What we treat
Addiction and mental health treatment programs in Ohio
Substance use and mental health problems often arrive together. Leora treats both, separately or at the same time, with one clinical team working from one plan at whichever level of care the assessment points to. You do not need a diagnosis, or even a name for what is wrong, before you call.
- Where
- Columbus and Dayton, Ohio
- Admissions
- (614) 665-8878
Substance use
- AlcoholAlcohol use disorder treated on an outpatient basis in Columbus and Dayton. Ambulatory detox covers mild to moderate withdrawal, and medication assisted treatment can be part of the plan.
- OpioidsOpioid use disorder treated on an outpatient basis in Columbus and Dayton, covering prescription opioids, heroin and fentanyl. Ambulatory detox handles mild to moderate withdrawal, and medication continues after it.
- HeroinHeroin is assessed and treated as opioid use disorder, with the fentanyl content of the current supply changing withdrawal timing and how medication is started. Ambulatory detox is available for mild to moderate withdrawal.
- FentanylOutpatient treatment for fentanyl dependence at both Ohio facilities, including ambulatory detox and medication for opioid use disorder. The assessment decides whether outpatient withdrawal management is safe for you.
- MethamphetamineOutpatient treatment for methamphetamine use disorder in Columbus and Dayton. There is no approved medication for stimulant withdrawal. Withdrawal is monitored, and therapy and a full daily schedule carry the treatment.
- CocaineOutpatient treatment for cocaine use disorder in Columbus and Dayton, covering the crash, the cardiac risks and the cues that drive cravings afterwards.
- BenzodiazepinesOutpatient treatment for benzodiazepine dependence in Columbus and Dayton, built around a supervised taper. Stopping abruptly can cause seizures, so nothing changes before an assessment.
Mental health
- Co-occurring disordersA mental health condition and a substance use disorder, assessed together and treated in one plan by one clinical team. Withdrawal is managed first where it is present, and care continues at the level of care the assessment sets, from partial hospitalization five days a week down to outpatient one or two days a week.
- DepressionOutpatient treatment for major depressive disorder and persistent depressive disorder at four intensities, with cognitive behavioral therapy as the main approach and antidepressant management by a nurse practitioner. Treated whether or not substance use is part of the picture.
- AnxietyOutpatient treatment for generalized anxiety disorder, panic disorder and social anxiety disorder, built on cognitive behavioral therapy and planned exposure. Medication is reviewed by a nurse practitioner, with benzodiazepines used cautiously and often not at all.
- Trauma and PTSDOutpatient treatment for post traumatic stress disorder, with stabilization before processing and trauma focused work delivered through cognitive behavioral therapy and dialectical behavior therapy. Treated on its own and alongside substance use, with no abstinence required first.
- Bipolar disorderOutpatient treatment for bipolar I and bipolar II, with medication management by a nurse practitioner and therapy focused on early warning signs, sleep and routine. Acute mania and psychosis need inpatient care, and the assessment says so directly.
Addiction treatment programs
The addiction treatment program is for people whose main problem is alcohol or drug use. Where withdrawal needs managing it starts with ambulatory detox, and treatment then continues at the level of care the assessment sets, from partial hospitalization five days a week down to outpatient one or two days a week. Medication assisted treatment (MAT) is available alongside therapy.
Co-occurring programs
When a substance use disorder and a mental health condition are both present, the co-occurring program treats them together. Dual diagnosis is the older name for this. Both histories are taken at the same assessment, and one clinical team works from one treatment plan.
Mental health programs
The mental health treatment program treats depression, anxiety disorders, PTSD and bipolar disorder in their own right, with or without substance use. Therapy runs in group and individual sessions, and a nurse practitioner manages medication.
Integrated care
Substance use and mental health are handled here by the same clinicians on one treatment plan. Your counselor and your prescriber work from that plan together, and you are not sent to an outside psychiatric office and told to come back once that side is sorted out. SAMHSA recommends integrated treatment for co-occurring disorders.
Where the two conditions interact, the interaction is part of the plan.
The cost of splitting care
Treating the two separately is still common. Four problems follow from it.
- The conditions feed each other. Drinking to get to sleep and using to quiet panic run one way. Withdrawal runs the other, producing low mood and anxiety that can look like a psychiatric illness of its own.
- Two providers who never speak can write plans that pull in different directions, and the person in the middle carries the messages.
- Either provider can decide the other problem is out of scope, and treatment waits while that gets worked out.
- People are told to get sober first and come back for the psychiatric side, or to stabilize their mood before dealing with the drinking. Untreated PTSD or panic makes staying stopped harder, and continued heavy use blunts treatment for depression.
Conditions treated
Substance use: alcohol, opioids including heroin and fentanyl, methamphetamine and other stimulants such as cocaine, and benzodiazepines. Ambulatory detox is available for withdrawal from these, within the mild to moderate limits set out on the ambulatory detox page.
Mental health: depression, anxiety disorders, PTSD and bipolar disorder, alone or alongside substance use.
Each condition has its own page, listed above. Which level of care you start at is a separate question from the diagnosis, and it is settled at the assessment.
Calling without a diagnosis
You do not need a diagnosis to call, and you do not need to have decided what the problem is. Naming the condition is clinical work, and it happens at the assessment.
You also do not need to stop using before you come in. Tell the assessing clinician what you took and when, because it changes the medical review and any medication decision. Do not stop drinking abruptly on your own after heavy daily use, and do not stop a benzodiazepine abruptly, since both withdrawals carry a seizure risk.
Every program is outpatient. In-person treatment runs at the Columbus facility and the Dayton facility, and virtual IOP is available anywhere in Ohio. Leora accepts all major commercial insurance and Medicaid. Call (614) 665-8878.
Common questions
Do I need a diagnosis before I call?
Can Leora treat depression or anxiety on its own?
I was told to get sober first and then get mental health treatment. Is that right?
Do I have to stop using before the assessment?
Is Leora residential or inpatient?
Does Leora accept insurance?
Hope inspired
Talk to admissions about the right next step.
Outpatient addiction and mental health treatment in Columbus and Dayton, Ohio, from ambulatory detox to outpatient therapy groups. Walk-ins welcome. Call now, or leave your number and admissions will call you back.
