Group Therapy for Substance Abuse & Addiction

Group therapy is a specific form of psychotherapy that is provided by one or more therapists, to a group of people, at the same time. Studies show that when administered properly, group therapy can be as effective as individual therapy.

dThe guiding principle of group therapy for substance abuse is “power in numbers.” The ultimate goal of group therapy is to create a sense of belonging or relatability through understanding, which happens when group members share their common experiences with drug and alcohol addiction. Group therapy provides those in recovery from substance use disorders with peer support and accountability in an environment where they can learn new skills and coping mechanisms from each other.

This article explains group therapy, including how it works, what it helps with, and who it is for.

Nearby Rehabs that Offer Group Therapy

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What Is Group Therapy?

The first recorded session of group psychotherapy was in 1906, when Dr. J. H. Pratt, a Boston physician, provided group instruction about home care to tuberculosis patients. While working with these patients he noticed the beneficial emotional side effects that occurred as a result of these group sessions.

Group therapy was then proven especially helpful in the 1940s in treating World War II veterans who had experienced trauma as a result of combat. In 1944, the US Army released a report commending the benefits of group therapy. It’s since become an increasingly popular type of therapy.



Group Therapy vs Individual Psychotherapy

Techniques used in group therapy differ from those employed in individual therapy. Individual therapy consists of one-on-one sessions where the therapist focuses on the individual feelings and needs of the patient. During group therapy, the therapist often facilitates discussions amongst group members which are designed to help people share experiences and work towards solutions to problems together.

Whether group therapy or individual therapy is most effective depends entirely on the individual and their unique needs. It’s common for people who are recovering from substance abuse to participate in both individual and group therapy. When paired together, individual therapy and group therapy complement each other as part of a comprehensive addiction treatment program.

General Characteristics of a Group

According to the American Psychological Association, therapy groups can be of any size but usually contain 5-15 people on average. Sessions are commonly held on a weekly basis and last 1-2 hours.

Group sessions are designed to be either open or closed. Open groups allow members to join at any time. Whereas, closed groups are made up of a specific group of people who all become members at the same time.

Some patients will only do group therapy, whereas others may attend group sessions alongside individual therapy and other treatments. Group therapy may occur more frequently (e.g. on a daily basis) if an individual is enrolled in an inpatient addiction treatment program or participating in a self-help support group, such as Alcoholics Anonymous.

Types of Group Therapy for Addiction Treatment

There are several different kinds of group therapy commonly used in treating substance use disorders. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), they generally fall into one of the following types of therapeutic models:






Other forms of group therapy include:






Benefits of Group Therapy for Addiction Recovery

Recovering from a substance use disorder can feel isolating. Group therapy provides an opportunity for people in recovery from substance abuse to learn more about themselves, and their relationships with others, while being surrounded by a small community of people who have similar issues and experiences.

Group therapy provides members with a sense of belonging and acceptance, which can help boost confidence and self-esteem. Overall, sharing experiences and emotions with one’s peers has shown to reduce stress, guilt, and shame among group members.

As a result, group therapy becomes a place in which members can learn how to avoid engaging in destructive behaviors, such as seeking out substances, and instead, practice new, healthy coping behaviors alongside their peers.

Group therapy also provides psychologists with a unique perspective. Instead of relying on a patient’s self-reports, in a group setting, therapists can observe relational patterns in action, as individuals reveal their struggles through interactions with other group members.

Many of the underlying root causes of addiction stem from traumas that happened in groups (I.e. family, school, religion). During therapy sessions, the therapy group acts as a stand-in for one’s family of origin. This provides individuals with the opportunity to address and heal old wounds derived from past group settings (for example, social anxiety, low self-esteem and interpersonal conflicts) in a way that’s simply not possible in individual sessions.

Goals of Group Therapy

The goals for group therapy are based on specific therapeutic elements, designed to achieve a range of positive benefits. These include:













How Group Therapy Helps Treat Substance Abuse

According to SAMHSA, group therapy is designed to help people in recovery move through the six stages of recovery. These include:







Group Therapy With Other Treatments

Depending on the severity of the addiction and the substances being abused, the patient may need to undergo medical detox and medication-assisted treatment before they’re able to begin group therapy.

For example, individuals with an opioid use disorder may require medications such as methadone or buprenorphine to manage withdrawal symptoms. Often, mental health professionals will determine when an individual is ready for group therapy. Depending on the patient and the type of group therapy, a therapist may refer them to group therapy immediately or, alternately, once they reach the maintenance phase.

What to Expect in a Group Therapy Session

During group therapy, chairs are often arranged in a circle so that everyone in the group is able to see each other during the session. However, if the group is larger, seating may be arranged in rows facing a podium. While therapy sessions vary depending on the type of group therapy, group sessions tend to have the following structure:

  1. Introduction



In addition to the above, the group therapist or facilitator may also use a variety of different learning tools, including, audio and visual aids, homework, memory improvement techniques, written projects, and role-playing.

How Long Does Group Therapy Last?

The length of time an individual will remain in group therapy depends on a variety of factors, including the type of therapy being administered, a person’s level of motivation to participate, and what stage of recovery they’re in.

Substance abuse treatment programs often require patients to attend a minimum number of sessions over a set period of time (e.g. 6 sessions over a 3-month period). However, group therapy sessions lasting up to one year may also be recommended. These kinds of therapy sessions usually take place at an outpatient rehab center or as part of an intensive outpatient program.

If an individual is being treated at an inpatient treatment center, they may attend group therapy daily for the duration of their stay.

Lastly, if an individual is in the maintenance stage of recovery, they may choose to join a support group, 12-step group, or another relapse prevention group, for peer accountability and support. In the case of 12-step groups, many people are active members for years.

How Effective is Group Therapy in Treating Addictions?

According to the American Psychological Association (APA), group therapy works as well as individual therapy for many conditions. Over 50 clinical trials have compared patients who participated in individual or group treatment, and all studies found that both formats produced the same level of improvement for a variety of mental health and substance use disorders.

Studies have also shown that interacting with peers during group therapy provides unique therapeutic benefits. In fact, according to Stanford University’s Irvin David Yalom, MD, author of the 2005 book “The Theory and Practice of Group Psychology,” participating in group therapy with one’s peers may be more helpful than receiving guidance from a therapist since people are more likely to connect and identify with their peers.

Support groups such as 12-step programs like Alcoholics Anonymous (AA) can also be very effective in helping people in recovery from substance abuse. In fact, the National Institute on Alcohol Abuse and Alcoholism looked at people who were formally treated, informally treated (attended AA meetings), and untreated individuals who suffered from alcohol abuse, and found that 49% of individuals who attended AA were abstinent, as compared to 46% of people who received formal treatment.

It’s also important to note that group therapy exceeds the APA’s Society of Clinical Psychology’s standards for efficacy in treating bipolar disorder, major depressive disorder, panic disorder, post-traumatic stress disorder (PTSD), social phobias, obsessive-compulsive disorder, bulimia nervosa, binge-eating disorder, substance use disorder, schizophrenia, borderline personality disorder, and general personality disorder.

Questions to Ask When Considering Group Therapy

While group therapy is known to be effective in treating substance abuse disorders, research shows that it is most effective when the group members have a common identity and a sense of shared purpose.

Furthermore, research shows that two leaders or group therapists are better than one. Members of co-led groups experience greater benefits than those who participate in individually led groups. An additional person who can listen and respond makes a difference when group leaders are trying to follow multiple interactions.

Therefore, it’s important to find a group therapy scenario that is well-suited to your personal needs. Before choosing group therapy, here are some questions to consider.

If you’re unsure of what kind of group therapy would be best, speak with a mental health professional. They’ll be able to provide you with the necessary information so you can make the best decision for you or your loved one.

Cost of Group Therapy

The cost of group therapy varies based on factors such as location, frequency of treatment, and individual insurance coverage. However, group therapy is often up to half the cost of individual therapy, which makes it an attractive option for many people.

Group therapy is usually offered as part of an inpatient or outpatient addiction treatment program and therefore, included in the overall cost of rehab.

Insurance

Depending on your insurance plan, the cost of group therapy may be covered to a certain extent. Many insurance plans will cover group therapy as long as it is evidence-based, run by a professional, and medically necessary.

Additionally, individuals may also receive coverage if group therapy is part of a comprehensive addiction treatment program. Under the Affordable Care Act in the United States, substance abuse treatment must be covered under ACA insurance plans. ACA plans also can’t disqualify you for having a pre-existing substance use disorder or cap spending on addiction treatment. Many private medical insurance providers also offer addiction treatment coverage to varying degrees.

When researching which rehab options that include group therapy, consult your insurance provider to find out what kind of coverage is available.

Free and Low-cost Group Therapy Options

In addition to the options outlined above, many free and low-cost group therapy options exist. Addiction recovery support groups and 12-Step programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are usually free, although you may be asked to contribute to operational costs such as room rental, coffee, and snacks.

Your doctor is a valuable source of local information. They will be able to put you in touch with support groups and group therapy providers in your area that work in addiction recovery.

Risks and Drawbacks of Group Therapy

Although there are many benefits to group therapy, there are also drawbacks that make it not suitable for everyone.








Get Help With Addiction Group Therapy

Regardless of where you are on your addiction recovery journey, group therapy can generate a sense of belonging, peer support, and personal accountability while also providing individuals with the necessary coping skills to live a fulfilling life free of alcohol and drug addiction.

If you or a loved one is struggling with drug or alcohol addiction, know that you’re not alone and that treatment is available. We are here to help.

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Addiction Centers That Provide Group Therapy

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    Avenues Recovery Center at Lake Ariel

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    Lake Ariel, PA
    4.8
    (392 reviews)
    Check iconClaimed
    Clients seeking treatment for alcohol addiction may be required to undergo detox first. As one of the best detox facilities in Pennsylvania, the process at Avenues Recovery Center ensures any abused substances are out of a client’s system and that they are in a healthy frame of mind when they enter residential treatment. Detox is overseen and
    View Website (570) 354-6060
    This place has given me another chance at life. The healing that I have experienced here has been amazing. The community and the staff are unmatched. I will forever be grateful and feel beyond blessed for this opportunity.
    Nicole Kendrick
    6 days ago
    Excellent staff
    Jody Danoski
    1 week ago
    Ave has provide a second chance at life recovery . And staff is outstanding
    Antonio Rutledge
    2 weeks ago
    Avenues Recovery Center at Lake Ariel PA 18436
    5
    5
    The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 1 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 2 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 3 The facilities at Avenues Recovery Center at Lake Ariel in Lake Ariel, PA 4
    1
    Top 10 Rehab in AZ
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    8.90 / 10
    5.0
    (17 reviews)
    Soberman’s Estate, located in Cave Creek, Arizona, is an alcohol and drug rehab center that provides addiction treatment services to adult men, professionals, and public figures. They are a discrete, luxury rehab for individuals aged 30 to 80 years old. This location caps their treatment center at ten men at a time. As one of leading inpatient re
    Soberman’s Estate was everything I needed for my recovery. The staff, the program, physical activity and culinary experience were top notch and essential. The program is well designed and worked better than I expected. The staff is remarkable – professional, considerate and genuinely caring. My time there and being removed from alcohol for five weeks was everything I needed to remove my craving for alcohol. Soberman has changed my life in ways I never could have imagined. I feel confident, secure and grateful for my new life. I have reconnected with my family and friends. Thank you Soberman.
    George B.
    9 months ago
    Yes, very professional staff, treatment, therapist, chefs were good! even the home cook did the best she could, and loved the horses of Course! Saturday morning hiking was fun to explore the trails of the nearby mountain area!
    John E Williams
    9 months ago
    I had a great experience overall and would recommend it to anyone wanted to jump start their sobriety!!
    Kevin Crawford
    9 months ago
    Soberman's Estate
    5
    5
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    1
    Top 10 Rehab in CA
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    8.80 / 10
    4.9
    (597 reviews)
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    All In Solutions Detox in Simi Valley is one of the best ranked inpatient detox facilities in California providing safe, medically supervised care for individuals beginning their recovery from drug or alcohol addiction. As part of the All In Solutions Behavioral Health network, this facility serves as the first step in a full continuum of care. Cli
    Very nice staff, clean facility! Small groups, very intimate setting!
    Krista Kukowski
    2 weeks ago
    Very friendly staff great facility. 20 day stay
    Marcus Cook
    1 month ago
    I love this program it really makes difference and helped me get my life back on track! If you’re serious about you recovery please 🙏 give it a try…
    william wall lll
    1 month ago
    The facilities at Divine Detox in Simi Valley, CA 2
    5
    5
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    1
    Top 10 Rehab in TN
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    8.78 / 10
    4.9
    (352 reviews)
    Recovery Unplugged Nashville Drug & Alcohol Rehab is a private luxury addiction treatment center located just south of Nashville, in Brentwood, Tennessee. They offer several levels of care, including medication assisted treatment (MAT), residential treatment and behavioral telehealth. Adults with dual diagnoses and substance use disorders are welco
    RU is amazing. The staff here is phenomenal and they truly care. I truly love Becca, Teigan, Ellie, Bailey, and will. They’re all so good at making people feel like they can do whatever they set their minds to and accomplish their goals!
    Logyn Street
    1 month ago
    I checked myself in for alcoholism and opiate abuse. I was drinking so much I was falling and hurting myself and ruining my marriage and on a path to possibly loosing job and even land myself in jail. I was miserable and at rock bottom. Once there after the detox period i started attending group therapy sessions, individual therapy session’s sessions, and working with the techs to become involved in my recovery process. First 5 days i was detoxing and once that was over i got super involved in the program and day by day got better each day. I received excellent nursing and medical provider support. I had amazing group therapy sessions. I was fed delicious meals every day. I had a great case manager and had a primary therapist who was absolutely perfect. The staff was absolutely first class and my treatment started me on a successful path to recovery. This place literally changed my life. They took care of my every need physically, mentally, and emotionally. I highly recommend if you need help for addiction this is where you need to be.
    John Abbott
    1 month ago
    This place has changed my life. I have been to rehabs before but I felt like this place is where I would get clean for the last time since i walked in the doors. The music assisted therapy was perfect for me and the staff is all amazing. The groups are really beneficial and really got down to the core of why i turned to drinking every time something upset me. I felt like they really listened to me and i felt heard and seen. I am excited to continue on with alumni and events and life long friendships.
    Kaylee Harris
    1 month ago
    The facilities at Recovery Unplugged - Nashville in Brentwood, TN 2
    5
    5
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    Avenues Recovery Center at Clarksville

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    Clarksville, IN
    4.8
    (623 reviews)
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    Avenues Recovery Center in Clarksville, Indiana, is an inpatient drug and alcohol detox and rehab center. They strive to provide individuals receiving treatment with a loving environment and attentive medical care. You’ll be away from toxic environments and triggers and have the opportunity to focus on developing life skills that will support you
    View Website (930) 203-1947
    This is an amazing program that I would recommend for anyone that is in need of help. The staff here is second to none. The program was so easy to engage in which is great for people like me that can’t sit still. I am grateful for everything I have learned as I will continue to utilize in my daily life. Thank you Avenues for everything!
    Jason Andres
    1 week ago
    It is a GREAT place. All staff and people who work here are very nice and helpfull and patient with clients. I strongly recommend any one who wants help with their addiction come here to Avenues. The atmosphere and food and medical services is in my opinion the best that can be offered.
    Bruce Pearson
    1 week ago
    I have been to many rehabs. Avenues has the structure and knowledge that has proven to help many. I am very confident in myself and my recovery. I couldn’t have done it alone. Thank you Avenues 😊
    Derek Hawkins
    1 week ago
    Avenues Recovery Center at Louisville IN 47129
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    1
    Top 10 Rehab in FL
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    8.78 / 10
    4.9
    (343 reviews)
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    All In Solutions Counseling Center is a mental health center and addiction treatment program in Boynton Beach, Florida. They provide a partial hospitalization program, an intensive outpatient program (IOP), an outpatient program, medication-assisted treatment, and mental health care for adults with substance use disorder. All In Solutions Counseli
    This place is amazing helped me get my life started on the right track, I really appreciate the faith based atmosphere great staff and wonderful community highly recommend this place for anyone still struggling with active addiction!
    Jared McGinnis
    1 week ago
    This facility is recognized as the premier treatment center in Florida. Look no further… this is the one. Make the call to get your life back on track.
    Alexis Cornide
    2 weeks ago
    Incredible place and people, life changing.
    Roy Pitts
    2 weeks ago
    4
    1
    Top 10 Rehab in NJ
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    8.74 / 10
    4.8
    (453 reviews)
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    All In Solutions Counseling Center is a mental health and addiction clinic in Cherry Hill, New Jersey. They provide outpatient addiction treatment and mental health care. They offer options like an intensive outpatient program, a partial hospitalization program, and medication-assisted treatment. All In Solutions Cherry Hill Drug & Alcohol Reha
    Great experience great staff
    Alex Pingitore
    1 week ago
    God bless everyone in this facility! They saved my life. Before coming here I was hopeless and depressed from my alcoholism and saw no way out. I initially agreed to 21 days but completed 115 days after seeing how beneficial the work they were doing for me TRULY was. I’d recommend this to any and everyone seeking help. If you’re debating about this place, COME! Experience this for yourself.
    tiahnie gibbs
    1 week ago
    My time spent here was fantastic! Staff were amazing was the best decision and experience I have ever made and had. Highly recommend this place if ur looking for recovery it starts here.
    Gregory Kinder
    1 week ago
    4
    1
    Top 10 Rehab in HI
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    8.73 / 10
    4.7
    (52 reviews)
    Hawaii Island Recovery is a live in drug and alcohol rehab for adults in Kailua Kona. You’ll stay in an island style home surrounded by gorgeous views of this tropical paradise. Your treatment will start with supervised medical detox then you’ll move on to residential treatment. They only take in eight people at a time to create a safe place fo
    I completed 86-days at Hawaiian Island Recovery, and it was genuinely one of the most effective and supportive treatment experiences I’ve had. From the moment I arrived, the team was accommodating, opened their doors without hesitation, and consistently put my best interests first. In a field where programs can feel rigid or profit-driven, HIR stood out for its pragmatic, patient-centered approach. Their holistic therapy model is modern, layered, and actually produces results. I received comprehensive care that included multiple forms of psychotherapy, EMDR, Parts work, somatic experiencing, massage therapy, acupuncture, and regular yoga. Beyond the clinical work, they provided substantial education on addiction and trauma that gave me a much clearer understanding of the underlying issues I was dealing with. The integration of these modalities felt thoughtful rather than scattered, it addressed both the mind and the body in a way that built real momentum in recovery. The facility itself is exceptional. The house is by far the most luxurious and comfortable treatment environment I’ve experienced. The food was outstanding, nutritious, flavorful, and the chef was always willing to accommodate dietary needs or preferences. Daily life there felt supportive rather than institutional. The house managers are compassionate people who truly understand what residents are going through. Most notably, my case manager Chevone was outstanding. She is highly competent, deeply understanding, and acted as a strong advocate for my needs throughout the program. She was a keystone figure in my time at HIR, coordinating care, pushing for what was truly helpful, and keeping everything aligned with my recovery goals. If you’re serious about addressing addiction and trauma with a high-end, integrative program that doesn’t cut corners on comfort or clinical depth, I would recommend Hawaiian Island Recovery without hesitation. The combination of clinical excellence, luxury accommodations, and genuinely caring staff made a real difference for me.
    Kord Ball
    2 months ago
    HIR was exactly what I needed! I was at an absolute low point in my life and this place completely turned things around. The staff was extremely friendly and caring, some have years of recovery themselves so they’re also very easy to relate to. The meetings they took us to were extremely helpful and even fun! Delicious home cooked meals are prepared everyday by a wonderful Chef, yum. I stayed 30 days but wish I could have stayed the full 90. I still go back on alumni days and Big Book Studies to stay in touch with everyone there, I love HIR!
    Sam Speerschneider
    2 months ago
    I did 60 days at the residential program and it genuinely changed my life. This wasn’t my first time in rehab I’d been to two other facilities on the mainland that didn’t stick. What was different here is that they built my treatment plan around me specifically, not a one-size-fits-all schedule. The therapists actually listened. The staff-to-client ratio is small so you’re not just a number. Frank and Fernando were incredible to work with during individual and group sessions. Being on the Big Island away from my usual environment and triggers gave me space to actually focus. I’ve been sober since completing the program and I credit this place for that.
    Christina Nieto
    3 months ago
    Hawaii Island Recovery HI 96740
    6
    6
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    1
    Top 10 Rehab in CO
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    8.73 / 10
    4.9
    (176 reviews)
    Footprints To Recovery – Colorado is a drug and alcohol rehab located in Centennial, Colorado. They provide outpatient addiction treatment. Addiction-related services provided at Footprints to Recovery include an intensive outpatient program, a partial hospitalization program, and a basic outpatient addiction treatment program. Partial Hospitali
    The staff truly cares about their patients and provided care that met my needs. The whole program exceeded my expectations and I can’t thank everyone enough for the impact they made on my life and mental health. Deciding to seek treatment was not an easy thing for me but I am so glad I chose Footprints to Recovery. It wasn’t all just sitting around doing therapy all day and we got the chance to do yoga, art and music therapy, and also go outdoors with Adventure Recovery. If you are considering treatment I highly encourage you to invest in yourself and give Footprints a call!
    Collin Cook
    3 months ago
    Footprints was an absolutely stellar facility to go to after completing inpatient addiction treatment. The staff were all very patient and understanding during my biggest ups and downs during treatment, and I never felt any judgement even at my lowest points. Recovery is such a serious rock to carry but the groups and providers helped me collect the tools necessary to be able to tackle this journey on my own. The nursing team was incredibly helpful in finding me medications that are actually helping my mental health and addiction cravings. I’ve had more success in the three months I got to share with Footprints than the years I’ve worked with my primary care and therapist. Andrew with case management is hilarious and hugely helpful with resources and managing work and life alongside treatment. Anika is an incredible therapist and I am sad to leave her care, but know she will continue to do amazing things for other clients. If you are struggling with any substance abuse, I highly recommend seeking help with Footprints. They will absolutely get you back on your feet.
    Hailee Burdette
    4 months ago
    Was able to get the help I needed. Brought my family back together and got the tools necessary to stay sober. Mental health has been restored. The staff and everyone were very friendly and very relatable.
    Dylan Reeves
    4 months ago
    The facilities at Footprints To Recovery - Colorado in Centennial, CO 1
    4
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    1
    Top 10 Rehab in NY
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    8.70 / 10
    4.8
    (21 reviews)
    This facility offers leading outpatient addiction treatment, recovery coaching, and medication-assisted treatment for adults. Through an intensive outpatient program or an outpatient program, participants engage in individual and group therapy that helps get to the root of addiction and relapse prevention skills. Outpatient support groups allow you
    As a family member, I cannot say enough wonderful things about Mountainside Treatment Center in Huntington. From the very beginning, the staff treated both our loved one and our family with compassion, respect, and genuine care during an incredibly difficult time. The communication throughout the process was thoughtful and professional, and it was clear that everyone involved truly wanted the best possible outcome. Mountainside provides best-in-class treatment in a safe, supportive, and welcoming environment. Knowing our loved one was in such caring and capable hands gave us comfort and hope when we needed it most. We are deeply grateful for the support, guidance, and dedication of the entire team. Highly recommend.
    Adriana Popa
    2 months ago
    Going to Mountainside in Huntington was a life changing experience. I could not recommend it more!
    Violet White
    11 months ago
    As a clinical social worker running a local group practice, I regularly collaborate and refer clients to Mountainside Treatment Center. Their staff has always been exceptional, especially Courtney Hulse and Dan Sexton, who go above and beyond in tailoring their treatment plans for each client and family. Mountainside serves as a tremendous resource, providing quality substance abuse treatment that is critically needed here on Long Island. We are enthusiastic about continuing to work with Mountainside to best serve our community and families. Thank you for all you do Mountainside. Highly recommend!
    Gordon Gooding
    2 years ago
    Mountainside Treatment Center - Huntington NY 11743
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