Cognitive Behavioral Therapy (CBT)
Identifying and reworking the thought patterns and situational triggers that drive use, with practical between-session work.
Programs
Outpatient care, matched to the level of structure you actually need
We provide a full outpatient continuum — from near-daily clinical structure to weekly continuing care. The right starting point comes out of a clinical assessment, and it changes as you change.
How level of care and step-down work
Levels of care are defined by intensity — how many clinical hours per week, how much medical oversight, and how much structure surrounds you. The clinical standard is to use the least restrictive level of care that can reasonably support your progress, then adjust based on how you are actually doing.
A typical path runs PHP → IOP → OP → aftercare. Not everyone starts at the top, and movement is not one-directional: if symptoms intensify or use resumes, stepping back up is a clinical decision, not a failure. Every change is documented in your treatment plan and discussed with you first.
Progress is measured in stability and function — not in 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
Substance use and mental health conditions frequently travel together. Treating one and postponing the other rarely holds.
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
MAT combines FDA-approved medication, prescribed and monitored by psychiatric providers, with counseling and behavioral therapy.
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
The riskiest period is often after structured treatment ends. Aftercare is planned from the beginning, not improvised at discharge.
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 the point of the continuum, not the end of it.
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 for the moments that matter most.
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, routine building, and concrete supports for the weeks after a program ends.
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.