Intensive Outpatient Program (IOP) for Teens in North Carolina

When your teen needs more than weekly therapy but doesn't need the full-day structure of a Partial Hospitalization Program, IOP creates that essential middle ground. Our Intensive Outpatient Program works with teens ages 12-18 who need structured therapeutic support while continuing to attend school, maintain friendships, and stay connected to their daily lives. At Bright Path, we believe you already have what you need to heal. We're here to help you discover and strengthen those capabilities.

Our IOP operates under North Carolina Department of Health and Human Services licensing (License 27G-1100) and holds CARF accreditation, ensuring the highest quality standards. We serve families throughout North Carolina from our Wake Forest and Hillsborough locations, plus offer virtual programming for those who need it.

We run two IOP formats because flexibility matters. Our in-person IOP brings teens together at our facilities for face-to-face connection with clinicians and peers. Our Virtual IOP delivers the same evidence-based clinical approach online for teens who face transportation barriers, live farther from our locations, or engage better from their own environment.


Every teen in our IOP learns Dialectical Behavior Therapy skills through group sessions, meets weekly with a therapist for individual support, and connects with a psychiatric provider, whether they're on medication or not. Because mental health involves your whole self, not just your brain chemistry.


Anxiety affects roughly 1 in 3 North Carolina teens, and depression touches 1 in 8, yet many don't receive the level of care they need. When weekly outpatient therapy isn't creating enough momentum, IOP provides that step up without pulling teens out of school or away from the routines that ground them.


Here's what makes our IOP different:

  • Nine hours weekly of structured therapeutic programming across three days
  • After-school and midday scheduling options that work around school
  • Evidence-based DBT skills taught through engaging, interactive groups
  • Weekly sessions with both your therapist and psychiatric provider
  • Three admission days each week (you don't wait weeks to start)
  • Music and horticulture therapy integrated throughout programming
  • Academic coordination with your school district
  • Weekly family therapy focused on communication and stability
  • Virtual option available statewide for accessibility

    Bright Path Behavioral Health's Intensive Outpatient Program Consists of Four Clinical Components

    Group Therapy

    Group sessions are the core of our IOP, where teens gain the practical tools they need to understand and manage their mental health.

    Each session includes structured groups with rotating themes including mindfulness, interpersonal effectiveness, distress tolerance, emotional regulation, and creative expression, tailored so teens learn in ways that feel relevant and accessible.

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    What Does Bright Path's IOP for Teens in North Carolina Include?

    Programs

    River Path IOP

    Description

    River Path recognizes that many teens entering IOP have never experienced intensive treatment before and need a strong foundation in DBT skills, group participation, and emotional awareness.

    We work with teens experiencing anxiety, depression, behavioral challenges, family conflict, and school-related stress. Programming is structured to introduce skills gradually while building comfort in a group setting.

    Sessions run Tuesday–Thursday from 3:00 PM–6:00 PM, providing consistent support while allowing teens to maintain school and home routines.

    What to Expect

    River Path follows a structured, skills-based approach with a focus on learning and practicing DBT from the ground up. Teens participate in group therapy, experiential activities, and guided discussions that build emotional awareness and coping strategies.

    Programming includes distress tolerance, emotion regulation, interpersonal effectiveness, and hands-on activities like horticulture and creative expression. Challenge groups and structured exercises help teens apply skills in real-time.

    Advantages of Working with Bright Path for IOP

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    Flexible Scheduling That Protects School Time

    After-school and midday options mean teens continue attending school while receiving intensive therapeutic support. Unlike PHP, IOP doesn't require homebound status or pulling your teen out of their daily routine.

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    In-Person and Virtual Options

    Choose the format that works best for your teen. In-person IOP provides face-to-face connection and on-site creative therapies. Virtual IOP provides the same clinical approach with added flexibility and statewide accessibility.

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    Multiple Weekly Admissions Mean Shorter Waits

    We admit new teens three days each week with multiple time slots, so your family isn't waiting weeks for the next available start date. When your teen needs support, every day matters.

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    Evidence-Based DBT Skills Through Engaging Groups

    Our rotating curriculum covers all four DBT modules through interactive, teen-friendly activities. Multiple weekly group sessions provide intensive skill building that once-a-week outpatient therapy can't match.

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    Integrated Psychiatric Care for Everyone

    Every teen meets weekly with psychiatric providers whether they're on medication or not. These sessions address the full picture: sleep, nutrition, exercise, and stress management alongside any medication needs.

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    Family Therapy Focused on Stabilization

    Weekly family sessions address communication patterns and safety planning. The goal is improved daily functioning and stronger family connections during this intensive phase.

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    Creative Expression Beyond Talk Therapy

    Music therapy, horticulture therapy, and expressive arts are woven throughout programming. Not every teen processes best through words alone.

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    School Partnership, Not Just Coordination

    Our Education Liaison works directly with school districts throughout North Carolina, maintaining communication and supporting teens in keeping up with assignments throughout treatment.

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    Streamlined Assessment Process

    Our integrated admission assessment includes teens, parents, therapists, and psychiatric providers in one meeting. No repeating your story to multiple people on the same day.

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    From First Call to First Day

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      Contact Us

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    2. 2

      Trailhead Check-In

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    3. 3

      Clinical Review

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    4. 4

      First Day of Care

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    Learn More About Group Therapy at Bright Path

    with Jalecia Beatty LCMHC, Regional Clinical Director

    Bright Path collaborates with leading North Carolina health systems, school districts, and universities, including

    Bright Path is Led by a Team Who is Both Skilled And Deeply Human

    Bright Path’s teams includes licensed therapists, psychiatry providers, educators, and other professionals who are both skilled and passionate about adolescent mental health

    Shantel Sullivan

    Shantel Sullivan - Chief Executive Officer

    Dr. Sullivan brings extensive experience to her role as Bright Path’s Chief Executive Officer. She has been a clinical leader in residential adolescent treatment, adult outpatient services, and academia. With more than a decade of experience as a licensed social worker in New York and North Carolina, Dr. Sullivan has collaborated broadly with individuals, families, and the community. Dr. Sullivan earned a Bachelor of Arts in sociology from the State University of New York at Potsdam in 2006, a Master’s Degree in Social Work (MSW), and a graduate certificate in addictions counseling in 2008 from the University of New England. She went on to complete a doctoral degree in Educational Leadership with a concentration in transformational leadership also from the University of New England in Portland, Maine in 2017. She served as a faculty member for the State of New York Office of Alcoholism and Substance Abuse Services Bureau of Workforce Development where she provided regional education on adolescent co-occurring disorders. She moved to North Carolina in 2016 to work in academia as an assistant professor of social work at Western Carolina University. In 2020, she moved to Raleigh to be closer to family and became an adjunct professor at North Carolina State University School of Social Work, where she still teaches part-time. She is a seasoned national speaker, social worker instructor, clinical field instructor, and member of the National Association of Social Workers. In addition to Dr. Sullivan's clinical work, she edits all of the content on the Bright Path Teen Mental Health Blog to ensure accuracy and accessibility to all of our readers. Dr. Sullivan is committed to increasing access to evidence-based, compassionate, mental health care for adolescents. She further understands the challenges ALL members of a family experience when their loved one is suffering.

    Jennifer Hoffman

    Jennifer Hoffman - Psychiatric Nurse Practitioner

    Jennifer is a licensed and nationally board-certified psychiatric mental health nurse practitioner who provides psychiatric care including assessment, diagnoses, medication management, and therapeutic treatment for teens admitted to PHP programming. She is a graduate of Duke University with a Master of Science in Nursing, with 13 years of experience in health care including but not limited to pediatric inpatient psychiatry and perinatal care. Jennifer believes in patient and family-centered health care, collaboration, and integrative care. She is passionate about spreading access to quality mental health care and responding to mental health crises with effective treatment, empathy, and support. In her free time, Jennifer enjoys crafting with her children. She also loves to create a comfortable and relaxing space in her office at Bright Path!


    Abigail Krieck

    Abigail Krieck - Director of Strategic Impact and Outreach

    Dedicated to the cause of mental health and well-being, Abigail is a compassionate Clinical Outreach Specialist at Bright Path Behavioral Health. She plays a pivotal role in bringing support, hope, and healing to individuals and communities in need.

    With 10 years of experience in mental health, Abigail is an advocate for those who may otherwise go unnoticed. Her work as a Clinical Outreach Specialist revolves around ensuring that no one is left behind, that everyone has access to the resources and care they deserve.

    At Bright Path Behavioral Health, Abigail plays a central role in connecting individuals to the vital services they require when stepping down from programming. She specializes in community engagement, and is known for resource coordination that bridges the gap between need and assistance.

    Abigail is committed to fostering partnerships and collaboration within the community. She actively engages in other mental health providers and programs, schools, youth groups, government agencies, and extracurricular programs, working tirelessly to expand access to mental health support.

    Abigail holds her role at Bright Path Behavioral Health with distinction, ensuring that the program’s mission of making quality mental health treatment accessible is realized every day. She is instrumental in breaking down the barriers and stigma associated with mental health, making it easier for individuals to seek help when they need it.

    Outside of her role at Bright Path, Abigail enjoys hiking with her dogs, cooking, baking, and raising carnivorous plants, which provide a well-deserved break and contribute to her own mental well-being.

    Abigail is driven by the belief that everyone should have the opportunity to lead a mentally healthy life. As a Clinical Outreach Specialist, she embodies this principle and works tirelessly to ensure that help is just a call or conversation away.

    Jalecia Beatty

    Jalecia Beatty - Regional Clinical Director

    Jalecia is a licensed clinical mental health counselor associate (LCMHC) and serves as the Clinical Director. She started at Bright Path as a graduate student intern and is an instrumental part of the program’s growth and development.

    Jalecia attended East Carolina University for undergraduate and graduate studies; and has a Bachelor of Science in Nutrition with a concentration in science, and a master’s in clinical counseling in mental health and substance abuse.

    She is passionate about expanding access to intensive and quality mental health care for adolescents. As someone who has navigated their own journey towards healing and self-acceptance, she personally knows how important it is to have a safe space during your healing journey and how limited the options are for teens. It’s her goal, as one of the psychotherapists and as the PHP program manager, to provide that for teens who are struggling as well as work towards increasing the resources that are available.

    In her free time, she loves traveling and spending time watching Supernatural with her dogs!

    Ari D’Alessandro

    Ari D’Alessandro - Teen Care Advocate

    Ari graduated from NC State in 2024 with a B.A. in psychology and minors in philosophy, cognitive science, and dance. She spent two years working as a research assistant with a focus on ethics of transcranial magnetic stimulation (TMS) and serves as an editorial intern for the American Journal of Bioethics Neuroscience. She has also volunteered as a crisis counselor with Crisis Text line since 2021, which sparked her interest in crisis intervention and providing empathetic mental health care to those in need.

    Ari is enthusiastic about providing empowering mental health care to teens and young adults, particularly through teaching dialectical behavior therapy (DBT) skills, and is interested in the application of creative therapies, such as dance movement therapy (DMT). She hopes to pursue a Ph.D. in clinical psychology with an interdisciplinary research focus on personality disorders and the development of novel personality assessments at the intersection of psychology and philosophy. In her free time, Ari enjoys writing, dancing, and spending time with friends.

     Michele Jones

    Michele Jones - Education Liaison

    Michele is a native of Fayetteville N. C. Ms. She attended and graduated from Hampton University with a bachelor’s in social work (BSW). Working in various positions before settling in New York to work for a Non-Profit Foster Care Agency as a Social Worker, where she learned of her love for working with adolescents and their families. Ms. Jones then decided to further her education to learn how to effectively help individuals and families deal with the many struggles they faced and went on to earn a master’s degree in social work (MSW) from Hunter College School of Social Work.

    Upon moving back to North Carolina and continuing to work with young people as a North Carolina Board Certified Special Education Master Teacher. Ms. Jones taught in North Carolina Public Schools for 18 years as a Special Education Teacher for students with various Learning Disabilities at the Elementary and High School level.

    She believes students must be healthy to be educated and educated to be healthy. She uses a collaborative approach and various treatment modalities that have helped strengthen family units, also identifying and treating the core of any diagnosis or issue is essential when working with individuals.

    In her spare time, Ms. Jones enjoys spending time with her family and friends, traveling, and enjoying her happy place, the North Carolina Beaches.

    Reviews from Teens and Families

    Choosing a PHP isn't just about credentials and curriculum—it's about finding a place where your teen can be authentic, make real connections, and build lasting skills for managing life's challenges.

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    Scout O’Brien

    This place is awesome!!!! From my experience as a patient here, all the staff are really kind and patient and have helped me through my crisis and my therapy journey. They also have snacks!!! I highly recommend this place for anyone who needs it. :D

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    10 months ago
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    Ben Pfotenhauer

    Bright Path Behavioral Health offers exceptional anxiety treatment for teens in Wake Forest. Their tailored treatment plans and compassionate staff helped my teen manage their anxiety effectively. Highly recommend their comprehensive approach to anxiety treatment!

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    11 months ago
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    John Doe

    Ride The Wave!
    - Tony

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    a year ago
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    CROAXER

    Changed my life forever. Put me on a Brightpath :)

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    a year ago
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    Lesley Ireland

    I don’t typically leave reviews but I do not want any other child or family to struggle when there is an amazing resource like Bright Path in our community. My daughter is still a patient in the PHP and has also been in the IOP. I can’t say enough wonderful things about the program, the staff and most importantly, the significant improvement in my daughter’s symptoms. It is not an exaggeration when I say she is a different person and for the better. She was suffering with symptoms she didn’t understand and the team at Bright Path has given her the tools to continue her mental health self care throughout her life. I wish every teen had this opportunity. I can’t thank BP enough and I wish I could give a million stars rather than 5!

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    a year ago
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    K Farnsworth

    My child went through the PHP program and it was a major turning point in their recovery. It was Bright Path or residential, and having that option for PHP at a place that felt safe with practitioners who truly care was a godsend. I can’t say enough good things about how my child did. The bonus was that my child also liked going! They made some true friends there.

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    a year ago
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    Tiffany Munro

    I can't say enough good things about Bright Path. They are so different than other PHPs in the Raleigh area. The staff genuinely cares about the clients and their families. From intake to graduation from the program we felt care and professionalism every step of the way. Positive attitudes, willingness to look deeper into issues, communication is excellent, and always willing to listen to find solutions or just be the support we needed. I wish they could train other PHPs in the state, because they are doing it the right way.

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    a year ago

    IOP Frequently Asked Questions

    Most teens participate for several weeks to a few months, depending on individual needs and treatment progress. Sessions run three days per week, totaling nine hours weekly. The duration ensures comprehensive skill building while recognizing that every teen's healing timeline is different.

    IOP sessions are held Tuesday through Thursday from 3:00 PM to 6:00 PM, with additional options on Monday, Wednesday, and Friday from 12:00 PM to 3:00 PM.
    Each session includes structured therapy groups, skills training, and creative therapeutic activities. We build in snack breaks, balancing intensive learning with needed downtime.

    Yes. IOP is specifically designed to work around school schedules. After-school sessions run from 3:00 PM to 6:00 PM, and our Education Liaison coordinates with schools to support academic progress throughout treatment.

    PHP provides six hours daily, five days weekly and requires homebound status from school. IOP operates nine hours weekly across three days and allows continued school attendance.
    PHP serves more acute presentations requiring intensive daily intervention, while IOP supports teens who need structured support beyond weekly outpatient therapy.

    Yes. Our Virtual IOP delivers the same clinical approach online for teens who face barriers to in-person attendance. It serves communities across North Carolina, including areas beyond the Raleigh-Durham region.

    The in-person IOP takes place at our Wake Forest and Hillsborough facilities with face-to-face interactions, on-site creative therapies, and a structured physical environment.
    The Virtual IOP delivers the same clinical approach online with greater flexibility and accessibility. Both formats include individual therapy, group sessions, family involvement, and evidence-based treatment.

    Costs vary based on insurance coverage and length of participation. Our CARF accreditation supports comprehensive insurance billing, and our admissions team provides free verification explaining your benefits and out-of-pocket responsibility.

    Families participate through weekly therapy sessions, integrated admission assessments, regular therapist updates, and safety planning. Parents receive ongoing communication throughout treatment.

    Comprehensive aftercare planning includes outpatient therapy referrals, psychiatric provider connections, and community activity recommendations.
    Our team collaborates with families to create personalized plans that promote long-term mental wellness. Our alumni program provides ongoing connections.

    IOP serves teens experiencing depression affecting daily functioning, anxiety preventing normal activities, self-harm behaviors, thoughts of suicide, OCD, ADHD, trauma responses, mood dysregulation, or family relationship challenges that need more support than weekly outpatient therapy can provide.

    Multiple weekly admissions, integrated assessments, weekly psychiatric care for all teens, in-person and virtual options, and evidence-based programming in a truly teen-friendly environment set us apart from larger, institutional programs.

    Insurance Providers We Work With

    We Serve Teens Throughout North Carolina

    Wake Forest IOP

    Located at 203 Capcom Ave, Suite 104, Wake Forest, NC 275877, serving families throughout the Research Triangle. Convenient to Raleigh, Durham, Cary, Chapel Hill, Apex, Holly Springs, and surrounding Wake County communities.

    Hillsborough IOP

    Our Orange County location serves families in Chapel Hill, Durham, Carrboro, Mebane, Burlington, and surrounding areas. Centrally located for northern Triangle and Piedmont region access.

    Tour Our North Carolina Facilities

    Our facilities feel more like community centers than clinical spaces—because teens heal better in environments designed for them, not for impressing adults.

    Group therapy rooms are comfortable and welcoming, with separate spaces for Summit and Meadow tracks. Individual therapy offices provide privacy for weekly sessions with your teen's primary therapist.

    Educational spaces support daily academic programming with coordination across North Carolina school districts. Michelle and our education team ensure your teen stays current with coursework while focusing on mental health.

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    Common areas host our Behavior Bingo celebrations and provide space for peer connection during breaks. Our behavioral incentive system rewards positive participation with meaningful activities and treats.

    Safety remains paramount with clear backpack policies that respect teen autonomy while ensuring appropriate supervision throughout programming.

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    We Work With Teens Navigating…

    Depression, Anxiety, Trauma, Self-Harm, Suicidal Ideation, Co-Occuring Disorders with Primary Mental Health Presenting Symptoms

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    Depression

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    Anxiety

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    Self-Harm

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    Suicidal Ideation

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    Co-Occuring Disorders with Primary Mental Health Presenting Symptoms

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    Licenses, Accreditations, and Awards