Intensive Therapy Options for Teens During the Summer

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    Summer can be a great time for teens to try intensive therapy programs, as once school is out, they typically have more room in their schedules to deeply address behavioral and mental health challenges. That’s important for those more intense programs, given they last anywhere from a few hours a day multiple days per week for several weeks to every day for a few months.

    “Summertime is a really good time for teens to work with a therapist and reflect back on the past year and where they struggled,” said Debby Black, a licensed professional counselor and clinical therapist at Calo Programs, a long-term residential treatment program in Missouri. “A professional can look at poor coping behaviors or unhealthy relationship patterns and create a game plan to improve relational and personal functioning so the teen gains appropriate coping strategies for the next year.”

    Signs Teens Might Need Intensive Therapy Solutions This Summer

    Black said these signs may be indicators that a teen needs support this summer:

    • They feel helpless: COVID-19 has intensified feelings of powerlessness and stress in teens. The Centers for Disease Control and Prevention reported that in 2021, 44% of high school students said they felt persistently sad or hopeless during the past year.
    • They overuse social media: When teens spend too much time on Instagram, Snapchat, TikTok, and other platforms, it can become an issue. They can experience harmful effects such as cyberbullying, rumors, and peer pressure, which can contribute to anxiety and depression. They’re also at risk for social media addiction.
    • They excessively isolate themselves: Isolation, such as spending a lot of time alone in their room, can be a sign of depression, which can interfere with daily living and requires treatment.
    • They’ve lost interest in favorite pastimes: Another sign of depression is when a teen suddenly loses interest in activities they normally love, such as riding a bike or playing basketball.

    Intensive Therapy Programs for Teens

    If a teen is struggling with mental health or acting out by engaging in risky behaviors such as substance abuse, an intensive therapy program during the summer might be the right solution. Options include:

    • Intensive outpatient programs: IOPs can help teens with emotional or behavioral issues when they need more support than what traditional outpatient therapy provides. Treatment typically lasts several weeks to a few months, and teens live at home during this time. Programs usually meet multiple times per week for a few hours per session. Embark Behavioral Health’s intensive outpatient programs meet for at least 12 hours per week. Embark IOPs include individual, family, and group therapy as well as parent coaching and peer mentoring.
    • Partial hospitalization programs: Also referred to as a “day hospital” or “day program,” PHPs offer more intensive treatment than IOPs, although teens still live at home. Treatment can last from several days to a few months. Programs usually meet multiple days a week for several hours a day. Embark Behavioral Health’s partial hospitalization programs meet for at least 20 hours per week. As with its IOPs, Embark’s PHPs offer individual, family, and group therapy as well as parent coaching and peer mentoring.
    • Short-term residential treatment programs: Teens who need significant support and can no longer live at home due to chronic emotional, behavioral, or psychiatric issues may benefit from staying at a short-term residential treatment center. Treatment can last from 30 to 90 days. During that time, teens participate in scheduled therapeutic programming and other recovery-centered activities. Embark’s short-term residential treatment centers typically last 30 to 90 days and feature individual, family, and group therapy sessions as well as activities including art and canine therapy and meditation and mindfulness.
    • Wilderness therapy: At-risk teens dealing with emotional and behavioral issues can try a wilderness therapy program. Treatment typically lasts a few months, and teens live at the program during that time. While in an experiential, safe, positive environment, they learn new ways of thinking and coping that can help them stop making poor choices or engaging in negative behaviors. At Embark’s wilderness therapy programs a typical length of stay is 30 to 120 days and includes activities such as hiking, swimming, camping, and yoga.

    “Wilderness programs are fantastic for summer,” Black said. “My experience with students coming out of these programs is that they’ve really developed their sense of self. They’re challenged, and they can then go back to school or a residential program, if that’s needed, more prepared to handle challenging environments. They have more self-confidence.”

    Family Intensives

    Black also recommended parents of teens consider family intensive programs during the summer. Families stay in a retreat environment for a few days to a few weeks while examining their unique dynamics and challenges and addressing core issues. Calo, which treats adopted teen boys and girls, offers intensives where families spend a week in a condo or rented house at a lake. While there, they engage in various therapeutic activities and work together for about five hours a day. They also have therapeutic and relational assignments in the evenings.

    “It’s an awesome option for families who feel stuck and not moving in the right direction,” Black said. “It’s all tailored to fit the specific needs of the family.”

    Calo has received positive feedback from families who attend the intensives. One parent, Constance, shared:

    “Our first intensive was so profound, we did a second one several months later. The therapists were highly skilled in how they first helped us identify some of the unfinished work WE (parents) had to do in order to be more fully accepting of our daughter. Their ability to be present to and supportive of all three of us, simultaneously, was a tremendous gift. They created an atmosphere of safety and trust where needed vulnerability then paved the way for more insight and healing. We cannot recommend Family Intensives more highly; we wish we had done these years earlier as our daughter began to unravel in her pain.” 

    One Other Consideration for Summer

    In addition to intensive therapy options, Black recommended teens who are taking psychiatric medications consult with their psychiatrist about potentially adjusting dosages during the summer months. This allows them to work toward the dose of medication that’s optimal for them.

    “It can be less stressful to make changes during a natural break in the school schedule because it can take several weeks for a psychiatric drug to reach full effectiveness,” she said. “If there are any negative side effects, there’s plenty of time to change the dosage or stop the medication entirely and start a new one before classes start up again. This approach, along with intensive therapy, can help teens feel their best when they go back to school.”

    About the Author

    Embark Behavioral Health

    Embark Behavioral Health is a leading network of outpatient centers and residential programs offering premier mental health treatment for preteens, teens, and young adults. Dedicated to its big mission of reversing the trends of teen and young adult anxiety, depression, and suicide by 2028, Embark offers a robust continuum of care with different levels of service and programming; has a deep legacy of over 25 years serving youths; works with families to adjust treatment in real time to improve results; treats the entire family using an evidence-supported approach; and offers the highest levels of quality care and safety standards. For more information about Embark or its treatment programs, including virtual services, intensive outpatient programs (IOPs), therapeutic day treatment programs, also known as partial hospitalization programs (PHPs), residential treatment, and outdoor therapy, visit embarkbh.com.