Outpatient Substance Abuse Treatment in the Greater Seattle Area

THS provides outpatient (OP) substance abuse treatment in Seattle, including individual counseling, group therapy, and intensive outpatient (IOP) programs for alcohol and drug use.

✓ No referral needed

Why Patients Choose THS for Substance Abuse Treatment

Outpatient Flexibility

Treatment that fits around work, school, and family — no residential stay required. Our outpatient substance abuse treatment lets you keep up with daily life while getting the support you need.

Intensive Outpatient Program

A structured, higher level of outpatient care for those who need more support than weekly counseling alone. IOP combines group therapy, individual check-ins, and relapse prevention skills in a schedule built around your life

Collaborative Care

Psychiatry, mental health counseling, and substance use treatment under one roof. THS is uniquely positioned to treat the whole person — not just the diagnosis.

Most Insurance Accepted

We accept Medicaid/Apple Health, Medicare, and most private insurance plans. Sliding fee scale available for those who qualify, so cost doesn’t stand between you and treatment.

Telehealth Available

Sessions online or in-person — flexible scheduling to fit your life. Whether you’re in Seattle or elsewhere in King or Snohomish County, telehealth keeps care accessible.

Substances & Conditions We Treat

Alcohol Use Disorder

Outpatient counseling and support for alcohol dependence, at a pace that fits your life. Our team helps you build sustainable coping strategies for long-term recovery.

Stimulant Use

Treatment for methamphetamine, cocaine, and other stimulant use, including counseling, relapse prevention, and support for the specific challenges stimulant recovery can bring.

Opioid & Other Drug Use

Support for opioid and other substance use. For methadone and medication-assisted treatment, explore our Opioid Use Treatment page, where our OUD-specific programs are covered in depth.

Co-Occurring Mental Health & Substance Use

Many people navigate substance use alongside anxiety, depression, or trauma. Our collaborative approach treats both together, leading to lasting recovery.

Court-Ordered & DUI Assessments

If you’ve been referred through the court system or need an evaluation for a DUI, THS provides substance use assessments and treatment that meet common legal and court requirements. Our team can help you understand what’s being asked of you and complete the steps you need to take.

Court-Ordered Treatment

Outpatient counseling and treatment for individuals referred through drug court, probation, or other legal mandates.

  • Assessments and treatment aligned with common court requirements
  • Progress documentation available for probation or case managers
  • If you’re part of King County Drug Court, see our dedicated resource page

DUI Assessments

A substance use evaluation following a DUI, to help determine next steps and any recommended treatment.

  • Assessment scheduled promptly to meet court deadlines
  • Documentation provided for your attorney or the court
  • Follow-up treatment available on-site if recommended

Outpatient Substance Abuse Treatment: OP & IOP

THS offers two levels of outpatient care, so treatment can be tailored to your stage of recovery.

Outpatient Care (OP)

Outpatient (OP) treatment typically involves individual or group counseling once or twice a week. It works well for people with a stable support system who can maintain their recovery alongside everyday responsibilities like work, school, and family.

Intensive Outpatient Care (IOP)

Intensive Outpatient (IOP) provides more structure — usually several group sessions per week — for those who need a higher level of support without stepping away from home, work, or school for residential care. IOP is often a good fit after completing detox or when weekly counseling alone isn’t enough.

Recovery is Possible

If people are ready to make changes, reach out. Keep reaching out. Don’t just put your eggs in one basket—ask for help. Don’t be afraid to be vulnerable, because that’s what it takes to make change.

Joe

It’s just so much better living a clean life. I never thought it was possible, but I did it. Recovery has been my priority, and now I have a full-time job, a house, and my kids—I have it all. You’d be amazed what you get out of it.

Rachelle

I have a job that I’m able to go to full-time and function. I have housing and my own apartment. All of my kids are back in my life. I’m able to just function like a normal human being in society.

Sandra
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Locations in King & Snohomish Counties

Not sure which substance abuse treatment level is right for you?

Our patient care team can answer questions about outpatient and intensive outpatient treatment, costs, and scheduling — with no referral needed to get started.

Frequently Asked Questions

Outpatient (OP) treatment usually means individual or group counseling once or twice a week. Intensive outpatient (IOP) programs offer more structure — typically several group sessions per week — for those who need additional support. Both let you live at home and keep up with work, school, and family. During your assessment, we’ll recommend the level of care that fits your situation.

No — you can request treatment directly without a referral from a doctor or another provider. Call 1-833-278-HELP or fill out our Get Help form to get started today.

THS does not provide medical detox services. If you’re experiencing withdrawal symptoms, please contact your primary care provider or find another licensed medical facility that offers detox treatment — in an emergency, call 911 or go to your nearest emergency room. Once detox is complete, our outpatient and intensive outpatient (IOP) programs can support your ongoing recovery.

Yes — all treatment at THS is confidential under Washington State law and federal regulations (42 CFR Part 2, which specifically protects substance use treatment records). The only exceptions are if you are in immediate danger to yourself or others, or if there is abuse of a minor or elder that must be reported.

Yes — THS provides substance use assessments and treatment that meet common court and legal requirements. Let our team know what’s being asked of you, and we’ll help you complete the necessary steps.

Yes. We offer appointments for patients in Washington State, both in-person and via telehealth — whichever works best for you.

We accept Medicaid/Apple Health, Medicare, and most private insurance plans. We also offer a sliding fee scale based on income, so you only pay what you can afford. You can find more details on our dedicated insurance page.