Intensive Treatment for OCD, School Refusal, and Anxiety Related Disorders

EBTCS has developed an Intensive Outpatient Program (IOP) through which it provides intensive treatment for children and adults with severe to very severe OCD, school refusal, and other anxiety disorders. The goal of intensive treatment is to provide focused, highly structured and individualized therapy. Intensive treatment is considered appropriate when someone cannot function at their optimal level; for instance, when they cannot go to school, work, or participate in social / family activities.

Intensive Outpatient Treatment at the Child and Adult Anxiety Centers at  EBTCS – Structure and Approach

The first week of IOP at our center includes treatment visits every day. Patients can expect to be engaged in therapy (not including transportation time) up to twenty hours a week for the first week. Most typically, the treatment is conducted in a style similar to that of a partial hospitalization program in terms of total time spent in treatment. The difference between our IOP and many other IOP programs is that each treatment is highly individualized such that the behavioral interventions, psychoeducation, family scaffolding work and school / wraparound services maximize the effectiveness of the intervention for each child, teen or adult. Treatment for severe anxiety almost always includes exposure therapy, behavioral parent training, and family therapy, and other interventions are included as needed for the most effective treatment. All clients begin the IOP in the comprehensive program for at least the first assessment week. From there, each treatment plan is designed to individually fit the client’s symptoms and overall treatment needs in order to maximize efficacy and efficiency. A typical treatment plan might include 2-5 hours a week with the primary individual therapist, 5-10 hours a week with the exposure therapist or participating in family therapy or parent coaching. Additionally, they will participate in psychiatry appointments. A typical treatment course is 8-12 weeks at roughly twenty hours per week. As functioning improves (e.g, the patient is going to work or school again) treatment begins to taper down to a partial treatment program (eg up to 10 treatment hours weekly). In the taper stage a typical treatment plan might include 2-3 hours per week with the primary individual therapist and 3-6 hours per week with an exposure therapist or participating in family therapy or parent coaching. A typical taper might last 4-8 weeks at roughly ten hours per week.  Following the successful completion of the IOP, patients would transfer care to an outpatient therapist in network, or if continued treatment at EBTCS is considered medically necessary, we would continue treatment in our outpatient center. If patients do not respond to our IOP, we refer them to a higher level of care, most typically inpatient / psychiatric residential treatment. Early data on progress in treatment would inform that decision regarding whether higher level of care would be warranted. We strive to get individuals treatment in an outpatient basis so that the treatment course can target reduction in symptoms as well as generalization of skills to enhance the protection against relapse.

If you are interested in learning more about our IOP services, please contact Madeline Johnson, IOP Coordinator, at 206-374-0109.

We are currently accepting new clients in both the OCD/Anxiety and School Refusal IOP tracts, however we do have a waitlist. Expected wait time of about 2-4 months.