Toledo Center for Eating Disorders

Outpatient

Outpatient programs are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare. The River Centre Clinic provides outpatient services to adults and adolescents with eating disorder symptoms that do not require a higher level of care. Outpatient therapy is an integral part of the transition from higher levels of care at the River Centre Clinic (Partial Hospitalization and Adolescent Residential). After completing these more intensive programs, patients can transition to outpatient therapy as part of their discharge plan. The Outpatient Program is certified by the Ohio Department of Mental Health and includes a multidisciplinary staff of therapists including physician consultants, licensed psychologists, psychology fellows, and licensed independent social workers.

Intensive Outpatient

Intensive Outpatient programs are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs. The River Centre Clinic’s Intensive Outpatient Program (IOP) is 4 hours a day, 3-5 days a week, specifically designed for people with Binge Eating Disorder (BED). It includes the opportunity for low cost or free independent living (depending on the space availability) so that people from outside of our local community have the opportunity to receive the specialized care that they need. BED is characterized by eating abnormal amounts of food while feeling unable to stop and is sometimes referred to as “compulsive overeating.” Although BED can occur in those who are normal weight, as the cycle of binge eating cycle progresses, it often leads to unwanted weight gain and obesity which can indirectly fuel further compulsive overeating. This eating pattern is usually intertwined with a turbulent emotional mixture of shame, guilt, depression and anxiety. These negative feelings often lead the person struggling with BED to continue to use food to cope, creating a vicious cycle. There is evidence that individuals with BED display rates of emotional distress, impaired quality of life and medical problems that are similar to other eating disorder diagnoses. Individuals with BED respond well to psychological and nutritional rehabilitation treatment designed specifically to address this eating disorder.

Inpatient

Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements. The Adolescent Residential Program (ARP) at River Centre Clinic provides female and male adolescents who have serious eating disorders with a higher level of structure and support than is possible during outpatient treatment. Most ARP patients live in the Adolescent Residence on the second floor of the main treatment facility, where they are monitored by staff members 24 hours per day, 7 days per week. ARP patients who live in the local area usually commute to River Centre Clinic and stay for 7 to 12 hours each day. The program has capacity for 8 to 12 patients, including both residents and local commuters. River Centre Clinic is certified as a mental health agency and is licensed to operate a residential facility by the Ohio Department of Mental Health.

Aftercare Support

Completing a drug or alcohol rehab program shouldn’t spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community  programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). Aftercare and follow-up are critical aspects of treatment since the initial phase of treatment rarely is sufficient for total recovery. The facility takes aftercare very seriously and work closely with home treatment team to develop a plan that assures continued progress after discharge.

Partial Hospitalization Program

Designed for individuals with moderate to severe addictions, a partial hospitalization program (PHP) provides a more intensive form of outpatient therapy. PHP treatment can serve as an alternative to inpatient hospitalization or as a step-down option after being discharged from a hospital or residential program. A partial hospitalization program typically requires a minimum of 20 hours weekly for an average of 90 days. Depending on your care plan, PHPs can include relapse prevention, medication management, and behavioral therapy services.

Mental Health

Mental health rehabs focus on helping individuals recover from mental illnesses like bipolar disorder, clinical depression, anxiety disorders, schizophrenia, and more. Mental health professionals at these facilities are trained to understand and treat mental health issues, both in individual and group settings.

Adult Program

Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.

Young Adult Program

Young adulthood can be an exciting, yet difficult, time of transition. Individuals in their late teens to mid-20s face unique stressors related to school, jobs, families, and social circles, which can lead to a rise in substance use. Rehab centers with dedicated young adult programs will include activities and amenities that cater to this age group, with an emphasis on specialized counseling, peer socialization, and ongoing aftercare.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.

Couples Therapy

Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.

Creative Arts Therapy

Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Eating disorders include anorexia, bulimia, binge eating, and dysfunctional eating patterns. Many psychologists and other mental health professionals consider eating disorders to be food addictions, meaning food is being used in an addictive way (similar to drug or alcohol addiction). Certain substance abuse treatment programs will have treatment for eating disorders as one of the services offered. An eating disorder may also present as a co-occuring disorder or dual diagnosis alongside drug and alcohol addiction.

Experiential Therapy

Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.

Family Therapy

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.

Group Therapy

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.

Individual Therapy

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

Life Skills

Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.

Nutrition Therapy

Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health.

Trauma Therapy

Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.