Two older adults talking along a leafy path, used as an illustration

Care for Changing Recovery Needs

Understand the difference between clinical care, peer support and outside recovery services.

A More Specific Question

The kind of support matters

Recovery can bring questions about daily life, relationships, mental health and the support around you. Different professionals have different responsibilities in those conversations. At The DBT Clinic Portland, team backgrounds include substance-use and recovery-related work, as well as a separate developing peer-support service. Start by clarifying the actual service being offered rather than assuming every form of recovery care is available here.

Two adults talking in a counseling setting

In More Detail

Clinical Work Has a Specific Scope

Ryan Kopyar, Thomas Eno, Noah Stuart and April Nunez describe recovery or substance-use concerns in their professional biographies. Noah’s listed background includes CADC I and co-occurring mental health concerns. Each person’s current service, professional role and appointment arrangements still need to be confirmed.

A biography does not establish detoxification, withdrawal management, an intensive program or medication treatment. If you need one of those services, the clinic must clarify whether it can address the request or which other kind of service is appropriate.

Adults seated together for a group discussion

The Important Distinction

Peer Support Is a Separate Role

Chandra Bethune and Mikeal “Mikey” Hollaway have been identified as peer-support team members. Their backgrounds emphasize person-centered support and recovery-related connection. Peer support is different from psychotherapy, prescribing and the clinical management of substance use.

Ask what the current peer service includes, who is eligible and how it would relate to any care you already receive. Do not assume that peer support replaces a clinician or that a particular service is covered simply because a plan is listed.

Green leaves in the foreground of a softly focused conversation

Before the Next Step

Explain What You Want Help Arranging

You might be asking about an individual appointment, an ongoing support relationship or how to understand a referral. The clinic can help distinguish those requests. Sensitive clinical details, current substance use and medical concerns belong in the practice’s approved care process, rather than ordinary email.

Confirm the relevant provider, age range, format, fees and insurance participation before making an arrangement. This website is not monitored for emergencies and does not provide urgent medical or withdrawal advice.

A Practical Conversation

Clarify the Service Before the Appointment

Ask whether the request concerns psychotherapy, peer support, prescribing or another level of care.
Explain any existing care arrangement through the appropriate practice-owned channel.
Check current eligibility, availability and payment details for the specific service.

Contact the Clinic

Room for Questions

What you might be wondering

Clear information belongs in the conversation, too.

01Does the Clinic Provide Detox or a Residential Program?

Ask an appropriate medical professional about the level of care you need before assuming an ordinary counseling appointment can address it. Do not wait for a general clinic inquiry when you need urgent medical help or withdrawal care. Call 911 for immediate danger.

02Does Every Counselor Provide Addiction Treatment?

No uniform scope is established. Team biographies describe different backgrounds, and exact qualifications and current services need individual confirmation. A clinic-wide reference to recovery does not transfer one provider’s training to another.

A Closer Look