Prior to entering the residential treatment world in 2005 I was an outpatient therapist for 2.5 years.  Frankly, I enjoyed my job—most of it anyways.  I had less stress, worked less hours, and generally speaking, was successful to the extent that I believe I facilitated positive change in many of the clients I worked with. The exception was I was doing little to no good with clients in the 13-18 year-old range. No matter how creative and determined I was to achieve success my outcomes with teens was the same. I also realized most colleagues were going through similar frustrations—teenagers were not resolving their issues in outpatient.

Let me share a few of the reasons why I believe outpatient therapy does not create the environment for change that residential treatment does; especially in regards to trauma, attachment and emotional regulation. More...