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Counseling Service of Addison County
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Outpatient Services

Adult Outpatient is a division of Counseling Service of Addison County that provides both short and long term mental health and addiction recovery services to adults. These services take place in our office. Staff providing counseling, assessment, consultation, emergency, psychiatric, and/or mediation services are all committed to helping people lead healthier and more satisfying lives.

The Mission of Adult Outpatient Services

We’re here to help you. We recognize that each individual has different needs, and tailor our services to meet your needs. Some people engage our services on their own in a planned way to meet a personal need or to accomplish a life goal, while others are referred to us by physicians, human service workers, courts, clergy, or family friends. Some people reach out to us in an emergency situation. We are highly responsive to the needs of individuals and our county community.

We believe the wellness of individuals in the community enhances the wellness of the entire community.

Services Provided by the Adult Outpatient Division

Counseling

Adult OutPatient (AOP) offers individual and group therapy for people dealing with depression, anxiety, stress, substance abuse, relationship problems and other issues. Clients are asked, when clinically appropriate, to agree to an individualized therapeutic contract that specifies not only the length of time but also issues to address.

Addiction Recovery Services

We understand that alcohol, drug and other addictive disorders develop over time and interrelate with an individual’s physical, mental, spiritual and social states. Our treatment approach is appropriately holistic, incorporating the best of mental and behavioral health and substance abuse strategies.

We see the community as a potential resource for support in recovery, and encourage clients to design their own network using AA, NA, church groups, social clubs, family, friends and/or other service providers. You can find more information about Addiction Recovery here.

Consultation, Assessment, and Outreach

CSAC is the State Designated mental health agency for Addison County which gives us experience across a full range of community mental health services. Our staff works together in order to determine the most effective course of treatment for each individual and we have strong working relationships with area health providers and community resources. We reach out and collaborate with community partners to establish the most complete assessment possible.

Psychiatric Services and Pharmacologic Treatment

CSAC offers pharmacologic treatment and supports across the spectrum of community mental health services through consultation as well as individual treatment.

Emergency and/or Crisis Services

The Counseling Service provides 24 hour emergency services for residents of Addison County experiencing a mental health crisis.

Such crises may include:

  • Depression
  • Acute anxiety
  • Suicidal and homicidal thinking or behavior
  • Family problems
  • Mental illness
  • Alcohol or drug emergencies

We assist callers in resolving the immediate crisis and in making plans for follow up services if needed. The services offered include:

  • Risk assessment
  • Psychosocial assessment
  • Supportive counseling
  • Critical incident/post traumatic stress debriefing
  • Short-term and follow up treatment
  • Coordination of other services such as hospitalization (voluntary and involuntary)
  • Psychiatric consultation

These services are provided on the telephone, face-to-face at our office, at UVM Health Network–Porter Emergency Department, through Middlebury College Health Services, Middlebury Police Station, Vermont State Police Station, or in other locations depending on the situation.

Emergency / Crisis Services:

If you feel a mental health problem is more than you can cope with, please call:

(802) 388-7641 (24 hours, 365 days per year)

How to get an appointment

After hours you will be asked to leave a call back number and one of our staff will call you back shortly.

  1. Call the Counseling Service at 388-6751 to schedule an appointment with a member of our Staff. A receptionist will ask you some basic contact information. This is passed on to our Intake Coordinator that day.
  2. The Intake Coordinator will call you back to find out more about what services you are looking for, and appointment times would work best for you. The Intake Coordinator then gives this information to an Intake Clinician who will be your first appointment.
  3. The Intake Coordinator will call you back to arrange an appointment.

Contact us

CSAC’s Adult Outpatient Services

89 Main Street
Middlebury, Vermont 05753
Phone (802) 388-6751

Emergency Services

Call (802) 388-7641
24 hours a day / 365 Days a year
Or 911 if you need immediate assistance.

Counseling Service of Addison County October 13, 2025