We are first and foremost a mental health treatment program. All of our providers are fully licensed and trained to treat primary mental health conditions such as anxiety, depression, ADHD, and trauma. We are also experienced in supporting neurodivergent individuals and those who are twice-exceptional (2e). In addition to this foundation, we offer specialized assessments and support for behavioral addictions, including gaming disorder, social media overuse, compulsive AI use (like ChatGPT/Replika), cryptocurrency trading, and other forms of digital overuse. Clients are placed in a core group that aligns with their individual needs. We believe all programs should assess and treat both mental health and behavioral patterns together—and we are proud to be pioneering this integrated, whole-person approach.

Our program is located in the Pacific Northwest, just east of Seattle, in the beautiful Snoqualmie Valley. Our 16-bed residential facility is situated in Duvall, Washington—a peaceful, rural community known for its scenic landscapes, forests, and strong sense of community. Duvall is surrounded by natural beauty, including views of the Cascade Mountains and nearby hiking trails, making it an ideal setting for healing and reflection. Fun fact: Duvall is home to one of the oldest still-operating farm towns in the region and hosts an annual summer festival that draws visitors from across the area. The tranquil environment supports the calming, focused atmosphere of our program.

It all begins with the first call to a member of our admissions team. During that initial conversation, we gather information about your current situation, challenges, and goals. From there, a licensed provider reviews your clinical history to determine whether our program is the right fit. We consider a range of factors—including mental health symptoms, substance use, behavioral concerns like digital overuse, and overall functioning—to guide our recommendations. If a different level of care, such as detox, PHP, or outpatient services, would better meet your needs, we’ll help you explore those options. Our goal is to make sure you receive the most appropriate and effective care for your recovery journey.

We are proud to be the first program in the United States to address mental health concerns and digital use problems concurrently—a groundbreaking approach that helped revolutionize behavioral health care. We began offering services in 2009 and have been operating for over 16 years in the Pacific Northwest. We’re also incredibly fortunate that both of our founders continue to lead the organization today—a rare and wonderful continuity that reflects our deep commitment to the mission and the people we serve.

We offer trauma informed and specilaty care for the following conditions:

• Anxiety
• Attention Deficit Hyperactivity Disorder (ADHD)
• Autism Spectrum Disorder (ASD)
• Depression
• Obesseive-Compulsive Disorder (OCD)
• Problematic Digital Use (Gaming Disorder, Intenet Addiction, Gambling, Problematic engagement with AI/ChatGPT)
• PTSD
• Social Anxiety
• Substance-Use Disorder

We accept both adolescents (ages 16 to 18) and adults, with typical adult admissions ranging from ages 18 to 30. We may consider individuals over 30 if it is clinically appropriate and they are developmentally aligned with our program’s focus—such as those who have missed key developmental milestones, including difficulty completing school, maintaining employment, living independently, forming relationships, or engaging in typical life experiences. Our program is designed to support individuals with primary mental health conditions and/or co-occurring substance use or behavioral addictions, such as gambling and digital overuse. Each applicant is carefully assessed to ensure our structured residential setting is a good clinical fit and can effectively support their treatment and recovery goals.

The average length of stay in our program is approximately 90 days. However, this can vary based on individual needs and progress. As part of our discharge planning process, we follow best practices to connect individuals with appropriate next steps, such as a Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP), or recovery housing. Research consistently shows that the best outcomes are associated with longer engagement in treatment over time, which is why we emphasize continuity of care and a thoughtful transition plan beyond residential treatment.

One of the things that differentiates us is our focus on a specific treatment population. We primarily serve individuals struggling with anxiety, depression, ADHD, PTSD, social anxiety, Autism Spectrum Disorder, and co-occurring digital technology overuse. We do not treat individuals with severe substance use disorders requiring detox or those with acute psychiatric conditions such as psychosis, schizophrenia, or unmanaged mania. This allows us to maintain a stable, supportive environment where clients are surrounded by peers with similar needs, creating the best conditions for healing and growth.

A licensed behavioral health provider reviews every application we receive. This includes a thorough review of the individual’s clinical history, current needs, and overall fit for our program. All reviewers are licensed by the Washington State Department of Health and have experience working with mental health and co-occurring conditions. Their clinical background ensures that each applicant is carefully evaluated to determine whether our level of care is appropriate and supportive of successful outcomes.

Our program offers a range of pricing options to accommodate different financial situations, including rates for underinsured individuals. We strive to make care as accessible as possible while maintaining high standards of treatment. For detailed information about our program costs, please contact our admissions team to request a copy of our brochure and the accompanying fee schedule.

We are out-of-network with most insurance plans. To help you understand what coverage may be available, we offer a Verification of Benefits (VOB) prior to admission. We can also refer you to a third-party medical billing service—available for a 10% fee—that will submit claims and handle the necessary utilization review paperwork on your behalf. While reimbursement is not guaranteed, this service can help you access any out-of-network benefits your plan may offer. Payment for treatment is required upon enrollment.

The admissions process can move as quickly as needed. We’ve found that when an individual is ready for help, it’s important to begin treatment as soon as possible for everyone involved. We are able to complete the admissions process and welcome someone into the program within 24 hours when necessary. While we can be flexible, we prefer admissions to occur during the week when our full clinical staff is available to complete assessments and ensure a smooth transition into care. We’re also happy to coordinate an admission at a time that works best for you and your schedule.

Once admitted, you will be welcomed by members of our team, including care coordinators who will help you get oriented and comfortable. Within the first 24 hours, you’ll likely meet with a community medical provider to ensure your health needs are addressed, and with a licensed clinician for an intake assessment. Within the first week, you’ll also meet with a psychiatric provider (ARNP), as clinically indicated, and begin connecting with members of your treatment cohort—individuals you’ll be spending time with in group therapy, activities, and daily routines.

reSTART is an out-of-network provider, which means we are not contracted with any insurance companies. While we do not bill insurance directly, we can assist by providing a Verification of Benefits (VOB) and can refer you to a third-party billing service (for a 10% fee) that will submit claims on your behalf. This can help you access any out-of-network benefits your plan may offer.

You can check your insurance benefits by contacting your insurance provider directly using the member services number on the back of your card. Ask if your plan includes out-of-network coverage for residential mental health or substance use treatment. Additionally, reSTART can assist by running a Verification of Benefits (VOB) on your behalf. To get started, visit our VOB page. This will give you a clearer picture of what your insurance may cover and help guide your financial planning.

We are fully licensed to operate in Duvall, Washington under the following key credentials issued by the Washington State Department of Health:

Residential Treatment Facility (RTF) License – #RTF.FS.61596877: This license authorizes us to provide structured, licensed residential care, ensuring compliance with annual renewal, staffing qualifications, on‑site surveys, and fire marshal approval—demonstrating our commitment to quality care. Holding the standard DOH facility license confirms that our premises meet safety, environmental, and regulatory standards required to operate a health facility in Washington.

Behavioral Health Agency (BHA) License – #BHA.FS.61637880: As a licensed BHA, we are authorized to deliver mental health and/or substance use disorder, and gambling services—backed by rigorous policy, procedure, and renewal requirements.

Together, these licenses affirm that we are a fully credentialed, compliant treatment provider—capable of offering residential behavioral health services, and ensuring safety, oversight, and high‑quality care for those in our care.

We employ a licensed Advanced Registered Nurse Practitioner (ARNP) as part of our clinical team. Our ARNP conducts regular medical rounds, provides direct care, and monitors the overall physical and mental health of each resident. This allows us to promptly address emerging medical concerns, coordinate care with outside providers when needed, and ensure each individual receives integrated, whole-person support throughout their treatment stay.

We have a Clinical Director who is fully licensed by the Washington State Department of Health to provide behavioral health services. As the leader of our clinical team, the Clinical Director oversees all aspects of treatment planning and delivery, ensuring that care is evidence-based, ethically sound, and aligned with state regulations. Their responsibilities include supervising clinicians, guiding program development, monitoring client progress, and maintaining quality assurance across all therapeutic services. This leadership ensures our clients receive high-quality, coordinated care in a safe and supportive environment.

All of our clinical staff are licensed by the Washington State Department of Health and represent a wide range of credentials, including Licensed Marriage and Family Therapists (LMFT, LMFTA), Licensed Clinical Social Workers (LICSW, LSWAIC), and Licensed Mental Health Counselors (LMHC, LMHCA). Many also hold additional certifications such as Substance Use Disorder Professionals (SUDP, SUDPT), Washington State Gambling Counselor Certification, and Master Addiction Counselor (MAC) credentials. Several team members bring advanced training and leadership experience, including Executive MBAs (EMBAs), enhancing our ability to integrate clinical excellence with effective program management. Our staff are skilled in treating co-occurring conditions, and we employ associate-level counselors working under supervision as they pursue full licensure. As a teaching institution for over a decade, we also train graduate-level interns, who receive direct oversight and clinical supervision from our experienced Clinical Director. This combination of licensure, specialization, and ongoing training reflects our deep commitment to high-quality, ethical, and comprehensive care.

Yes, all individuals in our program receive clinical therapy on a weekly basis. Depending on your needs, there may be times when additional sessions are helpful, while at other times, too many sessions can feel overwhelming or counterproductive. We work closely with each person to determine the appropriate frequency of sessions, guided by clinical judgment, best practices, and your personal capacity for therapeutic engagement. Our goal is to ensure that therapy supports your progress in a way that feels manageable and effective.

Our model is rooted in the belief of a parallel process—meaning healing happens best when everyone involved is actively working on their own growth. We are a family-systems-oriented program and view the family as an essential part of the recovery journey. Parents and caregivers are encouraged to engage in their own work, whether through individual therapy, parent coaching, or a support group. We rely on families to take an active role in improving communication, strengthening relationships, and creating a healthier home environment. Your therapist will support you in learning about the challenges your loved one is facing so that, together, you can build a foundation for lasting change and mutual support.

Yes, family therapy is an important part of our program, but it is introduced thoughtfully and at the right time. During the first 4–6 weeks, we focus on formal assessment to build a strong foundation and clearly identify what needs to be addressed. For some young adults, the initial focus may be on developing maturity, responsibility, and greater independence. In other cases, we may find that family members have become disconnected and would benefit from guided reconnection. Your loved one’s therapist will work closely with them—and with you—to determine what type of family therapy is most appropriate and when it should begin. Once ready, these sessions can open the door to deeper understanding, healthier communication, and meaningful healing for everyone involved.

Yes, group therapy is a central part of our program and is facilitated by our licensed clinical team alongside agency-affiliated counselors with specialized expertise. All group sessions are trauma-informed and individualized to meet the needs of the specific cohort present at any given time. We offer a wide range of groups, including Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), recovery education, neurobiology, relationships, and specialized tracks for digital overuse, substance use, and gambling. This flexible, client-centered approach ensures that each group supports healing, skill-building, and meaningful progress for all participants.

At reSTART, we’ve identified 12 core recovery skills over the past several decades that guide our approach to evaluating progress and planning care. All treatment decisions are made collaboratively, with the individual actively participating in their own recovery. Clients are encouraged to set personal goals, request specific types of support, and engage in the treatment planning process. Family members may also be included when appropriate to help strengthen the support system.

This process is guided by the primary clinician, with input from the care coordinator team, and reviewed regularly by both the Clinical Director and Medical Director to ensure consistency, clinical appropriateness, and alignment with each person’s goals. For individuals with substance use issues, we also utilize the ASAM (American Society of Addiction Medicine) criteria to determine the appropriate level of care and guide transitions throughout the continuum. This integrated, team-based approach ensures that progress is measured meaningfully and treatment remains responsive to the individual’s evolving needs.

Yes, you can be on medication while in our program. We are not a psychiatric hospital, so clients must be able to manage and take their own medications independently—we do not administer or require medication. We encourage individuals to arrive with a 90-day supply of any prescribed medications to ensure continuity of care. During your stay, you’ll meet with our psychiatric provider, who will work with you to assess your current medications and discuss any changes you may want to consider. Some individuals choose to taper off certain medications as they begin to feel better, while others review and adjust their regimen. These decisions are made collaboratively between you and the provider, based on your individual needs and goals.

Medication management is overseen by a licensed psychiatric provider on our team, a local community medical provider, or, in some cases, the provider who originally referred you. Medications are securely stored and locked on site, and individuals are encouraged to take them as prescribed. While clients are responsible for self-administering their medications, our staff ensures safe storage, accurate documentation, and coordination with the prescribing provider to support consistent and effective care.

Medications are securely stored in a locked medical cabinet within a locked room, with access limited to authorized staff members only. Medications are administered one at a time in a controlled setting, and our team follows the six rights of medication administration—right person, right medication, right dose, right time, right route, and right documentation—to ensure safety and accuracy at every step.

All of our staff are trained in facility self-administered medication procedures. While individuals are responsible for taking their own medications, staff are present to assist and ensure the process is safe and compliant. Our medication procedures were developed in consultation with physicians and are guided by best practices and Washington State regulations to ensure proper handling, oversight, and support.

No, we do not provide medical detoxification services. However, if detox is needed before entering our program, we can offer referrals to trusted providers who specialize in this level of care. Once detox is complete, we’re happy to coordinate a smooth transition into our program.

No, we are not a locked facility. We operate as a restraint-free program and do not use physical restraint at any point in care. While individuals are free to leave at any time, we work closely with each person to keep them engaged, supported, and committed to the treatment process. Our approach is built on trust, collaboration, and a shared commitment to recovery.

We strongly encourage clients to be present and focused on the healing work ahead. Frequent phone calls and outside distractions can take away from the therapeutic process, so we discourage excessive use. While we support regular contact with loved ones, we recommend limiting phone calls to about once per week to maintain focus and emotional balance. Ultimately, it’s the client’s choice, but we’ve found that spending hours on the phone—especially with friends—can increase homesickness and make it harder to stay grounded in the treatment experience.

Yes, we wholeheartedly encourage sending and receiving letters during your time in the program. Letter writing is a meaningful way to stay connected while allowing space for reflection and intentional communication. It’s a great opportunity to correspond with loved ones in a thoughtful and supportive way.

While visits can occur at any time, we’ve found that early or frequent visits can sometimes lead individuals to feel pulled back toward old patterns and may increase the desire to discharge prematurely. Because of this, we encourage each person to work closely with their treatment provider to determine the most appropriate timing for visits. Providers help assess readiness and can support you and your loved ones in establishing healthy boundaries and expectations to ensure visits are beneficial to your overall progress in the program.

Our facility offers the option for two individuals to share a room. Whether or not you have a roommate will depend on the number of individuals in the program at the time of your stay. While we aim to accommodate preferences when possible, room assignments are based on availability and clinical considerations. The maximum number of people you would ever share a room with is one other person.

While on campus, clients do not have access to personal cell phones. Instead, they are provided with access to a phone at designated times to make calls to family members, allowing for meaningful connection without the constant distractions of digital devices. This structure fosters a focused, supportive environment that prioritizes in-person interaction and reduces the impact of technology overuse, helping clients engage more fully in the treatment process.

Our clinical outcomes have been evaluated using the OQ-45, a nationally recognized tool for measuring psychological functioning and progress. A previously published study, conducted by an independent third-party researcher, demonstrated clinically significant improvement among our participants. Since that time, our outcomes have remained consistent with—or exceeded—those findings.
This success is due in part to increasing the average length of stay from 28 days to 84 days, allowing for deeper therapeutic work and more lasting change.

Yes, absolutely. From the moment a person enrolls, we begin planning for their eventual discharge and transition, as this is considered best practice in effective treatment planning. Our team continually assesses each individual’s progress and works closely with them to create a tailored, personalized discharge plan that supports their long-term success. Rather than basing transitions solely on time, we focus on readiness—ensuring the next step is clinically appropriate and aligned with the individual’s goals and needs. Whether that’s PHP, IOP, recovery housing, or another level of care, our goal is to support a smooth and meaningful next phase of recovery.

What does the program fee include for those staying at the RTF for IOP, PHP, or residential care?For clients staying at reSTART’s Residential Treatment Facility (RTF) for IOP, PHP, or full residential care, the program fee includes a comprehensive range of behavioral health and supportive services:

• Clinical Care: Weekly individual therapy, daily group therapy sessions, and a weekly appointment with a psychiatric ARNP for medication management and psychiatric support.

• Residential Support: 24/7 supervision by trained staff, structured daily routines, and life skills coaching as needed.

• Room & Board: Comfortable lodging, nutritious meals, and access to on-site amenities.

• Integrated Wellness: Clients engage in experiential activities, therapeutic community living, and guided opportunities for real-world growth.

As part of the program, clients earn a weekly stipend, which they can use to cover the cost of adventure outings, snacks, personal items, or other approved expenses.

Please note:

• Special dietary accommodations may incur additional fees.

• Transportation and support for offsite services outside the scope of behavioral health care (e.g., dental visits, medical specialists) are available for an additional charge.

reSTART’s holistic model is designed to support sustainable wellness, digital balance, and meaningful connection in a safe, structured environment.

Yes. reSTART is a behavioral health program, and appointments outside our scope—such as visits with a nutritionist, optometrist, physical therapist, or any service we do not provide in-house—are considered the client’s responsibility. We encourage clients to schedule and arrange transportation for these visits.

If staff support is requested, there is a fee of $150 per visit to cover time and mileage (up to two hours total). Additional time is prorated at $75 per hour. Many clients use rideshare services like Uber, often paid through their pre-funded TrueLink card.

We do not charge to pick up prescriptions from pharmacies within a 5-mile radius of our facility, such as Safeway Pharmacy in Duvall or Duvall Family Drugs. However, if you request pickup from a pharmacy located more than 5 miles away, a $100 fee will apply to cover staff time and transportation costs.

reSTART is able to accommodate most common dietary needs, including vegetarian and gluten-sensitive diets, as part of the standard program. However, specialized diets such as halal, kosher, fully vegan, or medically prescribed regimens may require additional sourcing, preparation, or handling. In these cases, an additional weekly fee may apply to cover the cost of special ingredients and staff time. Please speak with our admissions or dietary team to discuss your specific needs and any associated costs.

We ask that all individuals set up a True Link card during their stay at reSTART. It’s a pre-paid debit card used to manage personal expenses such as Uber rides, prescription co-pays, hygiene items, snacks, or other approved purchases.

The card helps promote financial responsibility while allowing families to set spending limits, restrict certain types of transactions, and monitor usage for added safety and support. It also minimizes the need for clients to carry or use cash on site.

The stipend is a weekly allowance provided by financial sponsors (such as parents or guardians) to help cover personal expenses during the program. At reSTART, clients use their stipend for things like snacks, adventure outings, hygiene products, or other approved items. Managing a stipend is also an important part of developing financial responsibility and real-world life skills.