Intensive Outpatient Program (IOP) for Substance Use Disorder

Our Intensive Outpatient Program gives you structured, evidence-based treatment that fits into your daily life so you can stay at home, keep working or studying, and build sobriety with real support.

Request a Call Back

Addiction Treatment

Recovery Support

Recovery That Fits Your Life

You’re committed to recovery, but you also have a life to manage—work, school, family, responsibilities. Intensive Outpatient Program (IOP) offers structured, powerful treatment that works around your daily commitments, not against them.

At Guardian Recovery, our IOP provides evidence-based therapy, clinical support, and accountability through structured sessions typically 3 hours per day, 3-5 days per week. You’ll receive the intensive care you need to build and maintain sobriety while living at home, continuing work or school, and practicing recovery skills in real-world settings. We offer our substance use disorder IOP program both in-person and online.

This is where recovery meets real life. You’re not isolated from the world—you’re learning to navigate it sober, with expert support guiding you every step of the way.

What is Intensive Outpatient Treatment?

Intensive Outpatient Program (IOP) is a structured treatment approach for substance use disorder that provides significant clinical support without requiring you to live at a facility. You attend scheduled therapy sessions during designated times—typically evenings or flexible daytime hours—then return home to practice what you’ve learned.

IOP at Guardian Recovery means:

  • Structured treatment sessions 3 hours per day, 3-5 days per week
  • Living at home while receiving intensive clinical care
  • Group therapy, individual counseling, and psychiatric support
  • Evidence-based treatment that fits around work, school, or family
  • Flexibility to maintain daily responsibilities while prioritizing recovery
  • Real-world application of recovery skills with ongoing professional support
  • Treatment for both substance use and co-occurring mental health disorders

Think of IOP as intensive support with real-world practice. You’re building recovery skills during treatment sessions and immediately applying them in your daily life—with your treatment team there to help you navigate challenges as they arise.

Who is IOP Right For?

Guardian Recovery’s Intensive Outpatient Program serves individuals at various points in their recovery journey.

IOP may be right for you if:

You’re Stepping Down from Higher Levels of Care:

  • You’ve completed residential treatment or PHP and are ready for more independence
  • You’ve built a strong foundation and need ongoing support while transitioning back to daily life
  • You’re stable in recovery but not quite ready for minimal support
  • You want to maintain momentum and accountability as you take on more responsibilities

You’re Starting Treatment at IOP Level:

  • You need structured substance use treatment but don’t require 24-hour care
  • Your substance use is problematic but you haven’t needed medical detox
  • You have a stable, supportive living environment
  • You can safely manage several days between sessions
  • You’re motivated to change and can maintain abstinence with support

You Need More Than Traditional Outpatient:

  • Weekly therapy isn’t providing enough structure or accountability
  • You’re at risk for relapse and need more frequent support
  • You need intensive skill-building but can manage between sessions
  • You’ve tried less intensive treatment and need more support
  • You benefit from regular group therapy and peer connection

You Can Maintain Daily Responsibilities:

  • You have work, school, or family obligations you can’t put on hold
  • You need treatment that fits around your schedule
  • You have reliable transportation to attend sessions
  • You can remain abstinent between sessions with support
  • You’re able to apply recovery skills independently with guidance

You Have Co-Occurring Mental Health Conditions:

  • You’re managing depression, anxiety, trauma, or other mental health disorders alongside substance use
  • You need integrated treatment but don’t require hospitalization-level care
  • You benefit from regular psychiatric support and medication management
  • You need skills for managing mental health symptoms without substances

What to Expect at Guardian Recovery’s IOP

Before You Start

When you contact us, our admissions team will:

  • Conduct a comprehensive clinical assessment to determine if IOP is the appropriate level of care
  • Review your substance use history, previous treatment, and recovery goals
  • Discuss your current living situation, support system, and daily responsibilities
  • Assess any co-occurring mental health conditions
  • Verify your insurance coverage and explain costs
  • Answer all your questions about program structure and expectations
  • Help you choose a schedule that works with your life

We’ll make sure IOP is the right fit before you commit.

Your First Week

Initial Assessment:

  • Comprehensive intake with your primary therapist
  • Development of your individualized treatment plan
  • Psychiatric evaluation if needed
  • Review of program expectations, schedule, and goals
  • Introduction to your therapy groups

Getting Oriented:

  • Meet your treatment team and fellow group members
  • Learn the structure and flow of sessions
  • Begin identifying your personal triggers and goals
  • Start building relationships with peers in recovery
  • Understand what success looks like in IOP

Many clients feel nervous joining a group—that’s normal. Our facilitators create a welcoming environment, and you’ll quickly realize everyone is there for the same reason: to get better.

What Happens During IOP Sessions

Each 3-hour session is structured and purposeful, designed to maximize your learning and growth.

Typical Session Flow

Check-In (15-20 minutes)

  • Share how you’ve been since the last session
  • Discuss any challenges, triggers, or successes
  • Set intentions for today’s session
  • Build accountability with group

Main Therapy Session (90-120 minutes)

  • Group Therapy: Core therapeutic work with your cohort
  • Psychoeducation: Learning about addiction, recovery, and mental health
  • Skill-Building: Practicing coping strategies and relapse prevention techniques
  • Process Work: Exploring emotions, relationships, and underlying issues
  • Experiential Activities: Role-plays, mindfulness exercises, or creative therapies

Closing & Wrap-up (15-20 minutes)

  • Summarize key takeaways from session
  • Assign therapeutic homework or practice assignments
  • Address any immediate concerns
  • Confirm next session attendance
  • Encourage application of skills before next meeting

Break time is included for restroom, refreshments, and informal peer connection.

Treatment Components in IOP

Group Therapy: The Heart of IOP

Group therapy is the primary treatment modality in IOP, and for good reason—it works.

Types of groups you’ll participate in:

Process Groups: Share your experiences in a safe, supportive environment. Receive feedback from peers who understand. Learn you’re not alone. Practice healthy communication and relationship skills.

Cognitive Behavioral Therapy (CBT) Groups: Identify negative thought patterns that drive substance use. Learn to challenge and reframe distorted thinking. Develop healthier cognitive habits that support sobriety. Practice applying CBT skills to real-life situations.

Dialectical Behavior Therapy (DBT) Groups: Master skills for managing intense emotions without substances. Learn distress tolerance for getting through cravings and difficult moments. Improve interpersonal effectiveness and communication. Practice mindfulness for staying present.

Relapse Prevention Groups: Identify your personal triggers and high-risk situations. Develop detailed relapse prevention plans with specific action steps. Learn to recognize early warning signs before relapse occurs. Build resilience and confidence in maintaining sobriety.

Trauma-Focused Groups: Understand the connection between past trauma and current substance use. Begin healing old wounds in a safe, supportive group setting. Learn trauma-informed coping skills. Process difficult experiences with professional guidance.

12-Step Integration and Recovery Fellowships: Explore the principles of AA, NA, and other recovery fellowships. Work through the steps with guidance and support. Connect with recovery community resources. Build a support network beyond treatment.

Psychoeducation Groups: Learn the neuroscience of addiction and how substances affect your brain. Understand the recovery process and what to expect. Gain knowledge about mental health, medication, and wellness. Empower yourself through understanding.

Life Skills and Wellness Groups: Develop practical skills for independent, healthy living. Learn stress management without substances. Practice communication, boundary-setting, and relationship skills. Build employment readiness and financial management skills. Focus on nutrition, sleep, exercise, and self-care.

Why group therapy is so powerful:

  • You realize you’re not alone in your struggles
  • You learn from others’ experiences and perspectives
  • You give and receive support, which builds connection
  • You practice interpersonal skills in a safe environment
  • You’re held accountable by peers who care about your success
  • You develop friendships with people who truly understand

Individual Therapy

While group therapy is primary in IOP, individual counseling provides personalized support.

Frequency: Typically 1 session per week, 45-60 minutes

Individual therapy allows you to:

  • Process personal issues too private for group
  • Work on specific goals tailored to your situation
  • Receive personalized feedback and guidance
  • Address family, relationship, or trauma issues in depth
  • Develop your individualized relapse prevention plan
  • Check in on your progress and adjust your treatment plan

Your individual therapist is your advocate—the person who knows your complete story and helps you navigate your unique path to recovery.

Psychiatric Services and Medication Management

IOP includes comprehensive psychiatric care for co-occurring mental health conditions.

Psychiatric services include:

  • Initial psychiatric evaluation to assess mental health needs
  • Diagnosis and treatment of depression, anxiety, PTSD, bipolar disorder, and other conditions
  • Medication management—starting, adjusting, or monitoring psychiatric medications
  • Regular follow-up appointments to assess medication effectiveness
  • Education about your mental health and treatment options
  • Coordination with your therapist for integrated care

Frequency: Initial evaluation, then typically monthly or as needed

This is true dual diagnosis treatment—we don’t separate mental health from substance use. We treat the whole person.

Case Management and Care Coordination

Your case manager helps ensure all aspects of your life support your recovery.

Case management includes:

  • Coordinating services between providers (therapist, psychiatrist, medical doctor)
  • Connecting you with community resources (housing, employment, education)
  • Assisting with insurance, benefits, or financial concerns
  • Planning for continuing care after IOP
  • Advocating for your needs within the treatment system
  • Addressing barriers to treatment attendance or success

Think of your case manager as the person who helps you navigate everything outside of therapy sessions.

Family Involvement

When appropriate and desired, IOP includes family participation.

Family programming may include:

  • Family education sessions about addiction and recovery
  • Family therapy sessions to improve communication and healing
  • Support for family members affected by your substance use
  • Coordination with family on your recovery plan
  • Guidance for family on how to support without enabling

Recovery happens in relationship. Involving family, when healthy to do so, improves outcomes.

Therapeutic Homework and Practice

Recovery skills must be practiced outside of sessions to become automatic.

Homework assignments might include:

  • Journaling about triggers, cravings, or emotions
  • Attending 12-Step or recovery fellowship meetings
  • Practicing coping skills when stressed
  • Reading assigned materials about recovery
  • Completing CBT or DBT worksheets
  • Reaching out to sober supports
  • Engaging in healthy activities (exercise, hobbies, self-care)

The work you do between sessions is as important as the work you do in sessions. IOP isn’t just about showing up—it’s about actively applying what you learn.

Length of Program

IOP duration varies based on individual needs and progress.

Most clients participate in IOP for 8-12 weeks, though length may vary based on:

  • Your clinical needs and rate of progress
  • Severity of substance use disorder
  • Co-occurring mental health conditions
  • Previous treatment history
  • Your insurance coverage
  • Your stability and readiness to step down

Your treatment team assesses your progress regularly and makes recommendations based on your individual journey—not an arbitrary timeline. Some clients need longer; others are ready to step down sooner.

After IOP: Continuing Your Recovery

IOP isn’t the end of your recovery journey—it’s a crucial middle phase. Research shows that ongoing support after intensive treatment dramatically improves long-term outcomes.

Join Alumni Programming

Guardian Recovery offers ongoing alumni support:

  • Alumni meetings and events
  • Continued connection with peers
  • Access to resources and support
  • Community of people who understand
  • Lifelong network for recovery

Recovery is lifelong, and so is our support.

Engage with Recovery Community

Long-term recovery thrives with community connection:

  • Regular attendance at AA, NA, or other fellowships
  • Sponsor relationships for guidance and accountability
  • Recovery-focused activities and social connections
  • Service work—helping others in early recovery
  • Building a life centered on recovery values

Guardian Recovery helps you connect with these resources so you have support beyond formal treatment.

IOP vs. Other Levels of Care

Understanding where IOP fits in the continuum helps you appreciate its role.

How IOP Differs from PHP (Partial Hospitalization):

PHP: 5-6 hours daily, 5-7 days/week, hospital-level intensity, less independence IOP: 3 hours daily, 3-5 days/week, structured but less intensive, more real-world practice

IOP has more flexibility but requires more self-management between sessions.

How IOP Differs from Residential Treatment:

Residential: 24/7 immersive care, live at facility, complete focus on recovery, maximum structure IOP: Part-time treatment, live at home, balance recovery with responsibilities, moderate structure

IOP allows you to maintain your life while receiving significant clinical support.

How IOP Differs from Traditional Outpatient:

Traditional Outpatient: 1-2 hours weekly, minimal structure, mostly individual therapy IOP: 9-15 hours weekly, highly structured, primarily group-based with individual support

IOP provides much more intensity and accountability than traditional outpatient therapy.

The right level of care depends on your individual needs. Your treatment team will help determine what’s appropriate for you.

Dual Diagnosis Treatment in IOP

Most people with substance use disorders also struggle with mental health conditions, and treating both simultaneously is essential for lasting recovery.

Guardian Recovery’s IOP provides true integrated dual diagnosis treatment:

We simultaneously treat:

  • Depression and substance use disorder
  • Anxiety disorders and addiction
  • Post-Traumatic Stress Disorder (PTSD) and substance abuse
  • Bipolar disorder and addiction
  • Attention-Deficit/Hyperactivity Disorder (ADHD) and substance use
  • Eating disorders and addiction
  • Personality disorders and substance use

Integrated treatment means:

  • Both conditions are addressed in the same program by the same team
  • Your therapist understands how mental health and addiction interact
  • Group therapy addresses both substance use and emotional regulation
  • Psychiatric care is coordinated with addiction counseling
  • Skills learned apply to both conditions
  • You don’t have to choose which to treat first

Example: If you’re in IOP for alcohol use disorder and also have PTSD, your treatment plan includes trauma-informed therapy, coping skills for PTSD symptoms without alcohol, processing traumatic memories safely, and medication for PTSD if appropriate—all within your IOP programming.

You’re treated as a whole person, not a collection of diagnoses.

Ready to Begin IOP at Guardian Recovery?

Recovery is possible. We know because we’ve walked this path with thousands of people just like you.

Your journey toward freedom from substance use can start today—while you keep your job, stay with your family, and maintain your responsibilities.

When you call, we'll:

You can also:

Don’t wait for things to get worse. Don’t convince yourself you should be able to do this alone. Don’t let fear stop you from getting help.

The life you want—free from substance use, full of purpose and peace—is possible. We help people build that life every single day.

IOP at Guardian Recovery: Intensive support. Real-world recovery. Lasting results.

Your recovery starts with a single call. Let’s take that step together—right now.

Common Questions About IOP

Clear, straightforward answers to help you understand what to expect, how the process works, and how we support you every step of the way.

Can I work full-time while in IOP?

Yes, many clients work full-time. We offer evening and flexible schedule options specifically for working adults. However, recovery must remain a priority—if work demands interfere with treatment attendance or sobriety, adjustments are needed.

Tell your treatment team immediately. We’ll assess what happened, ensure you’re safe, adjust your treatment plan, and determine if IOP is still the appropriate level of care or if you need to step up to PHP or residential. Honesty about relapse is always better than hiding it.

Generally, no. IOP requires consistent attendance for effectiveness. Occasional single-session absences for truly unavoidable reasons may be accommodated, but extended absences disrupt your treatment. Recovery is the priority during your IOP phase.

Not unless you tell them. We cannot release information without your written authorization. Many clients tell employers they have evening commitments or medical appointments. Some are open about treatment—that’s your choice.

Your treatment team assesses readiness based on: consistent sobriety, mastery of recovery skills, stable mental health, strong support network, demonstrated ability to manage triggers, completion of treatment goals, and confidence in maintaining recovery with less intensive support. This is a collaborative decision—you’ll know when you’re ready, and so will your team.

Why Choose Guardian Recovery's IOP

Expert Clinical Team

Licensed therapists, addiction counselors, psychiatric providers, and case managers specializing in substance use and co-occurring disorders.

Comprehensive Services

Group therapy, individual counseling, psychiatric care, case management, drug testing, and family support—all in one program.

Evidence-Based Treatment

We use proven therapies—CBT, DBT, trauma-informed care, motivational interviewing, relapse prevention—backed by research showing they work.

Full Continuum of Care

Seamless transitions from detox through residential, PHP, IOP, outpatient, and alumni support—all within Guardian Recovery.

True Dual Diagnosis Expertise

Mental health and addiction treated together, simultaneously, by specialists in co-occurring disorders.

Real-World Focus

You practice skills in your actual life, with support to navigate real challenges as they arise.

Flexible Scheduling

Evening and daytime options to accommodate work, school, and family responsibilities.

Recovery Community Connection

We help you build connections with 12-Step fellowships and other recovery resources for long-term support.

Individualized Treatment Plans

Your program is designed for YOUR specific needs, history, strengths, and goals—not a one-size-fits-all approach.

Insurance Accepted

We work with most major insurance providers and help maximize your benefits.

Group Therapy Excellence

Small groups (typically 8-12 clients) led by experienced facilitators create safe, supportive environments for deep work.

Proven Outcomes

Our evidence-based, comprehensive approach gives you the tools and support for lasting recovery.

Medical Detoxification

Our team provides 24/7 care to help ease withdrawal symptoms and keep you safe and supported during early recovery.

Residential Inpatient

Round-the-clock care in a structured, supportive setting helps you focus fully on building a foundation for lasting change.

Virtual

Offering intensive outpatient support online for those needing ongoing care or unable to attend in-person treatment.

Network of Programs

Guardian Recovery offers a full continuum of care between our facilities; including PHP, IOP, and Aftercare programs.

Verify Insurance Coverage

Medical Disclaimer:

The information provided on this website is intended solely for educational and informational purposes. Guardian Recovery aims to improve the quality of life for individuals struggling with substance use or mental health disorders by offering fact-based content about behavioral health conditions, treatment options, and related outcomes. However, this information should not be considered a substitute for professional medical advice, diagnosis, or treatment.

Important Notes:

The content on this site is believed to be current and accurate at the time of posting, but medical information is constantly evolving.
Always seek the advice of your physician or other qualified healthcare provider regarding any questions or concerns about your health or medical condition.
If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately.
Guardian Recovery does not provide free medical advice. For personalized treatment recommendations, please consult with a licensed healthcare professional.

By using this website, you acknowledge that you have read and understand this disclaimer. Guardian Recovery and its affiliates disclaim any liability for the use or interpretation of information contained herein. SEE TERMS AND CONDITIONS

Get in Contact

Request a Call Back

Best Time to Reach You
 
Medical Disclaimer:
The information provided on this website is intended solely for educational and informational purposes. Guardian Recovery aims to improve the quality of life for individuals struggling with substance use or mental health disorders by offering fact-based content about behavioral health conditions, treatment options, and related outcomes. However, this information should not be considered a substitute for professional medical advice, diagnosis, or treatment.

Important Notes:
The content on this site is believed to be current and accurate at the time of posting, but medical information is constantly evolving.
Always seek the advice of your physician or other qualified healthcare provider regarding any questions or concerns about your health or medical condition.
If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately.
Guardian Recovery does not provide free medical advice. For personalized treatment recommendations, please consult with a licensed healthcare professional.

By using this website, you acknowledge that you have read and understand this disclaimer. Guardian Recovery and its affiliates disclaim any liability for the use or interpretation of information contained herein. SEE TERMS AND CONDITIONS