Seattle Counseling Service

Horizon Health Seattle provides two outpatient levels of care — a standard Outpatient Program and an Intensive Outpatient Program (IOP) — designed for people who are committed to long-term recovery and need structured clinical support without stepping away from their lives entirely. The IOP track is particularly well-suited for individuals transitioning out of residential treatment or those whose needs exceed what traditional weekly outpatient can provide.

Both program tracks are available via telehealth, which meaningfully expands access across the Seattle, WA service area. For people juggling employment, caregiving, or transportation challenges, the ability to engage with group counseling, individual therapy, and medication management remotely can be the difference between starting treatment and staying in it.

For clients addressing opioid use disorder, Horizon Health Seattle integrates Medication Assisted Treatment — including Suboxone and buprenorphine — directly into its outpatient program. This isn't a referral-out model; psychiatric evaluations and medication management happen within the same clinic, alongside individual counseling and group-based therapy. The clinical team uses Cognitive Behavioral Therapy as a core therapeutic method, supported by anger management groups and life skills development.

The clinic treats a wide range of co-occurring conditions alongside substance use disorders, including anxiety disorders, PTSD, bipolar disorder, and personality disorders. Addressing mental health and addiction together — rather than sequentially — reflects a treatment philosophy grounded in recognizing why so many people in recovery find that sobriety alone isn't the complete answer.

Horizon Health builds relapse prevention and aftercare planning into the program from the start, not as an exit interview but as an ongoing clinical priority. Family support and education are also part of the model — an acknowledgment that recovery rarely happens in isolation and that the people around a client can either reinforce or undermine the work being done in treatment.

The clinic also provides homeless resources assistance, a practical offering that sets it apart from many outpatient programs in the Seattle area. For individuals without stable housing, connecting to clinical care can feel out of reach; Horizon Health's commitment to breaking that barrier is built into its stated mission. Medicaid, Kaiser, commercial insurance, and self-pay are all accepted, keeping the program accessible to people across a wide range of financial circumstances.

Horizon Health Seattle serves adults dealing with alcohol use disorder, opioid use disorder, stimulant use disorder, cannabis use disorder, and benzodiazepine dependence, as well as those carrying co-occurring diagnoses like PTSD, bipolar disorder, anxiety disorders, and personality disorders. The outpatient and IOP model is built for people in ongoing recovery — individuals who need consistent clinical structure without the disruption of residential placement.

The clinic's acceptance of Medicaid and its active homeless resources assistance signal a genuine commitment to serving Seattle residents who face the most significant obstacles to addiction treatment. For families supporting a loved one in recovery, the family education component offers a way to be meaningfully involved in the process rather than standing on the outside of it.