Call Today! 520.909.7019
INTENSIVE OUTPATIENT PROGRAM FOR SUBSTANCE ABUSE AND CO-OCCURRING DISORDERS
In Balance Counseling is dedicated to providing exceptional intensive outpatient services in a group setting for those with drug, alcohol, and co-occurring mental health issues. We incorporate emotional, social, physical, and spiritual aspects of healing into our approach; and we include experiential therapies such as equine therapy, art therapy, and other modalities to ensure that members experience deep growth from each and every session.
We’re Here for You
To provide a safe place for people to evaluate their choices and to explore new ways of feeling, behaving, and expressing themselves without mind-altering substances.
To help group members explore and experience a new lifestyle that enhances their self-esteem, clarifies their values, and promotes integrity.
To promote healing in families by providing experiences of reconnection, communication and conflict resolution.
To provide these therapeutic experiences while members remain at home, thereby allowing integration of this new lifestyle while maintaining work, school, and home life.
MOST MAJOR INSURANCE PROVIDERS ACCEPTED
*currently not accepting AHCCCS
The Experiential Programming portion of the outpatient program is designed to teach clients how to challenge themselves, set goals, explore new avenues of abilities, teach teamwork and create new attitudes and outlooks on recovery and sobriety.
IN BALANCE INTENSIVE OUTPATIENT FOR SUBSTANCE ABUSE AND CO-OCCURRING DISORDERS — ADULTS 18 AND OVER
Three hours of group therapy three times a week for a total of nine hours a week.
An initial assessment and 30 group therapy sessions are included.
COGNITIVE BEHAVIORAL THERAPY (CBT) and DIALECTICAL BEHAVIORAL THERAPY (DBT)
CBT and DBT are the most studied and proven methods of therapy. The focus is on how our unhealthy thoughts and beliefs fuel negative emotions and behavior, which then reinforce the unhealthy thoughts and beliefs. This negative cycle is difficult to disrupt until clients understand that they have the ability to change these underlying thoughts and beliefs. The therapist helps illuminate these old patterns and offer new solutions. These strategies are an essential part of recovery from substance abuse and addiction.
Talk therapy in a group setting provides the opportunity for group members to share with and help each other through the problems encountered in early recovery. With guidance from a professional therapist, group members learn how to work through, confront, strategize, and resolve conflicts they’ve created during their use, as they inspire each other towards recovery.
Recreational/Experiential therapy works as a perfect adjunct to talk therapy. It’s a time when clients work at an activity together in order to learn more about their addiction from a different perspective. For instance, one activity we do is equine therapy. Other examples of this type of therapy are hiking, art expression, yoga and community service work.
Clients in the program will be drug tested as part of the program. The drug testing will be testing for the 10 major drugs of abuse. Drug testing takes place on the premises at the program; clients will be asked to provide a urine sample within 3 to 5 days. The results will be given to the clients. If a positive result occurs, there will be an individual meeting set up with the client to assess what services might be brought into play to help better support them staying in the program. In this contract they will be required to stay away from mind altering substances and will agree that there will be random drug testing that occurs as part of their In Balance experience. Many clients have reported that this additional level of accountability has been a help in terms of making choices on a daily basis not to use drugs or alcohol.
Yoga allows for a connection between the mind, body, and spirit. Stress reduction and exercise are essential aspects of a well-rounded recovery program. Yoga gives a person the opportunity to go within to experience relaxation. This helps people to manage impulsivity, behaviors, and emotions. Therefore, yoga is a practice of action rather than reaction that is attained through breathing and guided focus. This focus allows for people to gain the ability to be in the present moment. Being in the present moment allows a person to become more solution oriented to what changes and actions they may take to enhance their recovery.
Meditation teaches a person to become an observer. This may be about noticing internal states of being or what is happening around an individual. Meditation provides a pause in the day. The idea of one day at a time may get broken down into one second at a time. Different forms of meditation are explored. This includes breathing exercises, mindfulness meditation, walking meditation or journaling.
EQUINE ASSISTED THERAPY
Through equine therapy, members experience the amazing mirroring ability of horses. Horses are sensitive, powerful, and for the most part live in the present moment. Horses are prey animals, and herd animals. They want and need kind, caring, and assertive leadership from us, and they have a highly sensitive fight/flight/freeze response. They organically reflect to us how we experience our lives including our self-care, our assertiveness with others, and our intensity when under stress. We can then experience how the horse relates to us when we shift our self-care, assertiveness, and intensity. Participants often find life-changing insights from these equine experiences.
Our local parks and recreation locations are an excellent environment to begin to incorporate exercise, meditation and for clients to begin to challenge their thinking about what is fun in recovery. Our trips to Mt. Lemmon often include a 12 step meeting discussion or readings from 12 step texts. Our hikes to Sabino Canyon allow clients to challenge themselves in a healthy way regarding exercise with the reward of camaraderie around a waterfall or flowing creek. In this relaxed state, recovering people are often more able to discuss personal issues with ease. Observing the surroundings, connecting to nature, and being in the present moment are gifts.
People express and process information and emotions in various ways. Creative activities allow individuals to tap into their subconscious to show a visual representation of their experience.
Psychodrama is primarily a group action activity that puts a premium on showing aspects of a person’s life be it from the past, present or some future hope or fear. Group members are able to realize new ways of responding to the lifestyle changes needed as they invest themselves in their recovery. The approach at In Balance emphasizes allowing the person to find the best that is within them and in doing so allowing a person in recovery to discover or rediscover their higher power, challenge addictive and irrational thinking, express unexpressed feelings to significant people in their lives along with learning how to empathize with points of view that differ from their own. Psychodrama can be viewed as a rehearsal for living, a chance to symbolically realize something that life did not allow and a chance to gain new healthy perspectives.
Guided Imagery is a gentle method that allows a person in recovery to visualize new ways of being. This is usually done through the use of being read a script in a soothing tone of voice often accompanied by soft relaxing music while the listener sits comfortably or is in a reclining position. The benefits are endless. People in recovery are given opportunities to improve self-esteem, find answers to perplexing questions, rehearse how to handle troublesome situations, develop a fund of positive images to combat stress and visualize healthy living. At In Balance it has been successfully used with people from the ages of 18 to 65. A common response is that it helps put the day in perspective, gives much needed relaxation and opens up avenues to growth and change.
EMDR- EYE MOVEMENT DESENSITIZATION REPROCESSING
EMDR is a form of information processing that includes an eight phase approach with many procedural elements that contribute to its success. This includes identification of the problem, preparation, resourcing, assessment, desensitization, installation, body scanning, closure, and re-evaluation.
EMDR is a breakthrough therapy used to treat various types of trauma. Post Traumatic Stress Disorder (PTSD), sexual assault or abuse, anxiety, panic disorders, phobias, physical abuse, depression, eating disorders and other traumatic events can all benefit from the use of EMDR. Trauma can be devastating to an individual and cause them to have lasting effects; using EMDR can help individuals process and recover from such trauma.
When something traumatic or difficult happens a person may continue to hold onto images, sounds, feelings, sensations, and thoughts. It seems that in can be locked inside and cause ongoing discomfort depending on triggers. When working through the change process the therapist will do bilateral stimulation or the activation of the right and left hemispheres of the brain. This might mean eye movement, hand taps, auditory tones or a combination of them. EMDR provides neural integration, which helps to alleviate symptoms and allows a sense of well-being to occur.
THE FOUR ELEMENTS OF RECOVERY
When recovering from substance abuse and mental health, focus is on bringing all four aspects of oneself into balance; physical, emotional, social and spiritual.
Often during active substance abuse and addiction, one’s physical health is severely damaged. Regaining one’s health and physical activity is crucial, and we engage this aspect in the experiential portion of the program. Activities including Equine Assisted Therapy, yoga, hiking, and T’ai Chi offer the experience of getting in touch with the physical body and paying compassionate attention to healing the damage done through substance use.
One common issue in early recovery is an inability to identify or express emotions. This results in difficulties with anger management, unresolved grief and loss, and struggles communicating with loved-ones. Processing and expressing emotions is addressed in the many psycho– educational activities in each session. The In Balance therapists utilize a variety of modalities to assist clients in working through their emotions.
The group format of the In Balance IOP creates a rich opportunity to reconnect socially in a safe, supportive, and sober environment. Exploring early recovery with a group, means you’re not alone, others can relate to anything you’re going through, and you can feel a sense of healthy community. Many members say they have never experienced this level of care and support from others before. In addition, we encourage and facilitate participation in 12-step recovery outside of group sessions.
This vital element of recovery is addressed in ways that welcome all members to explore and share their thoughts, beliefs, confusions, and non-beliefs. By finding your own perspective on higher power, each member explores how these thoughts/beliefs help or even hinder them in their recovery.
Often times the most difficult part in the journey of giving up substances is not actually doing without the drug itself. It is far more difficult to leave behind the culture in which the drug or alcohol habit existed. When people attend 9 hours a week of group work with other people in recovery, it starts to shift their values as part of their recovery. Breaking free from the values of drug or alcohol use and the elements that make up the drug culture is essential. Because it is so critical to the stabilization process, In Balance goes to great lengths to build cohesiveness within the new culture; to create a group where clients feel safe and where they can share openly and become a support system for one another. During this phase, clients will be exposed to experiential or adventure based therapy. This enhances the ability for clients to get to know each other, to work together as a team, and to have sober fun together. For many people in recovery, this is the first time that they have had fun outside of the drug/alcohol-using experience.
Multi-Family Component Substance abuse effects the entire family, not just the person seeking treatment. In order to help the entire family recover, family members are invited to attend some of the sessions. The group will be educated on such subject matters as setting healthy boundaries, the addiction process, co-dependency, family systems, family roles, feeling identification and expression. Most clients that come into treatment are often supported by family members that need to understand the disease process and how they can help their loved one heal as well as themselves.
THE 12 STEP COMPONENT
In Balance encourages members to tap into the many strengths and benefits of the 12-step programs Alcoholics Anonymous, Narcotics Anonymous and Al-Anon. The community, fellowship, and spirituality of 12-step programs offer an important component for members to maintain ongoing sobriety.
In Balance helps introduce the 12-step recovery community to clients by periodically inviting members of 12 step groups to share their experience in outpatient sessions.
Since early recovery is very challenging, engaging in AA, NA, and having family attend Al Anon, offers the support, experience and guidance of people who have already walked this difficult path. In addition, those in longer term sobriety find that sharing their experience, strength and hope with others can help them maintain their own sobriety into the future.
RED FLAGS FOR RELAPSE INTO SUBSTANCE USE:
Fear or lack of confidence about your ability to stay sober.
Reactivating your denial system to cope with this fear or lack of confidence.
Compulsive attempts to impose recovery on others and paying less attention to yourself.
An increase in defensiveness about your problems or recovery program.
Rigid, repetitive compulsive behaviors, patterns in work and in interaction with others.
Impulsive behavior, including over-reaction to stress.
An increasing pattern of isolation and avoidance of others.
Tunnel vision- preoccupation with just one area of your life.
A decrease in realistic planning with an increase in wishful thinking with decreasing ability to concentrate.
Fantasies of escape, idle day dreams.
Feeling that nothing can be solved, that your best efforts aren’t working.
Periods of confusion.
Irritation with friends or loved ones.
Increasing episodes of anger, resentment, frustration, and irritability.
Irregular eating habits.
Irregular sleeping habits.
Progressive loss of daily structure with increasing anxiety about inability to get things done.
Development of an “I don’t care” attitude.
Cutting yourself off from available sources of help.
Dissatisfaction with life. “Things are so bad now, I might as well return to my old ways”.
Feelings of powerlessness and helplessness about initiating positive actions.
Thoughts of resuming old (and destructive) habits, patterns and styles.
Unreasonable resentments at the world, at particular people or at yourself.
Acting out in other areas, e.g. compulsively eating, drinking, shopping, smoking, gambling, etc.
Personal Success Stories
“I came to In Balance a year ago after failing four major in patient treatment centers for alcohol and drug abuse going back to 1989. I was so sick that I barely remember coming. In Balance has given me my life back. I truly feel like I have been given a second chance at life.”
“In Balance has given me a new respect for life. It’s a fun and safe place to be. I experienced many different forms of therapy to keep it interesting. Thank you everyone.”
“For me the diversity of the program was a big plus. The groups were very helpful and supportive. The experiential components were important to learn how to be active in recovery and sobriety.”
In Balance Intensive Outpatient has earned the Joint Commission’s Gold Seal of Approval® for Behavioral Health Care Accreditation. The Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective care.