Addiction therapy services in Ohio

Group is the main format in partial hospitalization, intensive outpatient and outpatient care, with individual appointments running alongside it. The approaches below get combined into one plan for one person. Therapy is delivered by licensed clinicians, and their credential types are listed further down this page.

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Where: Columbus and Dayton, Ohio
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Cognitive behavioral therapyStructured, skills based therapy for the thoughts and habits that keep substance use and co-occurring depression or anxiety running. Taught in therapy group in partial hospitalization, intensive outpatient, outpatient and virtual IOP, with individual appointments alongside.CBT
Dialectical behavior therapySkills training for people whose emotional reactions are fast and hard to control: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. Taught in therapy group, applied in individual sessions.DBT
Medication assisted treatmentFDA approved medication combined with counseling and behavioral therapy, prescribed and monitored by a healthcare professional. Medication for opioid and alcohol use disorder, with the therapy hours running alongside it.MAT
Motivational interviewingA way of working through ambivalence about change without being argued into anything. Used at the assessment and through the first weeks of treatment, in individual sessions and in therapy group.
Family therapyFamily sessions with a licensed clinician and the people you choose, held only with your consent. Your written release decides what your family is told about your care.
12-step therapyThe clinical name for 12-step therapy is twelve step facilitation (TSF): sessions with a clinician about using 12-step groups such as Alcoholics Anonymous. The sessions happen at Leora, and the meetings belong to the fellowships that run them.TSF
Case managementA case manager handles the practical side of treatment, from paperwork and outside services to coordination with your other providers. Case management runs alongside your level of care at both facilities.
Peer recovery supportSupport from peers who have gone through similar experiences, with the limits of the role and the confidentiality rules set out plainly.

Group as the main format

Most treatment hours here are group hours. Partial hospitalization runs four hours of therapy group a day, with an hour of relapse prevention and an hour of nurse education alongside it. Intensive outpatient runs three hours of group a day, three to five days a week. Outpatient is one or two days a week, with two hours of group. Virtual IOP runs fully remotely anywhere in Ohio, with morning, afternoon and evening sessions.

The weighting is deliberate. Hearing a problem described by somebody further along lands differently from the same sentence coming from a clinician. People often recognize their own patterns in another person's account, and practicing a skill in front of other people is closer to using it outside than describing it to one person is.

Group therapy sessions are led by licensed clinicians.

Individual sessions alongside

Partial hospitalization and intensive outpatient include one or two individual appointments a week, and outpatient includes individual appointments alongside the group. An individual appointment can be with your therapist, your case manager, peer support, a nurse or the nurse practitioner.

Individual sessions are where the treatment plan gets reviewed and where you can raise things you would not say in front of a room. Trauma work is paced there, and a change of level or medication usually comes up there first.

Family therapy is arranged through your clinician when the household is part of what needs to change. Case management and peer recovery support run alongside both formats and deal with practical problems, such as court dates and benefits paperwork, that can end treatment early.

Combined approaches

Cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, 12-step therapy, family therapy and medication assisted treatment are tools your clinician combines. Most plans use several of them.

Take someone arriving with alcohol dependence and PTSD who is unsure about stopping. Motivational interviewing fits while that ambivalence is live. Medication for alcohol use disorder can start in parallel if the prescriber and the person agree it fits. DBT skills address the sleeplessness and the anger that surface in the first weeks, and CBT groups work on the drinking cues. Trauma-focused work usually waits until withdrawal is over and sleep is steadier, which is the phased approach used in trauma-informed care.

Your clinician sets the order and revisits it as things change.

Your first group

If you are dreading it, this is what actually happens. You arrive and sign in. Snacks, coffee and water are there for all clients, and lunch is provided in partial hospitalization. The room is full of people who were mostly new themselves not long ago.

The facilitator opens with ground rules, including what stays in the room, then runs a check-in where people say how the last day has gone.

The rest of the session works through one topic, such as handling a craving or planning around a weekend. Some of it is dull, which tends to surprise people who expected constant confrontation. Nobody in the room is keeping score of how much you used, and you will not be the only person there who has relapsed.

Licensed clinicians

Groups and therapy sessions are run by licensed clinicians. Leora publishes six credential types for its clinical staff, in pairs: LCDCIII and LICDC for chemical dependency counseling, LSW and LISW for social work, and LPC and LPCC for professional counseling. In each pair the second license is the higher grade.

Medical care comes from nurse practitioners and registered nurses. They carry out the assessments for ambulatory detox and manage medication during treatment.

These are state-issued licenses, each with scope limits and continuing education attached, and each is verifiable through the state's public license lookup. Ask who your clinician is and what license they hold.

Common questions

Do I have to talk in my first group?

No. Tell the facilitator before the session starts that you would rather listen at first.

Can I have individual therapy only?

Group is the main format in partial hospitalization, intensive outpatient and outpatient care, with individual appointments alongside it. If group is not workable for you clinically, raise it at the assessment and the clinician will tell you what is possible.

Is what I say in group private?

Clinical staff work under federal privacy rules written specifically for substance use treatment records, which are stricter than general medical privacy. Group members are asked to keep what they hear in the room. No program can control what another client says outside it, so share at a pace you are comfortable with.

Can my family be involved?

Family therapy is available and is arranged through your clinician. Involving anyone in your care, including family, needs your written consent.

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.

(614) 665-8878