

Reality House Outpatient
Treatment Focus
This center treats substance use disorders and co-occurring mental health conditions. Your treatment plan addresses each condition at once with personalized, compassionate care for comprehensive healing.
Primary Level of Care
Provides 24/7 medical supervision and intensive treatment in a clinical setting for individuals in crisis or with acute needs, focusing on stabilization and immediate safety
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Treatment Focus
This center treats substance use disorders and co-occurring mental health conditions. Your treatment plan addresses each condition at once with personalized, compassionate care for comprehensive healing.
Primary Level of Care
Provides 24/7 medical supervision and intensive treatment in a clinical setting for individuals in crisis or with acute needs, focusing on stabilization and immediate safety
Provider's Policy
The admissions team of Reality House will work with you to explore the right payment options based on your needs, ensuring you get the best possible treatment.
Reality House Outpatient
Reality House Outpatient
About Reality House Outpatient
Located in Astoria along Broadway, Reality House offers outpatient addiction and mental health services for adults across New York City. The center supports recovery through medically supervised care, group and individual therapy, and practical life services tailored to each client’s needs. Designed to uplift underserved communities, the program welcomes those impacted by poverty, incarceration, trauma, or chronic substance use.
Build Stability with Purposeful Care
Each client receives an individualized plan that blends trauma-informed therapy with relapse prevention, psychiatric support, and vocational services. Clinicians use evidence-based methods such as motivational counseling and recovery coaching, while wraparound care includes anger management, case management, and family involvement. Day and evening programs create flexibility, making it easier for clients to remain engaged as they build independence and long-term stability.
Treat Trauma with Compassion
Reality House offers unique services rarely found in outpatient settings—support for HIV-positive clients, DUI/DWI assessments, and structured assistance for justice-involved individuals. Veterans receive counseling for post-traumatic stress disorder (PTSD), head trauma, and combat-related substance use. They offer same-day appointments, peer support, and a welcoming space rooted in social justice to help individuals heal and reclaim their futures within their community.
Center Overview
Treatment Focus
This center treats substance use disorders and co-occurring mental health conditions. Your treatment plan addresses each condition at once with personalized, compassionate care for comprehensive healing.

Insurance Accepted
Cash Pay Rates
Estimated Cash Pay Rate
Center pricing can vary based on program and length of stay. Contact the center for more information. Recovery.com strives for price transparency so you can make an informed decision.
Levels of Care
Your Care Options
Specializations
Alcohol
Using alcohol as a coping mechanism, or drinking excessively throughout the week, signals an alcohol use disorder.
Co-Occurring Disorders
A person with multiple mental health diagnoses, such as addiction and depression, has co-occurring disorders also called dual diagnosis.
Drug Addiction
Drug addiction is the excessive and repetitive use of substances, despite harmful consequences to a person's life, health, and relationships.
Post Traumatic Stress Disorder
PTSD is a long-term mental health issue caused by a disturbing event or events. Symptoms include anxiety, dissociation, flashbacks, and intrusive thoughts.
Who We Treat
Approaches
Evidence-Based
A combination of scientifically rooted therapies and treatments make up evidence-based care, defined by their measured and proven results.
Family Involvement
Providers involve family in the treatment of their loved one through family therapy, visits, or both–because addiction is a family disease.
Therapies
1-on-1 Counseling
Patient and therapist meet 1-on-1 to work through difficult emotions and behavioral challenges in a personal, private setting.
Family Therapy
Family therapy addresses group dynamics within a family system, with a focus on improving communication and interrupting unhealthy relationship patterns.
Life Skills
Teaching life skills like cooking, cleaning, clear communication, and even basic math provides a strong foundation for continued recovery.
Medication-Assisted Treatment
Combined with behavioral therapy, prescribed medications can enhance treatment by relieving withdrawal symptoms and focus patients on their recovery.
Psychoeducation
This method combines treatment with education, teaching patients about different paths toward recovery. This empowers them to make more effective decisions.
Relapse Prevention Counseling
Relapse prevention counselors teach patients to recognize the signs of relapse and reduce their risk.
Stress Management
Patients learn specific stress management techniques, like breathing exercises and how to safely anticipate triggers.
Languages
Conditions We Treat
Anger
Although anger itself isn't a disorder, it can get out of hand. If this feeling interferes with your relationships and daily functioning, treatment can help.
Depression
Symptoms of depression may include fatigue, a sense of numbness, and loss of interest in activities. This condition can range from mild to severe.
Post Traumatic Stress Disorder
PTSD is a long-term mental health issue caused by a disturbing event or events. Symptoms include anxiety, dissociation, flashbacks, and intrusive thoughts.
Stress
Stress is a natural reaction to challenges, and it can even help you adapt. However, chronic stress can cause physical and mental health issues.
Trauma
Some traumatic events are so disturbing that they cause long-term mental health problems. Those ongoing issues can also be referred to as "trauma."
Substances We Treat
Alcohol
Using alcohol as a coping mechanism, or drinking excessively throughout the week, signals an alcohol use disorder.
Benzodiazepines
Benzodiazepines are prescribed to treat anxiety and sleep issues. They are highly habit forming, and their abuse can cause mood changes and poor judgement.
Chronic Relapse
Consistent relapse occurs repeatedly, after partial recovery from addiction. This condition requires long-term treatment.
Co-Occurring Disorders
A person with multiple mental health diagnoses, such as addiction and depression, has co-occurring disorders also called dual diagnosis.
Cocaine
Cocaine is a stimulant with euphoric effects. Agitation, muscle ticks, psychosis, and heart issues are common symptoms of cocaine abuse.
Drug Addiction
Drug addiction is the excessive and repetitive use of substances, despite harmful consequences to a person's life, health, and relationships.
Heroin
Heroin is a highly addictive and illegal opioid. It can cause insomnia, collapsed veins, heart issues, and additional mental health issues.
Opioids
Opioids produce pain-relief and euphoria, which can lead to addiction. This class of drugs includes prescribed medication and the illegal drug heroin.
Prescription Drugs
It's possible to abuse any drug, even prescribed ones. If you crave a medication, or regularly take it more than directed, you may have an addiction.
Aftercare
Care Designed for Your Needs
Personal Amenities
Special Considerations
Transition Program
Patients in a transition program gradually return to life outside treatment, helping lower chances of relapse and continue care in a less intense setting.