Outpatient Mental Health Treatment in Portland

Treatment

Nearly one in five US adults live with a mental illness

SLO RECOVERY OFFERS PRIMARY MENTAL HEALTH TREATMENT

SLO Recovery Center developed our Mental Health Intensive Outpatient Program to provide comprehensive, compassionate outpatient treatment to those with mental health diagnoses and co-occurring disorders. The program is available to all adults recovering from mental health or substance abuse issues who need a supportive, empathetic environment. The program encourages patients to build healthy coping and recovery skills while treating their underlying mental health concerns.

LICENSED, EXPERIENCED MENTAL HEALTH PROFESSIONALS

Our Mental Health Intensive Outpatient (IOP) program is led by a team of licensed mental health professionals dedicated to the success and growth of our patients. Following an initial mental health assessment, patients will work in tandem with their treatment team, which can include psychiatrists, registered nurses, therapists, and counselors. They will regularly meet with members of their team to clarify, further evaluate, and assess their recovery goals. Our seasoned treatment team combines CBT, DBT, Motivational Interviewing, CPT, Exposure Therapy, and a range of other tested modalities to promote lasting healing. Upon completion of the program, the team helps patients connect with mental health support services available within their community.

INDIVIDUAL CLINICAL CARE

Our services offer support to our patients on their way to recovery with a flexible schedule. With both day and evening programming, our step down levels of care can be individualized to meet each patient’s needs. At SLO, we understand that a balanced life is important to long-term recovery, and we strive to prepare our patients to succeed after their time with us.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a type of psychotherapy in which patients learn to address their thought patterns. It enables people to change false or limiting beliefs to positively affect behavior, and forms an optimal part of a robust treatment plan.

More About CBT

Cognitive-behavioral therapy is widely regarded as one of the most successful forms of psychotherapy. Through CBT, patients learn to recognize how their thinking influences their emotions. During work with a therapist, they establish how to find effective coping mechanisms and responses to thoughts, emotions, and behaviors in real-world situations. CBT can be useful to individuals suffering from eating disorders, depression, and anxiety.

CBT involves identifying the sources of negativity, becoming mindful of the emotions and beliefs associated with it, reframing the situation, and developing healthy coping mechanisms for future situations. CBT enables better stress management, reduced anxiety and depression, and healthy alternatives to destructive thinking and behavior, including addiction. Studies have concluded that cognitive-behavioral therapy changes the brain's prefrontal cortex, which is responsible for higher-level thinking, implying that CBT can actually alter the part of our brain that handles emotions and logic.

Dialectical Behavioral Therapy

Dialectical Behavioral Therapy (DBT) is a model of cognitive-behavioral therapy that emphasizes the development of healthier coping skills and emotional responses. At SLO, we offer DBT as part of our robust, evidence-based treatment curriculum.

More About DBT

Research has demonstrated that DBT is effective in treating a wide range of disorders, including substance use, depression, anxiety, bipolar, PTSD, and eating disorders. Studies have established that it is a well-established treatment for individuals with multiple and severe psychosocial disorders, and a study published in Psychiatric Times found that DBT significantly decreases suicide attempts, depression, and substance abuse.

As its name suggests, DBT is influenced by the principle of balancing opposites. Individuals are coached to find ways to maintain two seemingly opposite perspectives at once, promoting balance and avoiding black and white, all-or-nothing thinking. DBT promotes acceptance and change though helping people develop new skills to manage painful emotions and decrease conflict in relationships. It focuses on mindfulness, interpersonal effectiveness, distress tolerance, and emotional regulation in order to help people achieve balance and serenity.

Exposure Therapy

Exposure Therapy is a treatment modality that was developed to help people confront their fears, and can be especially useful in the treatment of PTSD and trauma.

More About Exposure Therapy

Exposure Therapy has been found to offer effective relief for symptoms of PTSD, trauma, and other anxiety disorders. It was developed to help people confront their fears. It is based on the premise that when people are afraid of something, they avoid it. Although this can be helpful in the short-term, over time, as the avoidance becomes more extreme, it can affect quality of life, relationships and mental health. As such, exposure therapy seeks to break the pattern of avoidance and fear. Practitioners work to create a safe environment in which individuals can be exposed to the things they fear and avoid, helping them form new associations and break the patterns that have become ingrained.

Motivational Interviewing (MI)

Also known as MI, Motivational Interviewing is a therapeutic technique that focuses on empowering patients to actively engage in their own recovery. This modality can be useful in addressing substance abuse as it gives clear motivation towards necessary behavior changes even when patients are struggling with internal resistance and cravings.

More About Motivational Interviewing

Motivational interviewing is often used as part of a comprehensive addiction treatment program. It can also prepare individuals for other therapy modalities and interventions. Research has shown that this intervention works well with individuals who are unmotivated or unprepared for change. Motivational interviewing can help them move through the emotional stages of change necessary to find their own intrinsic desire for transformation.

Assertive Community Treatment

ACT is an evidence-based form of community-centric mental health care that aims to help people become independent and integrate into the community as they recover.

More About Assertive Community Treatment

ACT is a form of community-based mental health care that aims to help people become independent and find connection as part of their recovery program. It offers an integrated approach to mental health care, with services provided in a community setting, rather than in zmore restrictive institutional settings. Treatment plans are centered on individuals’ personal strengths, needs, and goals for the future.

Functional Family Therapy

We are happy to offer this family-based prevention and intervention program for young people who are struggling with addiction or substance abuse issues.

More About Functional Family Therapy

Prolonged Exposure Therapy (PE)

Prolonged Exposure Therapy, also known as PE, is an evidence-based treatment for Post Traumatic Stress Disorder (PTSD). In this modality, individuals are guided to gradually face their trauma-related memories and feelings. Through facing these past traumatic events with safe guidance, patients can learn that trauma-related memories and cues are no longer dangerous and no longer need to be avoided.

More about PE

Numerous well-respected studies over the past twenty years have demonstrated that PE helps notably reduce PTSD symptoms and associated depression, anger, and anxiety. It has been widely used in the treatment of military service members and veterans. In addition to reducing PTSD symptoms, PE also instills confidence, giving patients the ability to better discern safe and unsafe situations, and improves their ability to function day-to-day.

Cognitive Processing Therapy (CPT)

Cognitive Processing Therapy (CPT) is an evidence-based treatment for Post Traumatic Stress Disorder (PTSD) and other associated symptoms that often follow traumatic events. It focuses on how the traumatic event is thought of and coped with by a person who is trying to regain a sense of mastery and control in his or her life. It is commonly used with members of the military, and front line or emergency workers.

More about CPT

CPT is based on the social cognitive theory of PTSD. It focuses on repairing the damaging beliefs that often come as a result of a traumatic event. By offering new ways to think about these experiences, CPT allows people to challenge these negative thoughts and interpretations and gain a healthier perspective about the trauma. This allows them to regain a sense of control, better cope with future trauma, and move forward with their lives.

Cognitive Therapy for Suicidal Patients (CT-SP)

Cognitive Therapy for Suicide Prevention (CT-SP) is an evidence-based, cognitive-behavioral treatment for adults who have attempted or considered suicide. This type of therapy is considered effective and has been particularly useful in treating members of the military and emergency workers.

More about CT-SB

CT-SP is structured and typically consists of a set number of sessions. It involves three broad phases. The first phase focuses on treatment engagement, risk assessment, and crisis management. In the intermediate phase, patients are guided to find more effective coping skills and to address unhelpful beliefs that raise the risk of suicidal crisis. The final phase includes several relapse prevention exercises intended to consolidate skills learned during therapy.

Cognitive Behavioral Therapy for Insomnia (CBT-I)

CBT-I is widely recognized as an effective treatment for a wide range of insomnias. It consists of several components including assessment, behavioral and cognitive interventions, motivational techniques, and relapse prevention skills. While useful for anyone suffering from insomnia, it is often applied to service members experiencing insomnia before deployment.

More about CBT-I

This treatment is applied especially to service members experiencing insomnia before deployment but can be useful to anyone suffering from insomnia. Insomnia is one of the most common complaints of people treated for psychological conditions including PTSD, depression, and anxiety. For service members, issues with sleep quantity and quality are the number one non-injury-related complaints following deployment.

Cognitive Behavioral Therapy for Depression (CBT-D)

Cognitive Behavioral Therapy for Depression (CBT-D) is an effective, evidence-based treatment for depression. It has been widely used to treat veterans and military service members but is effective for anyone struggling with depression. This short-term talk therapy addresses depression symptoms including feeling sad, depressed, or hopeless; lack of interest or pleasure in activities; being irritable or agitated; loss of energy or fatigue, loss of appetite, and trouble sleeping.

More about CBT-D

The overall goal of CBT-D is to improve the symptoms of depression by addressing thought patterns. Patients will be guided as they develop more balanced and helpful thoughts about themselves, others, and the future, as well as urged to spend more time engaging in pleasurable or productive activities. CBT-D helps veterans and others to achieve personal goals and solve problems by learning and adopting new skills. CBT-D can help to improve a patient’s quality of your life and overall level of functioning.

CBT-D is one of the most studied and effective therapies developed for depression. The modality is based on decades of research and has been shown to be very effective. According to research, over 75% of people treated for depression show noticeable improvement following CBT-D. The treatment is considered at least as effective as medications, and many continue to enjoy benefits long after completing CBT-D treatment concludes.

ACT Therapy

More about ACT

Acceptance and Commitment Therapy (ACT) is a type of psychotherapy that draws from traditional therapy and cognitive-behavioral therapy (CBT). Using acceptance as a tool for growth, patients learn to stop avoiding, denying, and struggling with their emotions and to find compassionate acceptance of their feelings. With this understanding, they are then empowered to make necessary changes in their behavior and meet challenging situations with mindfulness and acceptance.

ACT therapy is based on the premise that it is both ineffective and counterproductive to attempt to manage painful emotions and experiences, because it ultimately leads to more distress. ACT assumes that there are more effective and healthier alternatives, such as mindfulness, attention to personal values, and commitment to action. By taking steps to change their behavior while, at the same time, learning to accept their psychological experiences, patients can feel empowered and experience positive change.

During an ACT session, patients learn to tune in to their inner dialogue while specifically focusing on stressors like traumatic events or painful relationships. The patient and therapist then asses if an action is called for, or if the situation can be accepted as is, while the patient focuses on the development of healthy long-term behavior strategies that can improve the situation over time. ACTT allows people to face and accept certain feelings and situations, so they can instead use that energy for better purposes—such as increasing their alignment with personal with their goals and values.

Narrative Exposure Therapy (NET)

Narrative Exposure Therapy is a counseling modality used to help people gain new perspectives on past life events and issues. It aims to give people distance from the stories they have constructed or “narrated” in response to these events, in order to “rewrite” a new narrative that better reflects their identity, goals, and ideals. This technique helps patients discover how their internalized reactions may have shaped their identity, take accountability for them, and find more empowering narratives in order to move forward positively.

More about NET

Trauma Recovery and Empowerment Model (TREM)

The Trauma Recovery and Empowerment Model is an evidence-based, facilitated group approach to help people heal from the effects of trauma. It combines elements of coping skills development and emphasizes peer support. It is useful for those with PTSD, mental health issues, and/or substance use disorders, and can help address a broad range of trauma symptoms.

More about TREM

This model draws on cognitive-behavioral, skills training, and educational techniques to address recovery and healing from sexual, physical, and emotional abuse. The model consists of three components. First, group members learn strategies for self-comfort, awareness, and ways to establish safe physical and emotional boundaries. Second, it focuses on the trauma experience and its consequences. Lastly, the focus shifts to skills building. These group sessions emphasize healthy communication, decision-making, regulating overwhelming feelings, and establishing safer, more balanced relationships.

Some additional modalities of our individualized clinical programming include:

When patients receive trauma screening as a regular component of our admission process at SLO Recovery Center, more often than not, we find that there are past trauma issues with most people seeking treatment for substance abuse and co-occurring issues. We have groups specific to building coping skills to manage trauma. SLO's programming maintains trauma centric practices, through specialized trauma groups with an emphasis on avoidance of power struggles through patient-centered care, Seeking Safety, Motivational Interviewing, and Cognitive Behavioral Therapy. Further, SLO has integrated yoga, physical fitness, mindfulness, Non-Violence Communication Skills, and meditation throughout our model. We are careful to follow patients through our program in regard to their mental health and coordinate with other prescribers to collaborate and transition patients to ongoing providers as they progress in their recovery.

Relapse occurs when there has been a long period of abstinence and a person returns to substance use. Relapse is a common symptom of substance use disorders, however it doesn’t have to be. The first 6 months of recovery individuals are at the highest risk for relapse. For this reason it is extremely important to have an extended outpatient, aftercare and treatment plan. Sober Living Oregon Recovery Centers’ relapse prevention therapeutic groups, workbooks and planning can dramatically reduce the chances of a relapse. Individuals will learn:

Contributing factors that lead to relapse
Tips and successful relapse prevention
How to identify high risk situations
Negative feelings and cravings
Healthy coping strategies

Originally, the term codependency was applied only to families of alcoholics. Eventually, the term expanded to include families with anyone dependent on any kind of drug. Today, the word is used to describe anyone in a significant relationship (or relationships) with a person who exhibits any kind of dependency. Such dependencies could include alcohol, drugs, sex, food, work, gambling, success, perfectionism, or something else. Being in a relationship with this kind of person often results in codependency, which results in an imbalanced sense of responsibility to rescue, fix or help this other person. Our groups focus on the systemic family issues that enable and perpetuate codependency, with a focus on how to rid yourself of the guilt, shame, anxiety, worry, and pity. “A codependent person is someone that lets other peoples emotions and behaviors affect him or her and is obsessed with controlling that persons behavior” (Melanie Beattie in Codependent No More). We teach our patients suffering from addiction and alcoholism how to set healthy boundaries to protect their recovery by utilizing an evidence based research so the individual can learn to:

Practice self-care and self-respect
Communicate needs in a relationship
Make time and space for positive interaction
Set limits in a relationship to create healthy boundaries

Spirituality in recovery gives individuals the opportunity to examine their life’s purpose and to create a deeper meaning. Socrates said, “An unexamined life is a life not worth living.” At Sober Living Oregon Recovery Center we take great pride in aiding our patients in their development of spirituality. Spirituality is an individual practice, and has to do with having a sense of peace and purpose. Not everyone has religious or spiritual beliefs that are similar, Sober Living Oregon respects each patient’s choice by encouraging and supporting individual personal beliefs.

Yoga therapy is described as the use of physical postures to learn how to connect mind, body, and breath to gain self-awareness and focus attention inward. The calm breathing exercises, gentle motions, and meditative benefits of yoga can help calm your nerves, reduce cravings, and help treat any psychological distress or trauma you may feel regarding your addiction. At Sober Living Oregon Recovery Center, we teach yoga and meditation for recovery as a healthy coping skill and an alternative to substance use. Introducing individuals to a weekly practice of yoga and daily meditations that individuals can utilize as a new healthy lifestyle choice. This can have a huge impact. Yoga therapy is a complementary, or adjunct health practice that is considered a natural form of medicine by reducing the release of the stress hormone cortisol. The benefits of yoga therapy include some or all the following:

Stress reduction
Increased physical stamina and cardiovascular health
Self-refection and increased self-awareness
Reducing cravings
Self-confidence and improved self-image
Improved sleep
Reducing chronic pain/pain reduction
Reduced fatigue and increased energy levels
Emotional healing
Increase grey and white matter for healthier brain functioning

While you’re at SLO, you’ll explore all that the world has to offer through our scheduled recreational activities. With each new experience, you’ll find opportunities that light up your soul through nature, art, spiritual practices, and more. You may find life-long hobbies, new ways to connect with your innermost self, and see that there is a fun life after drugs & alcohol. You’ll rediscover laughter, nature, friendship, serenity, and new ways to see the world. This is how we show you that recovery isn’t the end of your life - it’s only the beginning.

WE CALL THIS RECREATIONAL THERAPY. AND WE PROMISE, THERE’S SOMETHING FOR EVERYONE.

Yoga - The calm breathing exercises, gentle motions, and meditative benefits of yoga can help calm your nerves, reduce cravings, and help treat any psychological distress or trauma you may feel regarding your addiction. At Sober Living Oregon Recovery Center, we teach yoga and meditation for recovery as a healthy coping skill and an alternative to substance use. Introducing individuals to a weekly practice of yoga and daily meditations that individuals can utilize as a new healthy lifestyle choice. This can have a huge impact. Yoga therapy is a complementary, or adjunct health practice that is considered a natural form of medicine by reducing the release of the stress hormone cortisol.

Hiking - Exploring raw nature is the best way to reignite your senses with the sounds, smells, and sights of the Pacific Northwest hiking trails. With the Multnomah Falls in our backyard, this hike is one of our favorite day trips. It will get your blood flowing, your endorphins firing, and offer the peaceful wonder of nature you’ll need to reconnect with your best self.

Healing Arts - Described as a “turning point” in their recovery, the Healing Arts group will guide you through a journey of self-discovery with creative activities such as collage, writing, reflection, and simple rituals such as writing and speaking affirmations. Mindfulness techniques such as meditation, breathing exercises, guided visualization, and self-reflection combine with creativity to connect you with the you who has been hiding beyond your addiction.

Outdoor Adventures - The pacific northwest is known for its picturesque landscapes and an abundance of outdoor activities; so while you’re with us, you may find yourself exploring the best outdoor thrills that Oregon has to offer. Rafting, boating, snow tubing, rock climbing, kayaking, and sturgeon fishing are just a few of the local adventures we love, and more opportunities are always presenting themselves as our patients’ next fresh air adventure.

Giving Back to the Community - Community service introduces the feel-good benefits that come with giving to others. Twice a month, our patients volunteer at a homeless shelter, a food bank, or a soup kitchen. You’ll likely return with a boosted sense of self-esteem and an innate feeling of gratitude, which we believe is one of the keys to long-term sobriety.

Rock to Recovery - We partner with Rock to Recovery to offer the healing transformative powers of playing music as a group. Through the musical program, our patients learn how to use music as an outlet to find hope where there was once hopelessness, and light where there was once darkness.

Meditation - The practice of quieting one’s mind is a tool that many use in long-term recovery to find serenity and ground themselves. At SLO, we’ll introduce you to this calming of the mind, and help you reconnect with yourself. Meditation comes in all different shapes and sizes, and we’ll help you find what works for you.

Live Events - Sometimes an opportunity presents itself to bring our patients to the big Portland live events - Trailblazers games, theater, and more. You may also find yourself exploring the local arts and sciences museums. These events are excellent ways to rediscover your passions and bond with other residents.

Social Outings - Learning how to have fun sober is one of the most confusing things to navigate when you’re newly sober. This is why we will bring you out to experience good clean fun in Portland. Minigolfing, bowling, movies, and archery are just a few of the activities you may enjoy while you’re with us. There’s no pure joy quite like a genuine belly laugh, and that’s our goal on these trips!

LEVELS OF CARE

SLO Recovery Center treats the whole person from the point of crisis to the beginning of a productive, useful way of living. Each level of care at SLO Recovery Center starts with an assessment of each patient and their circumstances. That assessment allows placement into Detoxification, Partial Hospitalization Programming (PHP), Intensive Outpatient Programming (IOP) or Outpatient services. SLO Recovery Center believes the true success of each patient is based upon the skills taught throughout the entire treatment process. The levels of care offered at SLO Recovery Center start with evidenced-based intensive therapies of PHP and end with the ongoing support of our Aftercare program. Treating the whole person is our primary goal.

SLO Recovery Center allows patients to participate in their daily affairs, such as work or school, and then participate in treatment at times which can bring balance to their recovery process. At SLO Recovery, IOP is a flexible day or evening track that consists of 9-15 hours a week and includes Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Relapse Prevention and DUI services. IOP is often the next step down from Partial Hospitalization Programming (PHP).

IOP at SLO Recovery Center teaches and practices skills that can allow relief from cravings and eventual relapse back to substance abuse. During this period, patients develop a variety of self-imposed interventions and continue to stabilize their daily life. Most IOP services at SLO Recovery Center will range 30-45 days.

SLO Recovery Center can be appropriate in many situations as an initial level of care for patients with less severe disorders, or for those who are stepping down from more intensive services. Outpatient services can also be for those who are stable and need ongoing monitoring, support and disease management. Outpatient at SLO Recovery is a flexible day or evening track that helps patients integrate into the community while promoting self-efficacy.

Patients in Outpatient will learn to self-check and use their new skills in the community, as well as self-monitor their symptoms. Outpatient at SLO Recovery Center often lasts approximately 30-45 days.

Aftercare at SLO Recovery Center is a self-directed program designed to help patients with navigating the triggers and obstacles which often show up upon reintegration into normal, daily living. Aftercare is effective in supporting patients in early recovery and can help prevent relapse. SLO Recovery Staff is available for phone support as well as in-person contact as needed for continued support.

Patients in Aftercare at SLO Recovery Center are provided a stable connection to the therapeutic community while returning to daily living. Aftercare can last anywhere from 30 days to however long it takes to find long term remission and stability.

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