GENPSYCH ENHANCED OUTPATIENT

The eating disorder track provides patients with ongoing support following intensive outpatient treatment. It can help those who are struggling in traditional outpatient settings who need extra support. This track can help with managing relapse prevention and all of life’s stressors. Ongoing symptoms of Eating Disorders can be treated and supported by a combination of attending a weekly group therapy session, individual therapy and consultation with a registered dietician. Ongoing meal support will assist in preventing relapse of eating disorder behaviors and maintaining a healthy relationship with food.

Patients receive psychoeducation and clinical support in learning about trauma and anxiety symptoms, and about effective ways to cope with and control these symptoms in a safe, supportive, professionally supervised environment. Managing trauma is a great challenge, but individuals who have suffered it can achieve the ability to live a successful and satisfying life. Gaining control of strong negative emotions, stresses, anxieties, and compulsive behaviors or perfectionism linked to current and former traumas is a central goal of our program. Also integral to the treatment curriculum is learning to manage triggers, flashbacks, and dissociations. This is accomplished by improving one’s understanding of one’s own thoughts, actions, emotions, and experiences that present both bodily and psychological aspects, and by learning to regain control in life after trauma. Brief Psychodynamic Treatment of PTSD, Cognitive Processing Therapy (CPT), Mindfulness, motivational, psychoeducation, Client-Oriented Therapy, Focusing-Oriented Therapy, Cognitive Behavior Therapy (CBT), and Dialectical Behavior Therapy (DBT) approaches are included in the treatment of clients in this program depending on the track recommended for treatment. We offer courses of treatment for three forms of trauma organized in treatment tracks: In cases of single trauma, generally recent, most people can still function normally in everyday life but need help learning how to manage and diminish emotional pain and stress. Our single-trauma track lasts 12 weeks with the possibility to expand treatment based on clinical needs. Weekly group for this track runs on Mondays from 5:30pm-6:30pm. With complex trauma, typically incurred early in life and often repeated over long periods, survivors experience more profound challenges that impact behaviors, emotions, their sense of safety, and the locus of control in most or all areas of their lives. Treatment is indefinite in length. Weekly group for this track runs on Wednesdays from 5:30pm-6:30pm. Trauma incurred by active-duty military personnel or first responders is treated in a 12-week program, as military personnel are expected to be working and available for deployment at any time. The traumas are usually recent and singular but are sometimes complicated and worsened by earlier complex trauma, in which case treatment recommendation will be made to meet the clinical needs. Weekly group for this track runs on Tuesdays from 5:30pm-6:30pm.

Dialectical Behavior Therapy (DBT) has been an effective approach for the treatment of mood conditions, personality disorders, trauma and substance abuse. It also helps reduce impulsive behaviors such as suicidality, self-harm, substance abuse, eating disordered behavior, aggression, isolation, rumination, dissociation, anxiety, depression, and panic attacks. DBT teaches skills to control unhealthy behaviors by helping patients build a life worth living through tolerating distress, learning how to bear pain skillfully, living mindfully, regulating emotions, and improving relationships with others. Our 24 week DBT track, offers one 2 hour group held each Wednesday from 5:30pm-7:30pm. The group focuses on the learning and practice of DBT skills. Additionally, this group reviews weekly homework to ensure that patients are effectively applying newly developed skills. The weekly individual session assists each individual with the management of behaviors using diary cards and chain analysis, and DBT phone coaching is available for further assistance to the patients who are assessed and found appropriate for this service. *We offer a graduate group held monthly for those who successfully complete our DBT track to assist them with maintaining acquired skills and ongoing peer support.

The substance abuse track typically follows successful completion of our IOP program and maintained sobriety of substances. Patients are provided with ongoing substance abuse education and relapse prevention training. All patients have access to a recovery coach who can assist them with making smart choices and healthy decisions in the moment. Individual therapy sessions offer patients an opportunity to meet one-on-one with a counselor where they can process through their experiences in treatment, while also addressing any concerns that may arise. One weekly group therapy session will give patients the chance to meet with other individuals who are facing similar struggles with addiction. These sessions provide patients with the support and encouragement that they need in order to be successful in their recovery journeys. *Also available: Medication Assistance Therapy (MAT) clinic which helps stabilize the addict’s brain chemistry as well to block the euphoric effects of drugs and alcohol. Additionally, medications offered help relieve cravings and help to normalize body functioning. Regular lab work and nurse evaluations are provided. Medications used: Vivitrol, or naltrexone, comes in the form of a monthly injection that is administered by a practitioner. Vivitrol prevents a client from achieving the desired effects of an opioid or alcohol and can ease withdrawal symptoms. Because it is administered by a practitioner and lasts for a full month, there is less reliance on the patient to remember or choose to take it daily. Suboxone (comprised of naloxone and buprenorphine), is a partial opioid agonist that works on the same brain receptors that are triggered by the consumption of opioids. However, Suboxone does not elicit the same effects that arise when opioid substances are abused. Naloxone is an opioid antagonist, or opioid blocker. It works by counteracting the effects that opioids produce on the body. Buprenorphine is a partial opioid agonist that, when ingested, interacts with the brain’s opioid receptors, eliciting relief from cravings and minimizing the symptoms of withdrawal. When individuals take Suboxone, they are more likely to be successful in overcoming their opioid addictions because they do not have to confront the distressing effects that come with ceasing opioid use on their own.