We are actively accepting new patients for our adult program.

We are excited to provide a much-needed intensive outpatient program for persons age 18 and older who are experiencing recent decline of functioning due to their mental health; who are experiencing recent suicidality with ability to plan for safety; who are recently discharged from inpatient, residential, or day treatment programs; who are hoping to reduce the chance of stepping up to inpatient or day treatment programs; and/or who are experiencing symptoms primarily due to depression, anxiety disorders, and/or mood disorders. Persons who are FMLA candidates due to mental health symptoms or who are unable to meet their responsibilities at home, at work, and/or at school are good candidates for this program. 

Please contact us at (360) 448-7827 for further information.



What can you expect from our program?


Our program is guided by the principles of Acceptance and Commitment Therapy (ACT), which highlights the important roles of mindfulness, values, acceptance, presence, and committed action.


Participants will attend group therapy three times per week as well as will receive medication management and individual therapy.


While inquiriesand self-referrals are always welcome,we anticipate that most candidates will be referred from other therapists, physicians, psychiatrists, or other local programs.


Clients experiencing significant impact of alcohol or substance abuse will be required to be concurrently engaged in drug & alcohol treatment, or will be given appropriate referrals to address this factor.

Adult IOP

The adult track in our program focuses on incorporating the principles of ACT with emotion regulation skills and interpersonal awareness. Participants will attend groups for three hours per day, three times per week.  Medication evaluation and/or management will be an additional component. Individual therapy will occur weekly.


The adult track will be offered Tuesday through Thursday from 9:00am to 12:00pm. Medication checks are offered at 12:00pm. Individual therapy is offered between 9:00am and 12:00 pm on Monday and Friday.

Adults ages 18 and up are welcome.

Frequently Asked Questions


Q: Who is appropriate for the adult IOP program?

A: Individuals ages 18 and older who have a diagnosed mental health condition who are:

  • Able to engage in a daily structured environment

  • Able to perform activities of daily living independently

  • Not at risk of harming self or others

Some individuals may be moving up in their level of care, while others may be coming down from a higher level, such as day treatment or residential treatment.

Q: What kind of concerns do you treat in IOP?

A: IOP is a mental health focused program, addressing concerns such as depression, anxiety, mood fluctuations, bipolar disorder (case-by-case), and trauma.


Q: What kind of concerns are not addressed in IOP?

A: IOP may briefly address other significant factors such eating disorders, substance related issues, and grief; however, if these concerns are your primary focus, our program may not be the right fit for you. Additionally, some individuals may not be an appropriate fit for our program, such as individuals with a history of violence or aggression, individuals experiencing active psychosis, and individuals who are unable to participate in a group setting.


Q: How long will I be in the program?

A: The program is designed to last 3-6 weeks, but individuals may move out of the program faster, or stay in the program longer, depending on their individual needs and insurance authorization.


Q: Will I also work with an individual therapist?

A: Adults will meet with an individual therapist as a standard component of their program. Teens may meet with an individual therapist in addition to family therapy if warranted by severity of symptoms. 


Q: What about medication management?

A: Sheela Choppala-Nestor is the ARNP for the program at this time, and all IOP participants are welcome to engage in services with her while in IOP. 


Q: Will others in the group judge me?

A: We ensure a safe environment for all to share openly and honestly about their struggles without stigmatization, judgement, prejudice, or discrimination. We pursue this by actively and frequently discussing confidentiality, respect for others, and collaboration.