Depression
Major depressive disorder, persistent depressive disorder, and treatment-resistant depression.
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Condition
Substance use disorder treatment
We treat substance use disorder as part of integrated mental health care — alcohol, cannabis, stimulants, and other substances — for adults whose use is interacting with depression, anxiety, trauma, or bipolar disorder. Outcomes vary; treatment is structured around your specific picture.
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Key takeaways
- Outpatient SUD treatment combines CBT, DBT skills, motivational interviewing, group therapy, and family work.
- We treat SUD only as part of integrated mental-health care — never in isolation.
- For opioid use disorder, we coordinate with an outside Medication-Assisted Treatment (MAT) provider; we do not prescribe buprenorphine or methadone.
- Recovery is rarely linear; we plan for continuity across PHP, IOP, Virtual IOP, and aftercare.
What we treat
Outpatient treatment for substance use disorder when paired with a mental health condition. Common patterns:
- Alcohol use disorder with depression or anxiety.
- Cannabis use that's interacting with depression, anxiety, or psychosis-spectrum symptoms.
- Stimulant use (cocaine, methamphetamine, prescribed stimulants) with mood instability.
- Benzodiazepine reliance with anxiety, including taper support coordinated with a prescriber.
- Polysubstance use as part of a trauma response.
See co-occurring conditions for our integrated treatment model.
What we don't do
- We are not a medical detox. If you need medically supervised withdrawal (from alcohol, benzodiazepines, opioids), we refer you to a detox partner first and welcome you back for outpatient continuing care.
- We do not prescribe controlled medications (buprenorphine, methadone) for opioid use disorder. We can coordinate with an outside MAT provider when appropriate.
- We do not offer residential or 24-hour care. Our highest level is PHP.
In crisis? Call or text 988 (Suicide & Crisis Lifeline, 24/7) or 911 for an emergency.
How we treat substance use
- CBT and DBT skills — relapse-prevention skills, distress tolerance, emotion regulation.[1]
- Motivational interviewing — meeting you where you are about change.
- Group therapy — small, closed groups where substance use is on the table without stigma.
- Trauma and mood treatment in parallel — addressing the patterns that drive use.
- Family work when appropriate.
- Referral coordination with detox, MAT, and 12-step support as part of the plan.[2]
On outcomes
Recovery from substance use is not linear, and outcomes vary by person, substance, severity, and what else is going on. We don't make promises. We commit to evidence-based treatment, honest communication, and continuity of care if you need to step up, step down, or come back later.
Levels of care
- PHP — common starting point post-detox.
- IOP — for structured continuing care.
- Virtual IOP — California residents.
- Aftercare — long-term continuing care.
Frequently asked questions
Do you treat substance use on its own?
We treat substance use only as part of integrated mental-health care, never in isolation — paired with depression, anxiety, trauma, or bipolar disorder.Do you provide detox?
No. If you need medically supervised withdrawal from alcohol, benzodiazepines, or opioids, we refer you to a detox partner first and welcome you back for outpatient continuing care.Can you prescribe Suboxone or methadone for opioid use disorder?
No. We do not prescribe controlled medications for opioid use disorder, but we coordinate with an outside Medication-Assisted Treatment (MAT) provider when appropriate.What substances do you work with?
Alcohol, cannabis, stimulants, benzodiazepine reliance (including taper support coordinated with a prescriber), and polysubstance use — always alongside the mental-health condition involved.Can you promise I will stay sober?
No. Recovery is rarely linear and outcomes vary by person, substance, and severity. We commit to evidence-based treatment, honest communication, and continuity of care if you need to step up, step down, or come back later.
Related conditions, therapies, and levels of care
Anxiety
Generalized anxiety, panic disorder, and social anxiety.
Trauma & PTSD
Acute and complex trauma, PTSD, and trauma-driven substance use.
Co-Occurring (Dual Diagnosis)
Mental health conditions alongside substance use — treated together, not in series.
Most intensive
Partial Hospitalization Program (PHP)
Full-day outpatient program, 5 days/week, for high-acuity care without an overnight stay.
Intensive Outpatient Program (IOP)
3 evenings per week, 9 hours total — built to fit around work, school, or caregiving.
CA residents
Virtual IOP
The same IOP curriculum delivered via secure video for California residents.
Aftercare
Continuing care to maintain gains after PHP or IOP.
Cognitive Behavioral Therapy (CBT)
The most-studied talk therapy for depression, anxiety, and substance use.
Dialectical Behavior Therapy (DBT) Skills
Emotion regulation, distress tolerance, and mindfulness skills for intense emotions.
Medication Management
Psychiatric evaluation and prescribing by a psychiatrist or psychiatric NP.
Group Therapy
Small, closed clinical groups with a structured curriculum — the backbone of our care.
Motivational Interviewing
A collaborative approach that meets you where you are about change.
Relapse Prevention
Skills to recognize triggers and high-risk situations and respond before a slip.