Therapies | The Ranch

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All Therapies

Therapies are based on clinical need and length of stay. Some therapies may incur an additional fee.


Mindfulness is a central part of our approach to treatment. Mindfulness practices help clients learn to stay in the present moment and cope with stress. They also help clients manage difficult feelings that arise without resorting to drug or alcohol use or other coping mechanisms. Depending which Ranch facility you choose, mindfulness approaches might include relaxation, meditation or individual or group mindfulness instruction. Many clients continue these practices when they leave treatment, as mindfulness can be a valuable relapse prevention tool.


At The Ranch Pennsylvania, our onsite adventure therapy specialist and certified archery instructor develops customized archery programs. This practice can help clients “let go” of difficult past experiences as metaphors are drawn between the activity and events and feelings. Other benefits of archery include improved patience, confidence and concentration, and the ability to stay in the here and now — a valuable recovery skill.

Expressive Therapies

We draw upon a number of creative approaches so clients can explore issues and emotions in alternative ways. Depending on the facility, clients may use art therapy to create projects like guide boxes, stress balls or collages. Some treatment facilitites incorporate music therapy approaches or have clients make a genogram of their family. These creative approaches encourage clients to express themselves in a different way than they would in talk therapy and open them to new insights through the creative process.

Fitness and Wellness

We believe wellness in the mind and spirit are very much related to wellness in the body. During residential drug rehab, fitness and healthy lifestyle education is integrated into treatment. Clients can participate in a number of fitness activities that promote self-care and physical and emotional healing. Depending on the facility, this may include gym visits, fitness classes, ropes course activities or sports. Our goal is to make fitness fun, low pressure, inspirational and engaging.

Adventure Therapy

Adventure-based therapy uses a variety of carefully designed group initiatives and activities to cultivate trust and communication while developing team-building, problem-solving and decision-making skills. The Ranch’s adventure therapy programs work to identify trust issues, improve interpersonal communications skills, cultivate and promote leadership skills and promote personal responsibility.

Ropes Course

Our ropes course is an adventure-based therapy that builds trust, self-efficacy, and problem-solving skills using high ropes. Clients are able to address fears and view ropes course exercises as metaphors for challenging situations in their lives.

Medicine Wheel

The concept of the medicine wheel or healing circle is one that spans human history and multiple cultures from all over the world. A Native American healing tradition, the medicine wheel is a path to spirituality and a symbolic representation of the cycles of life and the mysteries of the universe. It is a means to balance, knowledge, connection and empowerment. The medicine wheel is a place to meditate, pray, reflect, contemplate, gain insight and strengthen one’s connection with the totality of all life.

Big Book/12-Step Study

We are 12-step based and strongly believe in the support, sense of community and purpose this approach provides people in recovery. We offer regular studies from the Big Book and 12-step support groups. Some mornings begin with counselor-facilitated 12-step work or Big Book work. Many of our staff are in recovery and serve as a living example of the 12 steps. This approach is integrated into everything we do at The Ranch drug rehabs.

Cognitive Behavioral Therapy (CBT)

CBT is an evidence-based approach used in both individual and group counseling to help clients address problematic beliefs, thought patterns and attitudes. CBT helps clients explore the relationship between thoughts, feelings and behaviors and gain control over their emotions, and, in turn, their actions. Clients learn to identify unhealthy thought patterns and see how these patterns affect behaviors and vice versa. CBT has been shown to help people effectively manage trauma, addictions and mental health issues.

Individual Therapy

Unlike many drug rehab centers that only provide process groups, our clients meet regularly with an individual therapist. During these sessions, our master’s level clinicians help clients address underlying behavioral and emotional issues and encourage them to develop safe, therapeutic relationships. A close, supportive relationship in therapy can help clients build trust and tap into their internal motivation to recover. Over the course of individual treatment, clients will discuss issues they’re not yet ready to bring to group, review therapeutic assignments and create action-based plans to fully engage in the treatment process.

Motivational Interviewing

Motivational interviewing is a therapeutic technique that empowers clients to take responsibility for their recovery and discover their own motivation to change. It is based on the belief that real change comes from within, not from a counselor or therapist dictating solutions to problems. We guide clients through the therapeutic process, allowing them the space and encouragement to recognize their own barriers to recovery and discover their own solutions and motivation. Open-ended questions, an affirming attitude and active listening are core components of motivational interviewing.


We empower our clients to be fully invested in the treatment and management of their substance use and/or mental health disorders. Clients participate in weekly groups to address topics relevant to their recovery. These may include education on the disease of addiction, medications used, different medical and mental health conditions, and components of a healthy lifestyle.

Relapse Prevention Counseling

We help clients take a look at circumstances that have contributed to their alcohol and drug abuse and other destructive behaviors. Clients will identify triggers that put them at risk for relapse, and we’ll help develop a toolbox of healthy coping skills to draw upon when clients feel tempted to turn to alcohol, drugs, food or sex.

Psychiatric Services and Medication Management

Clients receive thorough assessments when they come to The Ranch treatment centers. Our board-certified psychiatrists regularly evaluate each client’s progress and any medication(s) they may be taking to ensure it is effectively supporting recovery. Evidence-based anti-craving medications may be prescribed to help prevent relapse and increase the likelihood of a safe, successful post-treatment journey.

Support Groups

Group counseling provides powerful opportunities for connection, support and accountability. Our groups provide a safe space to process difficult experiences and feelings. Clients participate in a wide variety of process-oriented, educational and experiential therapy groups with others sharing similar struggles. They learn personal and social responsibility as well as communication and relationship skills.

Self-Help Support Groups

We embrace a 12-step, abstinence-based approach to recovery. Clients are encouraged to participate in self-help groups that they can continue to attend after treatment as a means of support in recovery. These may include 12-step groups such as Alcoholics Anonymous, Narcotics Anonymous and Emotions Anonymous.

At our treatment center in Pennsylvania, we also offer 12-step alternatives like Refuge Recovery, a nontheistic, Buddhist approach to recovery and SMART Recovery. Refuge Recovery offers a systematic practice and process to help people move beyond the suffering caused by the cravings that characterize addictions. Core components of this approach include compassion and meditation. SMART Recovery are secular support groups that center around: motivation to change, refusing to act on urges and triggers, managing life’s problems without substances, and developing a positive, balanced, and healthy lifestyle.

Family Program

Addiction is a family disease. The Substance Abuse and Mental Health Services Administration recommends that families are involved in treatment because studies suggest that addiction treatment is more effective when it includes family therapy. Research shows that family support plays an important role in the success of people recovering from addiction and mental health issues, and family participation may increase the chances that a person stays in treatment, improves social and family relationships and helps prevent relapse.

Family members must also heal from the emotional aftermath of drug and alcohol abuse. To help our clients and their loved ones begin to rebuild their lives and relationships, we offer regular family therapy as well as family programs. Our family programs vary by location. Family members learn how to best support their loved one in recovery while taking care of themselves. Loved ones learn how to recognize signs of relapse, set healthy boundaries and expectations and communicate honestly and effectively. Activities and topics are carefully planned to help families learn more about addiction and mental illness, and connect them with others sharing similar struggles. The experience provides the opportunity for open communication among family members with the guidance of professionals, so that everyone can begin to heal.

Family Therapy

Addiction is a family disease, so it’s important that the entire family heals. We help clients and their loved ones begin to rebuild trust and develop healthy communication skills. Clients work with a therapist to explore family issues, roles and relationships and set boundaries with loved ones. As clinically appropriate, clients will have regular family counseling sessions via phone or in person.