Intensive Outpatient Program (IOP)


Intensive Outpatient Program (IOP)

Grief, depression, panic, substance abuse, or any other mental health condition can leave us feeling hopeless, isolated, and maybe even suicidal. Intensive Outpatient Program (IOP) is another tool available to regain functionality and stability. IOP is an appropriate stage of care for those who have achieved some stability in their overall symptoms, but need continued assistance with applying their skills in their real-world scenarios. IOP is typically initiated after someone has completed residential, PHP, or another higher level of care. IOP is customized care to help you integrate your tools outside of the treatment facility so that you are set up for success after you discharge. If you ever have questions about your eligibility for IOP versus other levels of care, a medical assessment with one of our licensed clinicians can help us find a treatment plan that is suitable for your specific needs.

What Does IOP Involve?

IOP has 2 types depending on how much care you need. When you initially start IOP, you will attend 5 days per week for ~4 hours per day, and then level up to 3 days per week for the same duration of time. This whole process takes approximately 5-6 weeks in total, depending on your ability to meet set goals. IOP is a bundled service that includes the following services

*Biweekly Psychiatry Appointment 

*Biweekly Nutritional Assessments/Care Planning 

*Biweekly Individual Coaching Focused on Coping Skills, Quality of Life and Stress Relief - this involves case management to help you gain self awareness, coping skills, self care skills, and other life skills that help you become more functional and regulated.

*Monthly Family Care - involves your support system with communication skills, setting boundaries, setting structure in the home together and other life skills that support mood.

*Hourly Group Therapy and Education - this is one of  the most therapeutic aspects of care as it gives you a social outlet, helps you learn and apply in a group setting, and is especially helpful when you tend to isolate when  you are struggling.

*Lab Monitoring

*Resourcing for Other Medical, Social or Emotional Needs - this will be especially helpful if you have any other medical conditions that need to be addressed.

Why IOP?

After some time in PHP, giving your mind the appropriate time to start healing, we begin to integrate you back into life. We refer to this as “leveling up” to IOP. Just as one does not start sprinting right after removing their leg cast, we take slow steps to allow the fresh healing to stick. It can be easy to want to get ahead of yourself as you start to feel better - but we don't want any injuries as a result of getting back into the game of life too soon. This is why individuals start in PHP first and work their way to IOP. Healing is faster when we devote the appropriate time to our treatment. So, as you stabilize, your time at clinic goes down, and your time at home/work/school increases; this allows you to practically apply your skills that you learn in treatment. In just 4 hours a day, 3-5 days per week, you will continue to heal and strengthen your mind. Our integrative team is here to support you as you integrate back into life with a new outlook, set of skills, and sense of stability. 

Because IOP is much less time spent in a medical + clinical setting, you must have a solid support network of friends and family, a strong routine, self-efficacy, and knowledge of skills to help you maintain your healed mind for the long-run. It’s hard for the changes we make to stick but when they are made in community, you give yourself a chance to practice new routines. 

Illness is not resolved overnight, decide now if you will commit to your health so you can have relief from debilitating and inconvenient symptoms. 

What About All of My Other Obligations?

IOP care involves less time in our Irving clinic compared to PHP or acute care, so this is a helpful time for you to integrate back into your life safely and intentionally. IOP is a critical step for maintaining the progress you’ve made and meeting your long-term goals. For some, IOP involves part-time integration in work, school, or other accommodations to facilitate ease of transition. This will be customized according to your duties and scheduling. 

Even though re-integration occurs in IOP, it is still important to reduce unnecessary distraction in your treatment process. IOP is a time investment in your health and wellness, so we do not want to waste this opportunity for you. Our clinical team can help you figure out what needs to wait and what you can start again, based on your symptoms and progress. 

We have a care team ready to assist and work with you, are you ready to get started?

Outpatient Care

Outpatient Care

In addition to programs and workshops, we have by-appointment options for medication management, individual therapy/counseling, and family therapy. When you are getting started, these appointments can help triage your needs and help us determine what services may be available and appropriate for you. 

Our clinicians are licensed with extensive mental health experience. We offer evidence-based, results-driven therapies and treatments for a wide range of mental health disorders with comorbid conditions such as TBI (Traumatic Brain Injury), ADHD, Chronic Pain, Grief Disorder, or PTSD. We see you as a whole person with valid needs and fears. Let’s partner to help you overcome your obstacles and help you achieve your goals. Relief looks like an informed, compassionate approach to your healthcare.

Medication Approach

Medication management can be a very useful tool to help stabilize mood, sleep, focus, or cravings. In principle,our medical providers take a very conservative approach with prescription medications. Following the principles of Integrative Medicine, we strongly believe in the body’s innate ability to heal itself, it just needs the right tools in place. This means that we are not afraid of using prescription medications when it makes sense, but that it may not need to be part of the long-term solution. With the right lifestyle adjustments (sleep, exercise, screen habits, sobriety), therapeutic skills, nutrition support, and other interventions, the need for medication may decline. 

We also pride ourselves in using new and up-to-date medication options to optimize relief with minimal side effects. Psychiatry is an art when it comes to determining which medication may be a good fit for you, and having a clinician who knows which meds (old or new) may interact in your system is very valuable in your healing process.

Our goal with medication is to help you feel like your symptoms are more manageable and less debilitating. It is not to make you feel numb, sedated, or like you have a false sense of happiness. We want your personality and best self to shine, and with the right combination of therapies, we can help you get there.

Our medical providers also will integrate micronutrient or supplement therapies when indicated. This will depend on your profile of symptoms in addition to the severity of your condition. When appropriate, supplements and herbs can be extremely useful and effective. Getting an evaluation with one of our medical providers will help us see what will be a good fit for you to help you feel your best.

Therapy Methodologies

Our therapy model is holistic and integrative in nature. Our clinicians apply a combination of CBT, DBT, and Trauma-Informed skills to help address your mood and relationships. To find relief, it’s important not only to have a safe place to process your emotions but also to have practical skills to address the discomfort. Skills to challenge negative thoughts, to cope with overwhelming emotions or urges (whether in addiction or with feeling suicidal), communication skills to work through conflict, or mindfulness skills to improve your insight. Our clinicians take a compassionate yet action-based approach to help you feel less stuck in the hopelessness and helplessness that can take over. 

Committing to therapy takes work and emotional effort but can transform your perspective, your mood, and your relationships.  Let’s get started.

Military or Veteran Treatment

Getting Care as a Veteran or in Active Duty

Mental health treatment is crucial for the veteran and military population.  When we consider the national need for military veterans, the need for quality care is evident. A study from the Journal of Clinical Psychiatry in 2021 revealed that nearly two-thirds of veterans who had suicidal ideation were not receiving mental health treatment. This study also estimated that veterans in their lifetime were highly likely to either plan or attempt suicide. This same study determined that the diagnoses correlated with suicidality were: Major Depressive Disorder (MDD), PTSD, Alcoholism, Age, and a history of adverse child experiences.

Increasing access is essential to help provide solutions to these unfortunate statistics. Solstice seeks to honor and serve our military population through crisis intervention support, family support, and substance abuse treatment for the military population.

Military Day Treatment

The Military  Day Treatment Program is an integrative model that focuses on stabilizing suicidal ideation, substance dependence, and any debilitating mood symptoms that interfere with basic functioning. This service provides a cross-disciplinary approach with an array of providers assisting in the recovery of each individual. The Day Treatment Program specifically consists of the following services:

  • Group therapy - peer support and engagement
  • Medication management with psychiatry provider weekly
  • One-on-one Case Management and coaching weekly
  • One-on-one nutrition care weekly
  • Family Case Management biweekly

Also included in this Day Treatment Program:

  • Baseline mental health screening for risk
  • Education on suicide risk and prevention to families and communities
  • Assistance with obtaining and coordinating other benefits provided by the federal government, a state or local government, or an eligible entity. Our staff ensures benefit assistance begins in week one of care. 
  • Assistance with emergent needs relating to health care services.

The Day Treatment Program is an intensive but effective treatment to help build self-efficacy and life skills. These are essential skills that help reduce suicide behaviors, addiction/relapse, and debilitating mood symptoms. Rather than feel stuck in overwhelming emotions or cravings, practical skills help the individual to cope, meet their basic needs, seek support, and live less in a scarce, isolated mindset. Group support is one of the most important aspects of treatment as isolation poses a significant threat to recovery in military veterans. 

Depression and trauma promote isolation, and the isolation further the symptoms. It is a cycle that requires interruption with honest, and safe peer support. Veterans also benefit from veteran-specific community building which  is provided in this program. 

Further, the Day Treatment Program strongly incorporates the value of structure and routine to support mental illness for individuals and families. Mood disorder interrupts routine and ultimately decreases a person’s ability to function in society, at home, and in relationships. Case Management helps to regain these functions. This is especially critical in the veteran population due to the dramatic shifts in schedules from standard duties, deployment duties, and even civilian duties.

Brain Treatment

Whether in active duty or retired veteran communities we see a prevalence of addiction, PTSD, depression, anxiety, bipolar disorder, and even TBI (traumatic brain injury). Whichever condition you identify with, you may be a candidate for our Brain Treatment (MeRT, a customized version of TMS) to help stabilize your symptoms more quickly and effectively. MeRT/TMS is a very helpful tool in regulating the brain’s “fight or flight” response that interferes with our daily functioning. It also helps restore cognition, focus, sleep, motivation, and reduce the depression fog. See more on our MeRT page.

MeRT/TMS is Medicare and Tricare-approved. We are also in-network with a variety of other insurance providers. Verify your insurance and we can see what treatment options may be a good fit for you.

Geriatric Treatment

Geriatric Treatment

Depression is the most common psychological illness among the geriatric population? Despite this unfortunate truth, Solstice has solutions for you and your family. Although pharmaceuticals can help with your depression or anxiety symptoms, we want to create a space for you for listening and building community. Geriatric care is less about age and illness, and more about honoring those who create legacy and life. There is hope for your depression. Having structure, social support, and a place to go to each age are the beginning of finding relief. The family also plays a critical role to give everyone tools for wellness and rest. 

Options for You

Depending on your struggles and symptoms, there are various options that we can offer. Geriatric Day Treatment is an effective option that helps provide daily structure that is easily lost after retirement or grief and loss. This treatment is Medicare-approved and includes the following services:

  • Case Management / Coaching
  • Group Support and Skill Building
  • Psychiatry
  • Nutritional Care
  • Family Care
  • Art Activities

Day Treatment is also beneficial for the behavioral and psychological treatment of dementia. Brain-friendly engaging activities, lifestyle support, and family support are important for comfort and relief. 

Our brain treatment (MeRT/TMS) is another tool that can be integrated with medication management or Day Treatment to help optimize brain function and decrease symptoms of depression, anxiety, insomnia, chronic pain, or fatigue. 

A comprehensive and holistic approach is required to assess and treat all of the associated symptoms. Our treatment team is ready to meet with you and your family to see what will be the best fit for you. 

Adolescent Treatment

Getting Care for your Adolescent Loved One

Ever since the COVID-19 pandemic, there has been progressive rise in suicide attempt among the adolescent population. We are in tune with the effects of worldwide fear, quarantine and isolation, and disruption of routine on youth. Getting care for minors requires establishing strong structure, reinforcements, emotion regulation skills, healthy screen habits, and care for parents/guardians. 

Our clinicians are proficient in adolescent care for both skill-building and medication management. Recovery is possible with the commitment to change - for both the patient and the loved ones involved. 

Day treatment in PHP is one of our evidence-based approaches to help regain stability efficiently. Minors respond rapidly to routine, structure, and predictability. Combined with integrative medication management and Solstice academy, we can help restore social skills, coping skills, and other life skills that impact our ability to function independently. 

These are impressionable times. This is the time to intervene. Your family deserves more. Verify your insurance to see how we can customize your care plan.