Addiction & Substance Use Recovery

Online Addiction Treatment in Union County, New Jersey

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 online treatment for substance use and co-occurring mental health conditions to adults across Union County and New Jersey. No waiting room. Nobody sees you walk in.

Adult attending a confidential online addiction recovery appointment in Union County, New Jersey
When to reach out

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
If you are in immediate danger, or experiencing withdrawal symptoms such as seizures, severe confusion, chest pain, or hallucinations, this is a medical emergency. Call 911 or go to your nearest emergency room. Withdrawal from alcohol and benzodiazepines in particular can be life-threatening and should never be attempted alone.

For free, confidential, 24/7 treatment referral: SAMHSA National Helpline1-800-662-4357.
What we treat

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.

Co-occurring conditions

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.

Our approach

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 support

Medication-assisted treatment

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.

[VERIFY] Whether medication is appropriate for you depends on the substance involved, your medical history, and current clinical guidance. This is assessed individually and discussed with you in full before anything is prescribed. Certain medications used in addiction treatment are federally controlled and carry additional prescribing and telehealth requirements — where those apply, they will be explained plainly, including any need for in-person care or referral.

You will never be pressured toward or away from medication. It is one option among several, and the decision is yours.

Confidentiality

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.

Sessions happen online. There is no clinic entrance, no reception desk, and nobody in a waiting room who might recognise you.

Your provider

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
★★★★★ 4.7 out of 5 across 105 verified patient reviews on Zocdoc

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.

Read more about Augustina

Insurance & cost

In-network with most major insurers

Aetna Horizon Blue Cross Blue Shield Cigna & Evernorth UnitedHealthcare Optum Medicare AmeriHealth TRICARE Wellpoint / Amerigroup + 150 more plans

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.

Service area

Serving Union County and all of New Jersey

Confidential online addiction treatment for adults throughout New Jersey, with a focus on Union County and the surrounding communities.

UnionElizabethSpringfield RoselleKenilworthLinden RahwayCranfordWestfield SummitPlainfieldNewark

Appointments take place on a secure, confidential video platform, Monday through Saturday, including hours outside the standard workday.

Common questions

Frequently asked questions

Do I have to stop completely to start treatment?
No. You do not need to be abstinent to begin, and you will not be turned away for using. Treatment starts wherever you are. For some people the goal is abstinence; for others it starts as reducing harm. That's a conversation, not a precondition.
Is this confidential? Will my employer or family find out?
Your treatment is confidential. Health information is protected under HIPAA, and substance use disorder treatment records carry additional federal protection. Nothing is shared with employers or family without your written consent, outside narrow legal exceptions involving imminent danger.
Can addiction really be treated online?
For many people, yes — and the removal of stigma, travel, and scheduling barriers means people start sooner and stay in treatment longer. Online care is not appropriate for everyone: medically supervised detox and inpatient treatment require in-person care. If that's what your situation needs, you'll be told and referred rather than kept online.
What if I relapse?
You will not be discharged for it. Relapse is common in the treatment of a chronic condition and is treated as clinical information — what happened, what preceded it, and what the plan needs to account for that it currently doesn't.
Do I need detox first?
It depends on the substance and how much you're using. Withdrawal from alcohol and benzodiazepines can be medically dangerous and may require supervised detox before outpatient treatment begins. This is assessed at your first appointment, and you will be referred to appropriate medical care if needed. Never attempt to stop these substances abruptly on your own.
I'm here for someone else. Can you help?
Yes. Family members are welcome to call the consultation line for guidance, and family support is part of treatment. Bear in mind that treatment for the person using can only begin when they choose it — but what you do in the meantime genuinely affects the odds.
Will I be judged?
No. Substance use disorder is a medical condition. You will not be lectured, shamed, or asked to justify yourself. [VERIFY] Care is faith-inclusive and available to people of any belief or none — it is not a faith-based recovery programme and does not require participation in one.
What do I need for an appointment?
A private space and a phone, tablet, or computer with a camera and stable internet. A secure link is sent before each appointment. No app or account required.
Get started

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.

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