Outpatient Therapy

At Inner Door Center® , we offer a variety of psychological and nutrition services to help individuals improve their quality of life along with attaining life and work skills.  Although our specialty is eating disorders and related addictions, we offer so much more.  In addition, we are not a "medication clinic."  Psychotherapy comes first, with medication as an adjunct.  Prior to seeing our Psychiatrist, you will need to establish an ongoing relationship with a psychotherapist at our clinic.

Our staff is highly skilled, professional and experienced in working with these issues.  Our mental health providers include:

  • Fully licensed psychologists
  • Limited licensed psychologists
  • Licensed professional counselors
  • Licensed social workers
  • Certified advanced alcohol and drug counselors
  • Board certified psychiatrists
  • Certified nurse practitioners

We also have registered dietitians on staff who offer nutrition counseling along with yoga practitioners who offer private yoga therapy.


Psychological Services

Although our center specializes in eating disorders, alcohol and chemical abuse and related addictions, we also offer psychological counseling in many of the underlying issues including:


Anger Management


Bariatric Surgery & Weight Management

Bipolar Disorder

Chronic Pain Management/Disease

Co-occurring Disorders

Court Ordered Referrals

Couples & Family Counseling

Domestic Disorders

Eating Disorders

LGBT Issues

Grief and Loss

Adolescent Matters


Personality Disorders

Post-Traumatic Stress Disorder

Sexual Abuse

Substance Abuse

Victim/Witness Support

For children and adolescents, we also provide in-service programs for school counselors and staff along with on-site intervention programs at school.  We can also help to support student clubs or interest groups that involve self-esteem or address at risk behaviors.


“Inner Strength” Intensive Outpatient Program (IOP) for Substance Abuse

The IOP is ideal for someone transitioning from a residential program outside of our facility or used when a higher level of care is needed vs outpatient therapy.  Individuals in our IOP may transition to outpatient therapy at our facility or back to their referring treatment team.  Weekly group support is available at our facility upon discharge.

>>More information

Initial Interview

Prior to acceptance into the IOP, potential participants are to complete a health questionnaire regarding current health status, substance abuse/addiction involvement, family history, emotional health and commitment to the intensive program. This questionnaire will help us work with patients more effectively in our program.

If the patient is an appropriate fit, the following assessments will be scheduled for program clearance prior to the start of the program:

  • Psychiatric assessment and consultation by our psychiatrist (medical director)
  • Nursing assessment by our registered nurse
  • Medical examination by our CNP/ internist
  • Psychological assessment by one of our licensed mental health practitioners who specialized in drug and alcohol counseling
  • Nutrition assessment by our registered dietitian

Once admitted into the program, we work with patients to develop and achieve treatment plan goals which are revised according to standards set forth in the Michigan Mental Health Code, which is every 30 days in an IOP. If patients are not making scheduled progress in our program, according to concurrent ASAMPPC-2R, ASAM Patient Placement Criteria for the Treatment of Substance Related Disorders, 2nd Edition - Revised, David Mee Lee, MD Editor, 2011, that we complete along with initial and follow up treatment plans, or if patient begins to decompensate, shows up to program intoxicated or relapses, a higher level of care will be recommended outside of our facility.

Our Intensive Outpatient Program (IOP) schedule is as follows and has a rolling admission:


Monday, Tuesday and Thursday:

6:00 - 9:00 pm - Didactic and Group therapy, intertwined with light dinner

In addition to IOP hours:

  • Medication reviews by our medical director (psychiatrist) and includes report and vitals by nursing
  • Individual psychotherapy that includes family therapy
  • Case management
  • Case conferencing supervised by our medical director and clinical director

Didactic program content is obtained from the Oakland County Health Division, Office of Substance Abuse and includes:

  • Stages of Change
  • Consciousness Raising (A Day in the Life)
  • Physiological Effects of Alcohol
  • Physiological Effects of Drugs
  • Personal Expectations
  • Expressions of Concern
  • Decisional Balance (Pros and Cons)
  • Relationships
  • Environmental Re-evaluation (Roles)

Group therapy portion incorporates CBT, DBT and mindfulness-based therapy



Court-Ordered Program for Substance Abuse

This program meets weekly for two hours in the evening for seven weeks and also requires concurrent weekly individual therapy sessions.  Program has a rolling admission. Initial assessment required.  Please contact our office for further information and to get started.

>>ENROLL now


Individual Nutrition Counseling

Our individual programs are tailored to meet your needs and at your degree of readiness by registered dietitians.  Our registered dietitian can assist you with many nutrition-related concerns, including:

  • Treatment of eating disorders or disordered eating
  • Management of chronic disease (diabetes, heart disease, kidney disease, cancer, etc.)
  • Pre-natal nutrition
  • Sports nutrition
  • Weight concerns


Private Yoga Therapy

Release emotional blocks and learn to be more at home in your body through a guided posture session with Nancy McCaochan, MA, E-RYT.  Whether it's a tender lower back or repressed life experience, yoga therapy can initiate healing.  All sessions are tailored to suit individual needs. Renewable programs and packages available.

Most health plans do not cover nutrition and yoga therapy services although we do participate with CAM PPO who will cover this service.  For other health plans, we will give you documentation to submit to your insurance company for possible reimbursement although we do not guarantee.

Psychological Testing and Comprehensive Assessments

At Inner Door Center®, our psychotherapists use psychological testing and assessments in our substance abuse treatment programs, including court-ordered referrals and driver responsibility.



"I have used the information to control my first instinctive responses to certain stimuli. No longer do I consider patience a sign of weakness."

Melanie C.
Farmington Hills, MI
"I really liked doing yoga and then being able to share our experience with others. I will take this information in with me into therapy and into my yoga practice.  It's very different but something I've never tried and was a pleasant surprise."

Susan S.
Bloomfield Hills, MI
"I loved the yoga therapy. I left each session feeling strong and empowered."

Kaylee K.
Fenton, MI
"This program moved me beyond just talking about my issues with relationships and food to showing me solutions."

Brynn A.
New York, NY
"I learned a lot about nutrition and types of food to put into my body for best performance."

John P.
Honeybaked Hockey Team, Hazel Park, MI
"I found this to be an invaluable life changing week. This program has adjusted my thinking about my eating disorder and myself. I discovered that I don't have to hate my body or be so mean to it, but accept it with all of the broken parts and cherish the good--it's the only one I've got!"

Susie W.
Rochester Hills, MI
"I learned that nothing lasts forever, and this workshop will help me increase my awareness in my personal life."

Paul J .
Portland, OR
"The workshop helped me become more aware.  It presented a starting point without risk to work at it again."

Larry W.
Troy, MI

"The dietitian taught me why good nutrition is important for competition."

Meghan S.
Huntington Woods, MI

"Great yoga instruction--loved it. The homework questions were thought provoking. It made me really think..."

Suzanne L.
Sterling Heights, MI

"Taking care of your body is taking care of your mind."

Talia S.
Southfield, MI