Adolescent Mental Health 
Intensive Outpatient Program

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The Adolescent Intensive Outpatient Program (IOP) at Clear Reflection Counseling Associates in Milford, NH is designed specifically for teens ages 11 to 17 years old, and their families, who find themselves in need of support beyond once per week counseling and who don't meet the need for inpatient hospitalization or residential mental health treatment.

 

The program is set in a beautiful office setting that is clean and modern but doesn't feel sterile or  "medicaI".  working with teens over the years we have found that we have a lot more success with adolescents and families at this intermediate level of care than in just once per week individual counseling. By nature teenagers have a harder time opening up to therapists, or to anybody, while discussing sensitive topics unless they trust who they are working with. This relationship can be very difficult to establish with an individual therapist who they only see once per week.

 

We use the time that kids are with us (6-9 hours per week) to establish a trusting relationship and get to know them on a deeper level which we believe leads to more effective therapeutic relationships and in turn lends to more positive, lasting, and transformative change.

 

This model also affords us the opportunity to offer supplemental therapies like movement and mindfulness groups, arts and crafts, music groups, board games and puzzles, nature activities, and a family component to the program.

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What kind of kids do you work with?

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We work work with teens, and their families, who could be struggling with any of the following:

 

       1. mental health concerns -  whether developmentally or biologically based, this can look like depression and anxiety (lack of interest, low motivation, avoidance), self harming behavior (superficial cutting not requiring medical attention), suicidal ideation (without plan or intent), or social isolation (school avoidance, lack of peer relationships, excessive time spent on internet or phone). Teenagers who have a family history of mental illness might be at a higher risk for developing these concerns and early intervention can make a big difference. 

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2.  family dynamic concerns - like strained relationships between teens and parents or changes in family structure through divorce or loss of a parent. These situations can be extremely challenging and dis-regulating for teens (even when they say they aren't) and can manifest as mental health or behavioral health symptoms immediately or even later in life.

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         3.  peer or school related concerns - school can be a difficult place for some kids and for different reasons. We work with teens who might be involved in bullying situations (either victim or perpetrator). We can also help navigate poor grades, school avoidance, or disruptive behavior in teens. Our team has worked with school counselors to help with IEP plans or with other potential accommodations.

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        4.  navigating the normal challenges posed by the difficult stage of life called adolescence.

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How does the program work?

 

The IOP meets 3 times per week from 3 pm to 6 pm and offers an optional Multifamily Parents Group once a week.

Monday: 3pm - 6pm

Wednesday - 3pm -6pm

Thursday - 3pm - 6pm 

Parents Group meets weekly on Thursdays from 5pm - 6pm

We do ask for a minimum of 2 day per week attendance and encourage all 3 days if possible.

You can expect your child to participate in the program anywhere between 2 and 3 months and then be scheduled to follow up with individual therapy either with Clear Reflection or a referral will be made.

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