Holistic Intensive Outpatient Treatment

Outpatient / Aftercare

Two Dreams is ideal for adults on the Outer Banks (18+) struggling with substance abuse, addictive behavior, and mental disorders — for clients who want to speak with an addiction specialist regularly while cultivating the skills for a holistically healthy lifestyle.

What's Included

A professionally directed, non-residential service.

The Two Dreams outpatient program is a professionally directed assessment, diagnosis, treatment, and recovery service, provided in an organized non-residential setting. Services are individualized for each client and may include individual, group, and family counseling and psycho-education on recovery, as well as urine drug monitoring, medication management, medical and psychiatric examinations, crisis mitigation coverage, and orientation to community-based support groups.

Program activities emphasize reducing substance use and sustaining abstinence through relapse prevention and urine drug monitoring; understanding addiction through psycho-educational groups; building social support through outside groups and mandatory meetings; developing educational and vocational skills; strengthening social and interpersonal skills through group and individual therapy; improving communication and relationships through family therapy; and sustaining recovery through compliance and participation.

What Makes Us Different

The 3-7-3 Model.

We believe in individualized drug addiction care here at Two Dreams. Our comprehensive treatment model sets us apart from other programs in that we consider each individual holistically. To ensure every area of life is examined, we use a "3-7-3 Model" composed of Three Phases, Seven Dimensions, and Three Outcomes.

Frequently Asked Questions

Common questions about outpatient & aftercare.

Does Two Dreams handle detox?

We are not a detoxification clinic, meaning that we do not manage medical issues related to the withdrawal from drugs or alcohol, but we are happy to refer clients out for detox before they officially begin our program. Individuals may be admitted into treatment when there is a qualified diagnosis of need.

What types of services are offered as part of the outpatient program?

The Two Dreams outpatient program is a professionally directed assessment, diagnosis, treatment, and recovery service, provided in an organized non-residential treatment setting. Services are individualized for each client and may include individual, group, and family counseling and psycho-education on recovery, as well as urine drug monitoring, medication management, medical and psychiatric examinations, crisis mitigation coverage, and orientation to community-based support groups.

When are outpatient services offered, and how long is the program?

Services may be offered during the day, before or after work or school, and/or in the evening. Adult clients usually attend therapeutic services for 9 hours per week, spread over the course of three days. Children and adolescents usually attend therapeutic services for 6 hours per week, spread over at least three days.

What is the staff-to-client ratio in the outpatient program?

There is always at least one licensed mental health professional (LMHP) on-site when clinical services are being provided. LMHP caseloads never exceed 1:25 active clients, and the ratio is usually closer to 1:3. A physician is on site as needed for the management of psychiatric and medical needs, and is on-call 24 hours a day, seven days a week. A clinical supervisor is also on call at all times, and on-site at least 10 hours a week.

How much does the outpatient program cost, and what insurance do you accept?

The cost varies between clients, so it is difficult to give an estimate without gathering more personal information. Insurance coverage varies by company, and we are able to give various amounts of aid based on need. Our experienced financial counselor will help you navigate the payment process to determine your coverage and out-of-pocket expenses, and advocate on your behalf to the insurance companies to make the process as stress-free as possible.

How does Two Dreams protect patient privacy?

Privacy is a top priority at Two Dreams. Clients decide whether or not any information about their treatment and/or progress may be shared with relatives or referring physicians. We never disclose personal confidential information without the client's written, documented consent.

Begin the conversation.

If substances are controlling you — or someone you love — our trained staff is here to help. Reach out and one of our caring counselors will respond.

Private pay facility. We work with most out-of-network insurance to maximize your coverage and reimbursement.