Substance Use Treatment

Substance use care, built around you.

Outpatient treatment for alcohol, opioids, fentanyl, stimulants, prescription drugs, and cannabis in Lakeway, Texas. Every plan is written from a 2 to 3 day comprehensive assessment, then delivered across four levels of care. Same-day or next-day admission.

Find your program 512.743.9285
Same-day or next-day admission Comprehensive assessment Most insurance accepted
A woman in her late 30s on a covered Hill Country porch at late golden afternoon, holding a stoneware mug at chest height, with Lake Travis softly visible in the middle distance.

The Prescribed Care Model

Recovery is treatable.

Substance use disorders respond to care that is matched to the individual. Recognition first, then a written plan, then the level of care that fits.

An estimated 48.5 million people aged 12 or older in the United States had a substance use disorder in a recent twelve-month period; just 15.6 percent received any treatment (SAMHSA NSDUH). The Stepwell Center treats the six substance use conditions most common in the Lake Travis area, delivered across four outpatient levels of care: PHP, IOP, Evening IOP, and Outpatient.

Addiction is a treatable chronic condition. Like diabetes or heart disease, it responds best to care that is matched to the individual rather than slotted into a curriculum (NIDA). Stepwell's response is the Prescribed Care Model. Every plan begins with a 2 to 3 day comprehensive assessment that integrates clinical interview, qEEG brain mapping, pharmacogenetic testing, and standardized psychological testing. The output is a written plan matched to your clinical profile.

From there, your care moves along the standard outpatient continuum (ASAM Criteria). PHP is the most structured, then IOP, then Evening IOP for working adults, then Outpatient for maintenance and step-down. Roughly 21.2 million US adults experience both a substance use condition and a mental illness in the same year (SAMHSA), so integrated dual-diagnosis care is built into every plan rather than referred out. All four levels are delivered at our Lakeway, Texas facility, just off Ranch Road 620 in the Lake Travis corridor.

What We Treat

Six conditions, one plan.

Each card opens onto the way Stepwell treats that condition specifically. The shared frame is the prescribed care plan; what changes is the modality mix, the level of care, and the day-to-day.

Inside Stepwell

The modalities we combine.

Specific evidence-based modalities, named in your prescribed plan rather than left implicit. Your combination is selected from these and others based on your assessment.

  1. Motivational Interviewing

    A collaborative, change-focused conversation that strengthens internal motivation. Used early in every substance use plan to align the work to your own reasons for change rather than imposed ones.

  2. Cognitive Behavioral Therapy

    CBT identifies the thought-feeling-behavior patterns that lead to use, then rehearses different ones in structured exercises. Effective across alcohol, stimulant, and prescription-drug presentations.

  3. Contingency Management

    A structured incentive approach with strong evidence for stimulant and opioid use disorders. Verifiable abstinence is reinforced with predefined rewards, reshaping the daily decision loop.

  4. Dialectical Behavior Therapy

    DBT skills, mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation, support relapse prevention in dual-diagnosis and mood-related presentations.

  5. Group & Family Therapy

    Process and skills groups complete the weekly mix in PHP and IOP. Family sessions are integrated when the prescribed plan calls for them, often when household patterns reinforce use.

  6. Coordinated Medical Care

    Medication review, withdrawal-management coordination, and referrals for medication for opioid or alcohol use disorder when clinically indicated. Handled by your care team, not handed off.

Admission Journey

From inquiry to your first day.

Most patients move from first call to first day of programming within a week.

  1. Step 01

    Reach out

    Call us or submit an inquiry. We respond within business hours and screen briefly by phone so we can match you to the right starting point.

  2. Step 02

    Comprehensive assessment

    Same-day or next-day scheduling for our two to three day assessment, covering clinical, diagnostic, and medical context across multiple instruments.

  3. Step 03

    Your prescribed plan

    Your care team builds an individualized treatment plan from the assessment, including the right starting level of care and the modality mix that fits your clinical profile.

  4. Step 04

    Begin care

    You start the level of care your plan prescribes. As your needs change, you step between PHP, IOP, Evening IOP, and Outpatient with the same clinical team.

Common Questions

Questions readers usually have.

Pulled from the questions families and prospective patients ask most often when considering outpatient substance use treatment.