; Casa Serena - Treatment Modalities
Treatment Modalities
Treatment Modalities

Those who struggle with co-occurring mental health disorders feel not only the pain of substance abuse but also the internal struggle of a co-occuring mental health disorder. Co-occurring treatment at Casa Serena is a collaborative process. Our clinicians, psychiatrists and therapists will work together to create a treatment plan that is personalized for you.

The symptoms associated with a co-occurring mental health disorder can add a layer of complication to addiction treatment. Casa Serena is well equipped to treat co occurring disorders, as a Joint Commission accredited treatment facility, our treatment modalities combine evidence based psychological therapy with top of the line addiction treatment.

Co-Occuring Mental Health Disorders associated with addiction include but are not limited to:
  • Generalized Anxiety
  • Depression
  • Self Loathing
  • Bipolar Disorder
  • Borderline Personality Disorder
  • Antisocial Personality Disorder
  • Various eating disorders
  • Neurodevelopmental disorders
  • Post Traumatic Stress Disorder (PTSD)
Increased Risk of Substance Use

Those who are dealing with an underlying mental health disorder are four times more likely to become reliant on drugs or alcohol. Substance abuse is much more common in those that experience a mental health disorder in their lifetime than those who do not. Because of this increased risk of substance abuse, it is important for those with co-occurring disorders to find quality integrated treatment.

How We Heal
Dialectical Behavioral Therapy (DBT)
Our Dialectical Behavioral Therapy (DBT) skills group give clients the opportunity to learn and practice DBT concepts and skills in a group setting. DBT trained therapists help clients determine what their idea of a life worth living is and what gets in the way of being able to have the things that they want. Clients utilize handouts, worksheets, diary cards, and the guidance of their DBT trained therapist to understand what skills work for them and how to apply them to remove behaviors and states of high emotional dysregulation that tend to get in the way of the things that they want. This form of therapy has been shown to decrease suffering over time.
Cognitive Behavioral Therapy (CBT)
Our multidisciplinary team of clinicians conduct weekly individual therapy sessions with clients utilizing the Cognitive Behavioral Therapy (CBT) model of treatment. These sessions help our clients find connections between their thoughts, feelings and actions and increase awareness of how these things impact their recovery. Through the identification of negative automatic thoughts, the root cause of depression and anxiety disorders are uncovered, and clients learn new, positive behaviors to replace their drug or alcohol use.
Trauma Resiliency Model (TRM)
The Trauma Resiliency Model (TRM) is designed to help our clients understand the biology of traumatic stress reactions. Many of our clients have experienced traumatic events in their lives leading up to their substance abuse, and we help them return their body, mind and spirit back to balance. Activities of daily living become easier to manage as skills are incorporated into life as a wellness practice.
Eye Movement Desensitization & Reprocessing (EMDR)
Eye Movement Desensitization and Reprocessing (EMDR) utilizes dual stimulation exercises to help our clients recover from traumatic experiences that result in symptoms and distress. The brain is engaged through bilateral eye movements, tones, or taps to heal the information processing system, promote emotional stability and symptom reduction. EMDR is empirically effective for post-traumatic stress disorder (PTSD) and other trauma conditions, as negative feelings associated with memories of traumatic events are diminished and positive feelings and beliefs are strengthened and reinforced.

The family’s strengths and resources are utilized in our therapeutic approach as we help family members and loved ones develop healthy coping strategies for maintaining equilibrium in the household. Our Family Systems Model of therapy looks at the dysfunctional behaviors a family unit has adopted as a result of their loved one’s substance abuse and helps to identify healthy ways to interact that respect the needs of everyone involved. This includes individual family therapy as well as a weekly multi-family group.

All clients receive a collaborative initial treatment plan within 24 hours of admission to our facility. Treatment goals and objectives are identified, and individual plans of care are created to encompass all treatment services needed. Standardized tools are used frequently and routinely throughout the client’s stay to assess outcomes, of which results are used to help inform continued treatment goals and objectives.

The collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services begins within 24 hours of admission. Through advocacy, communication and education, a dedicated case manager meets with all clients weekly to address their comprehensive needs as they move through the treatment process. Available resources which promote client safety, quality of care, medical and behavioral health needs are identified to ensure cost effective outcomes, allowing the client to reach optimum levels of wellness and functional capability.

  • Career Change
  • Job Readiness
  • Education Re-Entry Program
  • Coordination of care with medical providers

Discharge planning is crafted with all members of the Treatment Team and begins within the first week of admission. In collaboration with the client, we arrange aftercare providers, coordinate care with existing providers and make referrals to appropriate treatment programs and services. The aftercare goals that were identified in the treatment planning process are supported through a customized transition plan designed to meet the challenges that could potentially be faced upon discharge.