Addiction Counseling & Treatment in Cranford, NJ
Nobody plans for it to get this far. It starts as something manageable, then one day you're organizing your week around it and hoping nobody notices.
Or call (908) 258-1939 for a confidential conversation
Substance use disorder is a medical condition, not a character flaw. It responds to treatment — and the fact that you're reading this means the part of you that wants out is still there.
Bethel Behavioral Healthcare Services provides confidential outpatient addiction counseling, dual-diagnosis care, and medication-assisted treatment (including Suboxone) for adults in Cranford, Linden, Roselle, Rahway, and across Union County — in person at our office or by secure telehealth, where nobody sees you arrive.
Last updated October 2026
You don't have to hit bottom first
Waiting until things are bad enough to "qualify" is the 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 sick, anxious, or shaky when you don't use
- Work, school, or family responsibilities are slipping
- You're hiding how much you use
- 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
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 painkillers that were prescribed 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
When more than one substance is involved and they interact.
Dual diagnosis
Substance use alongside anxiety, depression, PTSD, ADHD, or bipolar disorder.
Treating both, not one at a time
Many people with a substance use disorder also live with anxiety, depression, PTSD, ADHD, or bipolar disorder. 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 behind 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 treated together by the same clinician.
How outpatient addiction treatment works
Recovery isn't about perfection. It's about building something more durable than willpower.
Personalized assessment
Your substance use history, mental and physical health, past treatment, and daily life — the plan is built around you, not a template.
Counseling
CBT and motivational interviewing to work with triggers, cravings, and the ambivalence of wanting to stop and not wanting to at the same time.
Relapse prevention
Naming the situations, people, and feelings that put you at risk, with a concrete plan for each. A lapse is information, not failure.
Family support
Guidance for partners and family on supporting recovery without policing it — and repairing what the substance damaged.
Medication-assisted treatment, including Suboxone
For some substances, medication is the difference between white-knuckling it and being able to think clearly.
Medication-assisted treatment (MAT) combines FDA-approved medication with counseling. It is not swapping one drug for another — it is an evidence-based standard of care that reduces cravings and withdrawal so the real work of recovery becomes possible.
Depending on the substance and your medical history, options may include Suboxone (buprenorphine/naloxone) for opioid use disorder and naltrexone for opioid or alcohol use disorder. Some of these medications are federally controlled and come with specific prescribing rules; because Bethel sees patients in person at the Cranford office, those requirements can be met here rather than sending you elsewhere.
You will never be pressured toward or away from medication. It's one option among several, and the decision is yours.
Who finds out
It's 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 substance use treatment records can carry additional federal protections. Nothing is shared with your employer, your family, or anyone else without your written consent, outside a small number of narrowly defined legal exceptions involving imminent danger.
You choose the setting: a private office in Cranford, or secure video with 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 in nursing and psychiatric care, including inpatient and outpatient psychiatry
- Clinical focus: addiction care, dual diagnosis, and crisis management
- MSN, Psychiatric Mental Health — Walden University
- Licensed in New Jersey and New York
- NJ APN License 26NJ01306400 · NPI 1235875162
- Certified in substance use disorder management
Augustina has worked with substance use for much of her career, including in crisis settings. Whatever you're about to tell her, she has heard before.
In-network with major insurers
- Aetna
- Horizon Blue Cross Blue Shield
- Cigna & Evernorth
- UnitedHealthcare
- Optum
- Medicare
- AmeriHealth
- TRICARE
- Wellpoint / Amerigroup
Worried about cost, or about insurance records?
Self-pay is available and some people prefer it for privacy. Sliding-scale fees are available, and superbills are provided for out-of-network reimbursement.
Ask on the consultation call. It's a routine question and it will be answered straight.
Addiction counseling in Union County — and across New Jersey
In-person visits at 20 Commerce Dr, Suite 135, Cranford, NJ 07016, Monday – Friday · 9am – 6pm. Secure telehealth is available anywhere in New Jersey. Directions & contact.
Frequently asked questions
Do you prescribe Suboxone in Cranford?
Do I have to stop completely to start treatment?
Is addiction treatment confidential? Will my employer or family find out?
Can I be treated in person, or only online?
Do I need detox first?
What if I relapse?
I’m worried about someone else. Can you help?
Will I be judged?
The first call is the hardest part
Fifteen minutes, free, and confidential. No commitment, and nobody has to know you made it.
Or call (908) 258-1939
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 at 1-800-662-4357.