Treatment & Services

The West End Clinic offers a number of Group Therapy sessions, made available to individuals who wish to participate in education, skill improvement or recovery.

Types of Group Therapy

Young Adult Readiness GroupWe would like to welcome referrals to the A-CRA groups at ARMS/West End Clinic. This group is designed to help patients identify their goals regarding substance use, learn new skills to identify and manage substance use related behaviors, build motivation for change, and develop and work towards other life goals.

Program Description: The Adolescent Community Reinforcement Approach (A-CRA) to alcohol and substance use treatment is a behavioral intervention that seeks to increase the family, social, and educational/vocational motivators to support recovery. A-CRA targets youth 12 to 22+ years old with DSM-IV cannabis, alcohol, and/or other substance use disorders. According to the adolescent's needs and self-assessment of happiness in multiple areas of functioning, group leaders will review several A-CRA procedures that address, for example, problem-solving skills to cope with day-to-day stressors, communication skills, substance use refusal skills, and active participation in positive social and recreational activities with the goal of improving life satisfaction.

Structure of Group: The A-CRA group will meet for 75 minutes. We will spend the first 10 minutes of the group doing check-in, reviewing goals for the week, and setting the agenda for the group. We will spend the next 45 minutes learning a set of skills and reviewing work for at home practice. We will spend the last 10 minutes of the group setting goals for the week, reviewing any high-risk situations, and discussing potential skills to practice.

Group Inclusion Criteria:

  • Either an ARMS or West End substance use initial assessment
  • Desire to gain understanding about substance use and willingness to develop and work towards goals aimed at improving life satisfaction

Group Exclusion Criteria:
Actively psychotic, suicidal, or at immediate risk to self.

Other Information:
Group is 8 weeks with rolling admission


Young Adult Readiness Group (ages 18-25)
Thursday 1-2:15pm
151 Merrimac St., Suite 650, Boston, MA 02114
Facilitator: Jessica Nargiso, PhD


Seeking Safety

Group treatment for patients who have experienced a traumatic event and are also dealing with substance use or dependence. “Seeking Safety” is an integrated treatment, which simultaneously addresses both post-traumatic stress disorder and substance use.

Group focuses on the present, and helps patients to develop the skills they need in order to maintain abstinence, manage trauma-related symptoms, and advance their life goals. The treatment provides:

  • Psycho-education on both PTSD and substance dependence
  • Safe coping skills that apply to both disorders
  • Exploration of issues related to the concurrent association of trauma and substance use/dependence
  • Emphasis on concurrent healing from both disorders

Currently the group is offered only for female patients.

Wednesdays 3:00-4:00pm, West End Clinic
Facilitated by Georgia Stathopoulou, Ph.D.

Anxiety Management

Anxiety and substance use related disorders group: 16 session empirically validated CBT (cognitive behavioral treatment) group focusing on the concurrent treatment of comorbid anxiety and substance use related disorders.

The aim of the group is to increase patients' ability to manage anxiety symptoms so they do not use substances for self-medication. Treatment model is based on the latest research findings on the comorbidity of anxiety and substance use.

Tuesdays 3:00 – 4:00pm, West End Clinic
Facilitated by: Georgia Stathopoulou, Ph.D.

Early Substance Use Recovery Group This is a time limited mixed gender group for adults aged 25 to 65 who have desire to be abstinent from substances, are in their first year of sobriety, and are trying to repair the negative impact of substances on their lives. The goals of this group are to help individuals achieve and sustain a substance-free lifestyle, improve their overall functioning, and reduce relapse. This group looks to empower the members in the change process as their capacity to understand their issues/circumstances increases. Group relationships play an important role as members attempt to look at their situation critically, problem-solve, change negative behaviors, and learn new positive behaviors. Members can support each other, confront each other, and provide suggestions and ideas from their own fund of experiences. Growth and change occurs through their interactions and these relationships become a vehicle for coping with life transitions, restoring diminished self-concept, and maximizing strengths while promoting health. Membership of the group will be open and members will remain in the group for one year.

Tuesdays, 10:00-11:15AM, West End Clinic
Facilitated by: Marc Bolduc, LICSW, CADAC II

Evening Intensive Outpatient Program

Outpatient Addiction Services at West End Clinic is pleased to announce the new Evening Intensive Outpatient Program (E-IOP) for adults with substance use disorders.

The E-IOP will be in addition to the daytime Adult IOP and the Transitional Age Youth IOP.


The E-IOP is designed to meet the needs of individuals who are suffering from addiction but have other conflicting commitments such as work, school or child care with day time treatment.


The program will provide services 5 evenings a week and will include psycho-education, symptom reduction/management, relapse prevention skills, process group, psychopharmacology, family counseling, orientation to community-based support programs and case management. The E-IOP will assist individuals with aftercare planning and transition management.


E-IOP will be a 4 week program. Specifically, the group sessions for the E-IOP will be on Tuesday, Wednesday and Thursday from 4 to 6:30 pm at West End Clinic. In addition, each patient will be scheduled to meet with their individual contact clinician as well as for psychiatric evaluations, family meetings, and case management visits.


Patients may self-refer and/or be referred by their providers by calling the psych triage team at (617) 724-7792.

Family Alcoholism Education Series

This is an educational support group focusing on alcoholism and other substance use, and the family.Topics include exploring the disease-model of alcoholism, its effects on children and adult family members, and intervention and treatment.The series is open to patients, family members, and friends who are concerned about someone with an alcohol or drug problem. The group is open to whomever would like to attend, and no formal referral is necessary.

Thursdays, 5:30 - 6:30 PM,
Blum Family Learning Center, White 1
Facilitated by: Maureen McGlame, LADC1 

Finding Balance in Recovery

This is an on-going psychotherapy group for people who have completed the Relapse Prevention Group at the West End Clinic and/or people who are in their first year of recovery, and are looking for on-going support.Group members must be motivated for sobriety, and have approx 3 months sober (this can be reviewed on a case-by case basis.Group members must be willing to commit to one-year of attendance. Admission is on a rolling basis.

This is a process group that focuses on issues that people face in their first year of recovery. Topics and themes include, but are not limited to: interpersonal and family issues, spirituality, learning to cope effectively with your emotions, learning to manage your responsibilities, learning how to manage your free time, and finding a balance between acceptance, and change.

Wednesdays, 12:00pm,
West End Clinic

Facilitated by Karsten Kueppenbender, MD

Long Term Substance Use Recovery Group

This is an open ended mixed gender group for adults aged 25 to 65 that focuses on the mid to late themes/phases of recovery. The goals of this group are to expand coping capacity, enhance performance, and improve relationships. This is accomplished by promoting self understanding, psychological growth, emotional healing, and true intimacy. The group provides support, structure, and interactional opportunities to experience honesty, pride, spontaneity, acceptance, compromise, and uncertainty. This learning can help the group to exercise its power, make decisions, and develop intentions that support the preferences that are envisioned.

Members examine the effect that their behavior has on others and in turn how their behavior affects them in addition to exploring the cultural and societal forces that have contributed to their substance use. Members work to understand how they defend and react by confronting their attitudes, interpersonal style, communicate needs and express feelings directly and immediately. The role of personal responsibility, informed motivation, and mobilizing resources is viewed as a critical aspect of intentional change as a tool for renewal and recovery.

Membership of the group will be open and members can remain in the group until the problems that brought them to group are resolved.

Mondays, 5PM to 6:15 PM, West End Clinic
Facilitated by: Marc Bolduc, LICSW, CADAC II,

Wednesdays, 4 PM to 5 PM, West End Clinic
Facilitated by: Marc Bolduc, LICSW, CADAC II,

Thursdays, 6:00 PM to 7:15 PM, West End Clinic
Facilitated by: Marc Bolduc, LICSW, CADAC II,

Post-WLS Support Group

Patients who have had weight loss surgery may be suffering from alcohol and drug abuse. Such individuals may benefit from therapy specifically designed to address relapse prevention and promote healthy living.

The West End Clinic is offering a new group treatment for patients with a history of weight loss surgery who are in early recovery. This is an 8 week, psycho-education, support and skills building group. The group will focus on relapse prevention, mindful eating, improving self-care and ongoing stress management. Concepts and techniques from CBT and DBT will be used.

Patients referred to this group should have a minimum of 4 weeks of abstinence from all substances.

Wednesdays, 4pm-5pm, West End Clinic
Contact the group leader: Lisa Du Breuil, LICSW

Readiness Group

The Readiness Group strives to provide assistance to those who are in the very early stages of recovery, including learning how to cut back or quit using substances. The group helps engage people in other West End Clinic addictions treatment and assists in referring to appropriate services, including the Intensive Outpatient Programs. Recommended participation in the group is for 6-8 weeks.

Thursdays 12:30 PM to 1:30 PM
Jennifer Blewett, LCSW

Relapse Prevention Group

This group is designed to support individuals with a substance use or co-occurring disorder as they transition into “early recovery.” The group will explore critical relapse prevention skills, specifically learning to manage triggering feelings, identify and challenge distorted thinking patterns, and ultimately develop a greater network of recovery resources that will help to reduce the risk of relapse. It is a structured didactic,12 week, rolling admission group that is open to both male and female members. All members must have completed a formal intake at the West End Clinic prior to being considered for the group.

Facilitated by:
Stephanie Troy, LICSW   at 12:00pm on Wednesdays at the West End Clinic,
Christopher O'Connell, PhD  from 5-6pm on Tuesdays at Wang 8.

Computer-Based Relapse Prevention Treatment
The West End Clinic is offering a unique new treatment for patients with a history of alcohol and substance use disorders, who are in early recovery. Participants should be interested in pursing further critical relapse prevention skills, including; managing triggers, identifying distorted thinking patterns and develop a greater network of recovery resources to help reduce the risk of relapse. The participants will meet in group format for brief weekly check-in and relapse prevention sessions will be conducted using laptops and utilizing the CBT4CBT computer modality program. This program is a 7 week, clinician facilitated and computer-based relapse prevention treatment that teaches relapse prevention skills.

This treatment is open to both male and female members.

Patients referred to this treatment should be abstinent from all illicit substances and alcohol. All members must have successfully completed the Day, Evening or Young Adult Intensive Outpatient program at the West End Clinic prior to being considered for the group or referred by individual clinicians to support patients’ recovery efforts.

Mondays 3:00 - 4:00pm, West End Clinic
Facilitated by:
Jennifer Blewett, LCSW

Participants are asked to bring their own headphones!

Buprenorphine Maintenance Group Support for patients in recovery from drug addiction who take buprenorphine (Suboxone, Zubsolv) and maintain abstinence from opioids and other substances of abuse.

Mondays, 9:00-10:00 am, West End Clinic
Facilitated by: Karsten Kueppenbender, MD

Wednesdays, 5:00- 6:00 pm, West End Clinic
Facilitated by: Carlos Suarez, MD

Thursdays, 4:-00-5:00 pm, West End Clinic
Facilitated by: Cally Lilley, APRN-BC

Fridays, 10:00-11:00 am, West End Clinic
Facilitated by: Nalan Ward, MD.

Young Adult Intensive Outpatient Program (TAY IOP)

This program is an intensive, outpatient program designed to assist patients who are newly in recovery, have recently experienced a relapse, or who recognize their recovery is becoming unstable and need some additional support.  Clients, 18 through 25 years old, are appropriate for the more intensive services if they are in an unstable recovery, either early in recovery or post-relapse, and/or in need of education and orientation to recovery.  Psychiatric and mental health stabilization services are available for clients with co-morbid disorders.  Clients will not be admitted if they are actively experiencing psychotic symptoms that are disruptive to treatment, are suicidal or homicidal, or are otherwise in need of urgent psychiatric or medical care.  Appropriate referrals and follow-up care will be provided for any client in need of urgent care, utilizing the resources on site at MGH. The program incorporates four groups throughout the week; Early Recovery, Relapse Prevention, Young Adult Education and Family Education/Support.  The Curriculum includes topics such scheduling time, pros and cons, triggers, thought-stopping techniques, dealing with problems, relapse prevention, managing anger and guilt and shame, staying sober, co-occurring disorders, phases of recovery, and information for families.  All clients receive individual and family counseling, as well as psychiatric evaluation.

Referrals: All patients must complete a formal evaluation at the West End Clinic or Addiction Recovery Management Service (ARMS) prior to approval for admission.  All inquiries for this group can be made by calling (617) 643-4699.

Additional groups are being planned, please check back on this site for regular updates on new groups being offered that will be accepting patients for participation at a future date or contact the West End Clinic directly at (617) 726-2712.