The day I realized the conversations I had with my counselor were discussed with other people as a matter of gossip, I knew this place was a joke. It is just a revolving-door money grab scheme.
About Palouse River Counseling
Palouse River Counseling is an addiction treatment clinic located in Pullman, Washington. They offer services for both youth and adults who are suffering from drug or alcohol addictions. They are also considered a dual diagnosis center, which means you can get specialized treatment offerings if you also suffer from co-occurring mental health conditions, such as depression, anxiety, PTSD, bipolar disorder, and schizophrenia.
Their level of care is limited to intensive outpatient care, which can give you more independence but less structure and supervision. With IOP services, you’ll have the added luxury of being able to return home for work or school, instead of staying there overnight for extended periods of time as you would at an inpatient or residential treatment program.
One thing I particularly liked about this clinic was that they offer different programs on different days, such as a recovery/relapse prevention group on Tuesdays and Thursdays, or their adult substance abuse group on Wednesdays. They also have a co-occurring group on select nights. They also offer medication management, which can help make your entire experience easier.
Before we get to their main counseling services, I thought it was cool to mention that they have a ropes course. This activity gives you the chance to face challenges alone and in groups, giving you challenging activities that can help reinforce teamwork and build individual self-confidence.
The counseling services at this outpatient center include individual therapy and group therapy. Both of these are pillars in the recovery community that can drastically shift your mindset from negative to positive.
Latest Reviews
Very disappointed in this place if you're grieving and going through a hard wouldn't go here because you will just have to constantly wait weeks on end and then be rescheduled again for weeks on end my daughter is only nine and she's lost a lot of people in her short little life and she just wanted to see someone but they just keep rescheduling her heart breaking if I can get this place a zero star I would
They have some good programs available but the counselors themselves are super unprofessional and discuss clients with their coworkers which violates hipaa.
This place unfortunately is the only center on the Palouse. Personally it's a joke. The counselors don't know what they are doing and it's amazing the have schooling to do what they do. I don't advise on going here for any sort of counseling or treatment!
Location
Location
Accepted Insurance
Other Forms of Payment
Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.
Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.
Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.
Sliding scale payments are based on a client's income and family size. The goal is to make treatment affordable to everyone. By taking these factors into account, addiction recovery care providers help ensure that your treatment does not become a financial burden to you or your family, eliminating one barrier to care.
Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.
Military members, veterans, and eligible dependents have access to specific insurance programs that help them get the care they need. TRICARE and VA insurance can help you access low cost or no cost addiction and mental health treatment. Programs that accept military insurance often have targeted treatment focused on the unique challenges military members, veterans, and their families face.
Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.
Addiction Treatments
Levels of Care
Outpatient Outpatient Programs (OP) 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.
Inpatient 
Intervention Services It can be difficult for family and friends to carry out a successful drug intervention in Washington on their own. Intervention services can help. These services typically include education about addiction and enabling behaviors, expert facilitation for interventions, and recommendations for appropriate treatment. Often, the involvement of intervention services can create a smooth transition into rehab.
Treatments
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.
Programs
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.
Program For Men
Men face specific challenges and concerns when seeking addiction treatment. Gender-specific recovery programs help them tackle these issues head-on in an environment that's focused, targeted, and distraction-free. It also gives them the opportunity to connect with and learn from other men who have been through a similar journey and can offer support for the next step.
Program For Women
Rehabs for women provide a safe, nurturing space for female clients to heal. These treatment programs consider the specific obstacles that women can face during recovery and place a special emphasis on mental, social, physical, and reproductive health. They explore how each woman's experience has shaped the trajectory of their substance use, addressing issues such as sexual abuse and past trauma.
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.
Clinical Services
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.
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.
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.
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.
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.
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.
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.
Life skills training in Washington involves relearning how to manage daily living. It boosts your abilities and confidence so you can overcome challenges both big and small, without returning to substance use.
Contact Information
(509) 334-1133 
340 Ne Maple Street
Pullman, WA 99163
Get Help Now - 800-985-8516
Who Answers?
Who Answers?
Fact checked and written by:
Benjamin Cardenas
Edited by:
Peter Lee, PhD
