ASAM 2.1–2.5 · Service Delivery, Not Modality Library
Group & Individual Therapy Programs at Valley Spring
Group and individual therapy programs at Valley Spring Recovery Center follow a consistent operational structure across PC, IOP, and Outpatient levels of care. Daily process groups run alongside a caseload capped at eight clients per therapist. Weekly individual sessions pair the client with an assigned primary clinician. Weekly psychiatric medication management runs alongside the therapy schedule. Structured psychoeducation curriculum complements the process work. Family therapy is delivered with the client's written consent. Case management coordinates FMLA, short-term disability, and employer communication. The addiction therapies page explains how each evidence-based modality (CBT, DBT, EMDR, motivational interviewing, MAT) works clinically. The two pages serve different questions: this one covers the operational delivery of therapy, the modality page covers the clinical approach behind each technique.
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Same-day admissions available. Our team verifies your insurance and schedules your intake, typically the same day.
Why Choose Valley Spring
Why Choose Valley Spring Recovery's Group & Individual Therapy Programs at Valley Spring?
- Daily group therapy sessions, with no therapist carrying more than eight clients
- Weekly individual therapy sessions with licensed clinicians
- Nurse Practitioner evaluation within the first 72 hours for medical support
- Evidence-based protocols, CBT, DBT, and EMDR
- Dual diagnosis expertise for co-occurring conditions
- Eight clients per clinician, maximum, for personalized attention
- Length of stay based on individual needs
- Virtual and in-person programming options
- Most major insurance plans accepted
- Seamless step-down to continued care services
Licenses & Accreditations
People Who Recovered
Norwood, NJ Addiction Treatment Center Reviews
“Valley Spring Recovery Center is absolutely exceptional. Brian and Mike have created a truly beautiful establishment, both in appearance and in spirit. The clinical setting is world class, blending professionalism with genuine compassion.”
Christopher Ferry
“Valley Spring Recovery Center truly changed my little brother Jordan's life. From the moment he entered the program, he was treated with respect, care, and real compassion. The staff went above and beyond to support him, not just in his recovery, but in every aspect of his life.”
Deshaya Williams
“It cannot be more clear the profound impact that Sean has made in my recovery journey. Finding someone who can balance the weight of recovery with genuine humor is rare, and he embodies that perfectly.”
Daisy McCloud
“Valley Spring Recovery Center saved my son's life. The staff is amazing. I'm so grateful for the exceptional care he received. The support and encouragement by the staff and the rest of the Valley Spring Community is so meaningful.”
Lana Roeser
“Everyone treated me like family, I felt like I was born into this family. The welcoming I received was incredible. Valley Spring changed my life in ways I never thought possible.”
Tr3 Weee
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Program Details
What Does Valley Spring Recovery Center's Addiction & Mental Health Therapy Services in New Jersey Include?
Valley Spring Recovery Center's Group & Individual Therapy Programs at Valley Spring covers clinical components, therapeutic modalities, and support services delivered across scheduled sessions. Each section below outlines what clients receive during treatment and why each component is part of the clinical model.
Addiction & Mental Health Therapy Services Track - Ages 18+
Addiction & Mental Health Therapy Services at Valley Spring Recovery Center serves adults requiring comprehensive treatment following medical detox, active substance use, or insufficient progress in lower levels of care. Partial care operates 9:00 AM - 3:00 PM Monday through Friday, plus a 9:00 AM - 12:00 PM Saturday session, for adults requiring intensive daily stabilization. Intensive outpatient programming operates 6:00 PM - 9:00 PM Monday through Friday for working professionals. Virtual delivery of intensive outpatient and outpatient programming extends access statewide. Partial care is delivered in person.
What to Expect from Therapy Services
Participants attend programming based on their specific level of care, including process group therapy, psychoeducation curriculum, specialty therapeutic groups, and individual therapy or case management. DBT curriculum rotates through eight-week cycles teaching emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness skills. The on-site Nurse Practitioner evaluates clients within the first 72 hours and provides ongoing medication management for addiction-related medications and co-occurring psychiatric conditions.
Which Therapy Modalities Does Valley Spring Use?
Valley Spring Recovery Center delivers 13 clinical modalities across Partial Care, IOP, and Outpatient levels. Each modality below links to its full explainer.
- Cognitive Behavioral Therapy (CBT) — the primary modality across individual and group sessions.
- Dialectical Behavior Therapy (DBT) — emotional regulation, distress tolerance, mindfulness, and interpersonal effectiveness skills.
- EMDR Therapy — trauma memory processing with trained clinicians.
- Motivational Interviewing — for clients in early, pre-contemplative stages of change.
- Trauma-Informed Care — trauma-trained therapists are matched to clients at intake when trauma is present.
- Medication-Assisted Treatment (MAT) — Suboxone, Vivitrol, the buprenorphine range, Naltrexone, Brixadi, and Topamax.
- Family Therapy, delivered alongside the Family Program and its six-session Together We Heal curriculum.
- Group Therapy — process groups, with no therapist carrying more than eight clients.
- Individual Therapy — one-to-one weekly sessions with the assigned clinician, delivered inside this program.
- Experiential Therapy — psychodrama and role plays in group sessions.
- Case Management — FMLA, disability, return-to-work letters, union coordination, court and IDRC.
- Health & Wellness — the daily neuroscience-informed curriculum built on five pillars.
- Psychiatric Evaluation — delivered by the Medical Director (MD) and the psychiatric nurse practitioner (PMHNP-BC).
What Does a Day in Addiction & Mental Health Therapy Services Look Like?
Home Morning Routine
The day begins at home with breakfast, morning medications, and the ordinary responsibilities that residential care takes away. Skills learned in group get their first test before the client ever reaches the building. This distinguishes Addiction & Mental Health Therapy Services from residential treatment where staff supervise every moment.
9:00 AM - Arrival & Check-In
Clients arrive at Valley Spring Recovery Center's Norwood facility with free on-site parking in the discrete standalone building. Clinical staff conduct check-in monitoring attendance and assessing current state. Coffee is available in the common areas, and clients use the minutes before the first group to settle in.
9:00 AM - Small Process Groups (Under 10 People)
Licensed clinicians facilitate intimate groups addressing current struggles, interpersonal conflicts, and emotional processing. Each client reports on the previous 24 hours, and the group answers with feedback drawn from where its members sit in their own recovery.
10:30 AM - Psychoeducational Group
Evidence-based curriculum teaches concrete recovery skills through structured programming. Sessions rotate through CBT cognitive restructuring, addiction neuroscience, relapse prevention strategies, and communication skills. Clinical staff provides workbooks reinforcing lessons for home practice.
12:00 PM - Catered Lunch & Fellowship
The Valley Spring Recovery Center facility provides catered lunch for all clients in common areas. Shared meals create fellowship opportunities strengthening peer support beyond formal therapy. Clients practice social engagement without substances while building genuine friendships with others understanding recovery journey.
1:00 PM - Health and Wellness Group
Programming focuses on five pillars: sleep optimization, movement and exercise, trauma-informed nervous system regulation, didactic psychoeducation, and medication literacy. Clients participate in gym activities, hiking, breath awareness exercises, and brain recovery education.
2:00 PM - Elective Groups
Specialized interventions rotate based on patient choice and treatment team recommendations, including DBT skills training, trauma-focused therapy, family systems education, anger management, grief processing, and mindfulness meditation.
3:00 PM - Closing Group & Discharge
Brief closing groups review key takeaways, assign homework for skill practice, and set recovery intentions until next programming day. Staff address immediate concerns before discharge. Clients return home with their phone having been accessible throughout programming.
What Happens Outside of Therapy Services Hours?
- Practicing skills learned during daily programming
- Attending recovery meetings including AA, NA, and SMART Recovery
- Completing therapeutic homework assignments
- Maintaining family relationships and responsibilities
- Applying coping techniques to real-life triggers
- Contacting on-call clinical staff if crisis emerges
Who Is Addiction & Mental Health Therapy Services Appropriate For?
- Post-Detox Stabilization: Adults transitioning from medical detoxification requiring structured daily programming during vulnerable early recovery periods.
- Active Substance Use: Individuals currently using substances who require intensive intervention but do not need 24-hour residential supervision.
- Co-Occurring Mental Health Conditions: Adults managing both substance use disorders and psychiatric conditions requiring daily clinical monitoring and integrated treatment.
- High Relapse Risk Factors: Individuals with chronic relapse patterns, unstable recovery environments, or complex polysubstance use requiring comprehensive treatment approaches.
- Employment-Family Conflicts: Working professionals, parents, or students needing addiction treatment without abandoning employment or educational commitments.
Why Valley Spring
Why Choose Valley Spring Recovery Center for Addiction & Mental Health Therapy Services in New Jersey?
CARF-accredited and NJ-licensed, Valley Spring Recovery Center accepts 19 payers for Group & Individual Therapy Programs at Valley Spring, including AmeriHealth, Fidelis Care, ComPsych, Oscar, Tricare, Magellan Healthcare, Cigna, and UnitedHealthcare (Blue Cross Blue Shield, Aetna, and Horizon accepted out-of-network or by single case agreement), and offers same-day admissions, with no therapist carrying more than eight clients.
Valley Spring Recovery Center · Norwood, NJ
13
Clinical Modalities in the Roster
19
Insurance Contracts Accepted
24/7
Admissions Available
Our Facility
What Does Valley Spring Recovery Center's Norwood, NJ Facility Look Like?
830 Broadway, Norwood, NJ 07648 — private parking, comfortable clinical spaces, and group rooms laid out as a circle rather than rows.
Clinical Process
How Does Valley Spring Recovery's Group & Individual Therapy Programs at Valley Spring Work?
Valley Spring Recovery Center's Group & Individual Therapy Programs at Valley Spring follows a structured clinical sequence from intake through active treatment to discharge planning. Stage length and intensity are adjusted based on clinical progress and ASAM level-of-care criteria.
Assessment & Stabilization
Phase 1
Integrated admission assessment occurs through comprehensive clinical evaluation, determining program appropriateness, co-occurring mental health conditions, medication needs, and immediate safety concerns. Medication management begins within the first 72 hours, where the psychiatric nurse practitioner establishes the addiction and psychiatric prescribing that runs alongside the weekly therapy schedule.
Skill Building & Curriculum Engagement
Phase 2
Full engagement in therapy services curriculum occurs through daily attendance at process groups, psychoeducation sessions, DBT skills training, and specialty therapeutic groups. Weekly one-to-one sessions with the assigned primary clinician carry the individualized work, from trauma processing to cognitive restructuring to the client's own relapse prevention plan.
Skill Application & Integration
Phase 3
Skill application within therapy services structure demonstrates clients utilizing learned techniques during group conflicts, managing cravings between sessions, and applying communication skills with family members. Homework completion demonstrates skill practice outside programming hours.
Transition Planning & Step-Down Preparation
Phase 4
Aftercare planning establishes continuation care through step-down programming, external therapist referrals, psychiatrist coordination, and community recovery resource connections. Alumni programming provides ongoing support through monthly meetings and quarterly community outings.
Getting Started
How Does Admissions Work at Valley Spring Recovery Center?
Valley Spring Recovery Center completes admissions in four steps: insurance verification, clinical assessment, level-of-care placement, and intake scheduling. Same-day admissions are available for most clients when insurance criteria are met.
Contact & Verify Insurance
Contact Valley Spring Recovery Center admissions team at (201) 781-8812, available 24/7 for immediate assistance and clinical screening. Insurance verification occurs during this initial contact, determining exact coverage, benefits, deductibles, and authorization requirements at no cost.
Complete Clinical Assessment
Licensed clinical staff conduct comprehensive biopsychosocial assessments lasting approximately one hour, evaluating addiction severity, co-occurring mental health conditions, medical needs, and psychosocial factors. Assessment options include phone, secure video, or in-person evaluations.
Coordinate Medical Detox (If Required)
The Valley Spring Recovery Center clinical team coordinates medical detoxification with trusted partner facilities when withdrawal management is required before beginning programming safely. Treatment start scheduling occurs immediately following detox completion, eliminating gaps in care.
Same-Day Admission Into Therapy Services
Programming begins once clinical assessment and insurance authorization clear, and same-day admissions are accommodated when clinically appropriate. Nurse Practitioner evaluation occurs within the first 72 hours, establishing medication protocols early in the stay.
Start Addiction & Mental Health Therapy Services Today
Call Valley Spring Recovery Center 24/7 at (201) 781-8812. Same-day admissions available when clinical and insurance criteria are met.
HIPAA compliant · Confidential · No obligation
Our Clinical Team
Who Are the Clinical Staff at Valley Spring Recovery Center?
Licensed therapists, psychiatric providers, and case managers, many combining clinical credentials with personal recovery experience.
FAQ
Frequently Asked Questions About Group & Individual Therapy Programs at Valley Spring at Valley Spring
How long does Addiction & Mental Health Therapy Services last?+
Addiction & Mental Health Therapy Services lasts based on individual needs with programming varying by program level weekly. Clinical assessment sets length of stay rather than a fixed calendar, and it moves with symptom severity, treatment progress, and co-occurring conditions. Most clients complete programming within several weeks to months.
Can I work during Addiction & Mental Health Therapy Services?+
Evening intensive outpatient programming operates 6:00 PM - 9:00 PM Monday through Friday, specifically designed for working professionals. Partial care programming runs 9:00 AM - 3:00 PM Monday through Friday with a 9:00 AM - 12:00 PM Saturday session, which may require work schedule modifications. Valley Spring Recovery Center's case management team provides FMLA documentation to support employment protection.
Will insurance cover Addiction & Mental Health Therapy Services?+
Most major insurance plans cover Addiction & Mental Health Therapy Services when medically necessary. Valley Spring Recovery Center is in-network with 19 payers, including AmeriHealth, Cigna, and UnitedHealthcare; Horizon, Aetna, and Blue Cross Blue Shield are accepted out-of-network or by single case agreement. The admissions team completes benefit verification and prior authorization before programming starts.
Can I do Addiction & Mental Health Therapy Services virtually?+
Intensive Outpatient and Outpatient therapy services are available through virtual attendance on HIPAA-compliant telehealth platforms, and the virtual track delivers the same process groups, individual sessions and psychiatric appointments over secure video. Partial Care is delivered in person. Hybrid combinations allow some days in person and some days virtual at the two lower levels.
Can family members participate?+
Family members participate through individual family therapy sessions and the Family Program covering codependency, enabling behaviors, and addiction education. Family therapy occurs weekly, bi-weekly, or monthly based on client needs and consent.
What happens after I complete Addiction & Mental Health Therapy Services?+
Most clients step down to continued care programming after completing Addiction & Mental Health Therapy Services, maintaining therapeutic support with reduced intensity. The clinical team coordinates external therapist and psychiatrist referrals before discharge. Alumni receive lifetime access to recovery support groups.
What makes Valley Spring's therapy services different from other treatment centers?+
Valley Spring Recovery Center's family-style environment, founded by individuals in long-term recovery, distinguishes Valley Spring from larger corporate facilities. Small clinician caseloads and same-day admissions eliminate wait lists when motivation for treatment peaks.
Is lunch provided?+
Catered lunch is provided daily for partial care clients creating fellowship opportunities and eliminating nutrition barriers. Coffee and beverages remain available throughout programming hours for all clients. Lunch provision distinguishes partial care programming from intensive outpatient tracks.
What if I relapse during therapy services?+
Relapse triggers immediate clinical assessment determining continued appropriateness for outpatient-level care versus need for higher-level intervention. Relapse does not result in automatic discharge but rather intensified treatment planning, possible medication adjustments, and increased clinical monitoring.
What therapeutic approaches do you use?+
Thirteen clinical modalities run across the three levels of care, led by Cognitive Behavioral Therapy, Dialectical Behavior Therapy, EMDR, Motivational Interviewing, and family therapy. Individual therapy adapts approaches based on client needs and therapeutic relationship with assigned clinicians.
How do you handle co-occurring mental health conditions?+
Dual New Jersey licensure covers substance use disorder and mental health treatment, which keeps psychiatric care inside the same program as the addiction work. Valley Spring treats anxiety, depression, PTSD, bipolar disorder, and other psychiatric conditions alongside addiction.
How much does Addiction & Mental Health Therapy Services cost?+
Addiction & Mental Health Therapy Services costs vary based on insurance coverage, plan benefits, deductibles, copays, and coinsurance rates specific to the client's policy. In-network status with major insurance providers significantly reduces out-of-pocket costs. Contact Valley Spring Recovery Center admissions team for free insurance verification determining exact coverage and financial responsibility before treatment begins.
Do you provide transportation?+
Most clients provide their own transportation to daily programming at Valley Spring Recovery Center's Norwood facility with free on-site parking available. Transportation assistance may be available on a case-by-case basis for qualified clients based on specific circumstances and clinical need. Virtual programming options eliminate transportation barriers for clients unable to attend in-person due to mobility limitations, geographic distance, or transportation challenges.
In-Network Insurance Accepted
Also in-network with AmeriHealth, Northwell Direct, ComPsych, Oscar, VA Community Care, Lower Hudson Valley EAP, JRN Consulting, Teamsters, UMR, Oxford, New York City Employees Plan, Workforce Assistance EAP, Iron Workers Members Assistance, Humana.
Blue Cross Blue Shield, Aetna, Horizon, Carelon Behavioral Health accepted out-of-network or by single case agreement · Call 24/7 to verify your specific benefits
Types of Addictions We Treat in New Jersey
Valley Spring Recovery Center's Addiction and Mental Health Therapy Services treats 7 categories of substance use and co-occurring mental health conditions: alcohol, opioids, cocaine and crack, benzodiazepines, marijuana, stimulants, and co-occurring conditions. Select one for the disorder name, where care begins, the medication position, and the levels of care that treat it.
Alcohol
DSM-5-TR: Alcohol use disorder
- Where care begins
- Medically supervised withdrawal comes first. Valley Spring Recovery Center refers to detox partners, admits directly after detox discharge, and keeps provider-to-provider communication open with the detox facility so care continues without a gap. Valley Spring does not provide detoxification.
- Medication
- Naltrexone, and Vivitrol, the extended-release injectable form of naltrexone, are on Valley Spring's medication list for alcohol use disorder. The FDA has approved three medications for alcohol use disorder overall, according to the National Institute on Alcohol Abuse and Alcoholism: disulfiram, naltrexone and acamprosate.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
The DSM-5-TR diagnoses alcohol use disorder against 11 criteria observed over a 12-month period, and grades severity by criterion count: 2 to 3 criteria is mild, 4 to 5 is moderate, 6 or more is severe. Untreated alcohol withdrawal produces seizures and delirium tremens, which is why physical dependence is stabilized under medical supervision before outpatient treatment begins. Call 911 if a person withdrawing from alcohol has a seizure, becomes confused, or cannot be woken.
There are 5 recognition signs families and clinicians look for:
- Drinking more, or over a longer period, than intended
- Repeated unsuccessful efforts to cut down or stop
- Needing markedly more alcohol to reach the same effect
- Tremor, sweating, nausea or anxiety in the hours after stopping
- Continuing to drink despite a physical or psychological problem alcohol caused or worsened
Alcohol addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Opioids
DSM-5-TR: Opioid use disorder
- Where care begins
- Medically supervised withdrawal comes first. Valley Spring Recovery Center refers to detox partners, admits directly after detox discharge, and keeps provider-to-provider communication open with the detox facility so care continues without a gap. Valley Spring does not provide detoxification.
- Medication
- Buprenorphine, including Suboxone, which combines buprenorphine with naloxone, and Brixadi, the extended-release buprenorphine injection the FDA approved in May 2023 for moderate to severe opioid use disorder, is prescribed by Valley Spring's on-staff psychiatrist. Vivitrol, extended-release injectable naltrexone, is the other option on the roster. Valley Spring does not prescribe methadone.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Opioid use disorder is sustained by two forces at once: the reinforcing effect of mu-opioid receptor agonism, and avoidance of a withdrawal syndrome that brings severe pain, diarrhea, sweating and craving. Opioid tolerance falls during any period of abstinence, including a detox stay or a jail term, so a dose that was previously tolerated can cause fatal respiratory depression afterward. Call 911 for a suspected opioid overdose and give naloxone if it is on hand.
There are 5 recognition signs families and clinicians look for:
- Taking opioids to prevent withdrawal rather than for pain or effect
- Running out of a prescription earlier than the schedule allows
- Obtaining opioids from more than one prescriber or from non-medical sources
- Muscle aches, agitation, sweating and diarrhea when a dose is missed
- Continuing opioid use despite a job, legal or relationship consequence it caused
Opioid addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Cocaine and crack
DSM-5-TR: Stimulant use disorder, cocaine type
- Where care begins
- Direct admission after clinical assessment. Cocaine withdrawal does not carry the seizure and delirium risk that alcohol and benzodiazepine withdrawal carry, so treatment starts at the assessed level of care rather than after a detox stay.
- Medication
- No FDA-approved medication exists for cocaine use disorder. The National Institute on Drug Abuse states there is no FDA-approved medication for methamphetamine use disorder or any other stimulant use disorder. Treatment is behavioral, and contingency management is the best-studied of the approaches, alongside cognitive behavioral therapy and motivational interviewing.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Cocaine blocks the dopamine transporter, so dopamine accumulates in the synapse instead of being recycled, and the resulting reward signal is what drives repeat dosing within a single session. Crack is the freebase form of the same drug, smoked rather than insufflated, which reaches the brain faster and clears faster. Cocaine constricts coronary arteries and raises the risk of myocardial infarction, arrhythmia and stroke in people with no prior cardiac history. Call 911 for chest pain, seizure or collapse, and call Poison Help at 1-800-222-1222 for any overdose or ingestion.
There are 5 recognition signs families and clinicians look for:
- Using in binges that continue until the supply is gone
- Crashing into exhaustion, low mood and heavy sleep after a session
- Spending beyond what income supports to keep a supply available
- Nosebleeds, chronic congestion, or burns on the lips and fingers
- Continuing to use despite chest pain, palpitations or a cardiac warning from a clinician
Cocaine addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Benzodiazepines
DSM-5-TR: Sedative, hypnotic, or anxiolytic use disorder
- Where care begins
- Medically supervised withdrawal comes first. Valley Spring Recovery Center refers to detox partners, admits directly after detox discharge, and keeps provider-to-provider communication open with the detox facility so care continues without a gap. Valley Spring does not provide detoxification.
- Medication
- No FDA-approved medication treats sedative, hypnotic, or anxiolytic use disorder. The FDA updated the boxed warning on the whole benzodiazepine class in September 2020 to require a gradual taper when a benzodiazepine is reduced or stopped, because abrupt discontinuation causes withdrawal reactions including seizures. A prescriber supervises that taper. Valley Spring's clinical work is behavioral, and Valley Spring does not supervise withdrawal.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Benzodiazepines bind an allosteric site on the GABA-A receptor and amplify inhibitory signaling, which is what makes them effective for anxiety, panic disorder and insomnia and also what makes stopping them dangerous. The FDA's 2020 safety communication states that physical dependence develops when benzodiazepines are taken steadily for days to weeks, even exactly as prescribed, so dependence is not evidence that a person misused the prescription. Call 911 if someone reducing or stopping a benzodiazepine has a seizure or becomes confused.
There are 5 recognition signs families and clinicians look for:
- Needing a higher dose than prescribed to get the same relief from anxiety or insomnia
- Rebound anxiety, insomnia or agitation between doses
- Filling a prescription early, or holding prescriptions from more than one clinician
- Combining a benzodiazepine with alcohol or an opioid for a stronger effect
- Avoiding situations where a dose would not be available
Benzodiazepine addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Marijuana
DSM-5-TR: Cannabis use disorder
- Where care begins
- Direct admission after clinical assessment. Cannabis withdrawal is a recognized DSM-5-TR syndrome and it is uncomfortable rather than medically dangerous, so treatment begins at the assessed level of care.
- Medication
- No FDA-approved medication exists for cannabis use disorder. The National Institute on Drug Abuse states there are no FDA-approved medications for the treatment of cannabis use disorder or for medically assisted withdrawal. Treatment is behavioral, and the three approaches with evidence behind them are cognitive behavioral therapy, motivational enhancement therapy and contingency management.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Cannabis use disorder is diagnosed on the same 11 DSM-5-TR criteria as every other substance use disorder, and the DSM-5-TR also carries cannabis withdrawal as a separate diagnosis: irritability, sleep difficulty, appetite loss, restlessness and depressed mood in the week after stopping heavy regular use. Withdrawal that reliably ends an attempt to quit is the mechanism that keeps daily use in place, which is why cannabis treatment concentrates on the first two weeks.
There are 4 recognition signs families and clinicians look for:
- Using daily, or first thing in the morning, to feel normal
- Irritability, restlessness and disrupted sleep in the days after stopping
- Losing interest in activities that were previously done without cannabis
- Continuing daily use despite a work, academic or relationship cost
Marijuana addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Stimulants
DSM-5-TR: Stimulant use disorder, amphetamine type
- Where care begins
- Direct admission after clinical assessment. Stimulant withdrawal presents as exhaustion, heavy sleep and depressed mood rather than the seizure risk that alcohol and benzodiazepine withdrawal carry, so treatment starts at the assessed level of care.
- Medication
- No FDA-approved medication exists for methamphetamine or amphetamine use disorder. The National Institute on Drug Abuse names contingency management as the best-studied behavioral treatment for methamphetamine use disorder, delivered alongside cognitive behavioral therapy, motivational interviewing and group support.
- Levels of care
- Partial Care at ASAM 2.5, Intensive Outpatient at ASAM 2.1, and Outpatient at ASAM 1.5. Partial Care is delivered in person. Intensive Outpatient and Outpatient run in person or virtually by client preference.
Methamphetamine forces dopamine release and blocks its reuptake, which produces a longer and more intense signal than cocaine does from the same neurotransmitter. Heavy or prolonged use produces psychosis with paranoia, visual and auditory hallucinations, and delusions that persist for months after use stops in some people. Acute stimulant toxicity raises body temperature to a dangerous degree. Call 911 for seizure, chest pain, extreme agitation or a body temperature that keeps climbing, and call Poison Help at 1-800-222-1222 for an overdose.
There are 5 recognition signs families and clinicians look for:
- Staying awake for a day or more at a time, then sleeping for an extended period
- Marked weight loss, dental damage or skin sores from picking
- Paranoia or the sense of being watched or followed
- Using a prescribed stimulant at higher doses, or by a route other than the prescribed one
- Continuing use despite a cardiac, dental or psychiatric consequence
Methamphetamine addiction treatment in Norwood, Bergen County, NJ sets out admissions, insurance verification and what the first week looks like.
Co-occurring conditions
DSM-5-TR: Co-occurring substance use and mental health disorders
- Where care begins
- Direct admission after psychiatric evaluation. New Jersey Mental Health Licence #70420104 is standalone, so a substance use diagnosis is not required for admission to mental health care.
- Medication
- Psychiatric medication is prescribed by the Medical Director, an MD, and a psychiatric nurse practitioner credentialed PMHNP-BC, and it treats the mental health condition rather than the substance use disorder. Where a client is already on buprenorphine or naltrexone, that medication continues alongside psychiatric care rather than being stopped at admission.
- Levels of care
- Mental health treatment runs at Intensive Outpatient, ASAM 2.1, and Outpatient, ASAM 1.5. Partial Care at ASAM 2.5 is licensed under New Jersey Substance Use Licence #200887, so a client who also meets criteria for a substance use disorder can start there.
Valley Spring treats anxiety disorders, major depressive disorder, PTSD, trauma and complex trauma, bipolar I and II, ADHD, OCD, borderline personality disorder and schizophrenia spectrum disorders alongside substance use, and tracks them with the PHQ-9, the GAD-7 and the PCL-5. Both conditions are treated together from admission rather than sequenced, because treating a substance use disorder while an untreated psychiatric condition drives the use leaves the driver in place. Valley Spring treats adults 18 and older.
There are 4 recognition signs families and clinicians look for:
- Psychiatric symptoms that persist through periods of abstinence
- Using a substance to manage panic, intrusive memories, sleep or mood
- A previous course of treatment that addressed one condition and not the other
- Psychiatric medication started and stopped repeatedly around periods of use
Dual diagnosis treatment for co-occurring disorders sets out admissions, insurance verification and what the first week looks like.
Service Area
We Serve Therapy Services Clients Throughout New Jersey
Valley Spring Recovery Center's Addiction & Mental Health Therapy Services operates from 830 Broadway, Norwood, NJ 07648, in Bergen County near the New York border, with convenient highway access via the Palisades Interstate Parkway and Garden State Parkway. Virtual programming extends access statewide for individuals unable to attend in-person daily.