Cognitive Behavioral Therapy (CBT)
Identifying and reworking the thought patterns and situational triggers that drive use, with practical between-session work.
Programs
Outpatient levels of care, matched by clinical assessment
We provide a full outpatient continuum — from near-daily clinical structure to weekly continuing care. Starting intensity comes from a licensed assessment using ASAM-style level-of-care logic, and it is reassessed as symptoms, safety, and function change.
How level of care and step-down work
Levels of care are defined by intensity — clinical hours per week, medical oversight, and surrounding structure. The ASAM Criteria match a person to the right level of care, then reassess whether to move to a less intensive level, a more intensive level, or stay. We follow that sequence.
A typical sequence is PHP → IOP → OP → aftercare. Not everyone starts at PHP, and movement is not one-directional: if symptoms intensify or use resumes, stepping back up is a clinical adjustment, documented in the treatment plan and discussed first.
Progress is scored against symptoms, safety, and daily function — not against how quickly someone finishes a program.
Highest outpatient structure
Partial Hospitalization Program (PHP)
CBTDBT skillsTrauma-informed careMotivational interviewingRelapse prevention
PHP is the most structured level of care we provide — a near-full clinical day, several days per week, without an overnight stay.
Who it is for
- Adults who are medically stable but need daily clinical structure to interrupt a pattern of use
- People stepping down from residential treatment or a hospital stay who are not ready for a few hours a week
- People whose co-occurring depression, anxiety, or trauma symptoms need frequent clinical attention
How it is typically structured
- Roughly 5–6 clinical hours per day, multiple days per week (schedules are set individually)
- Daily process and psychoeducation groups, plus weekly individual therapy
- Psychiatric evaluation and medication management where clinically indicated
- Family involvement and case management coordinated through your treatment plan
Where it leads
Most people step down from PHP into IOP as symptoms stabilize and daily structure becomes less necessary.
Core outpatient program
Intensive Outpatient Program (IOP)
CBTDBT skillsRelapse preventionGroup processFamily education
IOP delivers real clinical intensity in half-day blocks, so treatment can coexist with work, school, and family responsibilities.
Who it is for
- Adults who need more than weekly therapy but can maintain safety and stability at home
- People stepping down from PHP who still benefit from several sessions each week
- People whose use has escalated but whose responsibilities make a full clinical day unworkable
How it is typically structured
- Multiple sessions per week, typically 3 clinical hours per session, morning or late-day options
- A mix of process groups, skills groups, and psychoeducation
- Weekly individual therapy with a licensed clinician and regular treatment plan review
- Medication management and MAT coordination when appropriate
Where it leads
IOP typically steps down to OP, with alumni support running alongside.
Continuing care
Outpatient Program (OP)
Individual therapyRecovery planningMotivational interviewingCommunity linkage
OP is lower-intensity continuing care: fewer hours, more independence, and the same clinical team.
Who it is for
- People who have completed PHP or IOP and want to protect their gains
- People with milder or earlier-stage substance use concerns who need consistent accountability
- People returning to full-time work or school who still want a clinical anchor each week
How it is typically structured
- Weekly or twice-weekly group sessions, plus scheduled individual therapy
- Recovery planning focused on employment, relationships, sleep, and daily routine
- Ongoing medication management where relevant
- Clear criteria for stepping back up if symptoms return — no shame attached
Where it leads
OP flows naturally into aftercare and alumni support.
Integrated treatment
Dual diagnosis & mental health treatment
Trauma-informed careCBTDBT skillsPsychiatric careGrief & loss
SAMHSA defines co-occurring disorders as a mental health disorder and a substance use disorder present at the same time. People with one are at higher risk for the other. Both are assessed and treated on one plan, not in sequence. SAMHSA — Co-Occurring Disorders
Who it is for
- Adults experiencing depression, anxiety, PTSD or other trauma-related symptoms, or bipolar concerns alongside substance use
- People who have relapsed after treatment that addressed only substance use
- People who have been told to “get sober first” before mental health care was considered
How it is typically structured
- Integrated assessment covering both substance use and psychiatric symptoms
- One coordinated treatment plan and one team — not two disconnected providers
- Trauma-informed care, CBT, and DBT skills alongside psychiatric care
- Available at PHP, IOP, and OP intensities
Where it leads
Integrated care follows you across levels of care rather than restarting at each one.
Medical support
Medication-Assisted Treatment (MAT)
Psychiatric evaluationMedication managementCounselingCare coordination
NIDA’s research position is that for opioid use disorder, medication should be the first-line treatment, usually combined with behavioral therapy or counseling. We apply that model: FDA-approved medication, prescribed and monitored by psychiatric providers, plus counseling. NIDA — Treatment and Recovery
Who it is for
- Adults with opioid or alcohol use disorder for whom medication is clinically appropriate
- People who have found that behavioral treatment alone has not been enough to sustain change
- People currently on medication elsewhere who need continuity while in outpatient treatment
How it is typically structured
- Medical evaluation before any medication decision, with informed consent throughout
- Ongoing monitoring, dose review, and side-effect management by a psychiatric provider
- Counseling and group therapy alongside medication — medication is never the whole plan
- Coordination with your outside prescribers or primary care provider when you authorize it
Where it leads
MAT can continue through IOP, OP, and aftercare as long as it remains clinically indicated.
Medication decisions are individual and made only after clinical evaluation. We do not provide medically supervised withdrawal management (detox) on site; when detox is indicated, we coordinate a referral.
Long term
Aftercare & alumni support
Continuing care planAlumni groupsCase managementCommunity referrals
NIDA notes that because addiction is chronic, a return to use can be part of the process, and that stopping a treatment plan raises the chance of relapse. Aftercare is written before discharge so monitoring and support continue after structured hours end. NIDA — Treatment and Recovery
Who it is for
- Everyone completing a program with us
- Alumni who want continued connection, accountability, and a way back if things get hard
- Families who want to understand how to support recovery over the long run
How it is typically structured
- A written continuing care plan built before discharge — appointments, supports, and warning signs
- Alumni groups and check-ins that keep the community accessible after programming ends
- Warm referrals to community resources, mutual-aid meetings, and outside providers
- A standing, judgment-free path back into a higher level of care if it is needed
Where it leads
Aftercare is continuing care: the same clinical problems, at a lower dose, with a documented route back up if risk returns.
Modalities
The evidence-based approaches used across our programs
These are the clinical methods our licensed staff are trained in. Which ones appear in your plan depends on your assessment, your goals, and what is working.
Dialectical Behavior Therapy skills
Distress tolerance, emotion regulation, mindfulness, and interpersonal effectiveness — skills training used when emotion dysregulation drives use or self-harm risk.
Motivational interviewing
A collaborative, non-confrontational approach that works with ambivalence instead of arguing against it.
Trauma-informed care
Care organized around safety, choice, and trust, recognizing how common trauma histories are among people seeking treatment.
Medication management
Psychiatric evaluation, prescribing, and monitoring integrated with therapy rather than separated from it.
Relapse prevention & recovery planning
Warning-sign mapping, coping plans, and scheduled supports. NIDA treats a return to use as a signal to resume or adjust treatment, not as proof that treatment failed.
Talk to someone now
A confidential conversation with our admissions team carries no obligation and no pressure — you decide what happens next.
Confidential. No obligation.
In an emergency, call 911. For 24/7 crisis support, call or text 988.