Treatment begins with a conversation.

Based in St. Louis, we provide personalized treatment in-person and by tele-health.

Illustration of two women talking

Who do we treat? Addiction Counseling in St. Louis, Missouri

Plan Your Recovery is for individuals and families in the St. Louis area who want confidential, personalized care from a group of highly qualified and dedicated providers. We provide both addiction counseling and psychiatry. Missouri residents outside of St. Louis can access counseling and psychiatry at Plan Your Recovery by telehealth.

Why seek addiction counseling instead of going to rehab?

Are you or someone you love affected by addiction, but find the idea of “rehab” overwhelming? While it is true that some people need residential treatment, about 75% of Americans seek counseling in an outpatient setting.

At Plan Your Recovery, we consider counseling and outpatient psychiatry the first line of treatment for substance use disorders and make every effort to provide and recommend options to achieve your goals without unnecessary disruption to your life.

Why get treatment now?

Starting treatment means starting a conversation about your health. If you are willing to do that, you are much further along than most people with alcoholism or addiction. However, if you wait, addiction only tends to get worse. It is a progressive illness that takes more and more of your time, resources, and wellness while causing more and more damage to the things you love.

Even if you’re not sure you’re ready to change, talking with an addiction counselor can help you understand all your options and make the prospect of change less frightening.

What you can hope to get back from treatment and recovery.

Recovery almost always gives back more than it takes. People in active addiction believe they can't live without their addictive attachments to alcohol, drugs, or addictive behaviors. But once they challenge this belief and start to make changes, they regain parts of themselves that have been lost or obscured for years–their self-esteem and confidence, and a sense of wellness, connection, and trust with those they love. Most people in recovery agree that the gains of recovery far outweigh the costs.

Why we can help.

Ned Presnall, the owner and director of Plan Your Recovery, is a researcher, educator, policy advocate, and clinician in the field of addiction. He is passionate about promoting and providing evidence-based care and believes that addiction should be treated like any other health problem, starting with an office-based consultation.

There is no one-size-fits-all solution to addiction but when patients and providers collaborate over time, patients are often able to achieve their goals with minimal disruption to their lives.

What are the next steps.

If you would like to consult with us, go to our provider page and choose the provider you think you’d like to talk with first. Any of our providers can provide an initial consultation. Call, text, or email to set up a consultation. Decide who you will have at that initial consultation. We generally recommend that married or partnered adults bring their partners or spouses and that teens or young adults bring their parents. But you can also start with a one-on-one consultation. Remember that a consultation is not a commitment. It is just the first step in understanding what treatment and recovery might look like for you.

Why is addiction so challenging?

Some people think that people with substance use disorders and addictions are pleasure-seekers who just can’t stop getting high. But pleasure is only a small part of addiction and as the illness progresses, it becomes a smaller and smaller part. People with addiction stop using to get pleasure and keep using just to feel normal.

At Plan Your Recovery, we know addiction is a disorder and not a moral failing. We're here to help and your family achieve the health and wellbeing that you desire.

Adults

 

At Plan Your Recovery, we understand that people come to us with diverse backgrounds, personalities, strengths, problems, and goals. We individualize care accordingly, and meet clients where they are.

Teens

 

To meet the unique needs of teens, Plan Your Recovery uses a family-focused, contingency management program that scaffolds the teen's motivation throughout the treatment process.

College Students

 

Plan Your Recovery's Young Adult Program can help ease students' transition to college and alleviate parent anxieties. Parents regularly tell us that they get more out of their college students in 10 minutes with one of our therapists than in a month of gently prodding for information.

Providers

 

If you are currently working with an adult or teen and would like to discuss a referral, please contact us. With the consent of your patient, we are happy to collaborate with you in their treatment.

Articles by Topic

 

Mental Health Problems

Addiction Treatment

Counseling Approaches

Psychiatry

Mutual Support Resources

Teens

Young Adults

About Us

 
Photo of Ned Presnall, LCSW

Ned Presnall, LCSW

Owner and Therapist

Ned Presnall is a Licensed Clinical Social Worker and the owner/director of Plan Your Recovery. Ned uses cognitive behavioral therapy and empathic, interpersonal support to help clients understand the sources of their emotional distress and unwanted patterns of behavior. Building on this knowledge, he helps clients draw on their strengths and capacities to plan and carry out programs of change. For several years, Ned taught a course on addiction to graduate students at the Washington University Brown School of Social Work, and he has served as a trainer and presenter for the Addicton Technology Transfer Center, the Missouri Department of Mental Health, and the Missouri Institute for Mental Health. He is president of the board of directors of MO Network, and a university research collaborator. He advocates for the full integration of addiction treatment into the mainstream healthcare system.

Phone: 314-222-5896

Email: npresnall@planyourrecovery.com

Photo of Michelle Charbonnier, CRADC

Michelle Charbonnier, CRADC

Counselor

Michelle's personal journey in recovery ignited a profound passion for supporting  individuals in exploring their relationships with habits, self, and others. Employing a person-centered, strengths-based approach, she aids each client in defining their recovery journey, guiding them from mere survival to flourishing in life. She offers a supportive space for healing and self inquiry work. 

Michelle possesses international certifications as a reciprocal substance use disorder counselor and a certified gambling disorder counselor. Furthermore, she holds certifications as a facilitator of SMART Recovery and Seeking Safety. In addition to her counseling expertise, Michelle is a registered yoga instructor, incorporating the ancient wisdom of yoga to aid individuals in their recovery journey. She is also a certified Christian mental health coach through Light University. Michelle is currently pursuing her master's in rehabilitation counseling at Maryville University, with an expected completion date in 2024. Notably, she serves as the executive director of MoNetwork, a nonprofit recovery community center deeply committed to harm reduction principles.

Phone: 618-979-3229

Email: mcharbonnier@planyourrecovery.com

Photo of Matt Silva, PsyDc, MBA, MA, LPC

Matt Silva, PsyDc, MBA, MA, LPC

Therapist

Matthew Silva has worked in the field of addiction for the past 18 years. During this time, he managed an acute medical stabilization unit and served as both a President and Vice President at Substance Abuse Inpatient and Outpatient programs and has served on the Board of Missouri Addiction Counselors Association. Matthew is a graduate adjunct faculty member at Maryville University. He uses person-centered counseling approaches such as motivational interviewing to help patients leverage their own wisdom and strengths in pursuit of the life and self that they desire.

Phone: 314-249-6922

Email: msilva@planyourrecovery.com

Photo of Sean Sudekum, MSW, LMSW

Sean Sudekum, MSW, LMSW

Therapist

Sean Sudekum received her master's in social work from Washington University in St. Louis. Sean specializes in the cognitive treatment of persons with mental health problems, with special emphasis on teens and young adults with anxiety, depression, ADHD, and/or substance problems. Sean uses psychodynamic therapy rooted in attachment theory to help clients understand the source of their maladaptive coping and cognitive therapy to address unhealthy patterns of thinking and behavior.

Phone: 314- 624-0210

Email: ssudekum@planyourrecovery.com

Photo of Katherine Fezzi, LMSW, JD

Katherine Fezzi, LMSW, JD

Therapist

Katherine is a Licensed Master Social Worker who specializes in treating addiction and co-occurring disorders. She also has experience working with depression, anxiety, social anxiety, trauma, PTSD, disordered eating, attachment disorders, body dysmorphia, and codependent relationships. She uses a client-centered, cognitive behavioral therapeutic approach to help clients achieve their goals. Katherine facilitates a treatment group for persons in early recovery from addictive disorders. Katherine also has a JD from Saint Louis University School of Law. She returned to school and earned her MSW to pursue a lifelong dream of practicing psychotherapy.

Phone: 314-329-7617

Email: kfezzi@planyourrecovery.com

Photo of Angela Jones, MSN, APRN, PMHNP-BC, FNP-BC

Angela Jones, MSN, APRN, PMHNP-BC, FNP-BC

Nurse Practitioner

Angela Jones, MSN, APRN, PMHNP-BC, FNP-BC, is a Board-Certified psychiatric nurse practitioner through the American Nurses Credentialing Center with certifications in both Family Medicine and Psychiatric Mental Health. She graduated with honors with her Master of Science degree from Maryville University of St. Louis and earned her post master’s certificate as a psych mental health nurse practitioner from Southern Illinois University Edwardsville. Angela is a member of the American Association of Nurse Practitioners and Saint Louis Nurses in Advanced Practice which she currently serves on the Board.

Angela is passionate about providing quality, compassionate, and comprehensive mental health services to the adult population. She has considerable experience treating addictive disorders and is certified to provide buprenorphine (Suboxone) treatment for Opioid Use Disorder.

Angela's collaborating psychiatrist is Dr. James Cho who shares office space with the Plan Your Recovery team.

Insurances: Cigna, Anthem BCBS (pending), Private Pay.

*Appointments are virtual unless requested in-person.

Phone: 3142225830

Photo of John Gransbach DNP, APRN, PMHNP-BC

John Gransbach DNP, APRN, PMHNP-BC

Nurse Practitioner

John Gransbach is a doctorate prepared Psychiatric-Mental Health Nurse Practitioner, with over 10 years of experience working in behavioral and mental health.  He graduated with a Doctorate in Nursing Practice in 2023 from the University of Missouri-Columbia.  John  has a holistic approach to mental health incorporating psychotherapy, psychopharmacology, behavior modification, healthy eating and sleeping, and psychoeducation including the mind/body/society connection to help patients and their families achieve optimal wellness.  John has experience in evaluation, management, and treatment of patients with dual diagnoses of psychiatric and addiction disorders, including medications for addiction treatment.  His efforts lie in early detection, treatment, and prevention of worsening symptoms to preclude future challenges and achieve mental and physical wellness.  His doctoral work focused on the use of mindfulness-based cognitive therapy and mindful-based interventions to help adolescents cope with anxiety and stress and thereby reduce suicidal ideations.  While working in Missouri he was awarded St. Louis Magazine: "Excellence in Nursing Award" in Behavioral Health and Psychiatry, along with the "Distinguished Young Alumni Award" from Barnes-Jewish College Goldfarb School of Nursing for his work in suicide education and crisis prevention.    

 

Phone: 314-222-5830

Email: jgransbach@planyourrecovery.com

Photo of Nick Niles

Nick Niles

Designer

Nick Niles is a filmmaker, musician, and award-winning graphic designer living and working in Zürich, Switzerland. He studied in the Design & Technology masters program at Parsons School of Design in New York City, and received an MFA in Film Directing from Columbia University. He’s passionate about helping people tell their stories. Nick was a co-creator of Plan Your Recovery’s opioid treatment testimonials and animated videos on addiction pharmacotherapy.

Email: nick@niles.ch

Videos

 
    Awareness Month
    Beyond Rock Bottom: Medication Assisted Treatment
    Gaming