Intensive Outpatient Program:

Self-Injury: Intensive Outpatient Treatment provides a safe environment to learn and practice alternative safe coping skills to painful emotions that lead to self-harming for youngsters ages 13-17. This group will meet 8 to 12 weeks 3 days per week. Transportation available.
Self-harm is a counter-productive way of coping with distressing and painful emotions. For many self-injury provides temporary relief of emotional pain distracting those who engage in self-harm from day to day life. This temporary relief usually last for a brief period and soon the emotional pain returns and the urge to self-injure also returns. Self-harming is like putting on a Band-Aid when stitches are needed to stop the bleeding. Loneliness, worthlessness, sadness, anger, depression, anxiety and guilt are often the underlying painful emotions that contribute to self-harm. H.O.P.E. Counseling recognizes self-injury is the Band-Aid many use to cope with these painful emotions. Self-injury includes any behavior you intentionally do to injure yourself. Self-harming behaviors include cutting or severely scratching the skin, burning or scalding the skin, head banging or hitting one’s self, and intentionally preventing wounds from healing as observed in picking at scabs. The Intensive Outpatient Program at H.O.P.E. Counseling utilizes evidenced based practices that empower those who self-injure to overcome their painful emotions that ultimately lead to self-injury.

Beyond the Trauma Intensive Outpatient Program for Adult Victims of Sexual Assault or Domestic Violence: Sexual assault or domestic violence often leaves a woman feeling powerless and broken. Her spirit and self-worth frequently is diminished and she is left feeling alone and for many they feel shame, guilt, depression, and anxiety. These painful emotions can be distressing. At H.O.P.E. Counseling we provide a safe environment where women who have experienced sexual victimization or domestic violence can learn together how to overcome their painful past. The intensive outpatient treatment group will meet for 12 weeks 3 days per week. Target treatment areas will include understanding trauma, creating safety, coping strategies, grounding techniques, managing distressing emotions, triggers, relationships, sexuality, addictions, self-care, and family dynamics. Limited transportation available.

Dialectical Behavioral Therapy Intensive Outpatient Program: Many adolescents and adults struggle to regulate their emotions. They may present with a mood disorder such a Bi-Polar, Major Depression, or Anxiety, P.T.S.D. or Borderline Personality Disorder. Often times those suffering from one of the aforementioned disorders struggle daily to effectively managing distressing emotions. Dialectical behavioral therapy is an evidenced based treatment program that empowers the individual to take control over these distressing emotions. Target treatment areas include emotional regulation, distress tolerance, mindfulness, interpersonal effectiveness, and radical acceptance. Participants will learn how to effectively regulate and communicate emotions with improved sense of self as they strive to live a life worth living reducing anxiety, depression, and interpersonal struggles. This group will meet 8 to 12 weeks 3 days per week. Both adolescent and adult groups will be offered. This is not a gender specific group.

Anger Management Intensive Outpatient Program: The angrier the person the deeper the pain. Anger is a healthy emotion; however, at times anger can consume an individual and if left unresolved risks of harming self or others is heightened. Adolescents who struggle with their angry emotions are at great risk of being detained in the juvenile justice system and are at risk future imprisonment. This program will be 16 weeks in duration meeting 3 days per week servicing youth ages 13 to 17. These youngsters will to manage their anger by identifying the underlying pain, learning relaxation skills, trigger thoughts, physiological indicators of anger, coping strategies, problem solving and effective communication skills, and how to overcome the roadblocks that interfere with real-life coping.

Body Image Distortions: Eating disorders are on the rise in the United States. Our youth are pressured by billboards, local television, peers, and sometimes even caregivers to be a certain size or weigh a certain amount. Perceptional distortion of one’s body image can begin as early age 9 and many youth by the age of 12 have a distorted perception of self, believing they are too fat and the life battle for survival begins. Eating disorders are dangerous medical conditions that can result in loss of life. H.O.P.E. Counseling Services recognizes the need for early intervention. This intensive outpatient group will meet for 12 weeks 3 days per week and will serve youth ages 12 to 17 identified as at risk of developing Anorexia, Bulimia, or Binge Eating. The following is a list of possible signs your loved one may have a distorted perception of their body image:

• Noticeable weight loss or extreme thinness

• Finding excuses to skip lunch

• Unusual eating behaviors – ritualistic eating

• Unusual concern about school performance

• Oversensitivity to criticism

• Inability to be flexible or adaptable resists change

• Tendency to be a perfectionist

• Communication is generally very proper, polite, and sometimes closed

• May appear tense or overly animated

• Unusual concern about appearance, always neat, “not a hair out of place”

• Withdrawn from friends or activities once interested in or an unusual immersion in an activity to the exclusion of other activities

• Absence of menstrual cycle (if beyond age 14)

• Compulsive behaviors particularly related to food

• Emotional dysregulated, presents with anxiety or mood swings

• Overly sensitive displaying an intolerance for others

• Ability to hide feelings

• Conversations largely about food or weight

• May develop a low self-esteem

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