Evidence-based care, designed for adults

We use modalities that meet two tests: (1) randomized controlled trial support for the conditions we treat, and (2) trainable, supervisable practice so we can deliver them consistently. The shortlist:

• Cognitive Behavioral Therapy (CBT) — the most-studied therapy for depression, anxiety, and substance use. Targets the link between thoughts, feelings, and behavior.
• Dialectical Behavior Therapy (DBT) skills — emotion regulation, distress tolerance, mindfulness, interpersonal effectiveness. Originally for borderline personality; now used broadly for emotion-dysregulation patterns common in depression, trauma, and bipolar.
• EMDR — Eye Movement Desensitization and Reprocessing for trauma. Evidence-based for PTSD; we use it within an overall trauma-informed treatment plan.
• Medication management — psychiatric evaluation and prescribing by a psychiatrist or psychiatric nurse practitioner. We do not over-medicate; we treat medication as one tool of several.
• Group therapy — most of our clinical hours are in small, closed groups. Group is not "support group" — it's a clinical modality with structured curriculum and shared practice.
• Family therapy — when relationships are part of the picture, we bring family in (with your consent) to support change rather than work around it.

See all the therapies we use for how each one works and the conditions it helps.

We do not treat adolescents. That's not because we don't care about teen mental health — we just believe in specialization. Adult clinical needs (work stress, parenting, partnership, midlife depression, late-onset substance use, medication interactions with chronic illness) are different enough that mixed-age programming dilutes care for both groups. Every group room here is adults.