Integrated Cognitive Therapies Program

Substance use and emotional issues can happen at the same time. When a young person struggles with an emotional problem like depression or anxiety and turns to drugs or alcohol, they may have a co-occurring disorder. Our Integrated Cognitive Therapies Program (ICTP) is unique because each youth works with a single counselor who provides both substance use and mental health treatment at one time.

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Program Features

Program Details

The core of our Integrated Cognitive Therapies Program (ICTP) is based on having one therapist who provides both mental health counseling and substance use therapy in each session. Specifically grounded in effective treatment models, ICTP can help young people improve focus in school, heal family relationships and achieve other personal goals.

ICTP is a research-based promising practice:

  • Individual sessions designed to meet the participant where they are
  • Participant defined goals
  • Skills taught in session and practiced in everyday situations
  • Prosocial activity focus

ICTP Team:

The Integrated Cognitive Therapies Team includes Licensed mental health professionals (MA, MSW or PhD prepared) Licensed and board-certified psychiatric practitioners (ARNP or MD). The ICTP program operates as part of our Center for Clinical Excellence.

Our ICTP provides care that meets our patients where they are and acknowledges the past trauma that may have led to the issues they are now facing.

Who Is Eligible For ICTP?

ICTP is a program designed for young people who have co-occurring mental health and substance use challenges. Call (425) 263-3006 to find out if this is the best program for you or your child. Snohomish County and King County have different, specific criteria for ICTP enrollment.

Snohomish County ICTP Serves:

  • 13-19 year old youth
  • Youth Residing in South Snohomish County
  • Youth Enrolled in the Edmonds School District

Cost of therapy and psychiatric care may be billed to insurance, but out-of-pocket expenses are funded by a Verdant Health Commission grant.

If the Youth is Enrolled in Monroe, Stanwood-Camano or Sultan School Districts, the cost of therapy is funded through Snohomish County (psychiatric care will be billed through insurance and can be arranged through the ICTP therapist).

Seattle Office-Based ICTP Serves:

  • 13-26 year old youth
  • Individuals enrolled in services with THS
  • Youth & Family Services

Insurance Plans:

ICTP accepts private insurance, Washington State Apple Health/Medicaid, private pay and in our Seattle Office on a sliding fee scale. Learn more about the health insurance plans we accept here.

What Happens In ICTP?


  • A comprehensive diagnostic evaluation of BOTH mental health and substance use is completed using “gold standard” assessment tools. The initial assessment requires a total of 2 appointments. 
  • While engaged in therapy, standardized assessment tools are used to monitor progress.


  • 10-16 weekly, one-on-one appointments
  • Individually tailored sessions

Evidence-Based Practices

  • Motivational Enhancement Therapy (MET) strengthens treatment engagement
  • Cognitive Behavioral Therapy (CBT) develops skills to manage difficult symptoms and circumstances
  • Contingency Management (CM)incentives celebrate participation and productive non-substance related activities

To get connected with an ICTP Therapist, please call: (425) 263-3006

The skills I’ve learned will help me on a day-to-day basis; not just for sobriety, but with relationships and communications