Spruce Mountain Inn

Our Approach to Residential Treatment

For decades Spruce Mountain Inn has understood the importance of group work and a structured schedule for our residents. This is why we have a longstanding requirement that residents be willing to commit to a minimum of 30 hours of scheduled programming. The 30 hours of programming center on these six key areas: group therapy, individual therapy, family therapy, school/work, healthy living, and independent living skills.

Spruce Mountain Inn strictly adheres to therapy modalities that are evidence-based and that are proven to be best practices—meaning there are years of research showing these modalities to be effective.

Our small campus gives us the advantage of fostering community and getting to know the needs of each of our residents. Because therapists carry small caseloads, they get to know residents as individuals, becoming familiar with their worries and fears, strengths and potential. Therapists are able to observe residents in their day-to-day living and take advantage of key moments to engage them therapeutically. At Spruce Mountain Inn, we know that therapeutic rapport is a key component in creating lasting change.

The Spruce approach to residential treatment and counseling includes:

Residential treatment is an immersive, community-based approach that has the potential to be much more effective than treatment received in someone's typical living environment. The benefits of residential treatment for anxiety/depression/OCD include:

Individual Therapy

Our therapists are trained in several treatment modalities. These include:

  • CBT (Cognitive Behavioral Therapy)
  • DBT (Dialectical Behavioral Therapy)
  • EMDR (Eye Movement Desensitization and Reprocessing)
  • CPT (Cognitive Processing Therapy)
  • IFS (Internal Family Systems Therapy)
  • ERP (Exposure Response Prevention)
  • ACT (Acceptance and Commitment Therapy)

Each resident meets weekly with his/her/their individual therapist to examine the thoughts and emotions affecting daily behaviors and relationships. This work involves targeting the necessary changes for next steps toward successful adulthood. In addition, residents interact with their therapists throughout the week in group therapy sessions, lunchtime, and in the general milieu.

Family Therapy

Individual family therapy sessions are scheduled weekly. This is a time for exploring the situations and factors that may be keeping a family stuck in negative patterns. The therapist will guide family members through an exploration of their individual roles and help them identify adverse dynamics that may be impeding positive change. A family in crisis may have difficulty in navigating this terrain on their own. The therapist will help facilitate learning new and healthier ways family members can relate to one another. Family therapy is conducted via video-conferencing.


Click here to view the Group Therapy Schedule.

Group therapy plays a significant role in Spruce Mountain Inn’s program. Throughout the week, residents participate in a variety of groups—namely, psychotherapy, psychoeducational therapy, and experiential therapy. Group therapy sessions are designed to provide a safe and structured environment in which individuals can articulate feelings and receive social feedback. Individuals who feel they are alone in their struggles may feel encouraged to find common ground with their peers. Group therapy settings can also help foster social skills and can improve self-esteem. Some groups are intended to provide a space for processing emotional issues and for exploring ways to cope with and manage distress. Other groups are centered around physical activities—for example, Yoga Group, Adventure Group, and Expressive Art Group.

Groups can serve as a means for residents to better understand themselves in the context of their relationships. Participation in group therapy helps residents become aware of their interpersonal behaviors, patterns, reactions, and choices. Groups also provide a space in which residents can practice their new social and coping skills in real time.

Spruce Mountain Inn
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Call us at 802-454-8353 today.


I do not have the words to adequately thank you and the other member of my son’s team for all you have done for our family. But not for you folks, odds are that he would not even be alive today. I am grateful that he has found his voice and the confidence to more competently handle his circumstances. This has been brought about by the loving, skillful guidance he received from the very special people at Spruce Mountain.
Parent, Indiana
When I came to the Inn, I was really skeptical that anything would help me. I fell apart twice in college and was eventually forced home on a medical leave. I got a new therapist and psychiatrist and was in an intensive outpatient program, but none of it was enough for me to feel better and do better. I had very little confidence that a residential program would help. At the time, it seemed like the “least bad option” to me. I worked with an educational consultant and looked at four programs before choosing Spruce Mountain Inn. The Inn program looked like a well-oiled machine; they knew what to do and did it all.
Resident, New York
It gave me great inner strength and peace to know that my child was in a safe and nurturing environment. You helped me re-establish faith and trust in my daughter. You have offered me and my daughter a new beginning.
Parent, Maryland
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Why Residential Treatment

Residential treatment programs have the potential to be much more effective than treatment received in someone's typical living environment. Our program is designed to be immersive and community-based.

Call us at 802-454-8353 today.

The benefits of residential treatment include:

24-hour access to a seasoned team of caring, professional staff.

Full immersion in a supportive community with other young people working to overcome similar challenges.

The opportunity to experience a fresh environment, break habits, and escape triggers experienced in a typical living situation.

The opportunity to work, build life-skills, and contribute creatively in a controlled, supportive setting.

Moderating the use of technology and social media, the overuse of which may fuel anxiety and depression.

Family therapy (for parents and other affected family members) to help improve communication, foster cooperation, and facilitate healthy respect among family members.

Learn more about our approach to residential treatment.