Our Treatment Model

Group therapy forms the core of treatment at Endurance. We use an integrated treatment model that draws on elements of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and other approaches.

In addition to group therapy, our program includes a comprehensive psychiatric evaluation, diagnostic clarification, medication evaluation and management by our board-certified Psychiatric Nurse Practitioners, and a supervised therapeutic milieu. We also offer family therapy and school collaboration as needed.

Program Structure

Clients attend our PHP, either online or in-person, from 12–6pm daily for an average of 15 consecutive days. Both the online and in-person programs follow the same schedule. The PHP provides daily educational, wellness, and social opportunities to help clients develop goals, strategies for coping, and long-term healthy habits. A PHP day consists of three main components: a didactic group, group therapy, and therapeutic milieu.

Didactic Group
This is a structured psychoeducational group that teaches clients a range of skills. Sample topics include DBT skills, CBT skills, decision making, wellness and self-care, conflict resolution, and safety on social media. Once each week, this group is a yoga class led by a certified yoga instructor.

Group Therapy
We consider this group the “heart and soul” of Endurance. It is a traditional talking group that provides a safe space for clients to share and support one another.

Therapeutic Milieu
During group milieu time, Endurance staff provide in vivo coaching (in vivo translates to “in a real-life situation”) to promote prosocial skill development.


Intensive Outpatient Program (IOP)

Unlike our PHP, our IOP is only online only. After completing a course of PHP treatment, some clients step down to IOP as a means of tapering their treatment in preparation for discharge. Clients attend online IOP for three hours daily, either from 12–3pm or 3–6pm. Clients typically attend five days per week to start and then step down the frequency of attendance as clinically appropriate. Average length of stay in the IOP is 10 days.

For more information about our programs, please see our FAQs page.