationships.
Polysubstance use
Where more than one substance is involved and they interact with each other.
Co-occurring disorders
Substance use alongside anxiety, depression, PTSD, ADHD, or bipolar disorder.
Treating both, not one at a time
A large proportion of people with a substance use disorder also have an underlying mental health condition — anxiety, depression, PTSD, ADHD, or bipolar disorder. Very often the substance started as a way to manage it.
Treating one and ignoring the other is why so many people relapse. If the anxiety that drove the drinking is never addressed, the drinking has somewhere to come back to.
Because Bethel provides psychiatric care and therapy alongside addiction treatment, both are addressed together by the same practice rather than split across providers who never speak to each other.
How treatment works
Recovery isn't about perfection. It's about building something more durable than willpower.
Personalised assessment
A full picture first — substance use history, mental health, physical health, previous attempts at treatment, and what your life actually looks like. The plan is built around that, not a template.
Behavioural therapies
CBT, DBT-informed skills, and motivational interviewing to work with triggers, cravings, and the ambivalence that comes with wanting to stop and not wanting to at the same time.
Relapse prevention
Identifying the specific situations, people, and feelings that put you at risk, and building a concrete plan for each. A lapse is treated as information, not failure.
Family support
Guidance for partners and family members on how to support recovery without policing it — and how to repair relationships that the substance damaged.
Medication-assisted treatment (MAT)
For some substances, medication makes the difference between white-knuckling it and actually being able to think.
Medication-assisted treatment combines FDA-approved medication with counselling and behavioural therapy. It is not swapping one substance for another — it is a recognised, evidence-based standard of care that reduces cravings and withdrawal so the therapeutic work becomes possible.
Whether medication is appropriate for you depends on the substance involved, your medical history, and current clinical guidance — assessed individually and discussed with you in full before anything is prescribed. Some medications used in addiction treatment are federally controlled and require an in-person evaluation before they can be started. Because Bethel offers in-person visits at our Cranford office, that requirement can be met here rather than sent out to another provider.
You will never be pressured toward or away from medication. It is one option among several, and the decision is yours.
Who finds out
This is the question almost everyone wants answered before they call, and almost nobody asks out loud.
Your treatment is confidential. Your health information is protected under HIPAA, and records relating to substance use disorder treatment carry additional federal protection beyond standard medical records. Information is not shared with your employer, your family, or anyone else without your written consent, outside a small number of narrowly defined legal exceptions relating to imminent danger.
You choose the setting. In-person visits are held privately at the Cranford office; and if you'd rather not be seen arriving anywhere at all, secure video means no reception desk and no waiting room.
Who you'll be working with
Augustina Ike, MSN, APN, PMHNP-BC
Board-Certified Psychiatric Mental Health Nurse Practitioner · Founder- 17+ years of clinical experience across crisis management, psychiatry, and addiction care
- Certified in substance use disorder management
- Master of Science in Nursing, Walden University
- Licensed in New Jersey and New York
- NJ License 26NJ01306400 · NPI 1235875162
- Judgment-free, faith-inclusive, culturally sensitive care
Augustina has worked with substance use for most of her clinical career, including in crisis settings. She has heard it before. Whatever you're about to tell her is not the worst thing she's heard this month.
In-network with most major insurers
Worried about cost, or about insurance records?
Self-pay is available and is sometimes the option people prefer for privacy reasons. Sliding-scale options exist, and superbills are provided for out-of-network reimbursement if you choose to claim.
Raise it on the consultation call. It's a routine question and it will be answered straight.
In person in Cranford — telehealth across New Jersey
Confidential addiction treatment for adults in person at our Cranford office, plus secure telehealth throughout Union County and New Jersey.
In-person visits are at 20 Commerce Dr, Suite 135, Cranford, NJ 07016. Telehealth runs on a secure, confidential video platform. Monday through Friday, 9am–6pm, by appointment.
Frequently asked questions
Do I have to stop completely to start treatment?
Is this confidential? Will my employer or family find out?
Can I be treated in person, or only online?
What if I relapse?
Do I need detox first?
I'm here for someone else. Can you help?
Will I be judged?
What do I need for an appointment?
The first call is the hardest part
Fifteen minutes, free, confidential. No commitment to anything, and nobody has to know you made it.
In an emergency, call 911. For mental health crisis support, call or text 988. For free 24/7 treatment referral, call the SAMHSA National Helpline on 1-800-662-4357.