Behavioral health disparities in addiction arise from inequities in access to care, stigma, and social determinants. Marginalized communities often face higher addiction rates due to limited healthcare access, socioeconomic challenges, and cultural barriers. Disparities are further exacerbated by systemic racism and biases in treatment delivery. Addressing these inequities requires culturally sensitive interventions, increased representation in healthcare, and policy changes to ensure equitable access to addiction services. Community engagement and targeted outreach programs are essential in bridging gaps and fostering trust. Reducing disparities is not only a moral imperative but also a critical step toward improving public health outcomes.